PATCH Nurse - Paediatric Hospital at Home

Chelwest; Greater London; On-site; GBP 48,000 - 57,000; Full time

Job summary

Chelsea and Westminster Hospital NHS Foundation Trust is recruiting a Band 6 Paediatric Nurse for the PATCH at-home service in London. You will assess and treat acutely unwell children at home, supported by the NWL PATCH Team and Virtual Wards.

You will conduct face-to-face, video, and phone assessments, with travel to patient visits and clinical decision-making in partnership with hospital teams. A driving licence is required.

Qualifications

• Registered nurse with paediatric post-registration experience.
• Registered with NMC and active practising status required.
• Experience in community or hospital-at-home settings is beneficial.

Responsibilities

• Provide high-quality, compassionate care to acutely unwell children at home.
• Perform clinical assessments and decide on escalation with hospital teams.
• Utilise face-to-face, virtual, and telephone consultations to manage care.
• Travel to patient visits and maintain accurate clinical records.

Skills

Clinical assessment

UK Driving Licence

Communication skills

Interpersonal skills

Time management

Patient advocacy

NMC Code of Conduct

Education

Part 1 Registered Nurse – Child

Level 3 Safeguarding

PILS certificate

APLS/EPALs

Further study evidence

Job description

We are an award winning organisation providing care at two main hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—and a number of community-based services across London, such as sexual health and HIV clinics.

With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.

Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice—a place where people want to start their career and to grow with us through continued education, professional development and support .

PATCH Nurse - Paediatric Hospital at Home

NHS AfC: Band 6

Main area Paediatric Nurse Grade NHS AfC: Band 6 Contract Permanent: N/A Hours

• Full time
• Part time
• Job share

37.5 hours per week Job ref 289-WLCH-127

Site Chelsea and Westminster Hospital Town London Salary £47,951 - £56,863 Pro rata per annum incl. HCAS Salary period Yearly Closing 29/10/2026 23:59

Job overview

This position offers the post holder an exciting opportunity to be part of a an innovative model of nursing care at Chelsea and Westminster Hospital - PATCH team “Providing Assessment and Treatment for Children at Home”, with support from the NWL PATCH Team, the Virtual Wards Programme and West London Children's Healthcare.

Main duties of the job

The post holder will use their clinical experience and skills to independently assess and manage acutely unwell children, ensuring all children referred to the PATCH team receive high quality, compassionate and effective care at home.

The post holder will utilise face to face, virtual and telephone consultations and where escalation of treatment is required, liaise with the hospital teams ensuring timely care is maintained.

A driving license, lone working and travel by public transport to patient visits is necessary for this role.

Working for our organisation

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed.

If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites

Detailed job description and main responsibilities

• Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC
• Professional Code of Conduct.
• Ensure local plans support all clinical quality external accreditation, for example the Care Quality Commission (CQC)
• Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of quality improvement
• Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, in line with the Trust values.
• Ensure that the delivery of care meets the individual needs of all patients and families.
• Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required.
• In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results.
• Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy.
• Ensure nursing team monitors patient progress, working towards safe and timely intervention.
• Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care.
• Manage concerns raised by patients and visitors in a proactive manner, review patient feedback results and update patient experience improvement plans, as needed.
• Champion a safeguarding culture, which meets the needs of all vulnerable patient groups.
• Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff.
• Store, check and administer drugs in accordance with the Trust Medicines policy.
• Work off site when required with the possibility of conducting home visits, in line with the Trust lone worker policy
• Ensure nursing documentation is maintain

Please see attached job description for more information on the roles and responsibilities of the post holder

Person specification

Education and Qualifications

• Part 1 Registered Nurse – Child or equivalent
• Level 3 Safeguarding
• PILS certificate
• Advanced/Enhanced Assessment Course
• Evidence of further study
• APLS/EPALs

Experience

• Experience working in a Hospital @ Home team
• Experience working in the Emergency Department
• Community nursing experience

Skills and knowledge

• Clinical assessment skills
• Clinical documentary competence in IV Drug Administration
• UK Driving License or equivalent
• Excellent communication and interpersonal skills necessary to interact with the patients; the multidisciplinary team; emergency services; and the outside agencies necessary for the efficient running of the service
• Ability to manage own time and prioritise
• Ability to deal with relatives in a stressful situation, giving a high level of support and advice
• Able to recognise the potential for physical or verbal violence and take action to defuse the situation.
• Ensure correct use of IT systems and awareness of the importance of information governance
• Be aware of role in a major incident and be capable of managing the department response to an incident.
• An understanding of professional issues relating to safeguarding the child and family.
• Knowledge of quality, standard setting, benchmarking and audit.

Trust Values

• Putting patients first
• Responsive to patients and staff
• Open and honest
• Unfailingly kind
• Determined to develop

Important

• There may be some occasions when we have to close a vacancy earlier than the advertised closing date, this will be due to a high volume of applications. You are therefore advised to submit your application as early as possible to avoid disappointment.
• Please check your emails regularly (and your junk folder) as this is how we will communicate with you throughout the recruitment process.
• In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
• During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
• Employment at the Trust is offered subject to successful completion of a six month probationary period.
• We operate a joint recruitment hub across the North West London Acute Provider Collaborative Group. As part of this, your application and personal data may be shared with partner trusts within the group for recruitment and workforce purposes, in line with General Data Protection Regulation (GDPR)

Right to work

If you need sponsorship to work in the UK, please visit the Home Office website for information on sponsorship and visa status before you fill in your application form. Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on UK Visas and Immigration - GOV.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.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

The recruitment team are available to provide support from 9am–5pm, Mon–Fri. To contact the team please call the Trust switchboard and ask for ‘Recruitment team, Human Resources Department’.