Clinical Nurse Specialist; Prescriber

F1 £ 47,065.39 to F3 £ 54,085.12 - pro rata for part time hours

(plus enhancements where applicable)

The Clinical Nurse Specialist (Prescriber) is a key senior role within the Nursing team, acting as the clinical specialist lead and overseeing the community nursing service for a defined area on a rotation basis.

Working with an integrated team of nurses, you will contribute to the overall care of patients and families referred to St Giles Hospice within the community setting. This role will report directly into the Clinical Lead for Community Services.

As a team member, you will contribute to a positive supportive working environment with an emphasis on teamwork and cooperation. You will participate in a rota system providing a 7 day a week, face to face and telephone service for patients and their families and, in the out of hours rota, providing telephone advice and support. This may include visiting out of hours in exceptional circumstances.

It is anticipated that the work plan will be 80% clinical (clinical management) 10% Service Development and 10% Education and Teaching.

The role includes activities such as audit, quality and risk management initiatives and Nurses working at an advanced level will:

• Practice autonomously and be self-directed.
• Appropriately analyse complex situations.
• Undertake assessment of individuals using a range of different assessment methods, which may include physical examination, ordering and interpreting diagnostic tests or advanced health needs assessment.
• Draw on a diverse range of knowledge in their decision-making to determine evidence based therapeutic interventions; this may include prescribing medication and actively monitoring the effectiveness of therapeutic interventions.
• Actively seek and participate in peer reviews of their own practice.
• Appropriately define the boundaries of their practice and understand the parameters of their professional role.

Promote and participate in the implementation of the local and national strategies and St Giles Hospice core standards

If you want to have an informal chat about this role, please contact Amy Bushell on

• Registered Nurse (Degree/Masters level)
• Recognised teaching qualification or equivalent
• Advanced Communication skills qualification
• Independent Nurse Prescribing Level 6 minimum
• Physical Health Assessment Level 6 minimum
• Willing to undertake additional study as required
• Degree in specialist practice related to specialist palliative care
• Community Nursing qualification

• Community nursing experience
• Experience and evidence of clinical audit
• Published original work
• Proven experience within specialist palliative care
• Management experience
• Experience and evidence of effective change management
• Experience and evidence of research/evidence based practice
• Experience and competence in managing complex palliative care cases - symptoms, psychological, grief/loss needs, ethical dilemmas and patient advocacy
• Fully comprehends contemporary CNS role
• Experience of development, implementation and appraisal of quality and audit initiatives
• Knowledge of corporate and clinical governance
• Fully comprehends and implements research and evidence based practice process
• Diverse specialist palliative care knowledge and awareness - national and local agenda

• Exhibits our hospice values and behaviours

• Sound reflective and facilitation skills
• Expert communication, counselling and interpersonal skills
• Teaching skills - informal and formal and ability to contribute to education programme
• Ability to work independently and as part of a team
• Ability to make expert clinical decisions
• Emotionally resilient

• Able to work under pressure

• Valid driving licence
• Eligibility to work in the UK
• Please note that St Giles Hospice does not hold a sponsorship licence and is therefore unable to accept sponsorship requests

• Up to 33 days holiday plus bank holidays (Pro-rata for part time employees)
• Eligible clinical staff transferring from the NHS will have their continuous service and annual leave recognised for up to 10 years and can continue their NHS…