Senior Staff Nurse

NHS; Bulwell; On-site; GBP 30,000 - 45,000; Full time

Job summary

A healthcare provider is seeking a highly skilled Senior Staff Nurse to join their Virtual Ward team in the United Kingdom. The role involves managing acutely unwell patients at home, conducting assessments and diagnostics, and liaising with multidisciplinary teams to ensure seamless patient care transitions. Candidates must have extensive nursing experience, including managing complex health conditions. This is a full-time position providing a unique opportunity to contribute to innovative healthcare delivery while promoting patient independence.

Benefits

Supportive work environment

Professional development opportunities

Qualifications

• Extensive post registration experience required.
• Experience with managing acute conditions is necessary.
• Evidence of effective team working and collaboration in care.

Responsibilities

• Manage complex and acute conditions through the Virtual Ward service.
• Conduct comprehensive patient assessments and diagnostics.
• Collaborate with multidisciplinary teams for patient care transitions.

Skills

Clinical decision-making

Advanced assessment skills

Risk management

Communication skills

Team leadership

Education

Level 1 Registered General Nurse/AHP

Completion of non-medical prescribing course (V300)

Job description

We are seeking a highly skilled and motivated Senior Staff Nurse (SSN) to join our Virtual Ward team. This is a dynamic and rewarding role that offers the opportunity to work at the interface of community and secondary care, managing acutely unwell patients with complex needs. The SSN will be instrumental in delivering safe, effective, and person-centred care to patients who would otherwise require hospital admission.

The post holder will work closely with the other members of the VW team (ACP, B7 nurses and physio, B6 nurses and APs) and also with the Urgent Community Response (UCR) team, and a wide range of multidisciplinary professionals across the Integrated Care System (ICS). The role involves clinical decision-making, advanced assessment and diagnostic skills, and the ability to manage risk in complex and unpredictable situations.

This is a full-time position, with the service operating on a rota basis from 8am to 8pm, seven days a week. The SSN will be expected to work flexibly across various pathways, including frailty, respiratory, palliative, and long-term conditions, ensuring a robust and responsive service offer.

Main duties of the job

As an Senior Staff Nurse you will play a crucial role in delivering acute care to patients in their own homes through our Virtual Ward service. You will work autonomously and collaboratively across primary, community, and secondary care settings to manage patients with complex and acute conditions, helping to prevent hospital admissions and support early discharge.

Your responsibilities will include:

Triaging referrals to the Virtual Ward Hub

Conducting comprehensive assessments, physical examinations, and diagnostic investigations.

Managing acute and long-term conditions, including frailty, respiratory illness, and palliative care needs.

Liaising with GPs, pharmacists, district nurses, social workers, and specialty teams across the Integrated Care System (ICS).

Supporting seamless care transitions between acute and community settings.

Contributing to the development of virtual ward pathways and service redesign.

Participating in departmental meetings and representing the service as required.

Supporting the development of colleagues and students through teaching, supervision, and mentorship.

Promoting a culture of learning and reflective practice.

This role offers a unique opportunity to work flexibly across key services including frailty, respiratory, palliative, and community care, while contributing to the transformation of acute care delivery in Nottingham City

About us

We are aprovider of NHS Community Health Services, CityCare exists to support thehealth and wellbeing of all local people, working alongside other health andcare partners to achieve this. We are a value driven, people business with apassion for excellence. Our vision and social purpose is to make a differenceeveryday to the health & wellbeing of our communities and our values ofkindness, respect, trust and honesty lie at the heart of everything we do,guiding how we work together with partners and each other to consistentlydeliver high quality compassionate care. As a social enterprise we aim to addsocial value by investing in the future of our local communities and helping tomake a difference in peoples lives.

CityCare valuethe benefits of a diverse and inclusive workforce. We encourage applicationsfrom candidates who identify as disabled, LGBT+ or from a Black, Asian orMinority Ethnic (BAME) background, as they are currently under-representedwithin our organisation.

We are proud to be a forces-friendlyorganisation and are dedicated to supporting Veterans, Service Leavers, Reservists, andmilitary spouses/partners. We value the unique skills and contributions youbring.

CityCare is anequal opportunities employer. We are positive about employing people withdisabilities. If you require your application in a different format pleasecontact People Services on 0115 8839418. CityCare is committed to theprotection of vulnerable adults and children.

Job responsibilities

Job Purpose

Virtual wards support patients, who would otherwise be in hospital, to receive the acute care, remote monitoring, and treatment they need in their own home or usual place of residence. Virtual wards provide acute clinical care at home for a short duration (up to 14 days) as an alternative to care in hospital

Planning, co-ordinating and delivering care as appropriate per the daily MDT, initiate and manage medical and nursing care interventions, lead care and co-ordinate partner agencies and stakeholders.

