Nurse Practitioner in Kingston

Job summary

We are seeking an enthusiastic and experienced nurse or paramedic to join the Urgent Care & Support Service, delivering both reactive and proactive care to nursing, residential and Learning Disability care homes across Kingston. The reactive element of the role forms part of the 2hour Urgent Community Response service, providing prompt clinical assessment and intervention to prevent unnecessary hospital admissions. Working autonomously and collaboratively within a multidisciplinary team, you will undertake physical assessments, make independent clinical decisions, and support care home staff to deliver safe, personcentred care.

The proactive element of the role includes advanced care planning, supporting residents, families and care home staff to have timely conversations about clinical outcomes, escalation decisions, preferences for future care and endoflife treatment, ensuring care is coordinated and aligned with individual wishes.

This is a permanent post for 37.5 hours per week. Usual working hours vary depending on service need but are typically Monday to Friday, 08:00 18:00.

You will be based at Hollyfield House, although you will also need to be able to travel to other local sites as required.

For further information or an informal discussion, please contact Kathryn Ridgers or Monika Holman, Urgent Care & Support Service joint leads, on 020 8274 7088, or via email at kathryn.ridgers@yourhealthcare.org monika.holman@yourhealthcare.org

Main duties of the job

You will deliver highquality, nurseled clinical care, including advanced assessment, diagnosis and treatment for residents with complex needs or those at risk of hospital admission. You will provide expert medicines management advice and health promotion interventions to improve outcomes and support proactive care.

You will work closely with care homes to develop personalised care plans and crisis management strategies, partnering with GPs and multidisciplinary teams to ensure coordinated care pathways and continuity of care.

Education is central to this role. You will support residents, families and care home staff to recognise early signs of deterioration, manage longterm conditions, and contribute to staff education in areas such as palliative care, dementia care and proactive care planning.

You will maintain accurate documentation, including Universal Care Plans , contribute to audits, quality reviews and service improvement initiatives, and champion evidence based practice across the service.

At Your Healthcare CIC, we are dedicated to delivering high-quality, patient-led health and social care services for residents in Kingston and providing specialised learning disability services in Richmond. As a Community Interest Company (CIC), we prioritise community-driven care and offer an environment that empowers you to make a real impact.

About us

At Your Healthcare CIC, we are dedicated to delivering high-quality, patient-led health and social care services for residents in Kingston and providing specialised learning disability services in Richmond. As a Community Interest Company, we prioritise community-driven care and offer an environment that empowers you to make a real impact.

Why Choose Us?

• NHS Pay & Benefits: Enjoy the security of NHS pay, Agenda for Change terms, NHS pension scheme, and salary sacrifice schemes
• Bureaucracy-Free Environment: Implement good ideas quickly and effectively without delays
• Work-Life Balance: Benefit from our Employee Assistance Programme and various staff discounts
• Exceptional Staff Experience: Join a supportive workplace with positive feedback from staff and patients
• Inclusive Culture: We promote equality, diversity, and inclusion, encouraging applications from all backgrounds
• Impactful Community Involvement: Have a real voice in shaping care as part of our membership organization. Your ideas and contributions matter

Job responsibilities

Person Specification

Personal Qualities

Essential

• Empathetic, patient centred, and compassionate in approach
• Resilient and able to work effectively under pressure
• Self motivated, proactive, and enthusiastic
• Adaptable and flexible in response to changing demands
• Collaborative team player with the ability to work independently
• Innovative and solution focused
• Committed and professional

Desirable

• Leadership and influencing skills

Any Other Factors

Essential

• Valid driving license
• Must be a car driver and have use of car

Knowledge

Essential

• Demonstrates understanding of NMC/HCPC standards, scope of practice, accountability, and relevant clinical skills for the role.
• Demonstrates knowledge of patient assessment, clinical decision making, and recognition of the deteriorating patient.
• Demonstrates knowledge of community health and social care services, including urgent community response, admission avoidance, and frailty pathways.
• Demonstrates understanding of clinical governance, service effectiveness, audit, and research, and their impact on practice.
• Understanding of core areas such as:
• Continence/catheterisation management
• Tissue viability
• Palliative Care
• Long-term conditions
• IV Management

Desirable

• Experience working in care homes or with older adults
• Experience in urgent care settings
• Experience in teaching and developing training packages
• Audit and research experience

Skills & Abilities

Essential

• Communicates clearly and professionally with service users and a wide range of health and social care professionals, working autonomously and as part of a multidisciplinary team
• Assesses patients with complex needs, applies evidence based practice, and formulates individualised management plans
• Prioritises workloads effectively, manages time efficiently, and makes sound clinical decisions in autonomous practice
• Maintains accurate, legible clinical records and is competent in electronic patient record systems and digital care planning.

Desirable

• Advanced IT skills for data analysis

Experience

Essential

• Minimum 2 years post-registration experience within community or acute care settings
• Demonstrable experience in clinical assessment, care planning, and clinical decision making
• Broad post registration experience across core clinical areas, including autonomous and lone working
• Experience of multidisciplinary working and mentoring students and other health or care professionals.

Desirable

• Knowledge of NICE guidelines and national care standards
• Awareness of issues surrounding care homes

Qualifications

Essential

• Registered Nurse (NMC)
• Degree in Nursing or equivalent experience
• Clinical reasoning & physical assessment module or willingness to undertake.

Desirable

• Independent Prescriber qualification

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. Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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