Clinical Nurse Specialist - Hospice Band 7

Job summary

Community Team - Birmingham Hospice Hours: 37.5 hours per week, Contract: Permanent Salary: Hospice Clinical Band 7 £45,732 to £52,333 Locations: Selly Park with occasional cross-site working Close Date: 31st August 2026

• Interview Date: 7th September 2026 DBS: Enhanced with Adult Barring List Join Our Specialist Community Nursing Team At Birmingham Hospice our teams are committed to improving quality of life for people living with life-limiting conditions, as well as supporting their families and loved ones during one of the most challenging periods they will ever face. We are seeking a professional and caring Band 7 Clinical Nurse Specialist (CNS), to join our busy community team, based in Selly Park. As a CNS you will work across the city and may be required to travel to our other site in Erdington from time to time. You will provide specialist palliative care nursing services to our patients, families carers and other health professionals. You will be able to analyse complex situations and develop action plans to improve the quality of patient care. You will actively contribute to multidisciplinary working and will be able to recognise the importance of knowledge and learning to maintain standards in palliative care. You will be comfortable working as an autonomous palliative care practitioner and will be required to manage a caseload of patients within the community setting. Main duties of the job

What You'll Do

Deliver expert palliative care to patients, families, carers and health professionals across the community. Assess complex clinical situations and develop effective, personalised care plans. Work independently while remaining an active partner within a skilled multidisciplinary team.

Support learning and development through informal and formal teaching. What Were Looking For Level 1 Adult Registered Nurse & prescriber or currently completing the NMP course; NMC registered. Post registration qualification in palliative care, or willingness to undertake one.

Significant experience as a senior nurse, ideally with teaching responsibilities. Advanced experience in an acute hospital or hospice at Band 7 (or equivalent). Excellent communication and interpersonal skills.

Own car and full UK driving licence. Why Join Us? Be part of an organisation recognised for compassionate, high quality palliative care.

Develop specialist skills within a supportive, expert community team. Contribute to truly meaningful work that makes a difference every day. Enjoy a flexible, positive working culture committed to staff wellbeing.

Interested in Applying? Wed love to hear from you. For an informal conversation, please contact Rachel Harrison, Head of Community Services at: rachel.harrison@birminghamhospice.org.uk

About us

Birmingham Hospice provides expert palliative and end of life care for people and their families living with life-limiting illnesses. We believe that all people in Birmingham should have access to the best specialist care and support - when, where and how they need it.

Our vision is a future where everyone with a life-limiting illness will live and die with dignity and in comfort. Our mission is to enable more people from all communities to access the care of their choice at the end of life.

During a recent CQC inspection our sites have been rated outstanding, with independent health care regulators highlighting that colleagues and services are caring, responsive and well-led. Our outstanding teams are passionate about providing the very best care, and patients and their loved ones are at the heart of everything we do.

Our values of kindness, respect, innovation, togetherness, positivity and openness are at the centre of who we are, what we do and how we behave. We pride ourselves on being an inclusive, welcoming, caring and supportive team.

We are offering a competitive salary, with generous holiday allowance, a contribution pension scheme, and a commitment to investing in our people through employee benefits and ongoing professional development.

Job description

Job

responsibilities

Job title: Clinical Nurse Specialist Department: Community Hospice band: Clinical Band 7 Reports to: Clinical Nurse Specialist Team Leader Responsible for: DBS required Enhanced with Adult and Child Barring Lists

Job purpose

To provide specialist palliative care nursing service to patients, carers, and health care professionals. The role supports and enables safe and effective strategic community palliative and end of life care service development. The role will involve working in a community setting.

Main

duties and responsibilities

Expert Clinical Practice Give encouragement, support, empathy, time, reassurance and advice to patients, families and carers to enable them to explore and express feelings and issues of concern promoting informed choice.

Demonstrate advanced practice in holistic assessment, development and evaluation of individual specialist nursing care programmes involving patients, families, and carers as appropriate.

Facilitate the management and support of palliative care patients to ensure the pathway is seamless and of a high quality To promote autonomy and advocacy to ensure the delivery of appropriate care Working as an autonomous CNS, demonstrating a high level of empathic and interpersonal communication skills for patients and carers needing palliative care Demonstrate advanced knowledge as an expert practitioner in palliative care by use of innovative practice and skills Maintain accurate records using a system of nursing documentation and appropriate information systems which reflect on advanced assessment and practice Act as a role model demonstrating high standards of holistic care, promoting clinical excellence and clinical leadership Identify and apply innovative care and practice to ensure best clinical outcomes to benefit the patients, families, carers and organisational needs.