To provide high quality holistic evidence-based care to patients / service users that is responsive, effective and efficient in line with the virtual ward model

To facilitate and support timely assessment, treatment and effective discharge from the virtual ward and prevent inappropriate admissions by supporting patients / clients to remain as independent as possible and maintain or improve their level of function and quality of life

The Virtual Ward core hours are 08.00 20.00 over 7 days.

Role Context

To provide appropriate and effective care management through the virtual ward pathway unnecessary hospital admission from the Community managing the active caseload and providing necessary oversight and support

To holistically assess the needs of patients and carers, plan, implement and evaluate nursing care interventions.

Embrace multi professional and partnership working to facilitate co-ordination, promotion of optimum health and social outcomes independence and self-care.

Undertake virtual monitoring and elevate concerns to the daily MDT.

Will be responsible for holistic assessments, implementation of care, overall co-ordination of self-care management or care management.

Take responsibility for leading the shift on a regular basis

Key Responsibilities

Key Accountabilities

To focus on people who would otherwise face unnecessarily prolonged hospital stays or inappropriate admission to acute inpatient care, long term residential care or continuing NHS in-patient care.

To deliver high quality care to patients / service user on the community virtual ward

To assess, plan and implement treatment programmes and take responsibility to ensure this is evaluated and amended as appropriate.

To take lead with patient / service user management under direction of Advanced Clinical Practitioners/ acute consultants and lead clinicians .

To provide education and advice service to patients / service users promoting independence and self-management techniques.

To work at all times within the Codes of Professional Conduct.

To encourage and promote flexibility and innovation within the team to meet the needs of the caseload population.

To facilitate Public Health Initiatives by educating patient / service user on their health and well-being to promote independence whilst on the virtual ward.

To lead and co-ordinate timely discharge from the virtual ward and prevent inappropriate hospital admissions.

To act as Role Model to all team members.

Maintain accurate and contemporaneous documentation to ensure timely, effective communication and data collection.

Ensure that patient / service user documentation clearly demonstrates the organisational Guidelines for Records and Record Keeping.

Be personally accountable for maintaining skills, knowledge and competence in the use of SystmOne

Be aware of the Data Protection Act to ensure appropriate action is taken to always ensure confidentiality and the protection of patient / service user identifiable information.

The post holder must ensure that caring with compassion is at the core of their practice. The post holder will act as a role model and will utilise their leadership skills to ensure that all staff treat patients in a compassionate manner demonstrating respect for their individual needs, privacy, and dignity

Champion the roles and values of the virtual ward at all levels of the organisation and to a variety of health and social care professionals.

Self-evaluate practice to ensure evidence-based care.

Contribute to the wider development of practice by participating in research, audit, local and national presentations, networks, and publications.

Educate and empower patients, carers, and care home staff to identify deterioration in condition and provide them with the necessary knowledge and skills to make informed choices to safely manage their condition.

Develop robust care plans with patients and carers to assist in the management of their condition and promote independence whilst on the virtual ward.

Participate in the future training of health students and staff and other professional groups.

COMMUNICATION

Effectively communicate with the daily MDT, virtual ward colleagues, wider Integrated Teams, patients, and carers to ensure that the patients needs are identified, addressed, and appropriate information and advice is provided on discharge from the virtual ward.

Facilitate effective communication between Primary, Secondary, Community, Social Care and Voluntary settings to promote best possible outcomes.

Maintain high standards of documentation in line with NMC and trust policies and procedures.

Ensure the implementation of the Virtual Ward concept for management of the most complex patients within the community.

PERSONAL, PROFESSIONAL DEVELOPMENT

Actively engage in clinical supervision and mentorship

Maintain a personal development plan and professional portfolio.

Maintains professional development, encompassing mandatory requirements.

Ensure revalidation is maintained.

HEALTH, SAFETY AND SECURITY

To be responsible for the promotion of best practice that ensures the health, safety and security of self, patients, and colleagues in accordance with the policies, procedures, and guidelines of the trust.

Practice in accordance with the procedures and guidelines for the protection of vulnerable adults and child protection.

Ensure that confidentiality is protected at all times in accordance with data protection.

Person Specification

Qualifications

• Level 1 Registered General Nurse/AHP with extensive post registration experience.
• Completion of the non-medical prescribing course (V300)

Experience

• Evidence of Teaching and assessing in clinical knowledge.
• Evidence of ability to plan and co-ordinate programmes of care working autonomously and collaboratively.
• Evidence of effective team working.
• Experience of working between primary and secondary care settings.
• Experience of managing long term conditions.
• Evidence of managing acute conditions.
• Evidence of leading or managing a team
• Experience of teaching at an academic/local level.

Skills & Attributes

• Understanding of local and national priorities in relation to acute/long term patient management and how these interact and affect patient management.
• Evidence of ability to communicate both verbally and in writing at all levels in multi-disciplinary forums and with users and carers
• Experience of teaching and dissemination of knowledge to enhance the skills of others
• Evidence of the ability to perform effectively in a changing, stressful situation

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.