Clinical Nurse Specialist
| Posting date: | 30 March 2026 |
|---|---|
| Salary: | £39,730.00 to £55,362.00 per year |
| Additional salary information: | £39730.00 - £55362.00 a year |
| Hours: | Full time |
| Closing date: | 17 April 2026 |
| Location: | Hastingwood, CM17 9JX |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | B0175-26-0007 |
Summary
Clinical Expertise Work as part of the multi-professional team to provide specialist palliative care for patients and their families/carers actively integrating theory and practice. Ensure appropriate prioritisation of referrals, manage caseload, provide clinical face to face assessments and telephone advice and support, delegate to colleagues where appropriate. Practice comprehensive holistic assessments and recommend appropriate treatments, interventions, and support. Liaison with health, social and voluntary care staff in primary and secondary care settings. Establish and maintain effective communication with patients, their families, and carers. Demonstrate and utilise current specialist palliative care knowledge and skills and contribute to developing new initiatives. Act as the patients advocate, ensuring equality, diversity and individual rights are considered paramount in decision making processes. Liaise with other departments, participate in patients case discussions as required as part of the multi-professional team both internally and externally e.g. Gold Standard Framework (GSF). Maintain accurate and contemporaneous patient records via IT solutions in line with St Clare policies and within the guidelines laid down by the NMC. Communicate information regarding patient care and related matters to appropriate members of the St Clare team and/or external agencies. Work with clinical managers and clinical directors to ensure national, local and Hospice directives/legislation are met. Utilise independent prescribing qualifications to assess, prescribe, and review medications in line with palliative care best practices, ensuring timely symptom management and holistic support for patients in the community Leadership Act as a visible and proactive role model, demonstrating high standards of clinical care, professionalism, and leadership to colleagues, students, and external partners. Provide clinical leadership within the community team, supporting decision-making, promoting reflective practice, and fostering a culture of continuous learning and improvement. Collaborate effectively with stakeholders across West Essex and East Hertfordshire, including health, social care, and voluntary sectors, to ensure integrated, patient-centred care. Promote responsible use of hospice resources, contributing to cost improvement and value for-money initiatives while maintaining high standards of care. Lead or contribute to the development and implementation of new initiatives, ensuring they align with service goals and patient needs. Support the collection, analysis, and reporting of service data, using insights to demonstrate quality, inform business planning, and drive service development. Mentor and support junior staff and students, contributing to their development and helping to build leadership capacity within the team. Education and Quality Continuously seek out and apply emerging knowledge, techniques, and innovations in palliative care to enhance clinical practice and patient outcomes. Champion a culture of reflective practice by promoting, developing, and actively participating in clinical supervision for self and colleagues. Lead and contribute to quality improvement initiatives, including clinical audits, risk assessments, and the implementation of evidence-based practices to ensure safe, high quality care. Collaborate with colleagues to design and deliver impactful education and training, contributing to local and national palliative care learning events and sharing expertise to influence wider practice. Take ownership of personal and professional development, actively pursuing learning opportunities and encouraging others to do the same, fostering a team culture of curiosity, adaptability, and continuous improvement. Professional Responsibilities To act professionally at all times and in accordance with the NMC Code of Conduct. To help maintain a safe environment and actively identify, report, and manage risks relating to lone working and community work. To be aware of and work within the Policies/Procedures/Standards of St. Clare Hospice, including those relating to Health & Safety and Moving & Handling. Keep up to date with recent developments in nursing and palliative care. Attend relevant study opportunities - it is desirable that a masters degree in a relevant subject, or other comparable qualification, is completed within three years of being appointed if not previously achieved. Maintain confidentiality of patients and staff at all times. To deliver optimal care to patients from assessment to management plan, including prescribing of therapeutic drug regimes. Demonstrate flexibility and a team-focused approach by supporting colleagues and contributing to shared responsibilities, especially during periods of high demand or staff absence. To perform any other function that is requested by the Community Services Manager within the scope of your role and capabilities. Because of the nature of the work at St Clare you will need to be prepared to address searching questions regarding death and dying on a personal level.