Senior Clinical Nurse Specialist

As an Senior Clinical Nurse Specialist you will use your

expert palliative care skills and highly experienced clinical judgement to

contribute to the excellent evidence-based specialist treatment and care the

charity provides to patients with complex life-limiting illnesses. You will be

responsible for assessing and diagnosing patients and planning and implementing

their care to ensure optimum outcomes.

You will also assist the Community Cluster Team Leader with line

management responsibilities and the daily clinical leadership of junior colleagues

within the community team. The role

involves travel within the community setting, covering predominantly Mid Devon

area, and participating in the seven-day service provision to include on-call.

Main duties of the job

Key Responsibilities:

Manage a caseload of patients

Provide holistic care, expert advice, and intervention

Collaborate effectively with local GPs and Community Nurses

to deliver an excellent Hospiscare service

Why join Hospiscare?

Keep your NHS pension

Grow your skills with ongoing development

opportunities

Be part of a flexible, understanding and

compassionate workplace

Access a range of wellbeing and mental

health support

About us

Hospiscare has been supporting people in Exeter, Mid and East Devon with terminal illnesses for over 40 years. Our services include support at home, a specialist palliative care ward, out-patients clinics, and supportive therapies.

We support close to 2,200 local people each year, in some of the hardest times possible. As a local charity, we raise around £10 million each year to continue to provide our care. Our staff, volunteers and supporters help us to care for people when they're most in need, no matter what their individual circumstances may be.

Details

Date posted

05 October 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£29,632 a year

Contract

Permanent

Working pattern

Part-time

Reference number

B0211-26-3009

Job locations

1 Spreyton Yard

Spreyton

Crediton

Devon

EX17 5AH

United Kingdom

Job responsibilities

1. JOB DETAILS

Job Title: Senior Clinical Nurse Specialist

Band: 7

Location: Community

Hours: As on contract, to include on-call

Team/Directorate: Community Cluster

Responsible To: Community Cluster Team Leader (CCTL)

Responsible For: N/A

Accountable to: Chief Nurse

2. JOB PURPOSE

To deliver, manage and promote an excellent

standard of evidenced-based specialist palliative care, utilising advanced

clinical skills to identify, assess, diagnose and treat patients with

specialist palliative care needs.

To promote dignity, encompassing a person-centred

approach to positively enhance the lives of patients with complex life limiting

illnesses within the community.

3 KEY RESULT

AREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES

3.1 Main Responsibilities

Provide expert specialist palliative care, contributing

highly experienced clinical judgement and knowledge to develop strategies for

the delivery of complex palliative and end of life care, to promote best

practice for patients with life limiting illnesses.

Assess, diagnose, plan and implement evidence-based

care at the level expected of an Advanced Nurse Practitioner to ensure optimum

patient outcomes.

Act as an independent and supplementary prescriber,

participating in Non-Medical Prescribing supervision to provide an enhanced

delivery of care.

Demonstrate, teach and role model Advanced Communication

Skills and professionalism in your interactions with patients, families, carers

and all other professionals in order to promote and maintain Hospiscare values.

Manage, assess and review, in conjunction with the

team leader, daily clinical leadership of junior staff within the community

team, deputising for the team leader in their absence, to ensure

seamless delivery of clinical care.

Design and deliver education and learning for all

those involved in palliative/ end of life care, to act as a resource to wider

professional and care teams both internally and externally.

Suggest innovative ideas to improve the service

provision and take the service forward in line with Hospiscare, Devon Clinical Commissioning

Group and other Government initiatives to formulate strategies for positive

change.

Assist the Team Leader with line management

responsibilities to promote good working relationships within the team.

Attend, guide and contribute regularly to Gold Standards

Framework (GSF)/Palliative Care and other multi-disciplinary team meetings, in

order to provide specialist palliative care knowledge and advice to healthcare

professionals and relevant others.

Assist and contribute to Hospiscares clinical

governance and audit process in order to support continuing quality improvement

and learning.

Assess and identify complex bereavement and

communicate effectively with the Supportive Care team to enable a seamless

handover into Hospiscares Bereavement Care Services.

Infection

Prevention and Control

Maintaining a safe environment for patients, visitors and employees is

everyones responsibility. All staff are

required to adhere to Hospiscares Infection Prevention and Control Policy and

make every effort to maintain high standards of infection prevention and

control at all times. This includes

ensuring personal and team compliance with all relevant policies and

procedures, and acting upon or reporting any identified risks.

