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Marie Curie Cancer Care
Job Description
Job Title:
Lead Nurse Community Palliative Care Services
Job Ref:
SC2022
Department
Caring Services
Location:
Marie Curie Hospice, Edinburgh
Reports to:
Hospice Manager
Accountable to:
Assistant Director, Hospices
Job Summary
The post holder will provide direct clinical care for patients and manage the
Community Nurse Specialist Teams, Day Therapy Services, a Fast Track Palliative
Care Discharge service and a Volunteer Visitor Programme in Lothian, working in
close collaboration with the Hospice Multi-Disciplinary Team, GPs, hospital and
social care providers and local Partners.
In line with Hospice and NHS Lothian Palliative Care Strategy, the post holder will
work alongside Hospice Clinical teams to lead and inspire the development of
systems for implementing palliative care tools and frameworks within community
settings (GP Practices and Care Homes and Community Hospitals).
The post holder as a member of the Hospice Senior Management Team will lead the
integration of nursing practice across Hospice Inpatient and Community settings,
promoting a patient centred approach to care across all settings, integrating clinical
governance systems, working in close partnership with Line Managers and clinical
teams.
Key Relationships
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Hospice Manager
Medical Director
Regional Manager, Marie Curie Nursing Service
Lead Nurse West Lothian CHCP
Nurse Consultant in Palliative Care NHS Lothian.
Clinical Lead Nurses, Marie Curie Nursing Service
Hospice Practice Educator
Hospice Research Facilitator
Prof Donaldson at Napier University
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GPs, District Nurses and Macmillan GP Facilitator in NHS Lothian
Lead Health and Social Care Professionals in NHS Lothian
Care Home Managers
Regional HR Manager
Key Responsibilities
Direct Clinical Care
 Deliver expert nursing care in a compassionate manner consistently
displaying qualities of personal warmth, integrity and kindness.
 Deliver complex care by working in partnership with patients and their families
within a therapeutic relationship to enable them to make informed choices.
 Demonstrate nursing expertise including advanced assessment skills, clinical
judgement , decision making and the facilitation of appropriate intervention
 Plan and organise complex programmes of care for patients/ carers and
groups of patients or carers.
 Plan, organise and deliver complex specialist palliative care to patients at
home who are or are becoming medically unstable and ensure appropriate
diagnosis, treatment plan, monitoring and evaluation in undertaken to ensure
their well being, stabilisation and recovery as appropriate.
 Be able to communicate sensitive information directly to patients and carers
and staff even when extremely difficult to convey.
 Rapidly interpret and synthesise multiple data sources to ensure the full range
of care options are considered and implemented for patients.
 Be able to prescribe independently and maintain competence in this area.
 Be able to back up clinical decision making with advanced theoretical and
specialist knowledge and communicate this effectively to patients, carers,
staff across the MDT and with clinical partners.
 Be able to make and communicate to all parties independent authoritative
clinical judgements that ensure the highest standard of clinical care.
 Reconcile views that differ on the best course of care around individual or
groups of patients and communicate effectively all clinical information.
 Integrate generalist palliative care services effectively with community health
and social care services and look for creative ways to improve this integration
wherever possible.
Management

Participate in local NHS palliative care strategy groups and networks to ensure
awareness and recognition of the contribution of the activities within the Hospice
and to identify future development opportunities.

Produce reports, statistics and information as requested and use information to
review and develop services.

Manage the performance and availability of staff and volunteers throughout the
year, including undertaking PPRD’s, managing sickness, absence and annual
leave levels, dealing with complaints and participating in the disciplinary process.

Recruit and induct staff and volunteers, ensuring that probationary reviews are
undertaken and mandatory/core training and education is provided and
completed.

Monitor and audit standards to secure and evaluate quality improvements in
care.

