Frailty B6 Nurse/Paramedic

Central London Community Healthcare Nhs Trust; Waterford; On-site; GBP 42,000 - 50,000; Full time

Job summary

The Central London Community Healthcare NHS Trust is recruiting a Band 6 Frailty Nurse or Paramedic to join the Unplanned Care team in West Hertfordshire. The post involves delivering short-term, home-based care to adults referred to the Frailty Hospital at Home service, aiming to prevent unnecessary hospital admissions and enable timely discharge from urgent care settings.

You will assess needs holistically, plan care with patients and carers and work with the multidisciplinary team, providing

Qualifications

• NMC/HCPC registered with current valid registration.
• Experience of working in Community Services.
• Experience of assessing and providing quality care to people with Long Term Conditions.
• Substantial Band 5 experience.
• Ability to communicate effectively verbally and in writing.

Responsibilities

• Assess referrals and respond according to priority and urgency.
• Use enhanced skills to assess needs and develop a care plan with patient and MDT.
• Make risk assessments and arrange necessary supportive packages.
• Provide evidence-based clinical/therapeutic interventions to improve outcomes.
• Collaborate with community agencies and teams.

Skills

NMC/HCPC registration

Community services experience

Long-term conditions care

Autonomous working

Risk assessment

Communication skills

IT skills

Job description

Job summary

CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

We are looking for a Band 6 Frailty Nurse or Paramedic to join our supportive and dedicated team within unplanned care.

Unplanned Care provides multidisciplinary services and includes Discharge to Assess Therapy Teams, Early Intervention Vehicle, Frailty Hospital at Home, Rapid Response and Overnight Nursing. The post will be aligned with one service, primarily, but staff within Unplanned Care work flexibly across services as required.

You will deliver high-quality, short-term care programmes for adults referred to the Frailty Hospital at Home service across West Hertfordshire. You will provide care in patients' own homes, supporting those with acute health needs, helping to prevent unnecessary hospital admissions, and enabling timely discharge from urgent care settings.

You will use your specialist skills and knowledge to holistically assess needs and provide clinical treatments based on evidence-based practice. To supplement generic health services when acute, or concentrated nursing care and/or therapy intervention is required.

As this is a community-based role, with travel between patient homes, there is a requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).

Main duties of the job

• To assess referrals made to the service, prioritise, and respond according to priority, as appropriate both in terms of level and urgency.
• To use enhanced skills and knowledge to assess physical and psycho-social needs and develop a comprehensive and concordant plan of care with patient/carers and the wider Multidisciplinary Team as needed.
• To make risk assessments, establishing the safety or otherwise of patients' ability to stay at home, or return home safely from another care setting, providing, and arranging necessary supportive packages.
• To provide evidenced based clinical/therapeutic interventions based on 'best practice', to improve health outcomes and promote choice.
• To work in close collaboration with all other community agencies including staff working within the Community Adult Health Services.

About us

We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.

What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.

Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Details

Date posted: 17 September 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £41,957 to £50,387 a year per annum, inclusive of HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 824-HERTS-8278539
Job locations: BRE - Building 16, Bucknalls Lane, Watford, WD23 9XX, United Kingdom

Job responsibilities

Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trusts values of Accountability, Inclusion, Compassion, and Empowerment.

Person Specification

Qualifications

Essential

• NMC/HCPC registered with current valid registration
• Experience of working in Community Services
• Physical Clinical Assessment Skills Course or willingness to undertake the course.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Substantial B5 Experience
• Experience of assessing and providing quality care to people with long term conditions
• Extensive range of clinical skills and experience
• Experience of working in a multidisciplinary team
• Experience of supervising staff and completing appraisals
• Ability to communicate effectively verbally and in writing
• Ability to make decisions and prioritise actions
• Ability to manage own workload and plan the workload of others, to work autonomously
• Basic IT skills including use of Microsoft Office package and email
• Clinical knowledge across a range of long term and enduring conditions
• Knowledge of evidence-based practice and able to implement in practice
• Knowledge of clinical governance processes, assessing and managing risk
• Knowledge of current NHS organisational structures and policy initiatives
• Able to carry out the duties of the post with or without adaptions.
• Able to work flexible shifts
• Able to work across the four neighbourhoods which make up South West Hertfordshire.
• Requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless the candidate has a disability as defined by the Equality Act 2010).

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).