Chief Clinical Nurse — Complex Home Care Governance

Unicare Complex Care Specialist Ltd; Greater London; On-site; GBP 70,000 - 90,000; Full time

Job summary

Unicare Complex Care Specialist Ltd is seeking a Head of Nursing to oversee clinical governance and professional leadership for its nurse-led complex care division, delivering care in clients' homes. The role ensures high standards, governance, and risk management with direct oversight linked to the Chief Executive.

You will lead competency frameworks, ensure safe delegation, and drive audit, training, and regulatory compliance across services and contracts.

Responsibilities

• Design, own and maintain the clinical governance framework for the complex care division: clinical standards, policies, procedures, audit programme, clinical incident review and learning from serious incidents.
• Run a rolling programme of clinical audit and package-level quality review, report findings and required actions to the Chief Executive and Board, and evidence what changed as a result.
• Maintain the clinical assurance evidence required by CQC, ICBs, commissioners and safeguarding partners, and represent Unicare clinically during inspection and quality visits.
• Lead clinical incident review and, where the threshold is met, serious incident investigation, ensuring the duty of candour is discharged and actions are tracked to completion.
• Provide the Chief Executive with an independent clinical view of risk, including where it differs from the operational or commercial position.
• Own the competency framework for every delegated clinical task, defining what competence means for each intervention, how it is assessed, how often it is reassessed and what triggers its withdrawal.
• Set the professional standards under which registered nurses delegate clinical tasks to Healthcare Assistants and Support Workers, and assure in practice that delegation, supervision and accountability are correctly distinguished and correctly recorded.
• Assure that no delegated clinical task is carried out by a person whose competence for that specific intervention, for that specific individual, has not been assessed and signed off.
• Maintain a live, auditable record of competence across the division that can be produced on demand.
• Provide professional direction to the complex care clinical training function, including curriculum content, clinical accuracy and the standard required to pass.
• Act as the professional line for all registered nurses delivering complex care under Unicare's registration, whether employed or engaged under a contract for services, in each case working within the terms of their engagement.
• Assure, before any nurse works on a Unicare package, that NMC registration is current and unrestricted, that professional indemnity arrangements are in place, and that clinical competence for the relevant interventions has been evidenced.
• Establish clinical supervision and professional support arrangements appropriate to the workforce model, with documented frequency, content and escalation routes.
• Handle professional practice concerns and fitness to practise matters, including the decision to remove a nurse from a package and any referral to the NMC.
• Advise the Chief Executive where the workforce model itself creates clinical governance risk, and propose the remedy.
• Provide the clinical assessment and opinion on complex care referrals, including whether Unicare can safely staff and sustain the package, and advise the Chief Executive where a referral should be declined.
• Set the clinical readiness criteria a package must satisfy before it goes live, including care planning, competency sign-off, equipment, emergency planning and family involvement.
• Assure the quality of clinical care planning, risk assessment, emergency and contingency plans, and end of life or advance care planning where relevant.
• Own clinical standards for medicines management in the home, including controlled drugs, rescue medication and administration by trained unregistered staff.
• Set standards for recognising and escalating clinical deterioration, and for the response where emergency services are distant.
• Lead the clinical response where a package is destabilising or has failed, and conduct the clinical review afterwards.
• Assure compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 across all complex care delivery, in particular Regulation 12 and Regulation 20.
• Assure the correct application of the Mental Capacity Act 2005 and, for children and young people, of consent, parental responsibility and Gillick competence.
• Provide senior clinical input to adult and childrens safeguarding enquiries and act as a clinical point of contact for safeguarding partners.
• Keep the Chief Executive and Board briefed on clinical, regulatory and guidance change affecting complex care, and lead the operational response to it.

Job description

Unicare Complex Care Specialist Ltd is seeking a Head of Nursing to oversee clinical governance and professional leadership for its nurse-led complex care division, delivering care in clients' homes. The role ensures high standards, governance, and risk management with direct oversight linked to the Chief Executive.

You will lead competency frameworks, ensure safe delegation, and drive audit, training, and regulatory compliance across services and contracts.