Registered Nurse - Community Hospice Services (Days)

Clinical Practice Practise in accordance with the NMC Code, maintaining professional accountability for all aspects of nursing practice. Undertake holistic assessments of patients and families, including clinical and risk assessments, to determine care needs, suitability for overnight support, and appropriate service provision. Develop, implement, review, and evaluate individualised care plans in collaboration with the Clinical Nurse Specialist, Hospice MDT, patients, and those important to them. Monitor patients' conditions and changing needs, identifying deterioration, increased complexity, or emerging risks, and take appropriate action, including timely escalation to relevant services and professionals. Work alongside Clinical Nurse Specialists to respond to urgent referrals and patients experiencing crisis or significant deterioration, undertaking timely assessment, review, care planning, and intervention to support patients and families and promote care in their preferred place of care whenever possible. Undertake assessment and risk assessment of referrals for overnight support, determining eligibility, priority, and the most appropriate use of Community Hospice Services resources. Coordinate and prioritise referrals for overnight support, ensuring available resources are allocated according to clinical need, risk, and service capacity. Contribute to anticipatory and responsive care planning, supporting crisis prevention, avoiding unnecessary hospital admissions where possible, and promoting patient choice. Undertake and review delegated clinical interventions, including syringe pump support, wound care, catheterisation, symptom management, and other interventions within the scope of competence and organisational policy. Initiate and coordinate referrals to internal and external services, including Fast Track Continuing Healthcare, equipment services, community nursing teams, and other healthcare providers as appropriate. Demonstrate a flexible, solution-focused approach, adapting to changing patient needs, service priorities, and operational demands across Community Hospice Services. Support patients, families, and carers before and after death, providing clinical guidance, practical support, and compassionate care during bereavement and the immediate period following death. Communication and Coordination Act as a key point of contact for overnight service coordination, ensuring effective communication between patients, families, carers, hospice colleagues, and external professionals. Communicate sensitively and effectively with patients, families, and carers, providing information, reassurance, emotional support, and guidance during periods of uncertainty and distress. Work collaboratively with Clinical Nurse Specialists, GPs, district nursing teams, outof-hours providers, social care teams, and other partners to deliver coordinated, patient-centred care. Coordinate the planning and allocation of overnight support, balancing patient need, risk, service priorities, and available resources. Provide leadership, line management, and professional support to Community Hospice Services Health Care Assistants (Nights), with the support of the Clinical Nurse Specialist team and senior colleagues, fostering a positive team culture and ensuring the delivery of safe, compassionate, and effective care. Escalate concerns promptly and appropriately when patient needs, safeguarding concerns, risk levels, or clinical complexity exceed the scope or capacity of the role or service. Maintain accurate, timely, and contemporaneous electronic patient records, ensuring all assessments, care plans, risk assessments, interventions, and service activity are appropriately documented. Ensure the accurate and timely recording of clinical activity, assessments, risk assessments, service utilisation, and patient outcomes, recognising the critical importance of high-quality data in demonstrating service impact, supporting performance monitoring, and informing service development. Professional Practice and Governance Work autonomously, frequently as a lone practitioner in community settings, exercising professional judgement and maintaining accountability for decision-making within the scope of the role. Maintain awareness of personal safety, patient safety, and environmental risks, applying risk management principles and following the hospice's Lone Working Policy at all times. Undertake line management responsibilities for Community Hospice Services Health Care Assistants (Nights), including supervision, appraisal, wellbeing support, attendance and performance management, whilst supporting their learning, development, competency assessment, and clinical practice to promote high standards of care, professional accountability, and continuous professional development. Participate in multidisciplinary discussions, case reviews, handovers, clinical supervision, and service meetings to support continuity, learning, and quality of care. Maintain professional competence through mandatory training, continuing professional development, reflective practice, and engagement with evidence-based practice. Contribute to service development, quality improvement initiatives, audit activity, and the ongoing evaluation of Community Hospice Services. Act as a professional ambassador for St Clare Hospice, promoting its values, reputation, and commitment to delivering outstanding palliative and end of