Band 8a Palliative Care CNS Lead | North Middlesex University Hospital NHS Trust

An opportunity has arisen for a Band 8A Macmillan Clinical Nurse Specialist Palliative Care Lead . The suitable candidate will also get an opportunity to develop their wider skills in palliative care through clinical leadership, clinical assessment of palliative care or end of life patients and support the team in developing and delivering the service. The post is that of a specialist practitioner with palliative care and End of Life Care experience and has the ability and skills of caring for patients with an advanced life-threatening illness. The postholder will be able to make informed decisions within this specialty and scope of professional practice, involving patients and the public to ensure agreed standards, key performance indicators and objectives are met. The post holder is an experienced nurse with a palliative care qualification, who will act as a clinical leader within Palliative and End of Life Care across the Trust.You will be able to autonomously assess any palliative care or end of life patients including history taking, clinical assessment, diagnosis, treatment and evaluation of care. You will be expected to work collaboratively with the Palliative and End of Life team to meet the needs of patients and will lead and support the team in developing and delivering the service ensuring adherence to policy and procedures. This post will work closely with community teams in Enfield, Haringey and with hospices.The team works very closely with the community teams in Enfield, Haringey and with hospices including North London Hospice, St Joseph's Hospice and Isobel Hospice in Hertfordshire. North Middlesex University Hospital (NMUH) is also part of the Haringey Community Partnership Group. The Palliative Care team currently consists of 1 WTE Macmillan Palliative Care Team Lead 4 WTE band 7 Clinical Nurse Specialists, 1 WTE band 6 Developmental Associate Clinical Nurse Specialist, 1WTE Fast Track Discharge Co-Ordinator There is also 1WTE band 8B Nurse consultant for Palliative Care and End of Life. The team are supported by 2.6 WTE Palliative Care Consultants, a trainee GP, 1 IMT3, 1 Specialist registrar.Currently the palliative care team provide a 7-day palliative care service 9-5pm including Bank Holidays. The post will play a key role working in all areas of the Trust where Palliative and End of Life patients may be situated. This includes the acute medical unit (AMU/AAU), Emergency department, frailty wards, Critical care unit and the community stepdown wards at Chase Farm. The post holder will provide transformational leadership to staff at all levels. Providing a highly visible presence and ensuring the provision of a high quality, responsive service with the patient at the center of care delivery inclusive of family and significant others where appropriate., Professional

• To promote personal, professional& clinicalexpertise,through the regular evaluation and updating of palliative care and End of Life nursing practices.
• Toidentifyareasofriskandpoorpracticeandaddress,throughappropriateclinical governance structures.
• To comply with the Nursing& Midwifery Council(NMC) Code of Professional Conductand statutory rules governing professional nursing practice and all trust guidelines.
• To Develop and maintain a professional portfolio and maintain clinical study requirements in compliance with NMC recommendations and provide evidence ofrevalidation.
• To critically reflect on one's own performance, for example, through the use of clinical supervision and the Trusts appraisal system.
• In conjunction with the North Middlesex University Trust & North London Cancer Network to work towards the recommendations of the National Institute for Clinical Excellence Improving Supportive and Palliative Care for Adults with Cancer within theTrust.
• To participate in working groups related to Palliative Care & End of Life and presenting at local and national leve
Expert Clinical Practitioner
• To receive direct referrals and manage own caseload autonomously, withoutsupervision. Taking a lead on more complex cases and working with the Multidisciplinary team.
• Ensure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know about the full range of resources and servicesavailable through Macmillan
• Toactaspatient'sadvocate and be present at 'Best interest' meetings.
• To maintain the highest standards of care thorough assessment, planning, implementation & evaluation of the physical, psycho-social, spiritual and cultural components of all patients and their carers.
• To use specialist knowledge of symptom control to inform medical teams of the appropriate prescribing of medication to control symptoms. As a non-medical prescriber, prescribe medications for symptom control within your scope of practice.
• Tocommunicate informationand advice given,clearlyon EPR systems and/orverballyfor Multi-Disciplinary Team Colleagues.
• To empower the staff within wards and clinical areas who are completing the delivery of caretopalliative orEndof LifeCarepatientsbyworkingwiththemultidisciplinaryteam.
Leader
• Toleadbyexample and role modelling, mentorship.
• Tosupport,enable,motivateanddevelopnursingstaff within the Palliative Care team and in the wider aspect of the Trust including the community division
• Toencourageinnovationanddevelopnewapproachestothedeliveryofpatientfocused care within palliative medicine.
• To support and guide clinical staff on the implementation of the online Trust iPELCdocumentation.
After several years of ever closer working, North Mid and Royal Free London are planning to come together as one organisation to enable them to go further and faster in improving services for patients and the health of the local community than they can achieve separately. The merger of North Mid into the RFL group is currently expected to take place on 1 January 2025, subject to NHS England and Secretary of State approval.

North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest. The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust's services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.