Senior Community Nurse Assessor: Home First Discharge Lead

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

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