Critical Care Outreach Nurse

NHS; London; On-site; GBP 51,000 - 59,000; Part time

Job summary

The Royal Marsden NHS Foundation Trust seeks a dedicated Critical Care Nurse to enhance its patient care across its Chelsea and Sutton sites. This challenging yet rewarding role involves assessing and treating acutely deteriorating patients, contributing to service development, and leading rescue interventions as part of the Resuscitation team, ensuring the highest standards of cancer care in a supportive environment.

Benefits

Continuous professional development

Flexible working arrangements

Stimulating work environment

Qualifications

• NMC Registered Adult Nurse with relevant critical/acute care experience.
• Experience in an acute setting and managing critically ill patients.
• Teaching or mentoring experience is desirable.

Responsibilities

• Lead critical care outreach services for deteriorating patients.
• Collaborate with clinical teams to manage acute patient care.
• Conduct audits and participate in service improvements.

Skills

Leadership

Clinical Decision Making

Communication

Team Collaboration

Education

Bachelor's degree in Nursing

ALS (Advanced Life Support) Provider Certificate

Recognized Acute Care Qualification

Teaching/Mentoring Qualification

Job description

Job summary

The Royal Marsden NHS Foundation Trust is the largest comprehensive Cancer Centre in Europe and leader in the field of cancer care with successful record of innovation in nursing care, pioneering new treatments and development of anti-cancer drugs. We are seeking an enthusiastic experienced and highly motivated critical care nurse who will work with the team to support us in the delivery of a high-quality 24-hour service across both Chelsea and Sutton sites. You will be expected to work with ward and critical care clinicians and demonstrate excellent clinical skills and evidenced based decision making. You will carry out advanced assessment and care of deteriorating patients leading to early intervention and treatment. You will be part of the Resuscitation team/Hospital Night and would be required as an ALS provider to lead rescue interventions and facilitate transfers to and from critical care. You will work a mixture of days and nights as well as weekends within the team. This post will be based in Sutton but will require cross site work.You will be involved in the service development, improvement and participate actively in audit and research. You would need to demonstrate leadership and managerial expertise as a Band 7 Charge Nurse/Sister in Critical Care Outreach.

Please note that this position will not attract a work permit or visa and so only applications from individuals already free to work in the UK without restrictions will be considered.

Main duties of the job

• To be an active member of the Critical Care Outreach Team assessing and treating the acutely deteriorating patient, or to initiate treatments to prevent a patient from deteriorating and requiring admission to the Critical Care Unit (CCU).
• To provide advanced knowledge and skills as a critical care outreach practitioner to the unwell/deteriorating cancer patient in accordance with the National Outreach Forum competency framework.

About us

The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.

At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.

At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.

Details Date posted

03 June 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,883 to £58,544 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

282-SB552

Job locations

The Royal Marsden Sutton

Sutton

SM2 5PT

Job description Job responsibilities

For further information on this role, please see the attached detailed Job Description and Person Specification

• To work in line with Trust values
• To provide a 24-hour, 7 days a week Critical Care Outreach (CCO) service across the Chelsea and Sutton site.
• To identify patients who are acutely deteriorating and are for active treatment. Ensuring appropriate escalation and timely management of the critically ill patient.
• To lead and advise in the clinical management of the acutely unwell and deteriorating patients
• To provide a service which improves the recognition and response to deteriorating patients in the wards based on NICE clinical guideline 50 (Acutely ill patients in hospital: recognition of and response to acute illness in adults in hospital).
• To develop the service through clinical expertise, leadership, education, audit and quality improvement.
• To provide an expert critical care response to level 1 and 2 patients outside the Critical Care unit, as well as support of level 3 patients admitted in the Step-Up Unit.
• To work in collaboration with the Critical Care Unit team (CCU), Medical/Surgical teams and the Clinical Site Practitioner (CSP) to assess and treat the acutely deteriorating patient.
• To lead on and coordinate critical care admission to Satellite unit (Step Up unit), working collaboratively with Critical Care Drs and Critical Care Staff when in attendance with continued input and follow up of admissions

Job description Job responsibilities

For further information on this role, please see the attached detailed Job Description and Person Specification

• To work in line with Trust values
• To provide a 24-hour, 7 days a week Critical Care Outreach (CCO) service across the Chelsea and Sutton site.
• To identify patients who are acutely deteriorating and are for active treatment. Ensuring appropriate escalation and timely management of the critically ill patient.
• To lead and advise in the clinical management of the acutely unwell and deteriorating patients
• To provide a service which improves the recognition and response to deteriorating patients in the wards based on NICE clinical guideline 50 (Acutely ill patients in hospital: recognition of and response to acute illness in adults in hospital).
• To develop the service through clinical expertise, leadership, education, audit and quality improvement.
• To provide an expert critical care response to level 1 and 2 patients outside the Critical Care unit, as well as support of level 3 patients admitted in the Step-Up Unit.
• To work in collaboration with the Critical Care Unit team (CCU), Medical/Surgical teams and the Clinical Site Practitioner (CSP) to assess and treat the acutely deteriorating patient.
• To lead on and coordinate critical care admission to Satellite unit (Step Up unit), working collaboratively with Critical Care Drs and Critical Care Staff when in attendance with continued input and follow up of admissions

