Clinical Nurse Specialist / Clinical Paramedic Specialist

Job responsibilities

1. Clinical Practice

Deliver exceptional, personalised palliative care using specialist clinical judgement to assess, plan, implement, and evaluate care for patients with complex needs and their families.

The postholder will work in close collaboration with the Living Well Team, providing specialist palliative care expertise to support them in managing complex clinical situations and enhancing the quality and safety of care across community and clinic settings. They will offer specialist assessment, decisionmaking, and symptommanagement input, enabling the Living Well Team to continue delivering highquality generalist support while ensuring patients and families receive timely access to specialist-level intervention when needed.

Work collaboratively across the Island, building strong relationships with the multidisciplinary teams at Jersey Hospice Care (JHC), Jersey General Hospital (JGH), GPs, Family Nursing and all other healthcare providers.

Actively participate in MDT meetings and ward rounds across hospital, hospice, and community settings, helping shape shared clinical decisions.

Working autonomously, manage and prioritise caseloads and referrals confidently, using EMIS and MAXIMS to ensure smooth and effective service delivery.

Champion safe and effective medicines management, working in close partnership with the Specialist Palliative and EndofLife Care Pharmacist, and exercise responsibilities as an independent prescriber, ensuring the safe initiation, review, and optimisation of medicines in line with professional standards and patientcentred best practice.

Ensure excellence in clinical documentation, monitoring standards and driving improvements in recordkeeping across the service.

Provide expert support in complex or crisis situations, using advanced communication and deescalation skills to guide patients, families, and colleagues.

Promote and embed the Gold Standards Framework across all care settings to raise the quality and consistency of palliative and endoflife care.

Act as a dedicated patient advocate, ensuring every individuals voice and preferences are central to care decisions.

Engage in reflective practice and clinical supervision, supporting your own wellbeing and contributing to a positive, resilient team culture.

Maintain accurate, confidential, and contemporaneous records in line with Data Protection legislation, professional standards and organisational policies.

Work within a commissioned service, holding responsibility for key performance indicators (KPIs) and contributing to the delivery of the local EndofLife (EOL) Care Strategy, including active involvement in Learning from Deaths processes. They will ensure job plans support highquality community practice and use patient and family feedback to drive continual service improvement.

Promote and facilitate holistic, personcentred support by recognising and responding to the spiritual needs of patients and those important to them.

2. Professional Leadership and Management

Maintain active registration with the NMC or HCPC, confidently meeting revalidation requirements and demonstrating a commitment to ongoing professional growth.

Register with, and maintain full compliance with, the Jersey Care Commissions local registration requirements for your profession, actively participate in JCC inspections, and meet all professional obligations to maintain registration.

Work in alignment with professional standards and JHC policies, ensuring care is safe, ethical, and delivered with integrity at all times.

Take ownership of your clinical practice, embracing professional accountability and consistently striving for excellence.

Engage fully in team meetings, performance reviews, and wellbeing initiatives, contributing to a supportive, reflective, and highperforming team culture.

Build and nurture strong relationships with a wide range of internal and external stakeholders, helping to strengthen collaboration across the Island.

Champion a positive, professional culture, promoting wellbeing, mutual respect, and a cando approach in every interaction.

3. Clinical Audit and Service Development

Drive continuous improvement by contributing to research, audit, and quality initiatives, and encouraging team-wide engagement.

Proactively identify and assess risks using validated tools, updating the SPCT risk register, and escalating concerns in line with professional codes and organisational policies. Champion a safe working environment by maintaining full awareness of Health & Safety responsibilities and adhering to all statutory and JHC procedures.

Ensure competence and confidence in the safe use of clinical equipment, keeping training up to date and maintaining accurate validation records.

Use all equipment safely and according to guidelines, promptly reporting faults or issues when identified.

Promote a culture of openness and learning by ensuring timely incident reporting and completion of action plans.

Apply critical analysis to evaluate research and evidence, helping shape and advance best practice.

Recognise when audits are needed and support initiatives that enhance palliative and end of life care for patients and their loved ones. oflife care for patients and their loved ones.

