Clinical Nurse/Paramedic Specialist - Hospice at Home

Clinical Nurse/Paramedic Specialist – Hospice at Home

Join to apply for the Clinical Nurse/Paramedic Specialist – Hospice at Home role at Thames Hospice

Clinical Nurse/Paramedic Specialist – Hospice at Home

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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.

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

Overview:

About us

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

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

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)

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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals

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