Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Palliative and End of Life Care Clinical Specialist Nurse/AHP

The closing date is 22 January 2026

Job summary

An exciting opportunity has arisen for a committed Registered Nurse or Allied Health Professional with proven expertise in palliative and end of life care to lead service development at the Trust. The successful candidate will be passionate about delivering exceptional patient care and supporting individuals during critical stages of life.

**Please note that we have no access to OSCE support courses, and nurses pending registration are welcome to apply but must be able to evidence that they have satisfied the NMC Objective Structured Clinical Examination Test of Competence.

Main duties of the job

This newly created, high-impact role is a two-year fixed-term post aimed at enhancing palliative and end-of-life care across a broad geographical area. The position centres on developing and implementing care pathways, supporting clinical teams, and delivering staff training--including the ICB palliative care training resource.

Key duties include leading policy and strategic development, driving quality improvement and service transformation, and offering expert clinical support and education to those caring for patients in their final stages of life.

The role also involves liaison with external agencies, hospices, and local service providers, as well as overseeing clinical audits to ensure compliance with national standards. As a visible clinical specialist, the post-holder will coordinate care, develop care plans for end-of-life elective surgery patients, and may independently prescribe if qualified.

Applicants should be Registered Nurses or Allied Health Professionals with significant palliative care experience, strong leadership and communication skills, and a proven track record in project management, policy development, audit, and quality improvement. The ability to work both autonomously and collaboratively in multidisciplinary teams is essential, alongside a commitment to professional development and service enhancement.

About us

The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.

In the National Staff Survey, 74% of our staff would recommend the Trust as a place to work and 92% would recommend the hospital to a friend or relative for treatment.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities - including our recently-opened £6 million Headley Court Veterans' Orthopaedic Centre (the first unit of its kind in the UK).RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.

Details

Date posted

22 December 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum

Contract

Fixed term

Duration

2 years

Working pattern

Full-time

Reference number

224-PA20250802961

Job locations

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswesrty

SY10 7AG


Job description

Job responsibilities

Pathways of care and active support to clinical teams in all aspects of palliative and end of life care.

Training of staff at RJAH and support ICB palliative care training resource.

Policy development.

Strategic development and overview.

Development and delivery of quality improvement and service transformation.

A key purpose of the role is to ensure ongoing clinical support for the nursing and medical teams who care for patients within the Trust who are entering the final stages of their lives, offering high level expertise and knowledge in palliative and end of life care (PEoLC). The post holder will be expected to support and educate staff without direct supervision and will work autonomously as the lead nursing/AHP expert in specialist palliative and end of life care.

They will liaise with outside agencies covering a large potential referral geography given the quaternary status of the hospital, to include hospices, other local service providers and Trusts.

The role will involve work across the whole Trust, within different Delivery Units. The post holder will work as part of the teams (CNS/AHP) already delivering specialist PEoLC (Sheldon Ward, Montgomery Unit, Spinal Team and MCSI teams), and the pre-operative optimisation teams.

The post holder will participate actively in high level reviews of the service and future strategy development for the PEoLC pathway. The post holder will have oversight of clinical audit activity local, regional, national compliance and audit against NICE guidance. They will help the Trust to achieve and maintain standards required by regulators such as CQC and continue to work closely with the commissioners (ICB) to ensure this.

Informal visits to the Trust to view the working environment and meet the team are welcomed.

Job description

Job responsibilities

Pathways of care and active support to clinical teams in all aspects of palliative and end of life care.

Training of staff at RJAH and support ICB palliative care training resource.

Policy development.

Strategic development and overview.

Development and delivery of quality improvement and service transformation.

A key purpose of the role is to ensure ongoing clinical support for the nursing and medical teams who care for patients within the Trust who are entering the final stages of their lives, offering high level expertise and knowledge in palliative and end of life care (PEoLC). The post holder will be expected to support and educate staff without direct supervision and will work autonomously as the lead nursing/AHP expert in specialist palliative and end of life care.

They will liaise with outside agencies covering a large potential referral geography given the quaternary status of the hospital, to include hospices, other local service providers and Trusts.

The role will involve work across the whole Trust, within different Delivery Units. The post holder will work as part of the teams (CNS/AHP) already delivering specialist PEoLC (Sheldon Ward, Montgomery Unit, Spinal Team and MCSI teams), and the pre-operative optimisation teams.

The post holder will participate actively in high level reviews of the service and future strategy development for the PEoLC pathway. The post holder will have oversight of clinical audit activity local, regional, national compliance and audit against NICE guidance. They will help the Trust to achieve and maintain standards required by regulators such as CQC and continue to work closely with the commissioners (ICB) to ensure this.

Informal visits to the Trust to view the working environment and meet the team are welcomed.

