Registered Nurse

iCare24 Group; Leeds; On-site; GBP 30,000 - 45,000; Full time

Job summary

A specialist nursing service provider in the UK is seeking a registered nurse to lead care for clients with complex, long-term conditions. Responsibilities include nursing care, assessment, staff supervision, and compliance with safety standards. Ideal candidates should have proven experience in complex care and possess NMC registration. Competitive salary and flexible working patterns offered.

Benefits

Flexible working hours

Training and development opportunities

Supportive work environment

Qualifications

• Registered nurse with current NMC registration.
• Experience delivering complex care in community or acute setting.
• Competencies in tracheostomy care, ventilation, and enteral feeding.

Responsibilities

• Provide specialist nursing care in clients' homes.
• Lead assessment, care planning, and reviews.
• Supervise and train support staff.

Skills

Compassionate care

Clinical assessment

Team leadership

Supervision skills

Education

Registered nurse (Adult / Child / LD) with NMC registration

Post-registration experience in complex care

Tools

EHR applications

Ventilators

Enteral feeding pumps

Job description

Provide specialist nursing in clients' homes for adults and/or children with complex, long-term conditions. Lead on assessment, care planning, delivery, and review; train and supervise support staff; ensure safe, person-centered care in line with NMC standards and CQC regulations.

Assessment & Care Planning

• Complete holistic assessments, risk assessments, and person-centered care plans (including ventilation/trach, PEG/PEJ/NG, bowel/bladder, skin integrity, catheter/stoma care, suctioning, oxygen therapy, IV/SC therapies within scope).
• Deliver and evaluate evidence-based interventions; recognise and respond to deterioration (e.g., NEWS2/PEWS) and escalate per SOPs.
• Safely administer and manage medicines (including enteral and inhaled routes; IV/SC if competent and authorised).

Leadership, Training & Supervision

• Competency-assess and supervise support workers; provide bedside coaching and annual refreshers for tasks such as tracheostomy care, suction, ventilation checks, enteral feeding, seizure rescue protocols.
• Lead shifts, coordinate multidisciplinary input, and act as clinical point of contact for families.

Care Coordination

• Liaise with GPs, community teams, hospices, acute trusts and AHPs; attend/lead MDT reviews and contribute to EHCP/CHC reviews where applicable.
• Plan safe hospital discharges and step-ups/step-downs in care.

Quality & Governance

• Document care contemporaneously in EHR and maintain auditable records (MARs, fluid/nutrition charts, ventilation logs).
• Report incidents/near misses, conduct investigations and implement learning.
• Uphold Duty of Candour, infection prevention & control and safeguarding standards.

Safeguarding & Legal

• Apply the Mental Capacity Act (incl. best-interest decisions), Deprivation of Liberty Safeguards/LPS and children's safeguarding procedures.
• Maintain robust lone-working and home-environment risk controls.

Compliance Requirements

• Enhanced DBS (child/adult barred list as applicable) and right to work in the UK.
• Occupational health clearance and up-to-date immunisations (per UKHSA guidance).
• Mandatory training: Life support (ILS/PILS), Safeguarding Adults L2-3 & Children L2-3, Infection Prevention & Control, Medicines Management, Information Governance, Moving & Handling, MCA/DoLS/LPS, Lone Working.
• Evidence of continuing professional development and annual NMC revalidation.

Working Pattern & Environment

• Rotas may include days, nights, weekends; lone working in clients’ homes; occasional shadowing/overlap shifts for training and reviews.
• Use of mobile EHR/apps and remote supervision tools.

Key Performance Indicators

• Care plan and risk assessment completeness and review cadence.
• Incident rates and time-to-escalation; learning actions closed on time.
• Staff competency sign-offs and refresher compliance.
• Client outcomes: ventilation hours stability, unplanned admissions, pressure-area prevalence, nutrition/hydration goals.
• Family satisfaction and MDT feedback.

Equipment & Clinical Skills (as applicable)

• Tracheostomy tubes and suction, humidification, ventilators (set-up, troubleshooting, daily checks), sats/ETCO monitoring, oxygen delivery.
• Enteral feeding pumps/sets, catheter/stoma supplies, syringe drivers (within scope and training).
• Emergency grab-bag use; anaphylaxis/seizure rescue protocols.

Professional Behaviours

• Uphold NMC Code, model compassionate, culturally competent practice.
• Maintain boundaries and confidentiality within clients’ homes.
• Contribute to service audits, policy reviews and CQC readiness.

Qualifications

• Registered nurse (Adult / Child / LD) with current NMC registration.
• Post-registration experience delivering complex care in the community or acute setting.
• Verified competencies in at least two of: tracheostomy care, invasive/non-invasive ventilation, enteral feeding (PEG/NG), seizure management and PRN rescue meds, central/peripheral line care and IV/SC therapies, complex moving & handling.
• Confident in clinical assessment, escalation and emergency response (BLS/ILS/PILS as appropriate).
• Strong teaching/supervision skills; able to sign off staff competencies.
• UK driving licence and ability to travel across [patch] (or clear statement if not required).

Desirable Criteria

• Previous package leadership or case management experience; CHC/Personal Health Budget exposure.
• Paediatric high-dependency or ICU/HDU background (for children’s packages).
• Tissue viability, respiratory, neuro or palliative care experience.
• Non-medical prescribing (V300) or PGD/PSD experience within scope.
• Quality improvement/audit experience.