Disclosure and Barring Service

This role

requires a Disclosure and Barring Service (DBS) Enhanced level check with

Adults and Children Barred Lists.

3.2 Key

Contacts Internal:

Community Cluster Team Leader

Community Teams

Chief Nurse

Medical team

IPU

team

Clinical

Governance

Clinical

Administration

Supportive Care Services

Learning

and Development team

People

team

External:

Patients and those close to them

Royal

Devon & Exeter Hospital

NHS

Community Services

General

Practitioners

Residential

and Nursing Homes

Social

and Domiciliary Care Workers

Providers

of out-of-hours services

Devon

Integrated Care Board (ICB)

3.3 Health & Safety

Ensure that Health and Safety

guidelines and fire regulations are strictly adhered to

Comply with safe working practices as

defined by Hospiscare

Complete online training as and when

required

Take reasonable care for your own

health and safety and that of others who may be affected by acts or omissions

at work

Report any accidents, incidents or near

misses as soon as reasonably practicable

Manage own work life balance and

general wellbeing, including any relevant pressures in respect of lone working,

travel, difficult environments and challenging situations

3.4

Data

Protection and Confidentiality

Comply with all the requirements of the

Data Protection Act, other relevant legislation and Caldicott principles whilst

carrying out the duties of your role

Ensure the confidentiality of all

information relating to patients, staff, volunteers, visitors or contractors,

and of financial and commercial information.

3.5 General

Be aware of and adhere to Hospiscare

policies and procedures at all times

Take part in progress/performance

reviews throughout the year

Cooperate with other Hospiscare departments

Attend training courses and complete

online training modules as required to meet the requirements of the post

Take responsibility for own personal

development, seeking out opportunities to learn new skills

Undertake any other duties as requested

by management which are reasonably deemed to be within the scope of the role

3.6 Other

Apply the Hospiscare values and behaviours to every

aspect of the role at all times

Promote and maintain the brand standards of

Hospiscare

Job responsibilities

1. JOB DETAILS

Job Title: Senior Clinical Nurse Specialist

Band: 7

Location: Community

Hours: As on contract, to include on-call

Team/Directorate: Community Cluster

Responsible To: Community Cluster Team Leader (CCTL)

Responsible For: N/A

Accountable to: Chief Nurse

2. JOB PURPOSE

To deliver, manage and promote an excellent

standard of evidenced-based specialist palliative care, utilising advanced

clinical skills to identify, assess, diagnose and treat patients with

specialist palliative care needs.

To promote dignity, encompassing a person-centred

approach to positively enhance the lives of patients with complex life limiting

illnesses within the community.

3 KEY RESULT

AREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES

3.1 Main Responsibilities

Provide expert specialist palliative care, contributing

highly experienced clinical judgement and knowledge to develop strategies for

the delivery of complex palliative and end of life care, to promote best

practice for patients with life limiting illnesses.

Assess, diagnose, plan and implement evidence-based

care at the level expected of an Advanced Nurse Practitioner to ensure optimum

patient outcomes.

Act as an independent and supplementary prescriber,

participating in Non-Medical Prescribing supervision to provide an enhanced

delivery of care.

Demonstrate, teach and role model Advanced Communication

Skills and professionalism in your interactions with patients, families, carers

and all other professionals in order to promote and maintain Hospiscare values.

Manage, assess and review, in conjunction with the

team leader, daily clinical leadership of junior staff within the community

team, deputising for the team leader in their absence, to ensure

seamless delivery of clinical care.

Design and deliver education and learning for all

those involved in palliative/ end of life care, to act as a resource to wider

professional and care teams both internally and externally.

Suggest innovative ideas to improve the service

provision and take the service forward in line with Hospiscare, Devon Clinical Commissioning

Group and other Government initiatives to formulate strategies for positive

change.

Assist the Team Leader with line management

responsibilities to promote good working relationships within the team.

Attend, guide and contribute regularly to Gold Standards

Framework (GSF)/Palliative Care and other multi-disciplinary team meetings, in

order to provide specialist palliative care knowledge and advice to healthcare

professionals and relevant others.

Assist and contribute to Hospiscares clinical

governance and audit process in order to support continuing quality improvement

and learning.

Assess and identify complex bereavement and

communicate effectively with the Supportive Care team to enable a seamless

handover into Hospiscares Bereavement Care Services.