Person Specification

Qualifications/Training

Essential

  • RN Diploma or Degree1st Level Registered General Nurse or relevant AHP qualification
  • Post Registration qualification in palliative care or knowledge gained through equivalent experience.
  • Evidence of continued professional development to master's level
  • Physical Assessment Course
  • Advanced communications skills course

Desirable

  • Non-medical prescriber or willingness to achieve
  • Teaching qualification or knowledge gained through equivalent experience
  • Higher degree (Masters etc)

Experience

Essential

  • 5 years postgraduate experience in a nursing / AHP role
  • Significant post registration experience, in a palliative care specialty for minimum of 2 years.
  • Experience of managing change.
  • Experience of working effectively as part of the multidisciplinary team.
  • Experience of working with service users to develop practice Experience of treatment evaluation or audit

Desirable

  • Presentation skills, Teaching skills and experience.

Skills and Competencies

Essential

  • Ability to independently make clinical decisions.
  • Ability to develop effective interpersonal relationships with colleagues in the health care setting
  • Ability to work both within a team and autonomously.
  • Effective time management and organisational skills
  • Advanced communication skills.
  • Ability to influence change through application of advanced clinical knowledge and skills.
  • Project or quality improvement experience
  • Research / Audit skills
  • Ability to work across professional boundaries.

Desirable

  • Experience of participation in research and audit.
  • Presentation skills, Teaching skills and experience
  • Good IT skills (word, email, PowerPoint)

Knowledge

Essential

  • Knowledge of Advances and current issues in palliative care.
  • Knowledge of Health care policy and strategy relevant to palliative care.
  • Knowledge of Current NHS PEoLC performance and service improvement initiatives.
  • Knowledge of Understanding of model for improvement redesign and change management
  • Knowledge of Good understanding of audit and research and its application to / uses in practice.
  • Knowledge of Clinical and information governance.
  • Knowledge of The Scope of Professional Practice / Code of Conduct
  • Knowledge of Relevant current NICE guidance, standards of care and legislation

Desirable

  • Knowledge of project management methodologies

Personal Qualities & Trust Values

Essential

  • Ability to work flexibly to meet the demands of the service.
  • Ability to motivate and lead others
  • Ability to manage opposition and overcome obstacles in a positive and non-threatening manner.
  • To exemplify the Trust Values:
Person Specification

Qualifications/Training

Essential

  • RN Diploma or Degree1st Level Registered General Nurse or relevant AHP qualification
  • Post Registration qualification in palliative care or knowledge gained through equivalent experience.
  • Evidence of continued professional development to master's level
  • Physical Assessment Course
  • Advanced communications skills course

Desirable

  • Non-medical prescriber or willingness to achieve
  • Teaching qualification or knowledge gained through equivalent experience
  • Higher degree (Masters etc)

Experience

Essential

  • 5 years postgraduate experience in a nursing / AHP role
  • Significant post registration experience, in a palliative care specialty for minimum of 2 years.
  • Experience of managing change.
  • Experience of working effectively as part of the multidisciplinary team.
  • Experience of working with service users to develop practice Experience of treatment evaluation or audit

Desirable

  • Presentation skills, Teaching skills and experience.

Skills and Competencies

Essential

  • Ability to independently make clinical decisions.
  • Ability to develop effective interpersonal relationships with colleagues in the health care setting
  • Ability to work both within a team and autonomously.
  • Effective time management and organisational skills
  • Advanced communication skills.
  • Ability to influence change through application of advanced clinical knowledge and skills.
  • Project or quality improvement experience
  • Research / Audit skills
  • Ability to work across professional boundaries.

Desirable

  • Experience of participation in research and audit.
  • Presentation skills, Teaching skills and experience
  • Good IT skills (word, email, PowerPoint)

Knowledge

Essential

  • Knowledge of Advances and current issues in palliative care.
  • Knowledge of Health care policy and strategy relevant to palliative care.
  • Knowledge of Current NHS PEoLC performance and service improvement initiatives.
  • Knowledge of Understanding of model for improvement redesign and change management
  • Knowledge of Good understanding of audit and research and its application to / uses in practice.
  • Knowledge of Clinical and information governance.
  • Knowledge of The Scope of Professional Practice / Code of Conduct
  • Knowledge of Relevant current NICE guidance, standards of care and legislation

Desirable

  • Knowledge of project management methodologies

Personal Qualities & Trust Values

Essential

  • Ability to work flexibly to meet the demands of the service.
  • Ability to motivate and lead others
  • Ability to manage opposition and overcome obstacles in a positive and non-threatening manner.
  • To exemplify the Trust Values:

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).

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 (opens in a new window).

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswesrty

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswesrty

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

AHP Consultant and Lead Cancer Practitioner

Geraint Davies

geraint.davies2@nhs.net

01691404271

Details

Date posted

22 December 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum

Contract

Fixed term

Duration

2 years

Working pattern

Full-time

Reference number

224-PA20250802961

Job locations

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswesrty

SY10 7AG


Supporting documents

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