Palliative Care Clinical Nurse Specialist Band 7

As a senior nurse, the CNS will be expected to:

1. Acts as a resource of clinical excellence in the speciality of palliative care nursing, and ensure that national and local policies are implemented and followed.2. Assess, plan, implement and evaluate holistic patient care based on sound rationale and evidence-based practice to influence and implement treatment.3. Work autonomously demonstrating ability to manage clinical caseload ensuring it reflects the core components of the Clinical Nurse Specialist role.4. Using advanced communication skills, advise and empower other professionals who are directly involved in the delivery of palliative care.5. Participate in the triage processes and standards of response to new referrals and taking part in the daily allocations.6. Maintain and be responsible for electronic and written records in line with the organisational guidelines.7. Offer skilled emotional and psycho-social support and refer on to other members of the multidisciplinary team as appropriate.8. Participate in the weekend face to face on call rota and work within a flexible approach that is responsive to patient/client need.9. Ensure symptoms are optimally managed and anticipatory prescribing needs are identified to provide for imminent changes in condition.10. Offer bereavement support to patient and families, identifying those at risk of complicated bereavement11. Recognise and take appropriate action in issues related to Mental Capacity Act and Safeguarding12. Be able to mobilise other services to contribute to patient care; working closely with the multidisciplinary team to enable best care and a shared understanding of the patients needs13. Develop and maintain close working relationships with all statutory and/or voluntary agencies14. Promotes evidence based practice with measurable standards and outcomes through the process of audit and benchmarking15. Partakes in Clinical Discussion Groups/Clinical supervision as provided16. Participates actively in the delivery of education on Palliative and End of Life Care across the Group17. Use the extended role as a non-medical prescriber, where appropriate and once authorised, adhering to the Royal Pharmaceutical Societies and by the NMC standards.To audit prescribing practice and ensure prescribing pads are stored safely.

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

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Education and professional qualifications

Essential: - First level Registered Nurse (Adult Nursing); - Evidence of CPD through maintenance of a portfolio; - Mentorship / Teaching qualification

Experience

Desirable: - Knowledge and experience of research

Skills and aptitudes

Desirable: - Previous participation in quality initiatives or audit

Personal Qualities & attributes

Essential: - Reflective practitioner; - Ability to identify own learning and support needs; - Reliable, honest and trustworthy