Infection

Prevention and Control

Maintaining a safe environment for patients, visitors and employees is

everyones responsibility. All staff are

required to adhere to Hospiscares Infection Prevention and Control Policy and

make every effort to maintain high standards of infection prevention and

control at all times. This includes

ensuring personal and team compliance with all relevant policies and

procedures, and acting upon or reporting any identified risks.

Disclosure and Barring Service

This role

requires a Disclosure and Barring Service (DBS) Enhanced level check with

Adults and Children Barred Lists.

3.2 Key

Contacts Internal:

Community Cluster Team Leader

Community Teams

Chief Nurse

Medical team

IPU

team

Clinical

Governance

Clinical

Administration

Supportive Care Services

Learning

and Development team

People

team

External:

Patients and those close to them

Royal

Devon & Exeter Hospital

NHS

Community Services

General

Practitioners

Residential

and Nursing Homes

Social

and Domiciliary Care Workers

Providers

of out-of-hours services

Devon

Integrated Care Board (ICB)

3.3 Health & Safety

Ensure that Health and Safety

guidelines and fire regulations are strictly adhered to

Comply with safe working practices as

defined by Hospiscare

Complete online training as and when

required

Take reasonable care for your own

health and safety and that of others who may be affected by acts or omissions

at work

Report any accidents, incidents or near

misses as soon as reasonably practicable

Manage own work life balance and

general wellbeing, including any relevant pressures in respect of lone working,

travel, difficult environments and challenging situations

3.4

Data

Protection and Confidentiality

Comply with all the requirements of the

Data Protection Act, other relevant legislation and Caldicott principles whilst

carrying out the duties of your role

Ensure the confidentiality of all

information relating to patients, staff, volunteers, visitors or contractors,

and of financial and commercial information.

3.5 General

Be aware of and adhere to Hospiscare

policies and procedures at all times

Take part in progress/performance

reviews throughout the year

Cooperate with other Hospiscare departments

Attend training courses and complete

online training modules as required to meet the requirements of the post

Take responsibility for own personal

development, seeking out opportunities to learn new skills

Undertake any other duties as requested

by management which are reasonably deemed to be within the scope of the role

3.6 Other

Apply the Hospiscare values and behaviours to every

aspect of the role at all times

Promote and maintain the brand standards of

Hospiscare

Person Specification

Knowledge

Essential

• Advanced understanding of the complexities of working with individuals at times of distress and conflict

• Detailed understanding of the key issues relating to End of Life Care including national strategies and policy development

• Advanced understanding of theoretical nursing models and their impact on the delivery of care

Desirable

• Awareness of change theory and its application in practice

Skills

Essential

• Advanced skills as an expert practitioner, synthesizing complex information utilising an evidence based approach

• Advanced communication and interpersonal skills

• Highly developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information

• Highly developed ability to prepare, lead and evaluate formal and informal teaching and education programmes

• Developed ability to manage staffing resource effectively and efficiently

• Developed IT skills

Personal attributes

Essential

• Ability to lead and work as part of a team, prioritise workload and manage time effectively

• Ability to work autonomously, problem solve and act on own initiative

• Flexible and adaptable with the ability to respond positively in a rapidly changing environment

• Commitment to continuing professional development

• Awareness of Equality, Diversity and Inclusion in all aspects of work

Additional requirements

Essential

• Able and willing to contribute to the 7 days/week and out of hours specialist palliative care service

• Able to travel and work throughout the area covered by Hospiscare

• Able to fulfil the physical and manual handling aspects of the role

Desirable

• Car owner and driver

Qualifications

Essential

• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development

Desirable

• Qualifications and specific training
• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development
• Teaching and mentorship/supervision qualification
• Leadership or management qualification
• Non-Medical Prescriber
• Advanced clinical assessment skills (MSc level)

Experience

Essential

• Extensive recent clinical experience of working within a palliative care environment
• Substantial experience of audit and standard setting
• Substantial experience and evidence of coaching/mentoring and of facilitating clinical supervision
• Significant experience of developing, teaching and evaluating education programmes

Desirable

• Experience of multi-agency partnership working in order to deliver service improvements

Person Specification

Knowledge

Essential

• Advanced understanding of the complexities of working with individuals at times of distress and conflict

• Detailed understanding of the key issues relating to End of Life Care including national strategies and policy development

• Advanced understanding of theoretical nursing models and their impact on the delivery of care

Desirable

• Awareness of change theory and its application in practice

Skills

Essential

• Advanced skills as an expert practitioner, synthesizing complex information utilising an evidence based approach

