Overnight Nurse /Paramedic | Royal Free London NHS Foundation Trust

Royal Free London NHS Foundation Trust; Greater London; On-site; GBP 30,000 - 45,000; Full time

Job summary

A leading healthcare provider in London seeks a competent nurse to join their Overnight Community service. The role involves high-level clinical decision-making and delivering tailored patient care in a community setting, aimed at avoiding hospital admissions. Candidates should demonstrate experience in complex nursing activities and be ready to support both patients and their families. The position offers opportunities to work within an integrated care system, with a focus on community health.

Qualifications

• Proven ability to make high level clinical decisions.
• Experience with community nursing and discharge services.
• Competence in complex nursing activities and assessments.

Responsibilities

• Undertake skilled nursing activities related to patient assessment.
• Make clinical decisions and communicate rationale.
• Ensure contemporary clinical practices meet patient needs.
• Deliver tailored nursing care that enhances patient dignity.
• Address emotional needs of patients and carers.
• Attend MDT meetings and participate in annual reviews.

Skills

Clinical decision-making

Complex patient care

Cultural sensitivity

Health information promotion

Job description

Overview

An excellent opportunity has arisen for a motivated and enthusiastic person to join our enlarged Enfield Overnight Community service. As a senior member of the Overnight Service Team, you will be a competent nurse able to adapt to Overnight service (community Admission Avoidance) and Discharge to Assess (accelerated discharge service). You will be part of a community team where your proven ability to make high level clinical decisions will aid patient recovery. The Overnight Team’s primary aim is hospital admission avoidance and ensuring patients remain safe in the community. The team reviews patients with worsening medical and functional conditions within their own home and liaises with the wider community teams to prevent clinical deterioration and admission to acute hospital.

Please see the Job description for further details.

Responsibilities

• To undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care.
• To make skilled clinical decisions and communicate the rationale clearly.
• To ensure that clinical practice is contemporary to meeting the needs of patients and families.
• To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity.
• To deliver nursing care to patients within their home that is technically excellent, personally tailored and that enhances dignity for patients and carers.
• To address distressing and emotional needs of patients and carers in an exemplary manner.
• Attend regular MDT meetings with acute services, therapists, social services, care homes and GP practices.
• To participate in annual appraisal review.
• To comply with all mandatory training: fire, violence awareness, CPR, manual handling, child protection and safeguarding of vulnerable adults.
• To provide supervision, annual appraisal and monitoring of the work of community nurses (Band 5), Health Care Assistants and students with support from senior staff.
• Management of complex patient care ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate.
• To provide health information and health promotion for patients and their families on the caseload including formal pulmonary rehabilitation for patients with chronic obstructive airways disease.

About North Mid

North Mid is part of the North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and many of our financial and performance objectives are measured at this system level. We are a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Additional information

Take a tour of our hospital here.

This advert closes on Tuesday 14 Oct 2025.