Actively contribute to JHCs Clinical Governance framework, taking part in relevant meetings and shared decision-making processes. making processes. making processes.

Uphold professional standards by complying with all policies, guidelines, and codes of practice.

Represent JHC with pride and professionalism, acting as an ambassador at external meetings and events.

4. Education and Training

Support and inspire new team members by contributing to staff orientation, induction, student teaching, and mentoring of new colleagues.

Champion lifelong learning, promoting a culture of continual growth and excellence in clinical practice.

Act as a positive role model, demonstrating professionalism and compassion to colleagues, new staff, volunteers, and visitors.

Share learning widely, providing verbal or written feedback to colleagues after attending study days, training, or educational events.

Maintain and develop specialist expertise in palliative care, including complex symptom management, communication, and teaching skills.

Stay current with evolving clinical skills, contributing to service improvements and embracing change where appropriate.

Collaborate closely with the Education Team, helping deliver formal education and clinical training to staff across the Islands healthcare system.

Provide expert bedside teaching, supporting clinical teams with end of life care issues including syringe pumps, anticipatory prescribing, device use, and EOLC medications. care strategies.

Educate patients, relatives, and carers, empowering them with knowledge about their condition, treatment options, and selfcare strategies.

Complete all mandatory training, ensuring compliance with JHC standards and professional requirements.

Technical Abilities

Essential

• You'll be comfortable with
• Using everyday IT applications like Word, Excel, Outlook, and PowerPoint.
• Driving and holding a clean, current licence.
• Working with electronic patient record systems such as EMIS.

Desirable

• Experience using electronic rostering systems would be helpful.

Experience

Essential

• It would really help if you already have
• Strong post qualification experience, ideally including work in a palliative care environment.
• Solid knowledge of symptom management and palliative/end of qualification experience, ideally including work in a palliative care environment. of life care emergencies.
• life care emergencies.
• Experience offering informal teaching or sharing knowledge with colleagues.
• An understanding of audit, benchmarking, and how these support service improvement.
• Awareness of the professional and political issues shaping todays healthcare landscape.
• A clear understanding of clinical governance

Desirable

• You don't need these to apply, but they're definitely a bonus
• Palliative care experience specifically in a hospital setting.
• Awareness of commissioned healthcare standards.
• Experience or insight into working within the charitable sector.
• Experience teaching in a formal setting.
• Experience leading change following clinical audit findings.

Qualifications

Essential

• We're looking for someone who brings
• A 1st level Registered Nurse qualification with current NMC registration or HCPC registered Paramedics with equivalent experience are very welcome too.
• A degree in a Health or Social Care related field.
• A palliative care qualification or award.
• Evidence that you're working towards a postgraduate palliative care qualification.
• A genuine commitment to completing an independent prescribing qualification.
• Advanced Communication Skills training. registered Paramedics with equivalent experience are very welcome too - related field - medical prescribing qualification.

Desirable

• It would be great (but not essential) if you also have
• Master's level or equivalent modules in palliative care.
• A postgraduate qualification in palliative care.
• V300 Independent Nurse Prescriber status.
• A mentorship or teaching qualification. level or equivalent modules in palliative care.

Personal Attributes

Essential

• Were hoping to welcome someone who is
• Confident, dynamic, and comfortable communicating with a wide range of people.
• Able to represent the service in a warm, professional, and positive way.
• Flexible and adaptable in how you approach your work and working pattern.
• A naturally motivated and enthusiastic team player.
• Creative, forward thinking, and able to inspire others.
• Reliable and willing to work outside standard hours when the service needs it.
• Passionate about ongoing learning and development.
• Skilled in communicating sensitively with people facing life limiting conditions.
• Able to deliver difficult or sensitive information with compassion.
• Good at building strong relationships with colleagues across different teams.
• Comfortable writing clearly and presenting information in a logical way.
• Able to work independently, stay calm under pressure, and adapt when needed.
• Confident in problem solving and negotiating solutions. thinking, and able to inspire others. limiting conditions. solving and negotiating solutions.

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).