Nurse Consultant in Palliative Medicine

Your post will provide

input predominantly to the inpatient services and the wider community of

Ipswich and East Suffolk. You will join at a very exciting time in the region

as new services are designed and implemented. St Elizabeth Hospice is playing

an active part in neighbourhood health pilots in the new combined Norfolk and

Suffolk ICB and worked collaboratively to achieve Compassionate Community

accreditation for Suffolk.

35 years of delivering excellent care, St Elizabeth Hospice continues to drive

forward innovation and development of services. The successful candidate will

join an established team whose members are involved in research and system wide

service development and committed to the continual improvement of clinical

care.

will be employed by St Elizabeth hospice, aligned with Agenda for Change. Full

time hours are available but there is flexibility around how the job plan is

delivered; interested candidates are strongly encouraged to approach us for

discussion.

Interview date: week commencing 9th November

Palliative Care is a senior clinical leader with organisational responsibility

for providing expert, autonomous practice, and nursing leadership, enabling

high standards of safe, effective and compassionate care. Collaborating with

the Medical Director, Medical Consultants and wider clinical teams, the role

provides clinical leadership, education and supervision, strengthens

professional practice and drives service transformation, quality improvement

and equitable access to care.

leads the development of specialist practice, clinical standards including

policy, guidelines and procedures, workforce development, research and

evidence-based care. In addition, the Nurse Consultant holds clinical

supervision responsibilities for specialty grade doctors, advanced

practitioners and non-medical prescribers. The Nurse Consultant works alongside external

partners and multi-disciplinary teams to influence system-wide service quality to

improve patient outcomes, demonstrating the hospice values.

demonstrate a commitment to keeping adults and young people safe

report any disclosure made to you to the appropriate person.

report any safeguarding concerns in the workplace to the appropriate person

maintain an awareness of the hospices policies in relation to safeguarding

To

directly manage care of patients and carers with specialist palliative care

needs for no less than 60% of their job plan.

Clinical Assessment and Management

o

Provides

autonomous expert assessment and management of patients with complex specialist

palliative and end-of-life care needs.

o

holistic assessment and applies advanced clinical reasoning to determine

appropriate, evidence-based interventions.

o

Develops,

implements, and evaluates individualised care plans in partnership with

patients, families and the multidisciplinary team.

o

the management of the most complex and challenging clinical situations across all

settings in which the hospice provides services

Analyse and synthesise

highly complex clinical and non-clinical information, including investigation

results, to inform safe, timely and evidence-based decisions.

Support and empower

colleagues across the multidisciplinary team to provide patient centred care

through a collaborative approach,

as a recognised clinical expert within specialist palliative and end of life

care, maintaining visibility, accessibility, and credibility in practice as

part of a flexible and dynamic medical team consisting of Medical Consultants,

Nurse consultants, specialty grade doctors and resident doctors.

Maintain professional,

legal and ethical accountability for all aspects of practice, working in

accordance with the NMC Code, hospice, local and national policies, and

organisational values.

Provide expert advice,

second opinion and clinical consultation to nursing, medical, allied health

professional and wider multidisciplinary colleagues.

Promote shared

decision-making with patients, families, and carers, taking account of mental

capacity, consent, preferences, diversity, dignity and individual values.

Provide authoritative

expertise in pain and symptom management, prognosis, quality of life, treatment

escalation, withdrawal or withholding of treatment, and end of life

decision-making within an ethical framework.

improving timely access to medication and ensuring safe prescribing, supply and

administration in line with hospice policy.

Collaborate with the

multidisciplinary team to support safe, effective and timely admission,

discharge, transition and continuity of care.

Support generalist and

specialist colleagues to develop competence in palliative and end of life care

through education, supervision, advice, consultation, and role modelling.

Facilitate the

development of nursing and clinical practice across all hospice related

services including inpatient, outpatient, and community in response to patient,

workforce, and service need.

Promote evidence-based

and research-informed practice, linking clinical development to governance,

quality improvement, and patient safety agendas.

Identify, lead and

support service improvement initiatives that enhance access, experience, outcomes,

and quality of palliative care provision.