• Advanced communication and interpersonal skills

• Highly developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information

• Highly developed ability to prepare, lead and evaluate formal and informal teaching and education programmes

• Developed ability to manage staffing resource effectively and efficiently

• Developed IT skills

Personal attributes

Essential

• Ability to lead and work as part of a team, prioritise workload and manage time effectively

• Ability to work autonomously, problem solve and act on own initiative

• Flexible and adaptable with the ability to respond positively in a rapidly changing environment

• Commitment to continuing professional development

• Awareness of Equality, Diversity and Inclusion in all aspects of work

Additional requirements

Essential

• Able and willing to contribute to the 7 days/week and out of hours specialist palliative care service

• Able to travel and work throughout the area covered by Hospiscare

• Able to fulfil the physical and manual handling aspects of the role

Desirable

• Car owner and driver

Qualifications

Essential

• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development

Desirable

• Qualifications and specific training
• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development
• Teaching and mentorship/supervision qualification
• Leadership or management qualification
• Non-Medical Prescriber
• Advanced clinical assessment skills (MSc level)

Experience

Essential

• Extensive recent clinical experience of working within a palliative care environment
• Substantial experience of audit and standard setting
• Substantial experience and evidence of coaching/mentoring and of facilitating clinical supervision
• Significant experience of developing, teaching and evaluating education programmes

Desirable

• Experience of multi-agency partnership working in order to deliver service improvements

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 .

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.

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 .

Employer details

Employer name

Hospiscare

Address

1 Spreyton Yard

Spreyton

Crediton

Devon

EX17 5AH

United Kingdom

Employer's website

https://www.hospiscare.co.uk (Opens in a new tab)

Employer details

Employer name

Hospiscare

Address

1 Spreyton Yard

Spreyton

Crediton

Devon

EX17 5AH

United Kingdom

Employer's website

https://www.hospiscare.co.uk (Opens in a new tab)

Job responsibilities

1. JOB DETAILS

Job Title: Senior Clinical Nurse Specialist

Band: 7

Location: Community

Hours: As on contract, to include on-call

Team/Directorate: Community Cluster

Responsible To: Community Cluster Team Leader (CCTL)

Responsible For: N/A

Accountable to: Chief Nurse

2. JOB PURPOSE

To deliver, manage and promote an excellent

standard of evidenced-based specialist palliative care, utilising advanced

clinical skills to identify, assess, diagnose and treat patients with

specialist palliative care needs.

To promote dignity, encompassing a person-centred

approach to positively enhance the lives of patients with complex life limiting

illnesses within the community.

3 KEY RESULT

AREAS/PRINCIPAL DUTIES AND RESPONSIBILITIES

3.1 Main Responsibilities

Provide expert specialist palliative care, contributing

highly experienced clinical judgement and knowledge to develop strategies for

the delivery of complex palliative and end of life care, to promote best

practice for patients with life limiting illnesses.

Assess, diagnose, plan and implement evidence-based

care at the level expected of an Advanced Nurse Practitioner to ensure optimum

patient outcomes.

Act as an independent and supplementary prescriber,

participating in Non-Medical Prescribing supervision to provide an enhanced

delivery of care.

Demonstrate, teach and role model Advanced Communication

Skills and professionalism in your interactions with patients, families, carers

and all other professionals in order to promote and maintain Hospiscare values.

Manage, assess and review, in conjunction with the

team leader, daily clinical leadership of junior staff within the community

team, deputising for the team leader in their absence, to ensure

seamless delivery of clinical care.

Design and deliver education and learning for all

those involved in palliative/ end of life care, to act as a resource to wider

professional and care teams both internally and externally.

Suggest innovative ideas to improve the service

provision and take the service forward in line with Hospiscare, Devon Clinical Commissioning

Group and other Government initiatives to formulate strategies for positive

change.

Assist the Team Leader with line management

responsibilities to promote good working relationships within the team.

Attend, guide and contribute regularly to Gold Standards

Framework (GSF)/Palliative Care and other multi-disciplinary team meetings, in

order to provide specialist palliative care knowledge and advice to healthcare

professionals and relevant others.

Assist and contribute to Hospiscares clinical

governance and audit process in order to support continuing quality improvement

and learning.

Assess and identify complex bereavement and

communicate effectively with the Supportive Care team to enable a seamless

handover into Hospiscares Bereavement Care Services.

