Community Palliative Care Virtual Ward Senior Staff Nurse / Paramedic

Location: Greenwich & Bexley Community Hospice, 185 Bostall Hill, Abbey Wood, SE2 0GB

Salary: Band 6 £37,193.60 – £48,750.16 per annum. (Plus a £3,000 recruitment premium, paid in instalments £1,000 on joining, £1,000 on passing probation and £1,000 after one year in post)

Hours per week: 37.5 hours per week

Application Deadline: Tuesday 11th June 2024 at 12pm


Responsible to:                     ANP virtual ward

Accountable to:                    Head of Community Services

Contract:                                 Full time 37.5hrs per week or Part time pro rata hours


Main Description of the Post


  • To work as part of the multidisciplinary team to provide a high standard of individualised patient / family care and support
  • To be responsible for those patients allocated on a daily basis
  • To ensure that excellent standards of support and clinical practice and care are achieved
  • To manage a caseload of our higher acuity patients with daily virtual and potentially in-person reviews in their own homes
  • To work with wider Hospice team as well as system partners to support delivery of care and enable patients to remain in their preferred place of care


Key Responsibilities:


Clinical Practice & Leadership

To be professionally and legally accountable for all aspects of own work including the daily management of patients in own care

To provide a high standard of holistic and individualised care to patients using the hospice services and their families/carers by:

  • Supporting those patients allocated from day to day in partnership with other members of the multidisciplinary team and wider system partners
  • Ability to work autonomously with designated patients alongside a vast degree of flexibility due to the unpredictable nature of the role
  • Be proactive in not only the planning and delivery of care, but in making themselves available to support the wider clinical services of the Hospice, when capacity allows
  • Supporting the creation of an appropriate environment in which to care for patients and their families/carers, taking account of individual physical, social, emotional and spiritual needs
  • Demonstrating and applying a knowledge of the options for achieving control of symptoms in liaison with other health care professionals
  • Acting as a reflective practitioner, applying evidence based practice and critical thinking to review all practices and processes of care
  • Maintaining a concept of care which reflects Hospice philosophy
  • Maintaining effective communication and relationships with all of the Hospice multi-disciplinary team and collaborating effectively with external specialist palliative care services, other agencies and system partners
  • As part of the multidisciplinary team, independently assess patients’ needs and identify their goals, then work with patients and families towards achieving them in a timely manner
  • Referring patients into the other parts of the hospice and community services
  • Reviewing patients when required and discussing changes required in their care with colleagues and other key stakeholders
  • Assistance with mobilization of patients when necessary, taking into account the guidelines of safe moving and handling practice and using mechanical aids where necessary and if trained to use.
  • Ensure that guidelines, policies and procedures for the administration and recording of drugs and administration of subcutaneous fluids are followed in patients homes
  • Give information, support and advice to carers prior to and following the death of a patient
  • Adhere to safeguarding policy and escalate concerns appropriately

Leadership & Management

  • Supporting and reporting back to senior medical team, virtual ward colleagues, District Nurses, GPs
  • Supporting and facilitating the orientation and teaching of new and existing staff, colleagues and students
  • Be responsible for looking after an allocated group of patients each day
  • Giving feedback to staff and managers about individual performance as appropriate
  • Through practice, role modelling, teaching, and mentorship, provide staff support and training, to enhance the team’s and one’s own development
  • Implementing health and safety, infection control, safe moving and handling and fire procedures where appropriate
  • Reporting incidents, accidents, near misses and complaints to managers and completing the relevant paper work
  • Contribute to the development of the service by attending team meetings and sharing good practice and ideas for service and quality improvement


  • Contributing positively to anti-discriminatory practice, actively promoting equality and diversity and inclusion from all you interact with
  • Leading (as required) and participating in MDT, Virtual ward round, ongoing discussions and team handovers relating to the care of patients and their families/carers
  • Facilitating communication between Hospice and primary care services
  • Practicing excellent communication skills with patients, family and members of the multi-disciplinary team including showing empathy and understanding and communicating sometimes complex information where there may be barriers to understanding
  • Maintain accurate and timely records using the electronic patient record


  • Continually monitoring outcomes of care, taking effective action as required
  • Initiating clinical reviews of patient and family care
  • Working to ensure that patient dignity is respected at all times both before and after death, including acting as the patient’s advocate and caring for patients after they have died
  • Participating in forums for discussion of research and audit programmes
  • Assisting in maintaining equipment to a high standard of cleanliness and safety and ensuring that patient areas are kept clean and tidy
  • Ensuring all practices and procedures are in accordance with hospice policy
  • Participating in information gathering and audit for quality improvement and service development

Grief & Loss

  • Supporting staff in managing loss in the community, providing support for distressed patients, bereaved relatives, students and staff
  • Supporting and educating staff in issues surrounding tissue and organ donation
  • Facilitating staff support through organised debriefs

Education & Training

  • Identifying own and other’s learning needs, liaising with managers and attending training seminars, courses and study days as appropriate
  • Participating in the delivery of educational programmes
  • Creating a positive learning environment and coaching culture
  • Use staff appraisal constructively for personal and professional development
  • Participate in clinical supervision and one to one meetings

Additional Information

  • Working in unpleasant conditions at times including dealing with soiled linen, use of bed pans, body fluids etc
  • The post holder will work within the NMC’s / HCPC’s Code of Conduct

General Statements

Be familiar with and adhere to all Hospice (and relevant Trust) policies and procedures.

