NHS

Clinical Nurse/Paramedic Specialist - Hospice at Home


PayCompetitive
LocationMaidenhead/England
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: B0488-25-0004?language=en&page=684&sort=publicationDateDesc

      Job summary

      Thames Hospice is an independent hospice based at Bray Lake, Maidenhead. Proudly serving our community for more than 36 years, we provide specialist palliative and end-of-life care as well as vital support for patients families.

      For our Hospice at Home service, we are looking to recruit an enthusiastic Clinical Nurse, or Paramedic, Specialist who is passionate about providing excellent care to people when they are most in need, facing the end of their lives in their own homes.

      Main duties of the job

      You must have experience in the palliative field, with a compassionate nature which extends not only to the community we serve, but the team you will join. In addition you will require a valid registration with the relevant professional body, that being either NMC or HCPC. The role does require an ability to think on your feet, be adaptable to the demands of the day and possess excellent communication skills.

      In this role, you will join a diverse, dedicated and passionate team who hold excellent patient care at the very core of what drives them. The team itself is relatively small for the work it achieves but it does it with compassion, care and enthusiasm. The role will include contributing towards providing a service to the local community across both East Berkshire and South Buckinghamshire 24/7 all year round, so shift work is a requirement.

      We offer a fantastic range of employee schemes and benefits, including generous annual leave, EAP, access to NHS pension scheme if eligible, Blue Light Discount Card and so much more!

      This job advert will close as soon as sufficient applications have been received

      About us

      Overview:

      We are always looking for excellent people to bring their skills, values driven behaviours and commitment to ambition to deliver quality of life, to the end of life, for everyone to join our charity.

      As one team we raise money, support each other whether in clinical teams, or corporate services to ensure everything runs efficiently and smoothly and delivers the best outcome for our patients and their families. Being part of a great team in a complex organisation is demanding, but also really rewarding. If you want to be part of our Hospice at Home team then wed love to work with you.

      Culture:

      We look for people who really care about their work and have huge amounts of compassion to give. If you want to work as part of a culture which develops your skills and values, and builds your confidence to be the best version of yourself, then this is the right place for you. We work hard to look after our people, our patients, our families and our reputation.

      All patients are Thames Hospice patients and therefore we always support the patient and their family irrespective of our individual role. We represent the wider charity and clinical model at all times.

      Our organisational values are:

      • C - Care
      • A - Ambition
      • R - Respect
      • E - excellence

      Details

      Date posted

      10 July 2025

      Pay scheme

      Other

      Salary

      £47,300 a year (pro rata for part time)

      Contract

      Permanent

      Working pattern

      Full-time

      Reference number

      B0488-25-0004

      Job locations

      Windsor Road

      Maidenhead

      Berkshire

      SL6 2DN


      Job description

      Job responsibilities

      Responsibilities:

      Care with Agility:

      To work as part of our specialist, highly skilled and dedicated Palliative Care Response Team making sure our patients feel more comfortable and at ease in familiar surroundings

      To act as a resource to patients in East Berkshire and South Bucks who are on the End of Life Register by offering assessment, complex symptom control, emotional support, advanced care planning, advice, and treatment

      To act as a resource to fellow professional colleagues across the locality of East Berkshire

      To function autonomously in providing excellent end of life care advice

      • Advise and collaborate with professional colleagues on management of physiological and / or psychological symptoms
      • Use specialist skills and high level decision making, including the evaluation of research and evidence, in the assessment and management of complex symptoms in Nurse led clinics or patients homes

      Financial Accountability:

      You'll find more for less solutions and lead a cost-conscious culture, ensuring sustainability for the future

      You'll be detailed conscious and a forward planner who has excellent IT and planning skills to ensure the smooth operation of the team within budget

      Supportive Culture:

      Provide mentorship and facilitation to other professionals with less experience in end of life care

      Support junior staff in the Palliative Care Response Team and each other when required

      Participate in external educational activities in collaboration with the Thames Hospice Education Department

      Provide educational mentorship and facilitation to new team members and students

      Extending reach:

      To ensure all communication with people from a variety of backgrounds with diverse needs is accurate, timely and aligned to our values