In association with the Hospice Manager and other senior colleagues, to be
responsible for project management in specified areas to improve the delivery of
care.
Professional Leadership and Consultancy

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Provide transformational leadership in the development of palliative care
nursing, at clinical and organisational levels, and contribute to the local and
regional agenda through the auspices of the Nurse Consultant Network in
Scotland and in Marie Curie.
Demonstrate strategic decision-making and Influencing Skills, in both forming
and translating policy which is of relevance to palliative care.
Engage with key stakeholders in the identification of need and in the
development, implementation and evaluation of clinical protocols, guidelines
and clinical competencies
Service Development
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Work with and provide clinical support to CNS and Day Services Staff,
providing appropriate case load management and clinical supervision
support.
Explore and implement ways of preventing unscheduled admission to acute
hospitals by working collaboratively with services across Lothian.
Provide leadership in specific service developments to meet identified need
GP Practices, Care Homes and Community Hospitals.
Lead and participate in clinical governance systems to ensure continuous
improvement in quality at both an individual, team and service level.
Be able to effect change and coordinate service re –design as required with
line managers.
Assist and advise with the setting up of new services for patients with non
malignant disease for patients and carers.
Work with line managers the Marie Curie Nursing Service and the Hospice
Management Team to develop and execute service development in line with
the Marie Curie and NHS Lothian Strategy.
Develop an annual audit plan to monitor clinical outcomes across services
and across the patient pathway in order to make service decisions based on
up to date knowledge.
Trouble shoot any problems in establishing new models of care by liaising
with GP’s, IT providers and other organisations.
The post holder will be expected to represent the Hospice and Marie Curie
Cancer Care externally at regional national and international audiences and
have an impact when engaging with large audiences.
The post holder will be a highly credible nurse and become widely respected
for their clinical and academic and research knowledge and skills
Education
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Within clinical settings, through active facilitation, contribute to the
development of a work-based learning culture that actively supports nursing
staff to commit to the principle of life long learning.
Work with other Palliative Care Nurse Consultants in NHS Lothian in Scotland
and in the UK to lead educational interventions which will ensure good
palliative care for patients in community settings in NHS Lothian.
Provide a consultative educational role in palliative care thus providing an
expert resource of specialist knowledge and skills.
Identify own personal and professional learning and development needs in
response to the development of the service and nurse consultant role and
actively addresses these.
Research
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Contribute to the development of a culture that values evidence from patients,
from professional expertise and from research, and seeks to use that
evidence in the development of person centred practice across all settings.
Take responsibility for developing an ethos of critical inquiry among specialist
palliative care nursing teams, and support such teams in the critique of
literature, and in the implementation of research findings into practice.
Be responsible for actively contributing to the palliative care nursing research
agenda relevant to service strategy by working in conjunction with the
Hospice Research Facilitator and contributing to the Hospice Research
Steering Group and the Marie Curie Research Strategy.
Engage in nursing research, and in the dissemination of findings through
publication in peer reviewed journals and presentations at regional and
national conferences, in close collaboration with academic colleagues at
Edinburgh and Napier University and specialist palliative care teams.
Utilise research findings in clinical work and augment clinical decisions and
service decisions with up to date knowledge.
Summary of Suggested Job Plan
Monday
Morning
Clinical Work
Tuesday
Wednesday
Thursday
Friday
Management
Academic work
Management
Clinical Work
Afternoon
Supporting Professional Activities
(SPA)
Management
Academic work
SPA
Clinical Work
General
In addition to the specific duties and responsibilities outlined in this job description, all
Marie Curie Cancer Care employees should be aware of their specific responsibilities
towards the following:
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Marie Curie Cancer Care operates a no-smoking policy. The post holder should
either be a non-smoker or be prepared not to smoke in any Charity premises,
grounds or vehicles or when on Marie Curie Cancer Care business outside the
office.
Adhere to all health and safety and fire regulations and to co-operate with the
Charity in maintaining good standards of health and safety.
Uphold ethical and professional standards and not behave in a manner that is likely
to bring the Charity into disrepute.
Promote and sustain a responsible attitude towards equal opportunities and
diversity within the Charity.
Demonstrate a commitment to ongoing registration requirements or any national
professional or occupational standards associated with the role.
Demonstrate a commitment to ongoing learning and development and to
participate in any training relevant to the role.
For designated roles, the post holder will be responsible for health & safety,
business continuity planning and/or risk management. (These responsibilities will
be notified on appointment).
Marie Curie Cancer Care is committed to encouraging volunteering throughout
the organisation and as such the post holder will be expected to support and
respect volunteers, and may be asked to work alongside or supervise a volunteer
as part of their role whilst working at Marie Curie Cancer Care.”
This job description is not exhaustive. It merely acts as a guide and may be amended
to meet the changing requirements of the charity at any time after discussion with the
post holder.
Marie Curie Cancer Care
Person Specification
Job title:
Lead Nurse Community Palliative Care Services
Job reference:
SC2022
Criteria
Essential
Desirable
How assessed
Qualifications


