Clinical Nurse Specialist (CNS)

Posting date:	02 June 2025
Salary:	£38,682.00 per year
Additional salary information:	£38682.00 a year
Hours:	Full time
Closing date:	20 June 2025
Location:	Cardiff, CF14 7BF
Company:	NHS Jobs
Job type:	Permanent
Job reference:	B0272-25-0000

Summary

JOB DETAILS Clinical Nurse Specialist Palliative Care Band Six NHS Agenda for Change pay scale Hours of Work are thirty seven point five per week Based at Ty Hosbis Whitchurch Hospital Grounds Duration of contract is Permanent ORGANISATIONAL ARRANGEMENTS Accountable to Clinically to Consultant in Palliative Medicine Managerially to Consultant in Palliative Medicine and Lead Clinical Nurse Specialist JOB PURPOSE The post of Clinical Nurse Specialist in palliative care will be community based and will provide as part of a team specialist intermediate and generalist palliative care specific to the needs of patients their carers and families KEY FUNCTIONS OF THE ROLE To work as a member of a specialist palliative care team and with members of the primary health care team in the community To work closely with and to develop professional relationships with health care professionals and other palliative care teams within hospitals the community and hospices To play an active role in the promotion of holistic day care in the Ty Hosbis centre To demonstrate excellent clinical skills COMMUNICATION AND RELATIONSHIP SKILLS Effectively reports information regarding patient condition and areas of symptom control to differing groups and individuals including members of the palliative care multi disciplinary team the patient carers and families and other linked healthcare professionals. Ensures that accurate and up to date records are maintained and reviewed as per professional and legal requirements. Demonstrates the ability to be proactive and contribute to the debate of professional issues. Demonstrates IT skills in order to access and contribute to patient data. Use negotiation skills to liaise with patients carers families and outside agencies KNOWLEDGE TRAINING AND EXPERIENCE Will hold a qualification at degree level Evidence of recent learning and continued professional development. Experience of working in the community. Experience of oncology and or working with terminal non cancer patients and or palliative care. Experience of working in day centres or day units ANALYTICAL AND JUDGEMENTAL SKILLS Applies specialist knowledge across a range of procedures that are underpinned by theory evidence based practice and continued professional development. Applies clinical reasoning and problem solving skills techniques. Assumes professional autonomy responsibility and accountability to implement palliative care to enable the service user to maximise function promote independence and maximise quality of life. Works to the remit of professional role and responsibilities within a multi disciplinary professional context. Prioritises workload and takes an increased responsibility for management of self and caseload. Identifies and assesses palliative care needs problems Gathers information from a wide range of sources and analysis through observational interview and individual discussion Uses standardised and non standardised assessment tools to identify physical and functional needs in the areas of patient management Accurately records assessment method and outcome professional judgement and decisions taken From the results of the preliminary assessments and in consultation with the patient identifies the need for further assessment appropriate intervention and or negotiates with other services and agencies to meet additional care needs PLANNING AND ORGANISATIONAL SKILLS Ability to plan and organise treatment interventions Participate in case conferences in conjunction with the multi disciplinary team PHYSICAL SKILLS To use full range of palliative care skills Demonstrates driving and navigational skills in order to carry out home visits RESPONSIBILITY FOR PATIENT CLIENT CARE Provide specialist complex physical emotional and psychological support for the patient with regard to the palliative aspects of diagnosis treatment surgery radiotherapy and chemotherapy. To advise and educate patients and their families and or carers on the management of individual problems incorporating individual patient focused goals and outcomes. To manage clinical risk within own patient workload. Demonstrates the ability to accept the standards of others without prejudice and regardless of race religion politics social economic background and lifestyle. Demonstrates attitudes that ensure the expressed needs and choices of patients and carers are acknowledged RESPONSIBILITY FOR POLICY SERVICE DEVELOPMENT IMPLEMENTATION Critically appraises the impact of palliative care in the community Contribute to and support senior staff and the multi disciplinary team in service development RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES To be responsible for the safe management of any equipment resources required RESPONSIBILITY FOR HUMAN RESOURCES To participate in statutory and mandatory training in line with City Hospice policies and as required by our regulators Participate in the supervision and training of students on clinical placement To assist and participate in the departmental individual performance review programme as appraisee To contribute to and assist in the running of in service training programmes Undertake regular continued professional development activity with appropriate attendance at meetings RESPONSIBILITY FOR INFORMATION RESOURCES To be responsible for own professional development record as identified in the personal development plan To collect appropriate statistical data in accordance with departmental procedure Responsible for inputting of accurate patient records onto the Cancer Network Information System Cymru RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT Undertake evidence based audit and research projects in conjunction with Lead Clinical Nurse Specialist to further clinical practice Participate in multi disciplinary and departmental clinical governance activities including audit To support senior staff in service development FREEDOM TO ACT Professional accountability to Lead Clinical Nurse Specialist and Consultant in Palliative Medicine Work within the guidance of City Hospice policies and procedures To work within the national guidelines of NICE and relevant national government policies PHYSICAL EFFORT Applies relevant manual handling skills techniques MENTAL EFFORT Ability to concentrate and complete tasks despite frequent interruptions Ability to respond to constant unpredictable events and interruptions for example patients fluctuating conditions EMOTIONAL EFFORT Ability to deal with distressing or emotional circumstances Imparting bad news Helping patients and their families to understand the reality of the situation Ability to deal with distressed and angry relatives Use of reflection WORKING CONDITIONS Working in the community throughout Cardiff and the Vale of Glamorgan Office based work using computer daily at base in Ty Hosbis Sharing in the on call rota based at Cardiff Royal Infirmary and or Marie Curie Holme Towers covering the communities of Cardiff and the Vale of Glamorgan Whilst the position is initially based at Ty Hosbis Whitchurch there may be a requirement for the post to be located at Cardiff Royal Infirmary dependent upon areas of responsibility and location DISCLOSURE BARRING SYSTEM In this role you will have direct and indirect contact with patients service users and vulnerable adults in the course of your normal duties You will therefore be required to apply for a DBS Enhanced Disclosure Check as part of City