Analyse complex situations and develop action plans to improve the quality of patient care Ability to use a range of strategies to improve and lead patient care and management Contribute to effective multidisciplinary team working and discussion Attendance multidisciplinary team meetings Provide initial support to bereaved families, friends and carers and referring to the Hospice bereavement service as appropriate.

Assess out of hours calls received, interpreting the information given and responding appropriately, offering advice and support as appropriate. Liaison with GP and DN teams to advise and implement appropriate treatment regimens for the treatment of symptoms.

Recognise the emotional commitment involved in providing a service out of normal working hours.

Ability to function as an independent nurse prescriber safely prescribing anticipatory medications and other medicines as required Education, Research and Audit Recognise the importance of knowledge and learning to maintain standards in palliative care Utilise advanced knowledge of specialist palliative care to ensure all opportunities are taken to advise, educate and share information.

Deliver formal and informal education initiatives to colleagues, patients, and carers to achieve effective clinical outcomes Contribute to clinical design and education strategy development together with the Hospices education department to ensure effective training programmes are available Supervise the development of healthcare professionals on placement Support practice development through the facilitation of complex case discussion/reflection with District Nurses and other health care professionals as appropriate.

Participate in meetings, conferences and education sessions to promote the services provided by the Hospice.

Encourage individual practitioners and teams to participate in the education strategy to develop palliative care knowledge and competence in their own practice Utilise up to date research/evidence to deliver patient care and disseminate knowledge to all members of the multidisciplinary team Participate in research studies as agreed by the Hospice Initiate, monitor and regularly audit aspects of service to continuously improve care Identify and act upon opportunities for sharing practice development initiatives and examples of good practice Role model effective clinical practice Management and Leadership To act as a role model, adhering to the values of the hospice kindness, togetherness, positivity, openness, respect and innovation Guide the CNS team in efficient assessment of referral and allocation of first assessment visits Recommend and implement initiatives to improve effectiveness of Hospice services Contribute to the development and review of Hospice-wide policies and procedures Investigate, record and report accidents/untoward incidents and complaints through the required governance processes.

Support the development and effectiveness of Gold Standard Framework meetings through appropriate attendance and participation Support the use of reflective skills and facilitation skills to evaluate and improve current practice To receive clinical supervision and provide clinical support to others Manage time effectively and respond creatively to situations within the resources available to support in caseload management across site.

Effective management of change by understanding group development needs in order to maintain good working relationships across organisational and professional boundaries to enhance and improve team working To maintain optimum multidisciplinary team working and effective communication between healthcare teams, patients and families Contribute to strategy and business planning in order to define and implement service developments and objectives Participate in the induction of new staff Work within the Hospices policies, procedures and guidelines Contribute to the formation of relevant policies and procedures Clinical Effectiveness Ensure practice is research based by implementing evidence, research, policy and standards that are relevant to specialist palliative care Promote an environment where enquiry is valued as a means to improve patient care Identify areas of palliative care practice or service provision which could be developed through audit or research and actively participate in audit and other reviews to improve clinical care Demonstrate continual evaluation of practice, make agreed changes and work within the multidisciplinary team to enhance service provision Monitor quality initiatives in line with local and national guidelines by assessing, monitoring and reviewing own and others practice ensuring safe delivery of care, reduce risks and effectively use resources Participate in the development and implementation of the Hospices Clinical Strategy Contribute to a questioning and open culture in practice to enable a higher standard of care allowing patients, families, and carers to participate in this process Participate in/contribute to relevant research projects Evaluate research which is appropriate and relevant to specialist palliative care provision Demonstrate a proactive approach to the development of policies, protocols, and clinical guidelines in order to develop and adapt the role to the healthcare needs of patients, families and carers Assess and monitor risks in own and others practice ensuring safe delivery of care, which is evidence-based and adheres to good practice guidance Complete all mandatory training according to Hospice guidelines Participate in the Hospice appraisal system setting realistic objectives in order to main a personal professional profile and demonstrate a high level of specialist practice Flexibility to work in other areas/sites of the Hospice

Person Specification

Personal Skills and Attributes Essential Clinical skills underpinned by advanced clinical knowledge of palliative care and current issues Ability to work effectively as a member of a team and in isolation Ability to work across site as needed Excellent communication skills Cha