The post holder will work within their professional code of conduct, eg. HCPC, NMC, GMC, CIPD, AHP codes.

The post holder may be required to work in and from any Hospice or associated Company premises.

This job description is intended as an outline of the general areas of activity and will be amended from time to time in the light of the changing needs of the organisation.  It will then be reviewed in association with the jobholder(s).


Confidentiality/Data Protection/General Data Protection Regulations

The postholder is expected to maintain the complete confidentiality of all material and information to which he/she has access and process and in particular the confidentiality of all personal data stored, in line with the requirements of the General Data Protection Regulations 2018 (and preceeding Data Protection Acts) and professional bodies.

Any requests for clinical information disclosure must be approved by Caldicott Guardian.

The postholder must, if required to do so, process records or information in a fair and lawful way. He/she must hold and use data only for the specified, registered purpose for which it was obtained and disclose data only to authorised persons.


Corporate Governance

The postholder must, at all times, act honestly and openly and comply with relevant corporate governance requirements, employment legislation, standards of business conduct, codes of openness and accountability.


Equal Opportunities/Diversity

The postholder must comply with and promote Equal Opportunities and Diversity and accordingly must avoid any behaviour which discriminates against colleagues, potential employees, patients or clients on the grounds of sex, marital status, sexual orientation, age, race, colour, nationality, ethnic or national origin, religion or belief, disability, political opinion, gender reassignment or trade union membership.


Health and Safety

Under the Health & Safety at Work Act (1974), it is the responsibility of the postholder at every level to take care of his/her own health and safety and that of others who may be affected by his/her acts at work. This includes co-operating with the organisation and

Taking personal responsibility for safety as outlined in the Hospice Health & Safety Policy and the Health & Safety at Work Act 1974 and fire regulations.

This job description is not exhaustive and may be reviewed and changed by discussion with post holder to meet the needs of the service.



Code of Conduct

The post holder is required to observe the following principles:

  • Make the care and safety of patients his/her first concern and act to protect them from risk
  • Respect the public, patients, relative, carers, staff and partners
  • Be honest and act with integrity
  • Accept responsibility for his/her own work and the performance of the people the post holder manages
  • Show commitment to working as a team member by working effectively with team members and the wider community
  • Take responsibility for own learning and development
  • In all actions undertaken have regard for the hospice reputation



The post holder is expected to work flexibly to be able to meet the challenges and opportunities of working within the Greenwich & Bexley Community Hospice. The post holder can be expected to work in and from any of the premises where business is conducted.



The post holder is required to:

  • To work in accordance with the Hospice’s policies and procedures at all times
  • To adhere to the Hospice’s Confidentiality policy at all times, in particular ensuring that there is no breaches of confidentiality as a result of the post holder’s actions
  • To carry out duties that are commensurate with the grade of the post as directed
  • This job description is a reflection of the current position and the post holder is expected to view it as a guide rather than an exact description of all duties and responsibilities


It may be subject to variation from time to time. Any variations will be made due to service requirements and will be made in consultation with the post holder.



Essential Desirable
Education and Qualifications
  • Registered Paramedic or Nurse
  • Willing to or working towards of have completed further study in Palliative Care or relevant area
  • Evidence of continuing professional development
  • Advanced Communications Skills Course
  • Studying towards Diploma/ Degree in relevant area


  • Working with patients at the end of life
  • Experience of working as part of a multi-disciplinary team
  • Post registration experience of palliative care/ oncology/ general medicine/ community
  • Teaching/ Assessing/
  • Mentorship Course
Skills, Knowledge and abilities


  • Awareness of health and safety procedures and how they affect people in the workplace
  • Competent computer/IT skills
  • Excellent interpersonal and communication skills
  • Able to prioritise clinical duties
  • Able to instruct clearly, delegate and support colleagues
  • Use initiative and self-direction, learning and support
  • Work using reflective practice
  • Participation in audit
  • Have an awareness of indicators of abuse and how to report and manage issues relating to vulnerable adults/ children
  • Research skills
  • Phlebotomy and cannulation skills
  • Evidence of extended roles within their practice.


Aptitude, Personal Characterists


  • Ability to work as a member of the multi-disciplinary team
  • Ability to plan workload of self and others
  • Diplomacy skills
  • Approachable and adaptable
  • Motivated and enthusiastic
  • Good listening skills
  • Demonstrable resilience to working with those facing bereavement
  • Able to contribute to a learning environment
  • Demonstrable commitment to equal opportunities
  • A flexible approach to work and an ability to work at weekends
  • Ability to undertake training and direct own learning
  • An understanding of the need for self care when working in a palliative care environment


If you are interested in applying, please do so by applying via our online system:

 Click here to apply 

We are an equal opportunities employer and are committed to inclusion. We celebrate and embrace diversity and thus encourage applications from a variety of backgrounds, perspective, knowledge and skills

Please note that only short-listed candidates will be contacted.


Application Deadline: Tuesday 11th June 2024 at 12pm

Join us in making a positive difference in the lives of those in our community. Apply now and be a vital part of our compassionate palliative care team at Greenwich and Bexley Community Hospice!

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