Clinical Specialist Nurse

Transformation Unit; Enfield; Hybrid; GBP 46,000 - 54,000; Full time

Job summary

North London NHS Foundation Trust is seeking an experienced Clinical Specialist Nurse (NHS AfC Band 6) to join the Older Adults Home Treatment Team in Enfield. The role is full-time (37.5 hours) with a 7-day rota across Barnet, Enfield and Haringey, delivering assessment, interventions and crisis care in the community.

You will mentor staff, develop protocols for dementia care, and ensure care is evidence-based and aligned with NICE guidelines, within a values-driven Trust.

Qualifications

• Registered Mental Health Nurse with current NMC registration.
• Experience in dementia care and community or mental health settings.
• Ability to work autonomously and deputise for senior staff.

Responsibilities

• Provide initial assessments and direct care during mental health crises.
• Mentor and supervise colleagues within the service area.
• Develop Home Treatment Team protocols and deliver dementia-focused care.
• Cover a 7-day rota across Barnet, Enfield and Haringey.

Skills

Autonomous working

Deputising for senior staff

Dementia care awareness

Education

NMC registration (Registered Mental Health Nurse)

CPD evidence

Dementia training

Job description

Main area North Older Adults Home Treatment Team Grade NHS AfC: Band 6 Contract Permanent Hours Full time - 37.5 hours per week (Once fully operational the team will operate 7 days a week and weekday early evenings) Job ref 455-NLFT-8263397

Employer North London NHS Foundation Trust Employer type NHS Site North Older Adults Home Treatment Team Town Enfield Salary £45,953 - £54,254 Per annum including HCAS Salary period Yearly Closing 03/11/2026 23:59

Clinical Specialist Nurse

NHS AfC: Band 6

Thank you for your interest in North London NHS Foundation Trust (NLFT).

As of 1 April 2026, NLFT has formally merged with Tavistock and Portman NHS Foundation Trust—marking the start of an exciting new chapter. This is a unique opportunity to join a forward-thinking organisation at a time of transformation, where we are strengthening access to mental health services, responding more effectively to complex and specialist needs, and advancing our work in education, research and innovation.

By bringing together our combined expertise, we are building a stronger, more collaborative Trust—one that delivers consistent, high-quality care and improved outcomes for the diverse communities we serve.

At the heart of our approach is The North London Way. We are committed to:

• Working collaboratively at every level, guided by our shared values
• Shaping a positive, inclusive culture where staff and service users thrive
• Empowering our teams with the skills, tools and autonomy to drive meaningful change
• Delivering excellence and continuously improving the quality of care we provide
• Embedding research, innovation and technology across our services
• Taking a trauma-informed approach in everything we do

We are proud to be an inclusive employer that values diversity. We actively welcome applicants from all backgrounds, particularly from our local communities, and are committed to creating opportunities for everyone—including apprentices, veterans and care leavers.

The North London Way to deliver: Better Mental Health, Better Lives, Better Communities.

As a values‑driven Trust, we recruit through our values. Our selection processes focus on behaviours, attitudes, and examples that reflect our organisational values and commitment to compassionate, high‑quality care.

Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role.

We recognise that AI tools can support accessibility, equity and confidence for applicants. However, it’s important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey.

North London NHS Foundation Trust is committed to ensuring that its recruitment processes are carried out with integrity, transparency, and fairness for all applicants. To help maintain these standards, we ask candidates to provide accurate and truthful information throughout the recruitment process.

If incorrect or misleading information is identified, this may affect the progression of an application, any employment offer, or continued employment. As part of our due diligence, the company may verify the information provided by applicants and take appropriate act ion where necessary.

We do not charge applicants any fees at any stage of the recruitment process, including applications, interviews, sponsorship arrangements, pre-employment checks, or employment offers. All vacancies are advertised through TRAC/NHS Jobs and candidates are assessed solely on their skills, qualifications, experience, and suitability for the role. If you are asked to make a payment in connection with an NHS job opportunity, please treat this as suspicious and contact the organisation directly using the details published on our official career's website.

We currently have a vacancy for Clinical Specialist Nurse to join out new Older Person's Home Treatment Team. This is a new service
that has been set up to provide service users who are aged 70+ or who have a diagnosis of dementia with specialist support when they are
experiencing a mental health crisis as an alternative to in-patient admission.

Main duties of the job

Working as a member of a multidisciplinary Mental Health home treatment team the post holder will be responsible for providing individual assessments of service users experiencing a mental health crisis, identified clinical interventions and direct care to service users with mental health problems. They will also undertake management tasks, deputising for the Team manager as required, and will take a lead on mentoring and supervising others within their service area.

A key role will be helping to develop the Home Treatment Team response to working with people with dementia. This will involve liaison with other providers, developing new operating protocols for the teams and providing training to other team members.

As a nurse, the post holder will be responsible for ensuring that the team understands and operates to the requirements of the service operational policy and strategy, and that safe, evidence based, effective, culturally competent care is delivered in a timely manner to service users in crisis. The post holder will be expected to work a 7-day rota covering the boroughs of Barnet, Enfield and Haringey.

The focus of the role will be that of individual assessment, intervention and evaluation of treatment, delivered within the framework of NICE guidelines, evidence based best practice and to maximise service user’s ability to cope with their mental health crisis.

Working for our organisation

North London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.

• We will provide consistently high-quality care closer to home.
• With our partners in North London and each borough we will ensure equity of outcome for all
• We will offer great places to work, providing staff with supportive environment to deliver outstanding care.
• We will be more effective as an organisation by pioneering research, quality improvement and technology.

Why NLFT?

