CNS/CPS - Hospice Outreach Service

As part of our model of care to ensure we have the right people, providing the right care in the right place and at the right time, we are offering Clinical Nurse Specialist (CNS) or Clinical Paramedic Specialist (CPS) roles to work as part of our multi-disciplinary team within the Hospice Outreach Service in the community.

The Hospice Outreach Team are the initial point of contact for all new community referrals and all telephone calls coming into the service. They are at the forefront of providing palliative advice and support to patients and families in the place they call home; this includes care homes and nursing homes. You will be part of a rota of clinicians covering our 7 day a week service offering telephone support as well as clinic and home-based assessments.

Our team care for patients who have a life limiting illness and our focus is on individualised care, focusing on improving quality of life and achieving patient centred goals. We care for people with long term conditions including heart failure, respiratory disease, frailty and neurological conditions, as well as those with an oncological diagnosis. Our team strives to work alongside other community teams and specialists to optimise patient experience and improve our team knowledge and development.

Reports to Advanced Clinical Practitioner/Hospice Outreach Service manager

Hospice in the Weald are committed to supporting and developing its workforce. We recognise and value the importance of individual development and want our nurses and paramedics to train and develop into Clinical Nurse Specialists or Clinical Paramedic Specialists. These roles are demanding, and require a broad range of skills and competencies, however, they are very rewarding and will provide you with both skills and learning to meet the needs of our community and our organisational strategies.

To work as part of the multi-disciplinary team in HOS (Hospice Outreach Service) to deliver high quality care to patients with a life limiting illness in the community.

To offer the patient and those who care for them, the skills of a dedicated palliative care service which encompasses symptom control, social, emotional and spiritual care.

To offer advice, support and education to the primary health care team and other healthcare professionals on palliative care issues. Giving appropriate medications when immediate need is identified on community visits and supporting other community healthcare professionals with advice about safe medication administration when needed

To strive to help us extend our hospice reach to ensure we have the right people, providing right care at the right time

You will provide clinical advice and specialist support to other professionals on palliative care issues and play a significant role in helping patients to achieve their preferred place of care and their preferred place of death.

To participate in quality initiatives within the department.

Take and analyse a clinical history in a relevant succinct and logical manner

Record concisely, accurately, confidentially and legibly the appropriate elements of the history, examination, results of investigations, differential diagnosis and management plan

Present cases clearly, consistently and professionally to the MDT contributing effectively in patient management

Assess the patients needs. Identify their goals and work with the patient and family towards achieving them

Interpret the results of investigations and discuss and liaise with colleagues to order them appropriately

Develop knowledge of the options for achieving control of symptoms and ability to advise the primary health care team

Develop an ability to explore the personal resources of families/carers in order to ensure patients are cared for in the place of their choice

Support, advise and coach carers at home in managing a relative whose condition is deteriorating

Recognise the impact of caring for dying patients on primary health care team colleagues and offer support

Demonstrate sensitivity and respect for patients and families from different religious and cultural background and sexual orientation

Demonstrate safe mobilisation, transfer and movement of patients in the community and how and where to obtain appropriate equipment

Recognise and manage palliative care emergencies

Bring closure to the nurse-patient relationship and provide for a safe transition to another care provider

To be involved with and support the Gold Standard Framework (GSF) meetings with GPs and in Care Homes and Nursing homes.

Attend weekly MDT meetings

Liaise closely with HOS Manager and wider team on control, distribution and management of clinical workload.

Be cognisant of the Hospice in the Wealds Three-Year Strategy and Operational Business Plan.

Work to maintain a high level of risk awareness about self and patient safety

Assist in the development of policies, procedures, and guidelines to continuously improve ways of working.

Support and empower our volunteers

Develop skills in managing complex communication issues with patients and families as a lone worker in the community;

Anticipate barriers to communication, and take action to improve the communication skills and strategies of the team

Seeks out different styles and methods of communicating to assist longer term needs and aims

Develop advanced communication skills

Write and maintain accurate notes/documentation and input computerised data, keeping all information up-to-date

Develop presentation skills, both oral and written.

Structure an interview using appropriate questioning, avoid jargon, using familiarlanguage, at patients own pace

Communicate both verbally and in writing to patients whose first language may not be English in a manner that they understand, using interpreters appropriately

Break bad news in steps appropriate to the understanding of the individual and be able to support distress

Demonstrate an understanding of the need to involve patients and carers in decision making, offering them informed choices, respecting their views

Manage dissatisfied patients/relatives, anticipating potential problems

Demonstrate negotiation and diplomacy skills and partnership working with external agencies

Demonstrate competent use of Electronic Patient Records and Hospice in the Weald IT systems

Participate in all learning opportunities offered and expected as part of the development programme, and apply own learning to the future development of practice

Share, articulate and reflect palliative care skills, enabling others to learn

Participate in planned teaching programmes

Develop teaching skills

Support new staff and clinical placements

Use relevant AV equipment;

Utilise experiential learning methods;

Consistently draw on research and literature to influence specialist palliative careteaching

Obtain evidence based literature from various sources;

Apply evidence to patient care;

The Hospice Outreach Team are the initial point of contact for all new community referrals and all telephone calls coming into the service. They are at the forefront of providing palliative advice and support to patients, and families in the place they call home, this includes care homes and nursing homes. You will be part of a rota of clinicians covering our 7 day a week service offering telephone support as well as clinic and home-based assessments.

Our team care for patients who have a life limiting illness and our focus is on individualised care, focusing on improving quality of life and achieving patient centred goals. We care for people with long term conditions including heart failure, respiratory disease, frailty and neurological conditions, as well as those with an oncological diagnosis. Our team strives to work alongside other community teams and specialists to optimise patient experience and improve our team knowledge and development.

You will have proven community or in-patient palliative care experience at Band 6 or 7, or have equivalent level of experience of working in the following related areas: Paramedic, General Medicine, Neurology, Emergency Medicine, Frailty, Respiratory Care, Cardiology or Oncology.

Qualifications

Essential: - Registered Nurse (Level 1) or Registered Paramedic (HCPC); - with 3 years post registration experience.; - Evidence of ongoing Professional Development.

Experience

Essential: - Proven track record of contemporaneous clinical practice.

Personal Attributes