Nursing Associate – Proactive Care

Whittington Health Nhs Trust; Greater London; On-site; GBP 33,000 - 36,000; Full time

Job summary

Whittington Health NHS Trust is seeking a Registered Nursing Associate to join the Haringey MACCT, delivering proactive, holistic care to adults 18+ with frailty and complex needs. You will work closely with GPs, therapists, social care and pharmacists to coordinate care.

The role includes frailty assessments, care planning, MDT presentation and escalation of risks. It requires NMC registration and clinical supervision within the MACCT framework.

Qualifications

• Experience of working under supervision as part of a MDT.
• Ability to work effectively as part of MDT.
• Whittington Health's ICARE values emphasized.

Responsibilities

• Undertake follow up assessments for patients previously reviewed by senior clinicians.
• Complete actions identified during Comprehensive Geriatric Assessment, initiating referrals within competencies.
• Undertake frailty assessments following frailty induction and supervisor sign-off.
• Present patients at MDT meetings and act as a care coordinator when appropriate.
• Escalate changes, emerging risks, or concerns promptly.
• Manage an allocated caseload independently within competence.
• Reassess patients holistically and elevate concerns via internal pathways.
• Collaborate with GPs, Physiotherapists, Social Workers, Pharmacists, Occupational Therapists and others.
• Act in the best interests of patients to promote integrated care.
• Monitor health needs and adapt care with colleagues, families and carers.

Skills

Clinical risk identification

Verbal communication

Written communication

Prioritisation under pressure

Education

NMC RN Nursing Associate

GCSE Maths/English

Job description

Job summary

We are looking for a Registered Nursing Associate (RNA) to join the Haringey Multi-Agency Care and Coordination Team (MACCT) who is passionate about integrated community care and supporting frail and complex patients. You will work closely with GPs, Physiotherapists, Social Workers, Pharmacists, Occupational Therapists, Community Matrons, Trusted Assessors, Mental Health Practitioners, Dementia Navigators, and the administrative team.

In this role you will undertake activities beyond traditional RNA duties, adopting shared competencies across the multidisciplinary team (MDT) in line with the Multi-Agency Care and Coordination Team (MACCT) model. You will be supported to develop advanced skills in frailty, proactive case finding, pressure ulcer care and medication management where needed, continence and holistic assessment.

Main duties of the job

You will work as a core member of the Multi-Agency Care and Coordination Team (MACCT), delivering proactive, holistic, person-centred care for adults (18+) in Haringey who are living with frailty, complex needs, or are at high risk of unplanned hospital admission.

You will undertake delegated and competency-based tasks from:

• Community Matrons (CM)


• Associate Community Matrons (ACM)


• Occupational Therapists (OT)


• Physiotherapists (PT)


• Social Worker (SW)


• Pharmacists


• Other MDT clinicians

You will be allocated a caseload by the Community Matron/Associate Community Matron undertaking holistic assessments, planning and prioritising workload, implementing evidence-based interventions, and evaluating outcomes.

Following successful completion of the frailty induction process, you will:

• Undertake frailty assessments and coordinate care


• Present patients at multi-disciplinary meetings (MDT)


• Initiate referrals within competence


• Escalate emerging risks promptly

About us

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Details

• Closing date: 04 November 2026


• Pay scheme: Agenda for change


• Band: Band 4


• Salary: £33,262 to £36,027 a year Per Annum Including HCAS


• Contract: Fixed term


• Duration: 9 months


• Working pattern: Full-time


• Reference number: 220-WHT-8337616-A


• Job location: Lordship Lane Health Centre, 239 Lordship Lane, London, N17 6AA

Job responsibilities

• Undertake follow up assessments for patients previously reviewed by senior clinicians.


• Complete actions identified during Comprehensive Geriatric Assessment, initiating internal/external referrals within competencies.


• Undertake frailty assessments following frailty induction and competence signed off by supervisor.


• Present patients at MDT meetings and acts as a care coordinator, when deemed appropriate.


• Escalate changes, emerging risks, or concerns promptly.


• Manage an allocated caseload independently within competence.


• Reassess patients holistically and elevate concerns via internal pathways.


• Work collaboratively with GPs, Physiotherapists, Social Workers, Pharmacists, Occupational Therapists, Community Matrons, Trusted Assessors, Mental Health Practitioners, Dementia Navigators, and the administrative team.


• Act in the best interests of patients and service users to promote and prevent ill health and contribute to their integrated care.


• Monitor the condition and health needs of patients and service users on a continual basis in partnership with colleagues, families and carers, referring to others for reassessment, when required.


• Actively contribute to an effective learning environment and support others in their learning.


• Recognise and adhere to the Nursing and Midwifery Code of Conduct for Nurses, Midwives and Nursing Associates and work within their scope of practice following the professional standards of practice and behaviours for nurses, midwives and nursing associates and the standards of proficiency.

Person Specification

Education and Qualifications

Essential

• Registered Nursing Associate on the NMC register


• GCSE Grade A-C in Maths and English or skills level 2

Desirable

• Study/Training evidenced for Frailty, Older Adults, Self-Management

Skills and Abilities

Essential

• Ability to identify and elevate clinical concerns and risks appropriately and promptly


• Ability to communicate effectively (verbal and nonverbal communication) with patients/relatives and carers and all members of the multi-disciplinary team.


• Ability to communicate effectively in writing


• Ability to function well under pressure by prioritising and planning workload

Knowledge and Experience

Essential

• Experience of working under appropriate supervision as part of a multi-disciplinary team


• Ability to work effectively as part of a multidisciplinary team (MDT) and contribute to collaborative care planning.


• Able to recognise importance of and demonstrate Whittington Health's ICARE values

Desirable

• Acute or community clinical experience/Frailty experience


• Experience of multi-agency working across health, social care and voluntary-sector services.

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.

Certificate of Sponsorship: Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

UK Registration: Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name: Whittington Hospital NHS Trust

Employer website: https://www.whittington.nhs.uk/

For questions about the job, contact: ACP Clinical Lead, Adedolapo Foster-Aileru, [e-mail], 02030742953