• We develop and retain our staff through leadership behaviours and managers programme and many more opportunities.
• We promote flexible working and support staff with a range of health and wellbeing initiatives.
• NHS Discounts, generous annual leave and NHS pension scheme
• Excellent internal staff network

In order to meet the needs of the Trust you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Camden, Enfield, Haringey or Islington. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Detailed job description and main responsibilities

To be responsible for providing expert care in an area of designated expertise, in accordance with the NMC code of professional conduct

To provide expert, autonomous and highly specialist clinical practice within a multi-disciplinary Team to include:

a) Initial assessment and formulation using a range of mental health or other specialist tools

b) When required to do so making appropriate judgements about the needs of service users in crisis.

c) To assess, plan, implement and evaluate care in negotiation with service users, carers and other services, considering the needs of a diverse community

d) Apply a range of therapeutic modalities, using evidence-based interventions in accordance with the requirements of service line care pathways

e) Contributing to multidisciplinary team decisions at the point of discharge and or transfer of the service user

f) To participate in and provide a specialist dementia nursing perspective to multi-disciplinary team meetings/case discussions

g) Maintaining contemporaneous records to the standard required by the trust and the relevant professional body (where appropriate to the post holder)

h) Assessing and managing risk on a continuous basis, in line with trust policy

i) Encouraging service users to accept an optimum level of responsibility for their programme of care and with their consent, where appropriate, seek the co-operation of friends, relatives, carers.

j) Support other members of staff in their assessment and management of service user care needs through reviewing initial data collection; monitoring of their progress; feedback; discussion and reports at care reviews with the team.

k) To identify carers and to offer carers assessments and review carers care plans

To provide relevant information for service users and carers relating to health promotion and well being.

To be able to demonstrate and explain clinical reasoning in relation to professional input to a service users’ care plan when required to members of the team, trainees or others external to the organisation.

To recognise and respond appropriately to challenging behaviour in line with Trust policies

At all times to act in accordance with trust policies in relation to risk assessment contributing to comprehensive assessments of risk, and monitoring as appropriate

To have up to date and detailed knowledge, understanding and experience of Mental Health and Social Care legislation as required by the Acute Division.

To be aware of personal accountability and responsibility in respect of ensuring that cleanliness standards and practices are maintained in the clinical environment and that these are compliant with PEAT, The Hygiene Code, CQC requirements and Trust Infection Control protocols and procedures.

To follow trust policy in promptly reporting all accidents and incidents. Undertaking investigations when called upon to do so or nominating / supervising relevant others in this role.

To be responsible for the administration, carriage and storage of drugs in accordance with relevant policies and professional guidelines.

To review and recommend medication changes as appropriate in consultation with medical staff re: efficacy and possible side effects and to develop user centred medication concordance.

To ensure the implementation of national guidelines for clinical best practice and apply to practice wherever relevant.

To undertake and lead where appropriate, in the evaluation and audit of professional interventions, clients and the service.

Person specification

Qualifications & Registration

• Registered Mental Health Nurse
• Current registration with NMC
• Evidence of recent and on-going academic study and/or CPD
• Other advanced relevant training i.e. in relation to dementia and/or frailty

Skills and Ablities

• Excellent verbal and written communication skill
• Able to work autonomously and to deputise for senior staff in a variety of roles when required to do so.
• Demonstrable skill of implementing change processes
• Demonstrable experience of adaptability to change

Experience/Knowledge

• Demonstrate experience in a senior specialist capacity caring for people with mental health problems and/or dementia in a community care or inpatient setting.
• Demonstrate a sound knowledge and experience in relation to factors that cause mental illness and dementia together with evidence based best practice.
• Demonstrate knowledge and experience of the impact physical health problems can have on mental health wellbeing.
• Demonstrate a clear understanding of the issues faced by service users living with dementia and the interventions available
• Demonstrate an ability to liaise and work with other agencies and carers.
• Demonstrate an understanding of risk together with an ability to evaluate and contain risk with reference to the individual, staff and carers.
• Demonstrate an ability to provide training to colleagues concerning dementia care pathways

Personal Qualities

• Ability to work within teams and manage own workload
• Compassionate leader – approachable, visible, and open to learn

Other Requirements

• Full driving license and access to own vehicle

Due to the high number of applications that are received for some posts, we reserve the right to close any vacancies before the stated closing date. Therefore, please ensure you apply without delay if you wish to be considered for this role.

In line with NHS protocols, only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We regret that it is not possible to contact all applicants for every vacancy. If you have not been contacted within 4 weeks of the closing date, please assume you have not been shortlisted for the next stage.

You must already have the right to work in the United Kingdom or fully meet the eligibility criteria for sponsorship under the Skilled Worker visa route. We welcome applications from candidates who require visa sponsorship; however, we can only consider these where all UKVI requirements are met. Before applying, please ensure that both you and the role satisfy the relevant UK Visas and Immigration (UKVI) points‑based system criteria, as applications that do not meet these requirements cannot be progressed.

References will be required to cover your last 3 years of employment/training. One has to be from your current or most recent employer and the others from your previous employer. The references should be from persons with management responsibility or HR.

Please note, in order to progress your application your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, who conduct recruitment activities on behalf of North London NHS Foundation Trust. As part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit www.trustid.co.uk

The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.

We are an equal opportunities employer and are committed to creating an inclusive, fair, and supportive workplace for all. We actively welcome applications from individuals who are under‑represented within our workforce and are dedicated to eliminating discrimination in all its forms.

As a Disability Confident (Two Ticks) employer, we guarantee an interview to disabled applicants who meet the essential criteria for the role and are committed to making reasonable adjustments throughout the recruitment process.

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at improving efficiencies within the NHS both to make costs savings for NHS organisations but also to save you time when your employment transfers.

Employer certification / accreditation badges

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.