NHS
Speciality Doctor - Palliative Medicine
This job is now closed
Job Description
- Req#: B0080-25-0016?language=en&page=816&sort=publicationDateDesc
- Admit patients to the inpatient unit for end-of-life care, symptom management or respite
- provide care for inpatients and outpatients
- To identify and address the physical, psychological, spiritual and social needs of patients and the emotional, spiritual and psychological needs of their families and friends
- Work closely with and support the nursing team and wider MDT
- Communicate compassionately with patients and their families
- Complete administrative tasks arising from medical work
- Liaise closely with external partners such as GPs, Specialist Palliative Care Team (SPCT), district nurses, specialist clinical nurses and secondary care
- To promote and participate in teaching and educational activity
- To participate in clinical governance activities e.g. quality improvement activities
- Promote the ethos of audit in the organisation and where possible participate in clinical audit
- To maintain personal development through personal development reviews, monthly 1:1 meetings, clinical supervision, training, supporting professional activities (SPA) time and appropriate courses
- Engage in the appraisal process
- Medical Degree MBChB or equivalent
- Full GMC Registration
- MRCP, MRCGP
- Diploma in palliative medicine or equivalent
- Master's degree experience in research and / or MSc
- Membership of special interest group
- Point of care ultrasound course or similar
- 3 years post registration experience, including 1 year's relevant experience in allied specialities (e.g., GP, general medicine)
- Palliative care or hospice experience
- Experience in safeguarding
- Experience in practical procedures
- Medical Degree MBChB or equivalent
- Full GMC Registration
- MRCP, MRCGP
- Diploma in palliative medicine or equivalent
- Master's degree experience in research and / or MSc
- Membership of special interest group
- Point of care ultrasound course or similar
- 3 years post registration experience, including 1 year's relevant experience in allied specialities (e.g., GP, general medicine)
- Palliative care or hospice experience
- Experience in safeguarding
- Experience in practical procedures
Job summary
Nightingale House Hospice have an opportunity for a Speciality Doctor to join our team on a permanent basis. This would suit someone who is motivated, flexible and who has an interest in palliative care and is looking to develop their experience and skills in this area in a supportive environment. The role will be within the Medical Team and work closely with the Medical Director. There will be opportunities to participate in education and audit, as well as to deliver excellent care to patients and their loved ones in our 12 bedded inpatient unit and in outpatients.
The role will be based at the hospice, joining our friendly, knowledgeable, experienced and well-supported multi professional team in our brand new redeveloped Inpatient Unit and wellbeing centre. Your role will be to deliver medical and specialist palliative care to patients in our Inpatient Unit and wellbeing centre, in a holistic manor, considering social, emotional and spiritual health as well as physical symptoms. Our aim is to provide individualised care, seeing the patient behind the diagnosis, so they can achieve the best possible quality of life with their loved ones. There will be excellent support for personal development and opportunities for quality improvement work.
Main duties of the job
Main responsibilities
About us
You will work alongside the nursing team, pharmacist, patient flow, rehabilitation team, family support team, chaplain and complementary therapist to deliver care to patients with life limiting conditions. You will deliver individualised, holistic care to patients and their loved ones, with empathy, compassion and kindness, respecting patients dignity and with an aim to empower them to live well with a palliative diagnosis.
Nightingale House Hospice is an Independent Hospice providing care and support for patients and families living with a life limiting illness. We provide care across a wide stretching area from Wrexham, Flintshire and East Denbighshire to Barmouth and the border towns including Oswestry and Whitchurch. Our ambitious plans mean we need to raise over £4 million each year: something we do with the huge support from of our local community.
Details
Date posted
16 October 2025
Pay scheme
Hospital medical and dental staff
Grade
Specialty Doctor
Salary
£58,235 to £82,783 a year Plus 6% for weekend working 1:4
Contract
Permanent
Working pattern
Full-time
Reference number
B0080-25-0016
Job locations
Chester Road
Wrexham
Clwyd
LL11 2SJ
Job descriptionJob description
Job responsibilities
Job Summary
As a speciality doctor in palliative care, you will work within the medical team at Nightingale House Hospice to provide a high standard of medical care to patients admitted to the inpatient unit for symptom management, end of life care or respite, as well as patients attending outpatients or the wellbeing programme. This post offers an opportunity to develop palliative care experience and skills, with SPA time and a culture of learning and developing professionally. You will also have the opportunity to participate in audit, teaching of GP registrars, medical students and disseminating knowledge to the wider team.
