Advanced Nurse Practitioner

An exciting opportunity has arisen for a dynamic, enthusiastic, motivated, highly experienced nurse with palliative and end of life care practice and knowledge. The post holder will join our well-established expert community and ward nursing teams and medical services as a qualified Advanced Nurse Practitioner.

This post will provide varied senior experience in a multidisciplinary working environment both within the community services and the 18-bed ward, which will be undergoing redevelopment September 2025 – March 2026

We are looking for a candidate who has advanced communication and clinical assessment / prioritisation skills, as well as an understanding of the complex needs of those receiving expert palliative care /end of life care

In addition, competency in evidence-based practice and the ability share a sound knowledge of current initiatives and research developments in palliative care.

4 key elements for the role

• An expert practice function – Clinical practice
• Education, training and development function
• Professional leadership and consultancy functions.
• Practice, service development, research and evaluation.

This role has been aligned with the NMC Principles or Advanced Practice June 2025

Extensive autonomous communityexperience would be additionally valuable to this post and successful non-medicalprescribing qualification essential to support senior level decision making.

Main duties of the job

As an expert, will deliver high quality care to individuals,enable other practitioners to maintain professional expertise whilst exercisinga high degree of autonomy. This will include 50% direct clinical practice andinclude non-medical prescribing.

Education, training and development function. Providespecialist training and education, establishing formal links with localeducation providers. They will participate in the development of studentsworking towards professional registration as well as the learning and developmentof qualified staff. Professional leadership and consultancy function. Demonstrateleadership skills to support and motivate others and to continuously improvequality of care and standards of practice, providing a source expertise andknowledge.

Practice development, service evaluation andimprovement function. Nurse practitioner will contribute to development ofprofessional standards, through the promotion of evidence-based practice. Theywill also conduct research and evaluation of practice within their specialistfield.

Research and Quality function. Collaborate and workalongside colleagues to identify and support Quality and Research activity andinitiatives.

Relevant experience of working atBand 7 or above,managing a complex clinical caseload with appropriate supporting qualifications as well as any evidence of appropriate leadership development.

About us

We are a dynamic, forward thinking organisation delivering a full range of specialist palliative care services for individuals & their loved ones with life limiting illness. We achieved Outstanding in our CQC inspection & have reconfigured our services to meet the changing needs of our local community. We support 5 Clinical Commissioning Groups & have a robust governance structure in place. We provide ward clinical services within a modern, personal & friendly 18-bedded unit, as well as Specialist Community Crisis Support Service, Hospice at Home Service & Specialist Day Therapy Service. We also have the hospice Pepperell Education Centre that has an excellent reputation for delivering high quality education programmes and study days.

All communication regarding your application including invitations to interviews will be sent to the email address you have stated on your application form, if you could also provide a contact telephone number as well.

Saint Francis Hospice is a charity based in theUK. We will require all successful candidates to be able to providedocumentary ID proof of their Right to Work in the UK. We are not aLicensed Sponsor, so are unable to provide sponsorship to support applicantsapplying from outside of the UK.

Please note that we are a charity & not part of an NHS Trust & we are situated in a quiet location in the village of Havering-atte-Bower, outskirts of Romford, therefore please consider our location when applying.

Job responsibilities

JOB TITLE:Advanced Nurse Practitioner – ANP

GRADE: 8a

HOURS OF DUTY:37.5 hours per week.Hours variable according to service needs.

REPORTS TO:Head of Community Services,Director of Care & Community Services.

KEY RELATIONSHIPS: Directorof Care & Community Services, Head of Community Services, Medical Director,Head of Ward Services, Director of Nursing, Quality & Research, Quality ImprovementLead, Clinical Specialists, Individuals referred to the organisation and widerMDT teams, volunteers, external organisations, GP and service users. Internaland external stakeholders.

RESPONSIBLE FOR:This role does not have line managementresponsibility, though will support line management tasks as required (e.g.supervision mentorship, learning & development, competency identificationetc).

JOB SUMMARY:

The role blends a significant proportion ofdirect, higher level clinical care with education, research and managementactivities.

As an expert, will deliver high quality care to individuals,enable other practitioners to maintain professional expertise whilst exercisinga high degree of autonomy. This will include 50% direct clinical practice andinclude non-medical prescribing.

Education, training and development function. Providespecialist training and education, establishing formal links with localeducation providers. They will participate in the development of studentsworking towards professional registration as well as the learning and developmentof qualified staff. Professional leadership and consultancy function. Demonstrateleadership skills to support and motivate others and to continuously improvequality of care and standards of practice, providing a source expertise andknowledge.

Practice development, service evaluation andimprovement function. Nurse practitioner will contribute to development ofprofessional standards, through the promotion of evidence-based practice. Theywill also conduct research and evaluation of practice within their specialistfield.

Research and Quality function. Collaborate and workalongside colleagues to identify and support Quality and Research activity andinitiatives.

MAIN DUTIES AND RESPONSIBILITIES:

This is a key post within the specialist area and willhave a role in defining, shaping and developing all services, including thosein community settings.

Clinical Practice

TheANP job plan will include designated sessions for delivery of direct, expertclinical care and evidenced-based, complex decision-making

The ANP will promote clinical pathways acrossmedical and nursing teams, practicing autonomously, in accordance with scope ofpractice and professional accountability, at an advanced level

Rolemodel advanced nursing practice for all nursing staff and the multidisciplinaryteam

The post holder will provide systemleadership, supporting Clinical Specialists to realise their full potential asautonomous practitioners to ensure seamless delivery of care and high-quality outcomes

The post holder will act as an innovator,change agent and role model to support and influence clinical pathway redesignwithin services including quality, implementation of national initiatives,service reconfiguration and new digitally enabled models of care

The post holder will work closely within anMDT in addition to key relationships above

Expertadvice and support to the clinical and medical teams

Integrateholistic assessment, diagnosis, plan of care, treatment and discharge inaccordance with the evidence base

Participatein quality initiatives to achieve evidenced based clinical standards

Recogniselimitations in scope of practice and address theoretical and practice gapsthrough continuing education and consultation with medical colleagues.

