London North West University Healthcare NHS Trust

Macmillan Assistant Practitioner End of Life Care

The closing date is 30 October 2025

Job summary

The overall purpose of this post is to support the delivery of the End of Life Care Strategy within LNWH. The post holder will be involved in the delivery of nursing care for patients in the last phase of life with the level of knowledge, skill and competence beyond that of a traditional healthcare assistant. You will support and contribute to education and training of registered nurses, healthcare assistants and other members of the multi-disciplinary team (MDT), with regards to the specific needs of patients and their families/carers at the last phase of life.Working under indirect supervision, as part of the nursing team, you will have responsibility for delivering nursing care to patients within a delegated caseload.You will participate in multidisciplinary working and the development, implementation and evaluation of the delivery of health care services.

Main duties of the job

o under indirect supervision, as part of the nursing team, the post holder will have responsibility for delivering nursing care to patients within a defined nursing caseload.o Recognise when patients are likely to be dying, and share this concern urgently and effectively with other members of the teamo Contribute to care planning and reviewso Contribute to the discharge planning of patients.o Assess and respond to symptoms of dying (e.g. pain, agitation, nausea, respiratory secretions)o Assess and respond Working to the needs of the people close to the dying persono Assess and respond to the spiritual needs of patients and carerso Day to day involvement with patients and clinical teams in delivering and evaluating effective patient-centered care, with support from a registered nurse as requiredo Recognise and respond appropriately to urgent clinical situations, being aware of own competence and asking for assistance as required.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

  • Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
  • St Mark's Hospital: an internationally renowned specialist centre for bowel disease
  • Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
  • Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Details

Date posted

16 October 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£32,199 to £34,876 a year PA Inclusive of High Cost Area Supplement pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

337-NP-9130KS

Job locations

Northwick Park Hospital

Northwick Park Hospital, Watford Road

Harrow

HA1 3UJ


Job description

Job responsibilities

To view the main responsibility, please see the attached the Job Description and Person Specification.

Job description

Job responsibilities

To view the main responsibility, please see the attached the Job Description and Person Specification.

Person Specification

Qualifications and experience

Essential

  • FDSc Assistant Practitioner Foundation degree
  • Experience working in the acute Healthcare setting
  • minimum of 3 years experience as a healthcare assistant
  • Demonstrates leadership and teaching ability
  • Ability to work on own initiative
  • Ability to work on own initiative
  • Experience of team working
  • Experience of working with patients in last days of life

Desirable

  • NVQ Level 3 Health Award

Skills, abilities and atributes

Essential

  • Enthusiastic and motivated
  • Commitment to continued professional development
  • Good verbal and written communication skills
  • Excellent organisational skills and time management
  • Intermediate IT skills in word processing and spreadsheets

Desirable

  • Knowledge of national guidelines for management of patients in the last phase of life
Person Specification

Qualifications and experience

Essential

  • FDSc Assistant Practitioner Foundation degree
  • Experience working in the acute Healthcare setting
  • minimum of 3 years experience as a healthcare assistant
  • Demonstrates leadership and teaching ability
  • Ability to work on own initiative
  • Ability to work on own initiative
  • Experience of team working
  • Experience of working with patients in last days of life

Desirable

  • NVQ Level 3 Health Award

Skills, abilities and atributes

Essential

  • Enthusiastic and motivated
  • Commitment to continued professional development
  • Good verbal and written communication skills
  • Excellent organisational skills and time management
  • Intermediate IT skills in word processing and spreadsheets

Desirable

  • Knowledge of national guidelines for management of patients in the last phase of life

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).

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).

Employer details

Employer name

London North West University Healthcare NHS Trust

Address

Northwick Park Hospital

Northwick Park Hospital, Watford Road

Harrow

HA1 3UJ


Employer's website

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

Employer details

Employer name

London North West University Healthcare NHS Trust

Address

Northwick Park Hospital

Northwick Park Hospital, Watford Road

Harrow

HA1 3UJ


Employer's website

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

Employer contact details

For questions about the job, contact:

Senior Clinical Nurse Specialist

Ian Rudrum

ian.rudrum@nhs.net

02089963681

Details

Date posted

16 October 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£32,199 to £34,876 a year PA Inclusive of High Cost Area Supplement pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

337-NP-9130KS

Job locations

Northwick Park Hospital

Northwick Park Hospital, Watford Road

Harrow

HA1 3UJ


Supporting documents

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