Bank Registered Nurse Band 6 - Wiltshire in Swindon

As a Bank Registered Nurse/Paramedic Band 6, you will be part of our valued team working across Bath and North East Somerset, Swindon, and Wiltshire (BSW), receiving access to exclusive rewards and benefits including:

• Band 6 AfC Salary with NHS Pension and full Agenda for Change terms and conditions.
• Membership of My Reward Hub, giving you access to discounts on everyday purchases like grocery shopping as well as cashback and voucher offers.
• Access to your wages as you earn them to help cover life’s emergencies and avoid overdraft fees or high interest rates.
• Online and face-to-face help with your mental and physical wellbeing from healthy recipes and activity challenges through to post-trauma support, legal, debt and life management help, as well as career coaching and counselling.
• Access to eLearning, bespoke career pathways and opportunities for continuing professional development through our Outstanding learning and development team, The Learning Enterprise.
• An open, just culture where you’re encouraged to have and implement ideas which can help us deliver our purpose: changing lives through transforming health and care backed up by at least £100,000 of ringfenced innovation funding each year.
• The pride of working for an organisation committed to the highest clinical and quality standards: with the majority of our rated services holding good or outstanding ratings from the Care Quality Commission.

We have an exciting opportunity for a Bank Band 6 Registered Nurse/Paramedic to join our Hospital at Home (H@H) Service across Bath and North East Somerset, Swindon, and Wiltshire (BSW). This is an excellent time to join the service as it undergoes a period of transformation and development, creating opportunities to contribute to innovative models of care and service improvement. Working across a variety of community settings and patients' homes, you will play a key role in delivering high-quality acute care outside of traditional hospital environments.

As part of a multidisciplinary team, you will work collaboratively across acute, community, primary care, and social care services to provide assessment, treatment, and ongoing clinical management for patients requiring hospital-level care at home. The service supports both admission avoidance (step-up) and early supported discharge (step-down) pathways, ensuring patients receive timely care in the most appropriate setting.

We are looking for a compassionate and proactive clinician who can work autonomously, make sound clinical decisions, and deliver safe, effective, person-centred care. In return, you will join a supportive and skilled team dedicated to improving patient outcomes and enabling people to receive the right care, in the right place, at the right time.

Main Responsibilities

As a Nurse/Paramedic, you will work with a good degree of independence, carrying out tasks and responsibilities delegated by the lead clinician. You will be an important part of the team, helping to meet the needs of patients in community settings, initially focusing on those referred through the 2-hour Urgent Community Response (UCR), and later supporting the development of broader referral pathways. Working within a multidisciplinary team and across primary, secondary, acute, and social care services in Wiltshire, you will play a key role in coordinating specialist interventions for people who might otherwise require hospital care, or who need timely support to leave emergency departments safely.

You will take responsibility for your clinical caseload and help ensure smooth coordination of care throughout each patient's journey. As part of this role, your responsibilities will include:

• Clinical practice: Providing evidence-based advanced clinical skills to support appropriate patient care, under the guidance of a registered clinician. This includes assessing patients, interpreting tests within your scope of practice, and planning care and treatment. You will recognise early signs of deterioration, respond promptly, escalate when needed, and document your actions clearly.
• Management: Organising your time and workload effectively, advocating for patients, managing your caseload day to day, offering advice and treatment recommendations, working closely with clinicians in the Virtual Ward team, and contributing to supervision.
• Leadership: Serving as a positive role model for colleagues and promoting collaborative working. You will help challenge traditional boundaries in a supportive way while upholding high standards of quality, safety, and professional practice.
• Supporting the learning environment: Demonstrating commitment to your own professional development and supporting the learning of colleagues and student nurses.
• Continuous improvement: Noticing areas where practice can be strengthened and contributing to improvement efforts within a Just Culture that values reflection and learning.

A full list of responsibilities can be found in the attached job description.

Ideal Candidate

Essential:

• Registered nurse/Paramedic.
• Evidence of study at Level 6 or above.
• Advanced clinical assessment skills.
• IV therapy competency.
• Able to work autonomously and as part of a team.
• Experienced in the use of NEWS2 diagnostic tool and when to escalate.
• Contribute to the development of others, supervising and teaching, mentoring, including student Nurses.
• Previous experience in elderly care, frailty, community services or relevant acute care speciality.
• Excellent written and verbal communication, and interpersonal skills.
• Ability to adapt to the demands of a constantly changing environment.
• Good IT skills.
• Work within the NMC code of conduct.
• Knowledge of community environment.
• Good Communication skills including IT literacy and knowledge of computer systems.
• Undertake evidence-based clinical practice.
• Experience of caring for people with long-term conditions.
• Experience of pressure ulcer prevention.
• Awareness of self-neglect, safeguarding and abusive situations to be the patients advocate.
• Ability to be an effective team member.
• Awareness of team dynamics.
• Work within the boundaries of legislation, policies, procedures, and standards.
• Clean driving licence, car driver and access to a vehicle for daily use.

Desirable:

• Knowledge of clinical systems such as Systmone.
• Independent prescribing qualification.
• Postgraduate certificate in advanced practice or relevant specialty.

About the Company

We change lives by transforming health and care. Established in 2006, we are one of the UK's leading independent providers of community health and care services, working with health and care commissioners and communities to transform services with a focus on experience, efficiency, and improved outcomes. We deliver and transform adult and children community health services, primary care services including urgent care, sexual health, dermatology and MSK services as well as adult social care and wellbeing services. Across England, we support communities of many millions and directly help more than half a million people each year - guided by our simple values: we care, we think, we do.

We're committed to equal opportunities and welcome applications from a broad, diverse range of people who want to join our team. We're a Disability Confident Committed company, so we work to provide facilities, work environment adjustments and technical solutions to be as inclusive of everyone. As you'd expect, safeguarding and protecting the children, young people and vulnerable adults that we work with is of the utmost importance so we have policies and procedures in place to promote safeguarding and safer working practices and everyone who joins the team is subject to a safer recruitment process, including the disclosure of criminal records and vetting checks.