Clinical Nurse Specialist Rapid Response Service

The role will

provide clinical assessment, supporting the management of complex care

pathways, contributing to audit and service development, and providing staff

supervision in line with organisational and professional standards. Referrals

may be received from 111/999, GPs, allied health professionals, community,

hospice, acute and virtual ward teams, as well as directly from patients,

families and carers.

The post holder

will work flexibly in the delivery of specialist palliative care and support to

patients, families, and carers in the place they consider to be home across the

St Giles catchment area, with sensitivity to their changing physical, psychological,

social, and spiritual needs, including action within two hours of urgent

referral acceptance where required.

To provide rapid

access to specialist assessment, advice, and care, working collaboratively with

existing care providers and initiating referrals to additional services where

these will enhance patient and family support. To communicate, coordinate, and liaise

with the patients usual care team, including GPs, District Nurses, and other

palliative care services, ensuring timely updates on patient condition,

identified needs, and any significant changes, while maintaining accurate and

contemporaneous clinical records.

Working

autonomously and in collaboration with internal colleagues, along with other

community, primary care, acute and virtual ward colleagues, the post holder

will support.

The role entails but is not limited to:

Prioritise and triage patients

presenting with a range of conditions including palliative, EOL and acute

conditions, making any necessary referrals in an appropriate manner.

Support the team in implementing and

evaluating personalised care planning, providing individual specialised

treatment plans, ReSPECT and advanced care planning for patients.

Support the team in providing

specialist palliative care and support to patients and their families in the

place they call home, as required and in accordance with evidence-based

clinical practice.

Process and interpret pathology and

other diagnostic results as required.

Support the team in dealing with

clinical emergencies.

Liaise with external services and

agencies and the patients usual community teams to ensure the patient

continues to be supported appropriately.

Liaise with virtual ward teams to

support timely assessment, shared care planning, escalation and safe

community-based management where appropriate.

Delegate clinical responsibility

appropriately, ensuring safe practice and that the task is within the

individuals scope of practice.

Work closely with the St Giles at Home

community teams in supporting the needs of all patients under the community

services.

General management, supervision, teaching and training

Maintain and develop clinical skills

and specialist palliative care knowledge through active participation in

caseload management, in-house training, relevant external study days, and

continuing professional development.

In conjunction with the line manager,

establish and develop effective relationships with internal and external

colleagues, agencies, and organisations to promote the clinical services

offered by the hospice.

Participate in clinical supervision.

Attend meetings within the hospice as

required.

In conjunction with other clinical

departments, participate in the delivery of training programmes regarding

referral processes and the advice line for hospice staff, external referrers

and other interested groups.

Provide cover for colleagues as

required and appropriate.

Maintain strict confidentiality in

relation to staff, patient, and service information within St Giles Hospice.

Participate in risk assessment and

contribute to the clinical and corporate governance agenda as appropriate.

Support and participate in shared

learning within the system.

Continually review clinical practices,

responding to national policies and initiatives where appropriate.

Participate in the review of

significant and near-miss events applying a structured approach.

Participate in regular annual staff

performance and development review.

Produce work of a high standard and

always promote quality.

its commitment to equal opportunities for all current and potential members of

staff and patients.

Keep up to date on all matters

relating to St Giles Hospice procedures and policies.

Adhere to the professional standards

set by the relevant professional body, ensuring registration remains current

and engaging in continuous professional development.

Uphold the Hospice philosophy, which

is based on an interdisciplinary approach, and participate fully in this model

of care.

Maintain accurate, timely and

contemporaneous records in line with professional standards, information

governance requirements, consent, confidentiality and data protection

legislation.

Recognise and escalate concerns

relating to deteriorating patients, urgent symptom management,

medication-related queries, risk, safeguarding, or unsafe situations in

accordance with Hospice policies and agreed clinical pathways.

Comply with lone working, community

working and personal safety procedures where duties require contact with

patients, families, carers or professionals outside the Hospice setting.

Demonstrate emotional resilience and

seek appropriate support, supervision and debriefing when managing distressing,

complex or sensitive conversations with patients, families, carers and

professionals.

Work in accordance with the NMC Code,

maintain current professional registration, and take responsibility for

revalidation and continuing professional development.

Adhere to St Giles Hospice

safeguarding policies and procedures, recognising and reporting concerns

relating to adults, children, families or carers in line with statutory

We may review applications before the application review

date, however, if you apply after the application review date, your application

may not be considered. We will accept applications until we have successfully

filled the role, this may be earlier than the closing date.

If you have not heard within 14 days of the application

close date, then please consider that your application has been unsuccessful at

this time.

As part of your application your data will be managed in

line with St Giles Hospice Privacy Policy and kept for 6 months. If you would

like to see this in full, please visit https://www.stgileshospice.com/privacy-policy/

St Giles Hospice is a registered charity founded in 1983 by the Reverend Paul Brothwell, originally to improve the care of local people dying with cancer.

We now support patients, and their loved ones, living with a terminal illness. Our dedicated team provides individually-tailored care, free of charge, either at the hospice or in patients own homes across our communities.

We spend close to £10 million a year providing our specialist services. With less than a quarter of this funded by the Government, we rely heavily on donations and income generation from the local community.

Experience

Values

Essential: - Exhibits our hospice values and behaviours

Skills

Qualifications

Essential: - Essential; - Adult Registered Nurse/relevant HCP qualification; - Health Assessment qualification or working towards.

Desirable: - Palliative care/end-of-life care qualifications; - Clinical supervision; - Data collection; - Clinical Governance; - Teaching skills

Other requirements

Personal Attributes

Essential: - Empathetic; - Team player; - Able to work under pressure; - Collaborative; - Ambassador for St Giles Hospice