The medical team consists of the medical director, 2 speciality doctors (including you), 1 GP registrar and 2 advanced nurse practitioners. We work with palliative care consultants who remotely review the patients twice a week, at a board round. You will work alongside the nursing team, pharmacist, patient flow, rehab, family support team, chaplain and complementary therapist to deliver care to patients with life limiting conditions. You will deliver individualised, holistic care to patients and their loved ones, with empathy, compassion and kindness, respecting patients dignity and with an aim to empower them to live well with a palliative diagnosis.
Main responsibilities
Admit patients to the inpatient unit for end-of-life care, symptom management or respite.
Along with the rest of the medical team, nursing team and consultants, provide care for inpatients, outpatients and patients attending wellbeing or rehab appointments if needed, including initial assessment, daily reviews, planning and management.
To identify and address the physical, psychological, spiritual and social needs of patients and the emotional, spiritual and psychological needs of their families and friends.
Work closely with and support the nursing team and wider MDT, maintaining positive working relationships and close teamwork.
Communicate compassionately with patients and their families regarding their condition, treatment, prognosis and advanced care planning.
Participate in weekend rota (1:4 weekends), being on-site Saturday and Sunday 9 to 5.
Participate in clinical meetings as part of the MDT.
Complete administrative tasks arising from medical work discharge summaries, letters following outpatient appointments, death certificates, coroners reports.
Liaise closely with external partners such as GPs, Specialist Palliative Care Team, district nurses, specialist clinical nurses and secondary care.
Develop and maintain high professional standards within the service and promote multidisciplinary team working.
To promote and participate in teaching and educational activity, teaching medical students, GP registrars, colleagues, patients and families.
To participate in clinical governance activities e.g. quality improvement activities and ensure implementation of best practice guidelines.
Promote the ethos of audit in the organisation and where possible participate in clinical audit
To maintain personal development through personal development reviews, monthly 1:1 meetings, clinical supervision, training, SPA time and appropriate courses, which the hospice will support.
Engage in the appraisal process, the organisation has the required arrangements in place and ensures all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process.
Key working relationships
Medical director
Palliative care consultants
District nurses
Speciality doctor
Secondary care teams at local hospitals
General practitioners
Specialist clinical nurses
Advanced nurse practitioner
Specialist palliative care team
Director of clinical and patient services
Patient flow lead and co-ordinator
Ward manager and deputy ward managers
Wellbeing lead
Family support team
Pharmacist
Physiotherapists
Occupational therapist
Chaplain
Complementary therapist
Ward Clerk/ clinical administrators
General Requirements
This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook
Competence
You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties, you should immediately speak to your line manager / supervisor.
Risk ManagementIt is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. It is a requirement that you adhere to Nightingale House Hospice Policies, Procedures, Protocols and guidelines at all times.
Health and Safety Requirements of the Hospice
All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties including attendance at mandatory training updates and also to report any hazardous situations or defective equipment.
Data Protection and Confidentiality
The post holder must treat all information, whether corporate, staff or patient information, in a discreet, secure and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under statutory legislation and the hospices disciplinary policy. This duty of confidence continues after the post holder leaves the organisation.
Records Management
As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. The post holder should consult the IG Lead if they have any doubt as to the correct management of records with which they work.
Flexibility Statement
The content of this Job Description represents an outline of the post only and is therefore not a final list of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder.
Job responsibilities
Job Summary
As a speciality doctor in palliative care, you will work within the medical team at Nightingale House Hospice to provide a high standard of medical care to patients admitted to the inpatient unit for symptom management, end of life care or respite, as well as patients attending outpatients or the wellbeing programme. This post offers an opportunity to develop palliative care experience and skills, with SPA time and a culture of learning and developing professionally. You will also have the opportunity to participate in audit, teaching of GP registrars, medical students and disseminating knowledge to the wider team.