Person Specification Education / Qualifications Essential

• Professional Qualification (First Level registration NMC Registered Adult Nurse or HCPC) with relevant experience in a critical/acute care environment
• UK recognised Bachelor's degree or studying at degree level supplemented by specialist training/experience
• Teaching/Mentoring qualification and/or experience
• Recognised acute care Qualification (e.g Post registration ICU course)
• ALS provider Certificate
• ILS provider Certificate
• Venepuncture/Cannulation

Desirable

• Non-Medical prescriber
• Cancer nursing qualification

Experience Essential

• Significant and recent experience working in an acute setting and managing a critically ill patient (e.g CCU, A&E)
• Recent clinical experience at AfC Band 6 or above
• Evidence of good leadership and interpersonal skills
• Ability to work autonomously
• Ability to influence, support and develop staff
• Ability to co-ordinate patient care and liaise with multi-disciplinary team members
• Ability to work collaboratively with CCOT and CCU leads
• Evidence of managerial experience
• Ability to innovate and respond to change
• Ability to problem solve, make decisions, organise and prioritise
• Ability to manage conflict situations
• Evidence of commitment to customer care initiatives and incorporation of cultural values into practice
• Knowledge of quality issues
• Understanding of research and its implications on practice development

Skills / Abilities /Knowledge Essential

• Ability to use advanced communication/interpersonal skills when working with staff, patients and carers
• Ability to communicate with and/or give advice to all members of the hospital and community MDT and show good leadership skills
• Good presentation and teaching skills
• Ability to provide clear and concise documentation
• Ability to manage databases, maintain records with integral auditing and to produce annual reports for the service
• Ability to work under pressure in order to meet service and patient priories
• Ability to work within and manage professional boundaries
• Computer literate in Microsoft outlook, office, word, excel and PowerPoint

Person Specification Education / Qualifications Essential

• Professional Qualification (First Level registration NMC Registered Adult Nurse or HCPC) with relevant experience in a critical/acute care environment
• UK recognised Bachelor's degree or studying at degree level supplemented by specialist training/experience
• Teaching/Mentoring qualification and/or experience
• Recognised acute care Qualification (e.g Post registration ICU course)
• ALS provider Certificate
• ILS provider Certificate
• Venepuncture/Cannulation

Desirable

• Non-Medical prescriber
• Cancer nursing qualification

Experience Essential

• Significant and recent experience working in an acute setting and managing a critically ill patient (e.g CCU, A&E)
• Recent clinical experience at AfC Band 6 or above
• Evidence of good leadership and interpersonal skills
• Ability to work autonomously
• Ability to influence, support and develop staff
• Ability to co-ordinate patient care and liaise with multi-disciplinary team members
• Ability to work collaboratively with CCOT and CCU leads
• Evidence of managerial experience
• Ability to innovate and respond to change
• Ability to problem solve, make decisions, organise and prioritise
• Ability to manage conflict situations
• Evidence of commitment to customer care initiatives and incorporation of cultural values into practice
• Knowledge of quality issues
• Understanding of research and its implications on practice development

Skills / Abilities /Knowledge Essential

• Ability to use advanced communication/interpersonal skills when working with staff, patients and carers
• Ability to communicate with and/or give advice to all members of the hospital and community MDT and show good leadership skills
• Good presentation and teaching skills
• Ability to provide clear and concise documentation
• Ability to manage databases, maintain records with integral auditing and to produce annual reports for the service
• Ability to work under pressure in order to meet service and patient priories
• Ability to work within and manage professional boundaries
• Computer literate in Microsoft outlook, office, word, excel and PowerPoint

Disclosure and Barring Service Check

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.

UK Registration

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

Additional information Disclosure and Barring Service Check

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.

UK Registration

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

Employer details Employer name

The Royal Marsden NHS Foundation Trust

Address

The Royal Marsden Sutton

Sutton

SM2 5PT

Employer's website

https://www.royalmarsden.nhs.uk/working-royal-marsden (Opens in a new tab)

Employer details Employer name

The Royal Marsden NHS Foundation Trust

Address

The Royal Marsden Sutton

Sutton

SM2 5PT

Employer's website

https://www.royalmarsden.nhs.uk/working-royal-marsden (Opens in a new tab)