Develop, establish, and

implement care pathways, guidelines and practitioner-led initiatives,

particularly where precedents do not exist.

Engage with all

requirements for appraisal and revalidation, including continuous professional

development which will be supported by access to paid study leave.

with the Medical Director, Medical Consultants, and other clinical leads to

develop and implement the Hospices strategic clinical plan, annual business

plans and service level agreements.

Provide expert

clinical, professional and values-based leadership across the organisation,

including direct clinical leadership of Advanced Practice and Non-Medical

Prescribing. Lead on Hospice Non-Medical Prescribing governance and workforce

development.

Provide line-management

to Speciality Grade Doctors, support with professional development, coaching,

and oversight of clinical practice.

Lead strategic

development, service improvement, inquiry, and innovation across palliative and

end of life care, using evidence, standards, audit, outcome measures and best

practice to inform decision-making.

Identify areas for

service improvement, work with stakeholders and service users, propose and

project manage change, and evaluate the impact on care quality, experience, safety,

and service effectiveness.

Contribute to hospice

governance processes, prescribing governance, medicines management, risk

management, complaints management, policy development and standards within the

Hospice and wider locality.

Act as an expert

resource and provide advice, consultancy and leadership on standards relating

to specialist palliative and end of life care.

Create a culture of

effectiveness, inclusiveness, excellence and respectful relationships,

supporting high-performing palliative care teams and good places to work where

people from all backgrounds can excel.

Provide a strong and

visible leadership presence, building open, trusting, and respectful

relationships with internal and external partners.

Act as an effective

role model, demonstrating self-awareness, emotional intelligence, courage, and

commitment to speaking up for patients, families, service users and staff.

Support professional

development, mentorship, coaching, recruitment, role development, and feedback

processes across clinical teams.

Support formal and

informal team building, chair meetings effectively and contribute as a core

member of the Medical Team.

Build and maintain

networks of leaders and sustainable partnerships across organisations, sectors,

and systems, including regional, national and international links where

appropriate.

Actively involve key

partners, commissioners, senior leaders, staff and service users in creating a

shared vision that responds to current and future population needs across

health and social care.

Represent the hospice

on relevant groups and at meetings where expert nursing leadership in

specialist palliative care is required.

Promote and facilitate

evidence-based practice by keeping up to date with developments in nursing,

advanced practice, and palliative care.

Utilise clinical

outcomes measures such as the OACC suite, and a range of clinical and activity

data to demonstrate effectiveness and drive improvement.

new consultants can be mentored by an established consultant within the

organisation or by one of the consultants from the neighbouring Palliative Care

service providers to enable them to settle into the post and to support them in

their initial years as a consultant. Established consultants will also have

access to mentoring or support as needed.

Provide expert education and training to patients, carers, nurses,

healthcare professionals, and wider stakeholders, adapting teaching to diverse

levels of knowledge, experience and learning needs.

Identify learning and development needs across clinical teams and

the wider workforce, contributing to induction, training programmes,

professional development, and career pathways.

Create a culture of learning and continuous improvement through

experiential learning, reflective practice, peer learning, clinical

supervision, mentoring, and shared learning.

Lead and develop the Advance Practice workforce including governance,

supervision, and mentorship of Advanced Practitioners.

In addition to being part of a wonderful local charity, the hospice

Offers a generous benefit package, including

27 days annual leave entitlement

Pension scheme (NHS pension transferable)

Occupational Sick Pay

Subsidised refreshments

Elizabeth Hospice is committed to safeguarding and protecting the adults and

young people that we work with and has a zero-tolerance approach to abuse,

neglect and discrimination of any person. As such, all posts are subject to a

rigorous safer recruitment process, including the disclosure of criminal

records and vetting checks. We have a range of robust safeguarding policies in

place which promote safeguarding across the hospice and staff are expected to

undertake regular, mandatory safeguarding training to equip them with the

knowledge and skills to identify and respond to potential risks.

Qualifications

Desirable: - Teaching qualification; - PHD or willingness to work towards; - Leadership Qualification

Specific Skills

Personal Qualities

Experience

Desirable: - Experience in strategic planning.; - Academic interest.; - Experience in presenting at conferences.; - Published journal articles.