The medical team consists of the medical director, 2 speciality doctors (including you), 1 GP registrar and 2 advanced nurse practitioners. We work with palliative care consultants who remotely review the patients twice a week, at a board round. You will work alongside the nursing team, pharmacist, patient flow, rehab, family support team, chaplain and complementary therapist to deliver care to patients with life limiting conditions. You will deliver individualised, holistic care to patients and their loved ones, with empathy, compassion and kindness, respecting patients dignity and with an aim to empower them to live well with a palliative diagnosis.
Main responsibilities
Admit patients to the inpatient unit for end-of-life care, symptom management or respite.
Along with the rest of the medical team, nursing team and consultants, provide care for inpatients, outpatients and patients attending wellbeing or rehab appointments if needed, including initial assessment, daily reviews, planning and management.
To identify and address the physical, psychological, spiritual and social needs of patients and the emotional, spiritual and psychological needs of their families and friends.
Work closely with and support the nursing team and wider MDT, maintaining positive working relationships and close teamwork.
Communicate compassionately with patients and their families regarding their condition, treatment, prognosis and advanced care planning.
Participate in weekend rota (1:4 weekends), being on-site Saturday and Sunday 9 to 5.
Participate in clinical meetings as part of the MDT.
Complete administrative tasks arising from medical work discharge summaries, letters following outpatient appointments, death certificates, coroners reports.
Liaise closely with external partners such as GPs, Specialist Palliative Care Team, district nurses, specialist clinical nurses and secondary care.
Develop and maintain high professional standards within the service and promote multidisciplinary team working.
To promote and participate in teaching and educational activity, teaching medical students, GP registrars, colleagues, patients and families.
To participate in clinical governance activities e.g. quality improvement activities and ensure implementation of best practice guidelines.
Promote the ethos of audit in the organisation and where possible participate in clinical audit
To maintain personal development through personal development reviews, monthly 1:1 meetings, clinical supervision, training, SPA time and appropriate courses, which the hospice will support.
Engage in the appraisal process, the organisation has the required arrangements in place and ensures all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process.
Key working relationships
Medical director
Palliative care consultants
District nurses
Speciality doctor
Secondary care teams at local hospitals
General practitioners
Specialist clinical nurses
Advanced nurse practitioner
Specialist palliative care team
Director of clinical and patient services
Patient flow lead and co-ordinator
Ward manager and deputy ward managers
Wellbeing lead
Family support team
Pharmacist
Physiotherapists
Occupational therapist
Chaplain
Complementary therapist
Ward Clerk/ clinical administrators
General Requirements
This post is subject to the Terms and Conditions of employment of the Hospice as specified in the staff handbook
Competence
You are responsible for limiting your actions to those that you feel competent to undertake. If you have any doubts about your competence during the course of your duties, you should immediately speak to your line manager / supervisor.
Risk ManagementIt is a standard element of the role and responsibility of all staff of the Hospice that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. It is a requirement that you adhere to Nightingale House Hospice Policies, Procedures, Protocols and guidelines at all times.
Health and Safety Requirements of the Hospice
All employees of the Hospice have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the Hospice to meet its own legal duties including attendance at mandatory training updates and also to report any hazardous situations or defective equipment.
Data Protection and Confidentiality
The post holder must treat all information, whether corporate, staff or patient information, in a discreet, secure and confidential manner in accordance with the provisions of the current data protection legislation and organisational policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under statutory legislation and the hospices disciplinary policy. This duty of confidence continues after the post holder leaves the organisation.
Records Management
As an employee of the hospice, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. The post holder should consult the IG Lead if they have any doubt as to the correct management of records with which they work.
Flexibility Statement
The content of this Job Description represents an outline of the post only and is therefore not a final list of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder.
Person SpecificationPerson Specification
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Qualifications
Essential
Desirable
Experience
Essential
Desirable
Additional informationDisclosure 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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
Nightingale House Hospice
Address
Chester Road
Wrexham
Clwyd
LL11 2SJ
Employer's website
Employer details
Employer name
Nightingale House Hospice
Address
Chester Road
Wrexham
Clwyd
LL11 2SJ
Employer's website
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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