life care. Job description Job responsibilities Clinical Practice Practise in accordance with the NMC Code, maintaining professional accountability for all aspects of nursing practice. Undertake holistic assessments of patients and families, including clinical and risk assessments, to determine care needs, suitability for overnight support, and appropriate service provision. Develop, implement, review, and evaluate individualised care plans in collaboration with the Clinical Nurse Specialist, Hospice MDT, patients, and those important to them. Monitor patients' conditions and changing needs, identifying deterioration, increased complexity, or emerging risks, and take appropriate action, including timely escalation to relevant services and professionals. Work alongside Clinical Nurse Specialists to respond to urgent referrals and patients experiencing crisis or significant deterioration, undertaking timely assessment, review, care planning, and intervention to support patients and families and promote care in their preferred place of care whenever possible. Undertake assessment and risk assessment of referrals for overnight support, determining eligibility, priority, and the most appropriate use of Community Hospice Services resources. Coordinate and prioritise referrals for overnight support, ensuring available resources are allocated according to clinical need, risk, and service capacity. Contribute to anticipatory and responsive care planning, supporting crisis prevention, avoiding unnecessary hospital admissions where possible, and promoting patient choice. Undertake and review delegated clinical interventions, including syringe pump support, wound care, catheterisation, symptom management, and other interventions within the scope of competence and organisational policy. Initiate and coordinate referrals to internal and external services, including Fast Track Continuing Healthcare, equipment services, community nursing teams, and other healthcare providers as appropriate. Demonstrate a flexible, solution-focused approach, adapting to changing patient needs, service priorities, and operational demands across Community Hospice Services. Support patients, families, and carers before and after death, providing clinical guidance, practical support, and compassionate care during bereavement and the immediate period following death. Communication and Coordination Act as a key point of contact for overnight service coordination, ensuring effective communication between patients, families, carers, hospice colleagues, and external professionals. Communicate sensitively and effectively with patients, families, and carers, providing information, reassurance, emotional support, and guidance during periods of uncertainty and distress. Work collaboratively with Clinical Nurse Specialists, GPs, district nursing teams, outof-hours providers, social care teams, and other partners to deliver coordinated, patient-centred care. Coordinate the planning and allocation of overnight support, balancing patient need, risk, service priorities, and available resources. Provide leadership, line management, and professional support to Community Hospice Services Health Care Assistants (Nights), with the support of the Clinical Nurse Specialist team and senior colleagues, fostering a positive team culture and ensuring the delivery of safe, compassionate, and effective care. Escalate concerns promptly and appropriately when patient needs, safeguarding concerns, risk levels, or clinical complexity exceed the scope or capacity of the role or service. Maintain accurate, timely, and contemporaneous electronic patient records, ensuring all assessments, care plans, risk assessments, interventions, and service activity are appropriately documented. Ensure the accurate and timely recording of clinical activity, assessments, risk assessments, service utilisation, and patient outcomes, recognising the critical importance of high-quality data in demonstrating service impact, supporting performance monitoring, and informing service development. Professional Practice and Governance Work autonomously, frequently as a lone practitioner in community settings, exercising professional judgement and maintaining accountability for decision-making within the scope of the role. Maintain awareness of personal safety, patient safety, and environmental risks, applying risk management principles and following the hospice's Lone Working Policy at all times. Undertake line management responsibilities for Community Hospice Services Health Care Assistants (Nights), including supervision, appraisal, wellbeing support, attendance and performance management, whilst supporting their learning, development, competency assessment, and clinical practice to promote high standards of care, professional accountability, and continuous professional development. Participate in multidisciplinary discussions, case reviews, handovers, clinical supervision, and service meetings to support continuity, learning, and quality of care. Maintain professional competence through mandatory training, continuing professional development, reflective practice, and engagement with evidence-based practice. Contribute to service development, quality improvement initiatives, audit activity, and the ongoing evaluation of Community Hospice Services. Act as a professional ambassador for St Clare Hospice, promoting its values, reputation, and commitment to delivering outstanding palliative and end of life care.