Onward Care Team Nurse

Herefordshire and Worcestershire Health and Care NHS Trust; Worcester; Hybrid; GBP 38,000 - 47,000; Full time

Job summary

A health and care organization in Worcester seeks a motivated Onward Care Team Nurse. The ideal candidate will ensure safe patient discharges and work collaboratively with multi-disciplinary teams. This role offers both full-time and part-time options. Candidates should have significant post-registration experience and excellent communication skills. The position requires adaptability to meet service needs and potential cross-site working. Opportunities for professional growth and a supportive work environment are provided.

Benefits

27 days leave plus bank holidays

Generous NHS pension

Flexible working opportunities

Health and wellbeing opportunities

Qualifications

• Significant post-registration experience in varied settings.
• Ongoing professional development is essential.
• Ability to work independently and set priorities.

Responsibilities

• Work collaboratively with acute hospitals to identify patients.
• Lead discharge arrangements liaising with multi-disciplinary teams.
• Provide information on discharge processes to patients and families.

Skills

Communication

Ability to cope under pressure

IT Skills

Teamwork

Empathy

Education

Registered Nurse (RN1)

Degree/diploma in a relevant health-related subject

Health assessment module

Job description

Herefordshire and Worcestershire Health and Care NHS Trust

Onward Care Team Nurse

The closing date is 28 December 2025

We are looking for highly motivated and pro-active nurses to join our Onward Care Team at Worcestershire Royal Hospital / Alexandra Hospital Redditch to ensure patients get the care that they need, when they are ready to leave hospital, ideally at home first.

The role will involve working closely with patients, families and the acute hospitals nursing, therapy and medical teams and social care colleagues in a multi‑disciplinary, inter‑disciplinary way to ensure a safe and timely transfer with our community discharged to assess providers.

You will be expected to be organised, with excellent communication and IT skills. You will need to be able to work under pressure, prioritising your workload against constantly changing demands. If you can think innovatively and use your own initiative and judgement to resolve complex issues, this is the opportunity for you.

You will be a key part of our developing team that strives to ensure all patients achieve a safe discharge at the right time, to the right place, first time.

The hours will be worked over 7 days, to include weekends and Bank holidays. Can offer full or part time working.

We provide a 7‑day service across two sites at Alexandra Hospital and Worcester Royal Hospital. You will be expected to be able to travel to meet the needs of the service as this role may require cross‑site working.

Main duties of the job

Work collaboratively within the Acute Hospitals which includes the Emergency Departments, assessment units and all wards to proactively identify patients who will need Onward care on discharge/transfer and to support the multi‑disciplinary team with facilitating complex discharge aiming for home first.

Take the lead in discharge arrangements for individual patients where appropriate liaising with all members of the multi‑disciplinary teams in the acute setting and providers in the community.

Act as a resource for patients, relatives and carers requiring information on discharge processes, services available and all other issues relating to discharge and admission avoidance in accordance with current legislation.

Adopt a Home first approach, enabling patients to return safely home earlier from hospital.

Assess patients for suitable and safe transfer to community hospitals, community nursing teams and community provider services, both in and out of county.

About us

We run community hospitals and community health services across Worcestershire and provide mental health and learning disability services across both Herefordshire and Worcestershire. Our people (all 4500+ of them) provide services for people of all ages, experiencing both physical and/or mental health conditions from over 100 sites.

We will support you to thrive; offer flexible working options for a great work‑life balance, help you fulfil your ambitions, and empower you to make positive changes within your team or service. We value diversity and encourage applications from people of all backgrounds, cultures, and ethnicities.

What we offer;

• 27 days leave plus bank holidays, increasing up to 33 days with long service
• Generous NHS pension and enhanced pay when you work unsocial hours
• Flexible and agile working opportunities
• Great maternity, paternity, and adoption support
• Wide range of supportive staff networks
• Health and wellbeing opportunities

If you would like to know more, please visit our website.

We encourage you to read the attached applicant guidance notes.

Sharing your data - As a data controller we may sometimes need to process your data to pursue our legitimate business interests, for example to request a survey from you (optional), to support the Trust’s understanding of where you gained interest in working for the Trust.

Job responsibilities

For full details of the duties and criteria for the role please refer to the job description and person specification attached.

Person Specification

Skills & Abilities

• Ability to challenge poor behaviour
• A positive attitude and able to act on feedback
• Ability to praise and be supportive to others
• Ability to communicate clearly and effectively in English in both verbal and written formats
• Ability to analyse professional and ethical issues
• Ability to reflect and critically appraise own performance
• Ability to cope under pressure
• Good communication skill written and verbal
• Ability to communicate at various levels with empathy
• Able to recognise limits
• Ability to work independently and set own priorities
• Good negotiation skills and able to use initiative
• IT Skills

Knowledge

• Significant post‑registration experience in a variety of settings
• Priority setting
• Working with internal and external stakeholders/agencies
• Broad range of clinical experience
• Continuing healthcare/ funded nursing care assessment

Qualifications

• Registered Nurse (RN1)
• Degree/diploma in a relevant health related subject
• Evidence of on‑going continuing professional development
• Relevant short courses, e.g., long‑term condition management
• Health assessment module

Experience

• Significant post‑registration experience in a variety of settings
• Priority setting
• Working with internal and external stakeholders/agencies
• Broad range of clinical experience
• Previous acute/community/specialist nursing experience
• Continuing healthcare/funded nursing care assessment

Additional Criteria

• Team Worker
• Adaptable/ flexible working to the needs of the service
• Able to meet any travel requirements of the post
• DBS check satisfactory to the organisation.

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.

Herefordshire and Worcestershire Health and Care NHS Trust

£38,682 to £46,580 a year pro rata for part time