Frailty B6 Nurse/Paramedic

Central London Community Healthcare NHS Trust; Watford; Hybrid; GBP 42,000 - 50,000; Full time

Job summary

Central London Community Healthcare NHS Trust is recruiting a Band 6 Frailty Nurse or Paramedic for the Hertfordshire Adult Community Services. The role delivers care in patients’ homes within Unplanned Care, focusing on Frailty Hospital at Home, Rapid Response and overnight nursing to prevent hospital admissions.

You will assess needs, provide evidence-based clinical interventions, and work with multidisciplinary teams across West Hertfordshire.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Communication skills

Decision making

Autonomy

Clinical assessment

Home visiting experience

Education

NMC/HCPC registered

Job description

Putting community at the heart of everything we do.

Proud to be a prospective advanced foundation trust, CLCH is one of the largest community healthcare providers in the country, employing more than 4,500 staff and caring for more than four million people across London and Hertfordshire. We believe in working together to give children a better start and adults greater independence. Our diverse team of professionals supports patients at every stage of their lives, from health visiting for newborn babies to community nursing, stroke rehabilitation, and palliative care.

By joining CLCH, you will be part of a dynamic and supportive team that values innovation, compassion, and excellence. We offer a range of exciting career opportunities and are committed to your professional development and well-being.

To join us and help make a real difference in the communities we work in, browse our latest jobs and opportunities below.

Site BRE - Building 16 Town Watford Salary £41,957 - £50,387 per annum, inclusive of HCAS Salary period Yearly Closing 04/10/2026 08:00

Welcome to Central London Community Healthcare (CLCH)

At CLCH, we proudly serve as a beacon of compassionate community healthcare across 14 vibrant London boroughs — Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster, Hillingdon, Sutton, and Kingston — as well as Hertfordshire. We bring care closer to home, embracing the rich diversity of these communities with dedication and heart.

Recognised as a Good provider by the Care Quality Commission and celebrated among the top NHS employers, we are united by a shared passion: empowering our community health professionals to deliver care that truly makes a difference.

We are deeply committed to fostering an environment where every member of our team feels respected, valued, and inspired—a place where fairness, kindness, and inclusion blossom. Our culture is rooted in the principles of the NHS People Plan, Our NHS People Promise, and our own strategic Equality values and objectives, guiding us to create a truly supportive and inclusive workplace.

Together, we build a caring community where the warmth we show one another shines through in every life we touch.

Job overview

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.

Working for our organisation

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.

Detailed job description and main 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 Trust’s values of Accountability, Inclusion, Compassion, and Empowerment.

Qualifications

• 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

Experience

• 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

Skills & Knowledge

• 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

Key Attributes

• 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).

We review all applications carefully to ensure fairness and verify references. At interview, you will be asked about your experience, so be honest and ensure all information is accurate. The use of AI during interviews is not permitted.

If you use AI or other tools to support your application, it must reflect your own skills, knowledge, and experience. Supporting information should be in your own words and include your personal insights. AI can assist with drafting but may produce generic or inaccurate content. Applications that rely heavily on AI may lack authenticity and reduce your chances of success.

CLCH Trust does not recommend relying solely on AI when completing your application.

CLCH Commitment to Equality, Diversity, and Inclusion

CLCH is proud to be a Disability Confident Committed employer. We believe that a diverse and inclusive workforce is essential for providing exceptional patient care. We are dedicated to attracting and retaining talent from all backgrounds, including ethnic minorities, the LGBTQ+ community, and people with disabilities.

As a Disability Confident employer, we pledge to:

Guarantee an interview to all disabled applicants who meet the essential criteria for a role.
Provide reasonable adjustments to support diverse needs throughout the recruitment and employment process.
Challenge misconceptions about disability and foster an inclusive culture for everyone.

We are committed to building a workplace where all staff feel valued and have the opportunity to thrive. Simply let us know how we can support you.

Learn more about our equal opportunities policy on our website: Equal opportunities: Central London Community Healthcare NHS Trust clch.nhs.uk

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.