      To role model the right behaviours and ways of working to understand ethnic, cultural, spiritual, religious and any other differences between people to ensure our people, patients and families feel included and supported

      Role specific responsibilities:

      • Triage all referrals via the 24-hour advice line to undertake skilled holistic assessment and triage
      • Use advanced communication skills to negotiate, influence and challenge practice in all settings
      • Assess and plan effective end of life care interventions, communicating these planned interventions clearly and concisely both in verbal and written format to other Health Care Professionals
      • Monitor and evaluate the outcome of planned care
      • Work collaboratively with Living Well Services to ensure all patients have access to RN/Paramedic assessment and to and other Hospice Services. Use high level communication skills to elicit concerns, establish and maintain a trusting and therapeutic relationship with patients and their family/carers facilitating the sharing of sensitive and emotive information relating to prognosis and disease, death and dying
      • Promote effective communication, coordination of care and appropriate referrals to other services
      • Proactively co-ordinate and manage a corporate caseload
      • Respond to urgent calls for symptom management to prevent unnecessary hospital admissions
      • Attend Gold Standard Framework meetings to discuss patients on caseload
      • Attend Community Multi-Disciplinary Team meetings to facilitate learning and ensure best practice
      • Participate in a 7-day a week service across the locality
      • Prescribe, where appropriate and competent, for palliative care symptoms in line with Thames Hospice and local prescribing policies
      • Ensure that the team meet contractual and organisational Key Performance Indicators
      • Participate in audit/s of the service, to identify if improvements and/or changes have enabled an improved patient and care experience
      • Report accidents, incidents and complaints in area of responsibility as per procedure, participating in investigations as required
      • Ensure staff understand and work to the processes for lone working, role boundaries and patient confidentiality
      • To undertake any other reasonable duties in accordance with job role

      Job description

      Job responsibilities

      Responsibilities:

      Care with Agility:

      To work as part of our specialist, highly skilled and dedicated Palliative Care Response Team making sure our patients feel more comfortable and at ease in familiar surroundings

      To act as a resource to patients in East Berkshire and South Bucks who are on the End of Life Register by offering assessment, complex symptom control, emotional support, advanced care planning, advice, and treatment

      To act as a resource to fellow professional colleagues across the locality of East Berkshire

      To function autonomously in providing excellent end of life care advice

      • Advise and collaborate with professional colleagues on management of physiological and / or psychological symptoms
      • Use specialist skills and high level decision making, including the evaluation of research and evidence, in the assessment and management of complex symptoms in Nurse led clinics or patients homes

      Financial Accountability:

      You'll find more for less solutions and lead a cost-conscious culture, ensuring sustainability for the future

      You'll be detailed conscious and a forward planner who has excellent IT and planning skills to ensure the smooth operation of the team within budget

      Supportive Culture:

      Provide mentorship and facilitation to other professionals with less experience in end of life care

      Support junior staff in the Palliative Care Response Team and each other when required

      Participate in external educational activities in collaboration with the Thames Hospice Education Department

      Provide educational mentorship and facilitation to new team members and students

      Extending reach:

      To ensure all communication with people from a variety of backgrounds with diverse needs is accurate, timely and aligned to our values

      To role model the right behaviours and ways of working to understand ethnic, cultural, spiritual, religious and any other differences between people to ensure our people, patients and families feel included and supported

      Role specific responsibilities:

      • Triage all referrals via the 24-hour advice line to undertake skilled holistic assessment and triage
      • Use advanced communication skills to negotiate, influence and challenge practice in all settings
      • Assess and plan effective end of life care interventions, communicating these planned interventions clearly and concisely both in verbal and written format to other Health Care Professionals
      • Monitor and evaluate the outcome of planned care
      • Work collaboratively with Living Well Services to ensure all patients have access to RN/Paramedic assessment and to and other Hospice Services. Use high level communication skills to elicit concerns, establish and maintain a trusting and therapeutic relationship with patients and their family/carers facilitating the sharing of sensitive and emotive information relating to prognosis and disease, death and dying
      • Promote effective communication, coordination of care and appropriate referrals to other services
      • Proactively co-ordinate and manage a corporate caseload
      • Respond to urgent calls for symptom management to prevent unnecessary hospital admissions
      • Attend Gold Standard Framework meetings to discuss patients on caseload
      • Attend Community Multi-Disciplinary Team meetings to facilitate learning and ensure best practice
      • Participate in a 7-day a week service across the locality
      • Prescribe, where appropriate and competent, for palliative care symptoms in line with Thames Hospice and local prescribing policies
      • Ensure that the team meet contractual and organisational Key Performance Indicators
      • Participate in audit/s of the service, to identify if improvements and/or changes have enabled an improved patient and care experience
      • Report accidents, incidents and complaints in area of responsibility as per procedure, participating in investigations as required
      • Ensure staff understand and work to the processes for lone working, role boundaries and patient confidentiality
      • To undertake any other reasonable duties in accordance with job role