Infection

Prevention and Control

Maintaining a safe environment for patients, visitors and employees is

everyones responsibility. All staff are

required to adhere to Hospiscares Infection Prevention and Control Policy and

make every effort to maintain high standards of infection prevention and

control at all times. This includes

ensuring personal and team compliance with all relevant policies and

procedures, and acting upon or reporting any identified risks.

Disclosure and Barring Service

This role

requires a Disclosure and Barring Service (DBS) Enhanced level check with

Adults and Children Barred Lists.

3.2 Key

Contacts Internal:

Community Cluster Team Leader

Community Teams

Chief Nurse

Medical team

IPU

team

Clinical

Governance

Clinical

Administration

Supportive Care Services

Learning

and Development team

People

team

External:

Patients and those close to them

Royal

Devon & Exeter Hospital

NHS

Community Services

General

Practitioners

Residential

and Nursing Homes

Social

and Domiciliary Care Workers

Providers

of out-of-hours services

Devon

Integrated Care Board (ICB)

3.3 Health & Safety

Ensure that Health and Safety

guidelines and fire regulations are strictly adhered to

Comply with safe working practices as

defined by Hospiscare

Complete online training as and when

required

Take reasonable care for your own

health and safety and that of others who may be affected by acts or omissions

at work

Report any accidents, incidents or near

misses as soon as reasonably practicable

Manage own work life balance and

general wellbeing, including any relevant pressures in respect of lone working,

travel, difficult environments and challenging situations

3.4

Data

Protection and Confidentiality

Comply with all the requirements of the

Data Protection Act, other relevant legislation and Caldicott principles whilst

carrying out the duties of your role

Ensure the confidentiality of all

information relating to patients, staff, volunteers, visitors or contractors,

and of financial and commercial information.

3.5 General

Be aware of and adhere to Hospiscare

policies and procedures at all times

Take part in progress/performance

reviews throughout the year

Cooperate with other Hospiscare departments

Attend training courses and complete

online training modules as required to meet the requirements of the post

Take responsibility for own personal

development, seeking out opportunities to learn new skills

Undertake any other duties as requested

by management which are reasonably deemed to be within the scope of the role

3.6 Other

Apply the Hospiscare values and behaviours to every

aspect of the role at all times

Promote and maintain the brand standards of

Hospiscare

Knowledge

Essential

• Advanced understanding of the complexities of working with individuals at times of distress and conflict

• Detailed understanding of the key issues relating to End of Life Care including national strategies and policy development

• Advanced understanding of theoretical nursing models and their impact on the delivery of care

Desirable

• Awareness of change theory and its application in practice

Skills

Essential

• Advanced skills as an expert practitioner, synthesizing complex information utilising an evidence based approach

• Advanced communication and interpersonal skills

• Highly developed ability to manage challenging circumstances effectively, to understand and disseminate multifaceted information

• Highly developed ability to prepare, lead and evaluate formal and informal teaching and education programmes

• Developed ability to manage staffing resource effectively and efficiently

• Developed IT skills

Personal attributes

Essential

• Ability to lead and work as part of a team, prioritise workload and manage time effectively

• Ability to work autonomously, problem solve and act on own initiative

• Flexible and adaptable with the ability to respond positively in a rapidly changing environment

• Commitment to continuing professional development

• Awareness of Equality, Diversity and Inclusion in all aspects of work

Additional requirements

Essential

• Able and willing to contribute to the 7 days/week and out of hours specialist palliative care service

• Able to travel and work throughout the area covered by Hospiscare

• Able to fulfil the physical and manual handling aspects of the role

Desirable

• Car owner and driver

Qualifications

Essential

• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development

Desirable

• Qualifications and specific training
• Registered Nurse with current Nursing and Midwifery Council registration
• Degree in Palliative Care or degree level qualification in associated field
• Evidence of ability and commitment to work at Masters academic level or above, incorporating clinical development
• Advanced Communication Skills
• Evidence of ongoing professional development
• Teaching and mentorship/supervision qualification
• Leadership or management qualification
• Non-Medical Prescriber
• Advanced clinical assessment skills (MSc level)

Experience

Essential

• Extensive recent clinical experience of working within a palliative care environment
• Substantial experience of audit and standard setting
• Substantial experience and evidence of coaching/mentoring and of facilitating clinical supervision
• Significant experience of developing, teaching and evaluating education programmes

Desirable

• Experience of multi-agency partnership working in order to deliver service improvements