Advice Line - Clinical Nurse Specialist


Company:	NHS Jobs
Salary:	£23,952 - £28,842
Hours:	Full-time
Location:	Taunton, TA1 5HA
Job type:	Permanent
Posting date:	29 Jul 2026
Closing date:	12 Aug 2026

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Summary

Practice and leadership: Practice with autonomy and as a resilient team member to support the transition of new models of working and process development Take and analyse a clinical history in a relevant, succinct and logical manner either remotely or face to face. Triage, assess and plan using specialist skills in palliative/EOL care. Complete thorough documentation on SMH health system i.e. SystemOne. Understand resources available to care and support in the community across the system health and social care model. Independently assess the patients needs, identify their priorities and work with the patient and those close to them towards achieving them. Use physical assessment and clinical reasoning skills as part of patient assessment and to support clinical advice, professional communication and documentation. Perform non-medical prescribing (if holding qualification) within area of competence and practice according to local policy Demonstrate an in-depth knowledge of the options for achieving control of symptoms and the ability to make safe clinical decisions and offer advice to the primary health care team. Provide information to patients, taking account of their individual needs, taking advice from those who are close to them, colleagues and external professionals where appropriate. Based on the triaging, assessing, planning and implementation of needs, refer to other members of the hospice multi-professional team. Refer/signpost patients and carers to other health and social care professionals where appropriate. Demonstrate an ability to explore the personal resources of families/carers to facilitate where possible that patients are cared for in the place of their choice. Support and coach carers at home in managing a relative whose condition is deteriorating. Understand community medication administration processes and safely administer just in case subcutaneous injections when needed during a visit. Discuss wishes of the person and complete treatment escalation plans (TEP) and advance care planning (ACP). Share information via relevant IT platforms Recognise and manage palliative care emergencies appropriately following the pathways of escalation. Act as a resource to other professionals, both internally and externally, on specialist palliative care and end of life care issues. As part of triage process, utilise information from various health care systems to gather current, relevant data i.e. Sider, RIO, EPRO, SystemOne.Communication: Work to support St Margarets in the delivery of a digital strategy that will enhance clinical services and working processes. Contribute/arrange/lead Multidisciplinary meetings as necessary i.e. Primary care network meetings, Gold standard framework. Work collaboratively with clinical and administrative colleagues to provide a responsive and patient-centred service. Regular meetings with community services to ensure collaboration i.e. rapid response service, district nursing service, village agents, living better teams, hospital @ home. Recognise the impact of caring for dying patients on yourself, internal and external colleagues. Being skilled in the delivery of Clinical Supervision, being actively responsible for ensuring you maintain a robust framework of supervision to meet your own needs. Record contemporaneous and accurate patient electronic records according to NMC guidance. Complete professional letters to other healthcare professionals for continuity of care and updating of information. Work within The NMC Code of professional conduct: standards for conduct, performance and ethics. Contribute to the aims and objectives of improving health and wellbeing outcomes, including health promotion, widening access to services and reducing health inequalities by maintaining awareness of current trends, developments and gaps in service. Ensure referrals to other services are completed and ensure continuity of care through excellent communication skills. Manage complex communication issues with patient and families using advanced level of knowledge, interpersonal and communication skills. Anticipate potential problems, or barriers to communication, and take action to improve the communication skills and strategies of the team. To discuss sensitive and emotional information with patients and their families/carers Involve patients and carers in decision making, offering them informed choices and respecting their views. Look for potential risks to self and others in work activities, environments and processes. Understand specific risks associated with lone working and follow lone working policy when conducting home visits. Manage identified risks in the best way possible and keep team informed and engaged. Work in a way that complies with legislation and hospice policies and procedures on health, safety and risk management Report actual or potential problems that may put health, safety or security at risk and suggests solutions Support and challenge others in maintaining health, safety and security at work. Work within the safeguarding framework for the protection of vulnerable adults and children. Education and training: Maintain expert clinical knowledge and skills, using evidence-based practice. Develop and provide relevant education programs internally and externally. Continually provide informal education in the clinical setting to meet these needs and ensure continuing promotion of excellence in palliative care. Maintain own continuing professional development, including a reflective portfolio of evidence, as required by the NMC for revalidation. Participate in the induction, training and mentorship of new staff, and the teaching of all staff up to and including post-graduate level. Provide support, assessment and mentorship of students visiting and on placement with St Margarets on pre-registration nursing programs, and other specialist areas. Provide learning opportunities for other health and social care workers via mentorship and supervision, debriefs and mortality investigations. This includes providing inter-professional support for staff of all disciplines and clinical placements. Undertake any necessary skills, training and mandatory training as appropriate to the post. Maintain revalidation requirementsReporting & data Work to ensure data reporting and analysis are central to articulating service demand, delivery and quality. Together with the Head of Service ensure your role and that of the team constantly works to support strategy direction to improving the lives of patients and carers across Somerset.

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