Outpatients Lead

We are looking for an exceptional Outpatient Lead to join our dedicated multi-disciplinary team providing high standards of holistic care to our patients and their families under the direction of the Clinical Director to our patients living with life limiting conditions. You will work as part of the team to provide holistic person-centred care, integrating nursing care with psychological, physical, rehabilitative and spiritual needs. You need to be able to demonstrate evidence-based practice, up to date clinical skills, flexibility and a commitment to the delivery of high quality, effective and efficient nursing care. You will have experience of managing a department including staff and programme management.

In return Nightingale House offers:

A positive and friendly working environment in our state of the art newly redeveloped Inpatient Unit.

The opportunity to make a real difference.

Excellent training and development opportunities for those that want them.

Generous holiday allowance that increases with length of service.

Employee Assistance Programme.

Retail Discount Schemes.

Main duties of the job

The Outpatients Lead will oversee the day to day operation, coordination, and development of the Wellbeing and Outpatient Service. This includes providing high quality clinical interventions within scope, leading the wellbeing team, and ensuring a safe, efficient, and compassionate service for patients and their families.

The postholder will work collaboratively with the multidisciplinary team (MDT) and external partners to enhance service quality, experience, and accessibility.

Oversee the daily operations of the outpatients and wellbeing service, ensuring high standards of care and a positive patient experience.

Support service planning, pathway development, and improvements in patient flow.

Liaise closely with the Patient Flow Team and clinical staff to ensure safe and efficient operations.

Support the inpatient unit during periods of need to ensure continuity of care.

Conduct clinical observations, assessments, and monitoring aligned with hospice procedures and within professional boundaries.

Undertake holistic assessments contributing to care planning, including physical, emotional, social, and spiritual needs.

Support the wellbeing and rehabilitation programme, contributing to group and one-to-one patient interventions.

Escalate any clinical concerns promptly to the appropriate medical or senior nursing staff.

Contribute to triage, patient flow management, and safe decision making within the outpatient service.

About us

We are an ambitious organisation providing specialist palliative care services, completely free-of-charge, to patients and their families across a wide area stretching from Wrexham, Flintshire, and East Denbighshire to Barmouth and the border towns including Oswestry and Whitchurch. It costs £5.6m per year to run the Hospice, with only 20% of our funding provided by the government. We are reliant on the support of the community we serve to donate and fundraise to maintain our vital services. Over 400 volunteers give their time to the Hospice helping us run efficiently and effectively as part of the local community.

At Nightingale House Hospice, we believe in making every moment matter. We pride ourselves in providing compassionate care in our community, through comfort, dignity, and support to individuals and families facing life's most profound challenges. Join us in our mission to make a difference and leave a legacy of care and compassion.

The successful candidate will be joining a friendly and passionate team that enjoys working in our Wellbeing Centre.

Job responsibilities

Key Relationships Internal

Medical Director

Director of Clinical & Patient Services

Palliative Care Consultants

Hospice Doctors (Speciality Doctors, GPs)

Patient Flow Team

Ward Manager & Deputies

Family Support Team

Physiotherapists & Occupational Therapists

Chaplain

Complementary Therapist

Clinical Administrators & Ward Clerks

Key Relationships External

District Nurses

Hospital Teams (Secondary Care)

Specialist Nurses

Specialist Palliative CareTeam

Key Responsibilities

Leadership and Service Coordination

Lead and coordinate the Wellbeing Team.

Oversee the daily operations of the outpatients and wellbeing service, ensuringhigh standardsof care and a positive patient experience.

Support service planning, pathway development, and improvements in patient flow.

Liaise closely with the Patient Flow Team and clinical staff to ensure safe and efficient operations.

Support the inpatient unit during periods of need to ensure continuity of care.

Clinical Duties (Within Scope of Practice)

Undertake venepuncture, cannulation, and administration of IV therapies safely and competently.

Conduct clinical observations, assessments, and monitoring aligned with hospice procedures and within professional boundaries.

Undertake holistic assessments contributing to care planning, including physical, emotional, social, and spiritual needs.

Support the wellbeing and rehabilitation programme, contributing to group and one-to-one patient interventions.

Escalate any clinical concerns promptly to theappropriate medicalor senior nursing staff.

Contribute to triage, patient flow management, and safe decisionmaking within the outpatient service.

Patient and Family Support

Support palliative patients and their loved ones with sensitivity, compassion, and respect.

Provide clear, empathetic communicationregardingcare, appointments, and wellbeing support.

Participate in advance care planning conversations asappropriate tothe role.

Multidisciplinary Teamwork

Maintain strong working relationships with the nursing team, medical staff, and wider MDT.

Participate in MDT meetings to share information, contribute to planning, and advocate for patient needs.

Liaise with external partners including GPs, district nurses, specialist nurses, and hospital teams to support integrated care.

Governance, Safety & Quality Improvement

Maintainaccurateandtimelyclinical records, including discharge summaries, outpatient notes, and communication with GPs whenappropriate.

Identifyand report incidents, risks, or concerns, contributing to a safe clinical environment.

Participate in clinical governance activities including audits, evaluation, service reporting, and quality improvement projects.

Support the implementation of best practice guidelines and contribute to developing new protocols for the outpatient service.

Participate in internal and external presentations.

Professional Development

Engage in ongoing training, mandatory updates, and clinical supervision.

Participate in personal development reviews andmaintainprofessional competencies relevant to the role.

Contribute to the strategic development of hospice outpatient and wellbeing services.

Person Specification Qualifications

• Nursing (RGN/RN Adult)
• Leadership or management training
• Evidence of continuing professional development (CPD)
• Other relevant wellbeing or psychosocial care qualification
• V300 prescriber.

Experience

• Experience of leading or coordinating a service, programme.
• Experience of multidisciplinary team MDT working
• Experience of supporting patients and families with psychosocial, emotional, or wellbeing needs
• Experience of assessing needs, planning interventions, and evaluating outcomes using a person centred approach
• Experience of supervising, supporting, or mentoring staff, students, or volunteers
• Experience of working within governance frameworks
• Experience and competence in IV therapy, including cannulation, venepuncture and blood sampling, in line with local policies and professional standards.
• Previous experience in a hospice or specialist palliative care setting
• Experience of service development or service improvement,
• Experience of managing change within a clinical or wellbeing service
• Experience of partnership working with community services, primary care, or voluntary sector organisations

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.