Job summary
- Main area
- Nursing
- Grade
- Band 4
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 337-NP-9130KS
- Employer
- London North West University Healthcare NHS Trust
- Employer type
- NHS
- Site
- Northwick Park Hospital
- Town
- Harrow
- Salary
- £32,199 - £34,876 PA Inclusive of High Cost Area Supplement pro rata
- Salary period
- Yearly
- Closing
- 30/10/2025 23:59
Employer heading

Macmillan Assistant Practitioner End of Life Care
Band 4
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country’s top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark’s Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Find out more about our Trust and why you should join us#WeAreLNWH
Find out more about Our HEART values
Find out more about our Trust Staff Benefits
Our vision at London North West University Healthcare NHS Trust is to put “Quality at our HEART”. Find out more about our ambitious strategy
We are clear that our vision can only be achieved by our staff, who are our most valuable asset.
Our vision is driven by our HEART values and behaviours which were developed together with our staff.
- H onesty
- E quity
- A ccountability
- R espect
- T eamwork
These values describe how we interact with each other and our patients and must underpin everything we do to achieve our vision.
LNWUH is a flexible working friendly organisation, we want you to be able to work in a way that is best for us and for our patients, and for you. Please speak to us about how we might be able to accommodate a flexible working arrangement whether that’s job share, part time or another flexible pattern. If it works for the service, we will do our best to make it work for you.
Job overview
The overall purpose of this post is to support the delivery of the End of Life Care Strategy within LNWH. The post holder will be involved in the delivery of nursing care for patients in the last phase of life with the level of knowledge, skill and competence beyond that of a traditional healthcare assistant. You will support and contribute to education and training of registered nurses, healthcare assistants and other members of the multi-disciplinary team (MDT), with regards to the specific needs of patients and their families/carers at the last phase of life.
Working under indirect supervision, as part of the nursing team, you will have responsibility for delivering nursing care to patients within a delegated caseload.
You will participate in multidisciplinary working and the development, implementation and evaluation of the delivery of health care services.
Main duties of the job
• under indirect supervision, as part of the nursing team, the post holder will have responsibility for delivering nursing care to patients within a defined nursing caseload.
• Recognise when patients are likely to be dying, and share this concern urgently and effectively with other members of the team
• Contribute to care planning and reviews
• Contribute to the discharge planning of patients.
• Assess and respond to symptoms of dying (e.g. pain, agitation, nausea, respiratory secretions)
• Assess and respond Working to the needs of the people close to the dying person
• Assess and respond to the spiritual needs of patients and carers
• Day to day involvement with patients and clinical teams in delivering and evaluating effective patient-centered care, with support from a registered nurse as required
• Recognise and respond appropriately to urgent clinical situations, being aware of own competence and asking for assistance as required.
Working for our organisation
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country’s top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark’s Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Detailed job description and main responsibilities
To view the main responsibility, please see the attached the Job Description and Person Specification.
Person specification
Qualifications and experience
Essential criteria
- FDSc Assistant Practitioner Foundation degree
- Experience working in the acute Healthcare setting
- minimum of 3 years experience as a healthcare assistant
- Demonstrates leadership and teaching ability
- Ability to work on own initiative
- Ability to work on own initiative
- Experience of team working
- Experience of working with patients in last days of life
Desirable criteria
- NVQ Level 3 Health Award
Skills, abilities and atributes
Essential criteria
- Enthusiastic and motivated
- Commitment to continued professional development
- Good verbal and written communication skills
- Excellent organisational skills and time management
- Intermediate IT skills in word processing and spreadsheets
Desirable criteria
- Knowledge of national guidelines for management of patients in the last phase of life
Applicant requirements
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to download
Further details / informal visits contact
- Name
- Ian Rudrum
- Job title
- Senior Clinical Nurse Specialist
- Email address
- [email protected]
- Telephone number
- 02089963681
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