Description
We are seeking a Clinical Nurse Specialist to join our Palliative Rapid Response Team. You will provide specialist palliative care to people with complex needs and those close to them.
Job Summary:
- 37.5 hours per week, 7.5hr shifts Monday to Friday with occasional shift and weekend cover
- Salary: £47,810 - £54,710 per annum (pro rata)
- Closing date: 30 November 2026
- Interview date: 08 December 2026
Main Duties:
- Provide specialist palliative care to people with complex needs and those close to them
- Manage a small caseload of unstable patients within SWH and be a clinical leader for the service team
- Exercise significant freedom to act, assessing and managing uncertainty across multiple conditions
- Make decisions within broad professional guidelines rather than fixed protocols
- Act as the person colleagues escalate to
Responsibilities:
- Hold and manage a caseload of patients with complex palliative care needs in the Palliative rapid response team (PRT)
- Carry out advanced holistic assessment, using advanced clinical reasoning to interpret complex, uncertain and competing information
- Prescribe as a non-medical prescriber within RGP policy, and support colleagues' safe medicines management
- Provide highly specialist advice on palliative and end of life care to GPs, district nurses, care homes, hospital teams and RGP colleagues
- Deliver hands-on care when it is right for the patient
- Keep and oversee accurate records, and set the documentation standard for the team
- Exercise significant freedom to act within professional guidelines
- Lead the service day to day: allocate and prioritise PRT referrals and visits, oversee the work of the team including bank colleagues, and keep the service safe across the rota
- Line-manage the posts named in the role summary
- Resolve concerns where possible, contribute to formal complaint responses and investigations
- Contribute to service reviews, rota planning and resource management with the BOPM, and deputise clinically when asked
Person Specification:
- Registered Nurse (NMC) with current registration
- Degree in a relevant subject, plus palliative care study aligned to the NHSE Qualification in Specialism Standard, or equivalent experience with an agreed plan to complete
- Non-medical prescribing qualification, or completion within two years, funded by RGP with a named practice assessor
- Experience of supervising, mentoring or line-managing colleagues
- Evidence of leading audit, improvement or change in practice
- Advanced clinical reasoning: assesses and interprets complex, uncertain and competing information and makes defensible decisions under pressure
- Specialist symptom management knowledge across palliative and end of life care
- Teaches effectively in clinical settings, formally and at the bedside
- Plans and prioritises a service day: allocation, escalation and rota cover across a seven-day service
- Confident use of an electronic patient record and Microsoft 365
- Recognises the limits of their own competence and escalates appropriately
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