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Oxleas NHS Foundation Trust; Rochester; On-site; GBP 32,000 - 46,000; Full time

Job summary

Oxleas NHS Foundation Trust in Rochester is seeking a Senior Nurse - Registered General Nurse to provide high quality clinical care within the Integrated Healthcare Service for offenders at HMP Rochester and HMP Cookham Wood, leading the healthcare team.

The role emphasises case management, clinical supervision of junior staff, emergency response leadership and delivery of primary and specialist interventions in a prison setting under NHS frameworks.

Qualifications

• Senior nurse responsible for primary care services within a prison healthcare setting.
• Delivering nurse-led care including emergency response and long-term condition management.
• Provide evidence-based nursing practice and supervise junior staff.

Responsibilities

• Carry a radio and lead in medical emergency responses.
• Deliver integrated healthcare service clinical model.
• Manage a complex clinical caseload.
• Support the development and maintenance of the National Standards for Health Care in Prisons.
• Ensure clinics and consultations are delivered timely and safely.
• Maintain systems for triage, referrals, and auditing of service delivery.
• Provide intravenous injections, immunisations, and syringe pumps as needed for complex prisoners.
• Coordinate care across prison, community and acute health services.
• Supervise staff and ensure annual appraisals and personal development.

Skills

Clinical leadership

Emergency response

Case management

Clinical supervision

IV injections

NHS systems

Education

RGN qualification

Tools

Electronic records

Job description

Senior Nurse - Registered General Nurse | Oxleas NHS Foundation Trust

Company:

Company: Oxleas NHS Foundation Trust

As a senior nurse you will provide high quality primary care services and a range of specialist interventions for offenders. At HMP Rochester & HMP Cookham Wood, we deliver a nurse-led integrated primary care service and operate a specialist practice-based clinical model of care.

Our senior nurses deliver primary care, emergency response and first night in custody/new registration services.

You will maintain an effective case management service to ensure care and continuity of treatment is maintained throughout a patient care pathway whilst detained in prison.

You will be required to ensure all clinics and consultations are delivered in a clinically effective and timely way and implement strategies designed to promote and improve health and prevent disease whilst in prison.

As a senior member of staff, you will be responsible for the day-to-day co-ordination of the Healthcare Team, supporting junior colleagues and ensure systems are in place for clinical supervision to junior team members.

Important Sponsorship Information for this post: We are currently unable to offer a certificate of sponsorship for this post.

Please visit the link below for more information

Working in offender healthcare

The post holder will exercise a high degree of personal and professional autonomy and have the ability to plan and reach complex and critical judgments and have decision making skills.

To deliver high quality clinical care within the Integrated Healthcare Service for the prison. This will include acute & primary care, long term conditions management, enhanced assessment and diagnostic intervention services and health promotion activities and be in line with the NHS Plan, public health indicators and National Service Frameworks.

To demonstrate and provide robust expert clinical skills with a sound understanding of evidence-based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis.

To support the development of evidence-based practice in the specialist field and to promote research as appropriate.

To participate in managerial and professional clinical supervision programme, to ensure junior staff receive appropriate supervision, training and annual appraisal and to ensure that it becomes an integral part of team practice.

To ensure the implementation of effective and appropriate patient centred care planning tools, long-term condition registers and consistent delivery throughout all the prisons within the service.

The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

This post is based at HMP Rochester and HMP Cookham Wood, but will require close working relationships with colleagues at nearby Kent prisons; HMP Maidstone, HMP East Sutton Park, and cross-cover may occasionally be required.

Operational

• The post holder will need to carry a radio and be competent to lead in medical emergency responses.
• To support the delivery of an effective integrated healthcare service clinical model.
• To manage a complex clinical caseload.
• To support the development, implement and maintenance the National Standards for Health Care in Prisons for the service.
• Ensure all clinics and consultations are delivered in a clinically effective and timely way, in line with service needs.
• Maintain systems for the collection of triage & allocation of referrals as appropriate and monitoring and supporting the auditing of quality and effectiveness of service delivery.
• To be able to give intravenous injections, immunisations and syringe pumps and infusions as necessary for the role of co‑ordinating complex prisoners.

Management

• Implement the strategies designed to promote and improve health and prevent disease, working proactively and collaborating with other professionals, organisations and agencies as required.
• Maximising resources to target need, including the supervision of staff.
• Delegate appropriate responsibility and authority to team members, whilst retaining overall responsibility and accountability on a shift-to-shift basis.
• To maintain an effective case management service to ensure care and continuity of treatment is maintained throughout a patient care pathway whilst detained in prison.
• To implement appropriate & effective and accredited care planning tools that are subject to the process in accordance with agreed Trust Policies.
• To implement effective systems and interfaces with community and acute health services ensuring continuity of care on release or discharge. To actively promote and demonstrate working across professional and organisational boundaries.
• To maintain close working partnerships with all services that may be involved with the care and management of offenders, (prison staff, Ministry of Justice, Trust & Directorate senior managers & relevant forums, CMHT staff, NHS Hospitals, Probation Services, CPS, Courts, GP's, community health services, Housing/Benefit services, social care, community multi agency forums etc.).

Human Resources

• Responsible for day-to-day co-ordination of the Integrated Healthcare Team.
• To ensure systems are in place for clinical supervision to junior team members including annual appraisal and identification of specific service, training, and personal development needs.

Governance

• Ensure junior staff compliance with all Prison and Trust clinical policies and procedures as appropriate.
• Ensure appropriately skilled & qualified staff comply with the administration and management of medications according to their responsibilities in accordance with all relevant policies, guidance, and procedures.
• Ensuring high standards of electronic record-keeping competencies and offender confidentiality in line with trust & prison policy and systems, through effective monitoring and auditing processes.

General

• To liaise with other senior Trust personnel to share expertise, promote ideas and to ensure the service is working collaboratively with the Trust's other Directorates as required.
• To work positively and effectively in a difficult and often hostile environment.
• Be aware of environmental hazards in the working area; ensure staff are aware of relevant health & safety policies deriving from the Health & Safety at Work Act.
• To work in accordance with Trust policies and guidelines
• To be familiar with Prison Standards, Standing Orders, Circular instructions, Notices to Staff, Health and Safety and all other relevant material to function as an informed practitioner within a prison setting.
• Promote equality of opportunity and provide an environment in which the dignity of individuals is respected and free from workplace harassment and bullying.

IMPORTANT INFORMATION PLEASE READ:

All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.

You will need to provide:

Proof of right to work documentation

Proof of ID, needs to include 1 photographicID

Proof of address documentation

Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.

Address History:

5 years address history will be needed.

Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.

Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.

In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants

If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).

This advert closes on Tuesday 25 Aug 2026