Palliative Care Out of Hours Clinical Nurse/Paramedic Specialist

Posting date:	17 March 2026
Salary:	£40,660.76 per year
Additional salary information:	£40660.76 a year
Hours:	Full time
Closing date:	27 March 2026
Location:	Bury St Edmunds, IP33 2QY
Company:	NHS Jobs
Job type:	Contract
Job reference:	B0142-26-0007

Summary

Clinical Assess, plan, implement and evaluate nursing interventions for patients with complex palliative care needs Integrate theory and practice to develop plans of specialist treatment and care Work with high level of autonomy to manage a caseload of patients, using clinical judgement and experience to anticipate need and outcomes Demonstrate high-level knowledge and understanding of disease processes and integrate this knowledge into the assessment and management of patients Demonstrate high-level knowledge and understanding of the psychological responses to terminal illness and develop skills to assess and manage these in practice, referring to specialist services, as required Comprehensively assess pain and other symptoms with the use of appropriate tools, ensuring an understanding of clinical history and physical examination to support clinical diagnosis Demonstrate extensive knowledge of therapeutic treatment methods and uses of medications to treat patients, with reference to relevant national guidance and protocols Demonstrate expertise of a range of therapeutic options, which may be available to support the management of symptoms, including medication and non-pharmacological measures such as complementary therapies Review and monitor interventions and management plans, including medication and non pharmacological interventions, communicating appropriately with patients, carers and MDT colleagues regarding any changes made Prescribe medication within own level of competence to support symptom management, in collaboration with MDT colleagues to ensure continuity of care In partnership with MDT members, review assessments in response to changing needs, ensuring that information about these changes are shared appropriately, including changes to patient priorities and wishes Support the autonomy and independence of patients, ensuring the provision of holistic and person centred care, with awareness of the principles of the Mental Capacity Act (2005) Demonstrate advanced communication skills to respond to the needs of patient and families and to enable open discussion, including facilitating discussion around advance care plans, death and the dying process Demonstrate an ability to problem-solve, to enable patients and families to find resolution to their concerns, signposting to other professionals or services, as appropriate Work closely as part of the multi-disciplinary team by engaging in and leading on, regular clinical meetings, which support patient care and care planning, demonstrating support for learners and junior colleagues Act as a resource for junior colleagues Facilitate support for carers, recognising their value in the care of patients facing palliative and end of life care Demonstrate l understanding of clinical risk and safeguarding concerns, and an ability to use clinical reasoning to mitigate or escalate this and to act as a resource to support junior colleagues Maintain accurate and contemporaneous patient records Work within local lone working processes Provision of initial bereavement support and awareness of services for onward referral/signposting Actively participate in clinical supervision Leadership and management Act as a role model demonstrating high standards of care and clinical leadership at all times Act as line manager for Junior CNSs Provide a clinical triage service, as required Work collaboratively with other services to support the continuum of care for patients across West Suffolk and Thetford including the Early Invention Team to support early access timely out of hours access to support and symptom control Actively participate in service improvement work alongside senior colleagues, identifying and developing programmes of change Lead on a one clinical team approach, having developed own skills to deliver care across settings to support business continuity Provide senior clinical support and advice during out of hours periods, in the absence of senior colleagues, escalating concerns outside role and responsibilities, as appropriate Act as a senior clinical resource for junior colleagues during out of hours periods, ensuring that clinical resource is allocated appropriately and clinical risk mitigated or escalated, as appropriate Lead on work which demonstrate clinical quality outcomes Design and participate in clinical audit, to demonstrate outcomes Seek patient feedback proactively and collate responses as per organisational guidance in order to develop services Education and Research Review own training and education needs based on feedback from appraisal, audit and changes to national guidance Completion of opioid conversion workbook and supporting others in practice with safe practice Actively maintain current knowledge across specialist palliative care by reading and undertaking informal learning opportunities Plan and lead on the development and delivery of educational programmes to enhance the learning of others, including professionals, patients and carers Work with learners, acting as Practice Assessor, as appropriate, offering feedback to support practice Engage in regular Continued Professional Development opportunities to ensure that own clinical practice remains current Work towards achievement of additional Level 7 modules to support professional development Where possible, participate in research opportunities across palliative care