ProfessionalLeadership

Clinicalleadership of the development of nurse-led practice, including strengtheningnursing beyond the current scope of practice and generating innovation andtransformation in service models and delivery

Useadvanced communication skills in all challenging contexts and communicate information that may be sensitive andcomplex

Demonstrateself-awareness with compassionate and authentic leadership withininter-professional teams to influence practice for effective, holistic,person-centred care.

Recordkeeping and data handling in accordance with hospice policy

Promotean internal and external understanding of the role to increase the awareness ofthe scope of practice

Demonstrate professional leadership and a strategic approach

Lead and provide expert knowledge with colleagues in thewriting and development of specific policies

Lead on the production of an annual report, demonstratinggoals and outcomes aligned to the organisational strategy

Collaborate with quality lead role, with a focus on riskmanagement, standard setting, safety, and continuous improvement, in accordancewith governance requirements

Ensure that effective safety procedures are established tocomply with Health & Safety Guidelines

Ensuring regular clinical supervision will be a requirement viaorganisational /external processes with allocated supervisor

Professionalcuriosity is encouraged to explore learning, qualifications and developmentopportunities, to maintain capability to practice at an advanced level.

Rolemodel reflective and reflexive practice and advocate for access toindividualised support and clinical supervision to ensure continuous learning,improvement and professional development of self and colleagues

Support,influence and lead projects in line with the organisational strategy.

Research

Identify researchpriorities specific to area of clinical practice and the scope ofpractice/caseload

Participate in andcollaborate with the multidisciplinary team in undertaking research

Lead, undertake,disseminate and publish nursing research to shape and advance nursingpractice, education and policy and the wider health agenda as part thehospice research activity

Work in partnershipwith the quality lead to implement a quality management system and utilisefindings to initiate change in practice

Initiate and fosterlinks with higher education institutions and other organisations in relevantto research

Contribute to serviceplanning and budgetary processes through use of data and specialistknowledge

Develop datacollecting systems that will inform and evaluate the service provided

The post holder will be akey member of the Research Interest and Audit Groups, contributingexpertise and mentorship in these areas.

Education

The post holder will have an educationalcommitment to ensure clinical pathways and practices are enveloped in all stafftraining programmes

Collaborateto facilitate the education and professional development of all nursing gradesand other healthcare professionals.

Participate in facilitating learning and education (bothundergraduate and post-graduate levels) and other health professionals in theclinical area.

Contributeto the professional body of knowledge and clinical practice, nationally andinternationally, by writing, publishing and presenting outcomes

Actively promote the development of alearning culture, to drive high performance, improvements and innovation

Person Specification

Qualifications

• Registered Nurse with evidence of PIN and revalidation.
• Significant demonstrable experience of practice in palliative care at Band 7 or above.
• Masters degree in relevant subject/significantly working towards.
• Accredited management training course or significantly working towards.
• Teaching qualification: Post Graduate Certificate in Education or equivalent.

Experience

• Ability to coordinate the completion of several projects simultaneously.
• Ability to prioritise and meet deadlines.
• Ability to compile, analyse and disseminate complex information.
• Registered nurses working at this advanced level –
• are accountable practitioners, working within the boundaries of their profession.
• are holistic practitioners, able to address nursing as well as medical needs using a person-centred approach.
• provide health promotion advice, counselling, assessment, diagnosis, referral, treatment and discharge.
• Are innovative and highly skilled at assessing and managing risk.
• Have the freedom and authority to act autonomously and independently accept the responsibility for decisions made and actions taken.
• Are experienced and highly educated experts with a clear understanding and research focused practice model.

Skills, Abilities, Knowledge

• Highly developed advanced interpersonal and communication skills, able to communicate sensitive, highly complex and sometimes contentious information.
• Able to use a range of formats to present information to others and with ability to present complex information to large groups of people.
• Able to demonstrate in-depth knowledge of health policy in relation to palliative and end of life care nursing practice.
• Able to challenge current practice in a constructive, learning focused way.
• Demonstrate experience of identifying research priorities specific to area of clinical practice and the scope of practice/caseload.

Professional Leadership

• Ability to lead with honesty, integrity and care. Be able to develop, empower and delegate effectively to achieve change and generate a positive, inclusive workplace.
• Be accountable for actions and bring creativity and innovation to inspire and motivate others. Be active in the delivery of the Hospice strategy.
• Ability to demonstrate significant experience in nursing including responsibility for aspects of case management, managing a clinical area, leading elements of service provision and of supporting staff in the clinical environment.
• Evidence of continuing professional development.
• Evidence of innovative practice that involves research or service improvement.
• Demonstrable achievement in –
• Changing clinical practice.
• Developing professional staff and mentorship.
• Organisational change & understanding project management methodology.
• Leadership.
• Teaching –
• Articulate a vision of nursing-led practice.
• Demonstrate integration of advanced assessment and examination skills, leading to diagnosis, treatment plan and discharge.
• Demonstrates highly developed advanced communication skills.

Other Requirements

• Willingness to work flexibly.
• Car driver with full license and a roadworthy vehicle.

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.

Director of Services / Head of Community Services

£55,455 to £63,985 a yearOur posts do not attract High Cost Area or fringe allowances

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