Palliative Specialist Nurse (PSN)


Company:	NHS Jobs
Salary:	£39,959 to £48,117 a year
Hours:	Full-time
Location:	Margate, CT9 4AD
Job type:	Permanent
Posting date:	16 Oct 2026
Closing date:	25 Oct 2026

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Summary

Clinical Responsibilities Provide specialist palliative care assessment, advice and support to patients with complex needs and those important to them. Undertake holistic assessments considering physical, psychological, emotional, social, cultural and spiritual needs. Develop, implement and evaluate individualised care plans in partnership with patients, families and professionals. Support and manage patients presenting with highly complex symptom burden, uncertainty, palliative care emergencies and rapidly changing clinical needs. Recognise deterioration and respond appropriately to changes in clinical condition, including palliative care emergencies. Provide timely specialist advice to patients, carers and healthcare professionals. Utilise advanced clinical reasoning and specialist decision-making skills to support complex care planning. Promote advance care planning, including discussions regarding preferred place of care and preferred place of death where appropriate. Coordinate and facilitate effective transitions between care settings, ensuring continuity of care and communication across services. Contribute to ethical decision-making relating to capacity, consent and best-interest decisions. Act as an advocate for patients, families and carers. Participate in multidisciplinary team meetings, contributing specialist nursing knowledge and clinical recommendations. Provide advice regarding appropriate referral pathways and access to specialist services. Work autonomously within professional boundaries and seek advice appropriately when required. Prescribe medicines safely where qualified and authorised to do so, in accordance with legislation, professional standards, local policies and formularies. Maintain competence in independent prescribing practice and contribute to anticipatory prescribing and medicines optimisation in line with service requirements. Maintain knowledge of current evidence-based approaches to palliative symptom management. Contribute to the development, review and implementation of clinical policies, pathways and standards. Professional Leadership and Clinical Practice Act as a positive professional role model demonstrating compassionate, inclusive and person-centred care. Promote high standards of specialist palliative nursing practice, influence practice across hospice, community and acute settings to promote excellence in palliative care. Provide specialist advice and support to registered nurses, healthcare assistants and other professionals. Coach, supervise and support colleagues to develop competence and confidence in end-of-life care. Contribute to clinical decision-making within the multidisciplinary team. Demonstrate leadership in complex patient situations. Promote dignity, respect, equality and inclusion in all aspects of care delivery. Challenge practice where necessary to improve patient outcomes and experience. Support implementation of evidence-based practice and national guidance. Contribute to succession planning, service and workforce development and improvement initiatives. Actively support the creation of an inclusive, psychologically safe working environment. Medicines Management Demonstrate knowledge of medicines commonly used within specialist palliative care. Provide advice regarding safe prescribing, administration and monitoring of medicines. Support appropriate medicines optimisation. Work within local medicines management policies and professional standards. Maintain competence in prescribing practice where applicable. Quality Improvement, Audit and Research Participate in quality improvement activities to improve patient outcomes and experience. Contribute to clinical audit programmes and service evaluation. Evaluate clinical outcomes and use data to improve patient experience and service delivery. Identify opportunities for improving care pathways and service delivery. Lead and/or contribute to quality improvement projects and implementation of evidence-based practice. Participate in research activity where appropriate. Share learning through clinical forums, education sessions and professional networks. Participate in risk management, incident review and learning processes. Education, Training and Development Maintain specialist knowledge and competence through continuing professional development. Deliver education and training to hospice staff, healthcare professionals and partner organisations. Support the development of colleagues through coaching, supervision and teaching. Support colleagues following emotionally challenging clinical situations and contribute to a culture of reflection, wellbeing and professional support. Act as a Practice Supervisor and/or Practice Assessor for student nurses in accordance with current NMC standards. Support new staff through induction, orientation and ongoing development. Contribute to clinical competency development. Attend mandatory training and professional development activities. Maintain awareness of current national guidance relating to palliative and end-of-life care. Safeguarding and Professional Responsibilities Recognise and respond appropriately to safeguarding concerns. Work within safeguarding adults procedures and legislation. Apply principles of the Mental Capacity Act and best-interest decision-making. Maintain professional accountability in accordance with the Nursing and Midwifery Council Code. Maintain confidentiality and information governance standards. Report risks, incidents and concerns appropriately. Communication Communicate sensitively and effectively with patients, families and carers regarding complex and emotional issues. Use advanced communication skills when discussing diagnosis, prognosis, uncertainty and end-of-life decisions. Build effective relationships with internal and external professionals. Ensure accurate and timely documentation within electronic patient records. Participate in virtual and face-to-face multidisciplinary meetings. Promote effective communication across organisational boundaries. Information Governance and Digital Practice Maintain accurate clinical records in accordance with professional standards. Use electronic patient record systems effectively. Maintain confidentiality and comply with UK GDPR and information governance requirements. Ensure information is shared appropriately and securely. Develop confidence in digital approaches to supporting patient care. Personal and Professional Development Maintain professional registration and meet NMC requirements. Take responsibility for personal learning and development. Participate in appraisal and development processes. Identify learning needs and undertake appropriate education and training. Reflect on practice and contribute to a culture of continuous improvement.

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