Teaching Qualification
(e.g. PGCEA, Cert Ed)
Nurse prescribing
Studying for PhD
Application
form/Certificates
Experience as a
Clinical Nurse
Specialist
Experience providing
consultancy outside
own organisation
Experience of running
nurse led clinics and/or
admitting/discharging
patients from own
caseloads
Application
form/ Interview
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Experience
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First level
qualification
Relevant palliative
care post registration
qualifications
Teaching experience
Evidence of prior
research experience
Masters Degree in
Health related subject
or working towards.
Willingness to
undertake study at
PhD level


Significant clinical

experience in
palliative care
Significant experience 
at Senior Nurse level
– Band 7 or above
Experience in the

development and
operational
management of
palliative care
services
Proven record of
achievement in
change management.
Previous experience
of working within a
multi-disciplinary
team.
Previous experience
of developing and
implementing policies
and procedures
Experience of
working at a strategic
level
Demonstrable
research


Skills
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Personal
Attributes



achievements
Proven record of
publications
Experience of
delivering
presentations to large
audiences
Expert clinical nursing
skills
Proven record of
leadership skills
Evidence of good
communication and
interpersonal skills
Oral presentation
skills
Evidence of ability to
interact and influence
at all levels within an
organisation
IT skills
Ability to challenge
assumptions and
drive change
Leadership skills
Able to demonstrate
secure knowledge
base in palliative care
nursing to provide
autonomous practice
Application
form/Interview
Ability to inspire and
motivate others
Reliable and flexible
Can lead and develop
team working
Application
form/Interview
Marie Curie Cancer Care
Terms and Conditions
Job title
Lead Nurse Community Palliative Care Services
Job reference
SC2022
Salary scale
Agenda for Change
Salary
Band 8 - £38,851- £46,621 (point dependent on
experience)
Annual leave entitlement
27 days per year, plus bank holidays
Notice period
One month
Working hours
37.5 hours per week
Probationary period
Six months
Contract Duration
Permanent
Disclosure Required
Enhanced PVG
Other benefits

Continued access to NHS Pension Scheme (subject to eligibility)

Marie Curie Stakeholder Pension Scheme

Season ticket loan

Loan schemes for bikes; computers and satellite navigation systems
Due to administration costs borne by the charity, we regret that only short-listed
candidates will be contacted. If you have not heard from us within four weeks of the
below closing date, please assume that your application has been unsuccessful.
Closing date: Tuesday 1 July at 5pm
Interview Date: Week commencing 21 July 2014
To apply please visit our website www.mariecurie.org.uk/jobs
Please email your application form to Gillian Livingstone [email protected] or post to
Gillian Livingstone
Marie Curie Cancer Care
Glasgow Hospice
Balornock Road
Glasgow
G21 3US
Marie Curie Cancer Care aims to be an employer of choice and is committed to
equal opportunities.
Charity reg no. 207994 (England & Wales), SCO38731 (Scotland).