      Person Specification

      Qualifications

      Essential

      • Specialist Knowledge and Experience:
      • Registered Nurse on NMC register or Registered Paramedic with HCPC
      • Evidence of broad nursing experience including palliative care or paramedic practitioner or relevant experience
      • Minimum of 12 months post preceptorship experience in a community setting, supporting patients in their own home or evidence of autonomous decision making in the community
      • Knowledge and understanding of current developments in palliative care
      • Demonstrable skills in written and spoken English to enable effective communication about nursing topics with patients and colleagues.
      • Ability to put the needs of patients first and look after their interests
      • Willingness and ability to demonstrate commitment to Thames Hospice values.

      Experience

      Essential

      • What qualities do you need to flourish:
      • Enthusiastic and able to use your own initiative
      • Committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care
      • Able to operate whilst being calm under pressure, open minded and organised
      • Skilled to use our IT systems for efficiency and simplicity
      • Able to maintain effective relationships with colleagues and quickly build a rapport to establish professional relationships with others, based on trust and understanding.
      • Experience in identifying and managing conflict
      • Able to work logically and accurately with attention to detail
      • Ability to plan and prioritise a varied workload
      • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
      • Able to communicate effectively with patients, carers and families, both face to face and on the telephone
      • Experience of using multiprofessional records to fully and accurately document patient care and interactions
      Person Specification

      Qualifications

      Essential

      • Specialist Knowledge and Experience:
      • Registered Nurse on NMC register or Registered Paramedic with HCPC
      • Evidence of broad nursing experience including palliative care or paramedic practitioner or relevant experience
      • Minimum of 12 months post preceptorship experience in a community setting, supporting patients in their own home or evidence of autonomous decision making in the community
      • Knowledge and understanding of current developments in palliative care
      • Demonstrable skills in written and spoken English to enable effective communication about nursing topics with patients and colleagues.
      • Ability to put the needs of patients first and look after their interests
      • Willingness and ability to demonstrate commitment to Thames Hospice values.

      Experience

      Essential

      • What qualities do you need to flourish:
      • Enthusiastic and able to use your own initiative
      • Committed to delivering quality of life, to the end of life, for everyone, ensuring the patient is central to all decisions regarding the provision of their care
      • Able to operate whilst being calm under pressure, open minded and organised
      • Skilled to use our IT systems for efficiency and simplicity
      • Able to maintain effective relationships with colleagues and quickly build a rapport to establish professional relationships with others, based on trust and understanding.
      • Experience in identifying and managing conflict
      • Able to work logically and accurately with attention to detail
      • Ability to plan and prioritise a varied workload
      • Experience of communicating effectively with all members of the multidisciplinary team, both verbally and in writing
      • Able to communicate effectively with patients, carers and families, both face to face and on the telephone
      • Experience of using multiprofessional records to fully and accurately document patient care and interactions

      Disclosure and Barring Service Check

      This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

      UK Registration

      Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

      Additional information

      Disclosure and Barring Service Check

      This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

      UK Registration

      Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

      Employer details

      Employer name

      Thames Hospice

      Address

      Windsor Road

      Maidenhead

      Berkshire

      SL6 2DN


      Employer's website

      https://www.thameshospice.org.uk/ (Opens in a new tab)

      Employer details

      Employer name

      Thames Hospice

      Address

      Windsor Road

      Maidenhead

      Berkshire

      SL6 2DN


      Employer's website

      https://www.thameshospice.org.uk/ (Opens in a new tab)

  • About the company

      National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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