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Advanced clinical practitioner (palliative care)

Posting date:	14 April 2025
Salary:	£53,755.00 to £60,504.00 per year
Additional salary information:	£53755.00 - £60504.00 a year
Hours:	Full time
Closing date:	17 April 2025
Location:	Rochester, ME1 2NU
Company:	NHS Jobs
Job type:	Permanent
Job reference:	B9813-25-0050

Summary

The post holder will be part of the hospital palliative care team however they will be expected to work in all settings if the service requires. They will also provide medical support in and out of hours to the IPU. This will be reflected in their job plan. The post holders line manager will be the Lead Consultant in Palliative Medicine. The post holder will be expected to participate in the medical on call rota which is nominally one weekend per month covering the IPU, and one evening/overnight per week (telephone cover +/- face-to-face assessment as appropriate). Role requirement and person specification Criteria Essential Qualifications, training, knowledge and experience The 4 pillars of ACP must be met: Clinical practice: masters level qualification (or experience) and non-medical prescribing qualification Leadership and management Education Research For RCN registrants this is achieving credentialing for RCN Advance level Nursing practice and for non-RCN registrants evidence they meet the credentialing criteria. Once a nationally agreed multi-professional register is agreed this will become the standard requirement. Extensive experience in the delivery of specialist palliative care across pathologies Communication skills Provide and receive highly complex, sensitive or contentious information There may be barriers to understanding and acceptance exacerbated by disease progression, or its speed, in a highly emotive atmosphere. Negotiation, education, empathy and re-assurance will be needed to reach agreement or understanding Information maybe received from or given to patients, family or other health and social care professionals in own organisation or externally Liaising and advising hospital inpatient teams who have overall responsibility for the patient, and delivering shared care with patient at the centre of care Communicating with other health professional colleagues, including completion of Fast Track Assessment forms, and discharge planning to home or hospice, and onward referral Promotion of Palliative and End of Life Care within the Acute Hospital Trust with attendance and representation at appropriate Board meetings Analytical and judgemental skills Ability to make assessment and subsequent decision in a complex presentation where there is an element of uncertainty and risk Planning and organisational skills Plan and organise complex activities or programmes, requiring Formulation and adjustments Includes changing in priorities through a shift across settings. Will often involve delegation of tasks Physical skills Ability to use medical equipment to complete assessments and review treatment plans Responsibility for patient care Develops specialist treatment plans for palliative patients across settings. Provides advise to other professionals on the treatment plans for patients in their care. This may be within the organisation, primary care or acute trust. Accountable for decision making Responsibility for policy and service development Proposes changes and develops protocols which may impact on other professionals within service and rest of organisation, and within the Acute Hospital Trust. Financial and physical resources Responsible for safe use of expensive equipment Human resources Develops and delivers educational packages to a wide range of professionals on end of life and palliative care topics. E.g. Verification of expected death, symptom management, referral pathways, medical, nursing and therapy interventions. Training can be delivered across health economy including private and voluntary sectors Information resources Records personally generated patient records Research and development Regularly undertakes research activities including complex audit, often across service or pathways, recruiting to research projects, involved in evaluation and write up of research. Freedom to Act Freedom to act based on own interpretation of policies and patient assessments; works autonomously and is fully accountable for all decisions made. Effort factors Inputting at keyboard daily Travelling to various sites across the organisation Frequent concentration required for assessment of patients, evaluation of others work, report writing, giving advice face to face or via telephone Frequent interruptions for advice and queries, may require change in activities Frequently dealing with difficult situations/circumstances regarding imparting unwelcome news to patients and families, provides care of the terminal ill, includes withdrawal of treatment Dealing with staff with emotional or challenging behaviour Travelling between various MCH sites Occasional exposure to aggressive and/or verbal behaviour Occasional exposure to unpleasant working conditions