Senior Community Nurse Hospital at Home- Urgent Care Response in London

NHS AfC: Band 6

Main area: Community Urgent Care

Grade: NHS AfC: Band 6

Contract: 2 Permanent and 1 Fixed Term

Hours: Full time - 37.5 hours per week (shift patterns for a 7 day service)

Site: Beaufort House

Town: Uxbridge

Salary: £45,953 - £54,254 pa pro rata if part time

Salary period: Yearly

Closing: 16/07/ :59

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London’s population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run. Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

This post offers an excellent opportunity to join our growing Hospital at Home service as a Band 6 Nurse / Paramedic, working as part of a skilled and supportive multidisciplinary team delivering hospital-level care to patients within their own homes. At CNWL we are committed to being inclusive, compassionate and respectful in everything we do, and this role reflects those values at every point of patient contact. Operating as an integral part of the Urgent Community Response (UCR) pathway, the post holder will contribute to the safe management of patients who would otherwise require an acute hospital admission, supporting both admission avoidance and early supported discharge for the borough of Hillingdon. This is an excellent opportunity for a motivated clinician to develop your practice within an innovative, forward-thinking service that places Wellbeing for Life at the heart of everything we do.

Main duties of the job:

• The post holder will carry out comprehensive clinical assessments, deliver evidence-based interventions, and actively contribute to daily MDT reviews for patients admitted to the Hospital at Home pathway.
• You will manage a defined caseload of patients with complex and acute needs, including those with frailty, and will be expected to make confident clinical decisions, escalating appropriately to senior clinicians and the Senior Clinical Decision Team where required.
• In keeping with CNWL’s SCARF framework, you will demonstrate safe, accountable and reflective practice, adapting to the varied and fast-paced nature of community-based acute care to ensure patients receive timely, effective treatment in the right place at the right time.
• The role requires you to develop and maintain a broad range of clinical competencies including independent assessment in the home environment, use of digital monitoring tools, point of care testing, cannulation, IV therapy administration, catheter care, and frailty management.
• You will work in close partnership with GPs, acute hospital teams, pharmacy, social care and community nursing living CNWL’s value of partnership to ensure patients experience a seamless episode of care.

Detailed job description and main responsibilities:

• To assess, plan, implement and provide evaluation of health care needs in conjunction with patients, their carers and other appropriate members of the multi-professional team.
• To have agreed areas of responsibility and work as part of the team.
• To provide nursing care to patients in the community.
• To see patients with potentially undifferentiated diagnosis including objective assessment, physical assessment, treatment, follow-up and developing care plans.
• To ensure all patients on the caseload are managed well and discharged safely either to their GP or for further ongoing assessment, rehabilitation treatment and care.
• To be responsible for keeping up to date with current issues and events in Primary and Secondary Health Care.
• Liaising with community services partners.
• To be an active member of the team and the team’s development.
• To provide support and health education for patients and carers through effective interpersonal skills.
• To comply with professional codes of conduct.
• To be able to work flexibly and relieve colleagues/rotate across the three boroughs as required and requested by the line manager to meet the needs of the service.
• To ensure that own mandatory training is kept up to date in line with Trust policies.
• Post holder will undertake delegated line management of staff, both informal and formal basis.

Person specification:

• Current registration with NMC
• Experience of case management and care co-ordination
• Mentorship or teaching qualification equivalent to ENB 998 / workplace assessor

Essential to role questions:

• Bachelor’s Degree (or working towards)
• Substantial post registration experience (Preferably in Paramedic care, UCC, ITU, AMU, MAU, CCU or A&E)
• Mentorship or teaching qualification equivalent to ENB 998 / workplace assessor

Essential to role:

• Registered Nurse Level 1 with current registration with the NMC
• Experience in Community
• Substantial post registration experience (Preferably in Paramedic care, UCC, ITU, AMU, MAU, CCU or A&E)

Clinical:

• Evidence of acute disease management and crisis care
• Evidence of ability to direct and coordinate programmes of care working autonomously and collaboratively
• Evidence of ability to communicate both verbally and in writing at all levels in a multidisciplinary forum and with patients and carers

Use of Artificial Intelligence (AI):

AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.

We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.

Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.

Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period. If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

You must have appropriate UK professional registration. This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.