Community Specialist Nurse (Band 6) - West London NHS Trust

West London NHS Trust; London; On-site; GBP 42,000 - 51,000; Full time

Job summary

West London NHS Trust seeks a Registered General Nurse to provide comprehensive care and independent decision-making within a community setting. This role emphasizes patient assessments, clinical interventions, and active engagement in multidisciplinary team collaboration. Successful candidates will demonstrate advanced clinical skills and commitment to ongoing professional development.

Qualifications

• Registered General Nurse with current NMC Registration.
• Advanced clinical skills with commitment to independent practice.
• Experience supervising junior staff and understanding clinical governance.

Responsibilities

• Assess patients independently and formulate treatment plans.
• Provide clinically sound interventions and monitor patient progress.
• Collaborate with the multidisciplinary team for patient care.

Skills

Clinical decision-making

Patient assessment

Interpersonal skills

Education

Registered General Nurse

Independent Nurse Prescriber course

Advanced clinical assessment at minimum level 6

Job description

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Site Clayponds Hospital Town London Salary £42,939 - £50,697 per annum inclusive of 15% HCAS Salary period Yearly Closing 16/06/2025 23:59 Interview date 30/06/2025

West London NHS Trust provides a full range of mental health, community and physical healthcare services for children, adults and older people living in the London boroughs of Ealing, Hammersmith & Fulham and Hounslow.

We also provide some specialist services that are commissioned regionally, such as our medium secure services; and nationally, such as the Cassel Hospital for people with complex and severe personality disorder and our high secure services at Broadmoor Hospital.

Job overview

You will be assessing patients in this job on your own to determine their acuity and their progress in following their treatment plan or recovery goals.

Provide clinically sound interventions such as catheterisation, physical assessments, tissue viability assessment and care, phlebotomy, ECG recording and basic interpretation and physical assessments.

Exhibit safe clinical decision-making, including evaluation and diagnostic abilities.

You will be interpreting test results and making clinical decision autonomously using your evidence based clinical knowledge.

Each day you will benefit from and actively participate in a Geriatrician led MDT that includes PTs, OTs, Nurses, associate actioners and pharmacists.

You will be expected to see patients in their own home independently with support from the MDT and wider ECP services.

As a centre of excellence, you will deliver a person-centred approach to their independence and wellbeing.

Part of this role will include triaging patients who are referred from different stakeholders such as GPs, London ambulance Services and acute hospitals

Being part of ECP you will work in A&E to identify patient appropriate for rapid response and prevent in hospital admission avoidance. You will also work closely with DNs, TVN, community therapy, End of Life care amongst others allowing you to make meaningful treatment plans for our patients

Main duties of the job

Independent home visits or joint visit if needed.

Undertake physical assessments of patient, diagnose, plan, carry out, and review the care given to patients who have undifferentiated diagnoses.

Making decisions independently based on your evaluation, diagnosis, and interpretation of test results.

Documentation

Provide support to wider MDT

Act as first point of contact (SPA) for the Rapid Response and Admission Avoidance Service.

Discharge patient safely from the caseload by completing the discharge summaries and informing the patient.

You will have opportunities to provide supervision and line management to agreed cohort Rehabilitation Support Workers.

Ensuring safer staffing on a day to day basis in absence of band 7s.

Working for our organisation

West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.

Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m.

The Trust is rated as ‘Good’ overallby the Care Quality Commission. Forensic services are rated as ‘Outstanding’.

The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.

Detailed job description and main responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person specification

Qualifications and Training

• Registered General Nurse, Adult Branch and current NMC Registration
• Experience and evidence of teaching and assessing e.g. Preceptorship/Mentor
• Commitment to complete Independent Nurse Prescriber course
• Evidence of recent CPD
• Advanced clinical skills - ability to assess, diagnose and treat as an independent practitioner minimum level 6 study or similar
• Advanced clinical assessment skills at minimum level 6 study or similar course or commitment to complete

Experience

• Demonstrable experience and work qualification, preferably within an Intermediate Care or community environment.
• Experience of supervising junior staff in the team
• Experience of quality improvement processes including audit, risk management and a good understanding of clinical governance and change management
• Experience of and ability to communicate effectively with variety of partners and stakeholders - verbal, written and electronically
• Ability to problem solves and prioritise
• Experience of complaints handling
• Evidence of a range of clinical competencies appropriate to the nurse role e.g. venepuncture, palliative care, IV therapy
• Evidence of leading a team

Knowledge

• Demonstrates an understanding of Intermediate Care.
• Aware of current professional nursing issues.
• Demonstrates sound application of clinical knowledge
• Be able to critically analyse research and use this to substantiate best practice
• Knowledge and experience of equal opportunities and evidence of collaboration and co-operation with others, valuing the diversity of contributions that others give.
• Ability to influence service delivery and policy
• Ability to work under pressure
• Time management and ability to prioritise work
• Effective team working skills
• Knowledge of government policy and how this affects service delivery
• Knowledge of care pathways and models of practice and their application in this field

Personal Qualities

• Self-motivated
• Awareness of limitations to own competence and able to seek support
• Ability to adapt to change in the work environment

As an employee of West London NHS Trust, you have a responsibility to maintain a sound understanding of, and a commitment to uphold the National Health Service values and principles set out in the NHS Constitution.

We reserve the right to close adverts prior to the closing date stated should we receive a high volume of applications.

By applying for this post you are agreeing to West London NHS Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, you will be required to undergo a pre-employment checks which can take between 4-8 weeks . After which your information will also be transferred into the national NHS Electronic Staff Records system (ESR ).

Please ensure you include email addresses for your referees which MUST be at supervisory or managerial capacity covering the last 3 years of employment to date to avoid delay in the recruitment process.

West London NHS Trust is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.

We encourage the thoughtful use of technology as a demonstration of strong time management and a commitment to innovation. However, we encourage applicants to personalise their recruitment application to showcase their unique skills and experiences.

While AI-generated content can be a helpful tool, relying solely on generic responses instead of highlighting your own strengths and achievements may impact the success of your application. The success of an application will always be assessed against the essential and desirable criteria for the role, so it is important to ensure that your application and any supporting information clearly demonstrate how you meet these requirements.

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.

At West London NHS Trust, we want you to support you to build a career you can be proud of and this starts before your first day with us. Our people live our values every day as they deliver, manage and work to improve our services to patients, carers, families and other professionals.

We’re committed to making our recruitment process clear and efficient. It’s in everyone’s interest that we get the very best people on board as soon as we can.