Senior Community Nurse Assessor

Gloucestershire Health and Care NHS Foundation Trust; Stroud; On-site; GBP 12,000 - 18,000; Part time

Job summary

Gloucestershire Health and Care NHS Foundation Trust is offering a part-time Registered Nurse role in our new Home First service, launched to help patients return home safely and avoid unnecessary hospital admissions. You will carry out holistic assessments and develop personalised care plans for patients with complex needs.

In a multidisciplinary team, you will support timely discharges, promote independence, manage medicines, and contribute to service improvement while supervising colleagues

Responsibilities

• Complete holistic nursing assessments and develop personalised care plans for patients discharged through Home First and other discharge-to-assess pathways.
• Support safe and timely hospital discharges and help prevent avoidable hospital admissions.
• Deliver evidence-based nursing care, treatment, and intervention for patients with complex, acute, sub-acute, and long-term conditions.
• Identify ongoing nursing needs and coordinate seamless handover to Community Nursing Teams where required.
• Work collaboratively with therapists, reablement staff, GPs, social care teams, and other system partners across One Gloucestershire.
• Promote independence through health coaching, education, goal-setting, and personalised care approaches.
• Support medicines management and clinical decision-making to optimise patient outcomes.
• Provide advice and support to patients, carers, and families to maximise health, wellbeing, and self-management.
• Contribute to service improvement, quality assurance, audit activity, and patient safety initiatives.
• Support the development of colleagues and students through supervision, coaching, and leadership within the team.
• Manage and prioritise a dynamic caseload, demonstrating excellent clinical judgement and organisational skills.

Job description

This role is offered on a permanent basis. The hours are part-time, 18.75 hours per week.

Are you a passionate and motivated Registered Nurse looking to make a real difference to patient outcomes? This is an exciting opportunity to join ournew Home First service that launched on 1 September, supporting patients to return home safely from hospital and avoid unnecessary admissions.

Working as part of a multidisciplinary team, you will deliver timely, holistic assessments and develop personalised care plans for patients with complex health needs. You will play a key role in supporting hospital discharge, promoting independence, and ensuring patients receive the right care, at the right time, in the right place.

This is a rewarding role for a nurse who enjoys autonomous practice, collaborative working, and delivering high-quality, person-centred care within patients' own homes and communities.

Why Join Us?

• Be part of an innovative new Home First service launched in September.
• Help shape a developing service focused on improving patient outcomes and experiences.
• Work within a supportive multidisciplinary team committed to delivering outstanding community care.
• Make a tangible impact on reducing hospital stays and helping people live independently at home.

• Complete holistic nursing assessments and develop personalised care plans for patients discharged through Home First and other discharge-to-assess pathways.
• Support safe and timely hospital discharges and help prevent avoidable hospital admissions.
• Deliver evidence-based nursing care, treatment, and intervention for patients with complex, acute, sub-acute, and long-term conditions.
• Identify ongoing nursing needs and coordinate seamless handover to Community Nursing Teams where required.
• Work collaboratively with therapists, reablement staff, GPs, social care teams, and other system partners across One Gloucestershire.
• Promote independence through health coaching, education, goal-setting, and personalised care approaches.
• Support medicines management and clinical decision-making to optimise patient outcomes.
• Provide advice and support to patients, carers, and families to maximise health, wellbeing, and self-management.
• Contribute to service improvement, quality assurance, audit activity, and patient safety initiatives.
• Support the development of colleagues and students through supervision, coaching, and leadership within the team.
• Manage and prioritise a dynamic caseload, demonstrating excellent clinical judgement and organisational skills.

We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust.

Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:

• 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
• 76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
• 81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.

This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and pulse surveys.

Gloucestershire Health and Care is committed to embedding and providing personalised care through all of its services as part of our high-quality care strategy. The purpose of personalised care is to empower people to lead the lives they want to live. Personalised care starts with a conversation with people about what matters to them. It builds on what people can do, as well as addressing their health needs. Including new ways of working and delivering care, emphasising that we need to make effective use of the full range of our people's skills and experience to deliver the best possible patient care. So we want to know What Matters to You and that you will share our values and join us on this very important journey.

The qualification, training & experience requirements for the role are underlined in the Job Description/Person Specification.