Senior Staff Nurse

Oxleas; Greater London; Hybrid; GBP 46,000 - 54,000; Full time

Job summary

Oxleas NHS Foundation Trust seeks an experienced Adult Nurse for the Rapid Response Team in London. You will conduct timely nursing assessments, coordinate urgent community referrals, and work across hospital and community settings to manage patients over 18 with acute needs.

The role involves MDT collaboration, risk assessment, and leadership responsibilities within a fast-paced urgent care pathway, with a focus on reducing unnecessary ED presentations and hospital admissions.

Qualifications

• Three years post registration experience / working in the community.
• NMP Qualification V300.
• Community Practitioner Prescribing V160.

Responsibilities

• Conduct comprehensive nursing assessments in acute and community settings.
• Demonstrate sound clinical reasoning and risk assessment to guide interventions.
• Work across hospitals and community settings for urgent referrals.
• Undertake delegated line management of junior staff.
• Liaise with acute and community services to coordinate care and referrals.
• Contribute to integrated care pathways and ongoing case management.

Skills

Clinical assessment

Triage

Community nursing

Multidisciplinary teamwork

Education

Registered Adult Nurse

Enhanced Clinical Assessment Skills (Level 6/7)

Mentorship or Equivalent

Intravenous Additive Qualification

Community Specialist Practitioner

NMP Qualification V300

Community Practitioner Prescribing V160

Job description

Main area Adult Community Physical Health Services Grade Band 6 Contract Permanent Hours Full time - 37.5 hours per week (Shifts to cover 8am-4pm /12pm-8pm/ 1 weekend in 4 - 7 days a week- the team are also trialling Long Days 8am -8pm) Job ref 277-8175289-CPH-A

Site 181 Goldie Leigh Town Abbey Wood, London Salary £45,953 - £54,254 pa inc Salary period Yearly Closing 27/09/2026 23:59

Job overview

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

We are seeking to appoint a committed, highly motivated, enthusiastic, and skilled Adult Physical Health , Senior Staff Nurse to join our dynamic, integrated multi- disciplinary Rapid Response Team.

In this exciting role you will be an integral part of the team developing new pathways to provide same day urgent care in the community alongside other Adult Community Services, Social Care, Acute Trusts and Primary Care colleagues.

The Rapid Response Team are part of the SE London Accelerator Programme. The Rapid Response Team are delivering the essential elements of the Urgent Community Response pathways. The Rapid Response Team has been operational since 2013 and is a multi- professional team consisting of Nurses, Occupational Therapists, Physiotherapists , Social Workers and support staff . The team provide holistic health and social care assessments for people over the age of 18 years, who are registered with a Bexley GP and live in the Borough of Bexley. The Team treats/ manages/ cares for patients in their usual place of residence with an urgent health or social care need.

The team are based at Goldie Leigh – Abbey Wood SE2 OAS – service delivery is 7 days a week, on an 8am-8pm basis, focusing on rapid 2-hour assessments to patients with potential short-term intervention(s).

Candidates are encouraged to visit the Service.

Main duties of the job

The post holder will work as a part of the multi-disciplinary Rapid Response Team including Consultant Geriatrician, Senior Nurses, Occupational Therapists and Social Services colleagues to meet the needs of patients referred to the team, ensuring the highest possible standards of practice with a strong emphasis on falls, frailty.

The post holder will conduct comprehensive nursing assessments for patients within acute and community settings. They will need to demonstrate sound clinical reasoning and risk assessment skills to guide appropriate nursing intervention and when appropriate avoid unnecessary ED presentation. The post holder will also be skilled in the management of breast drains, wound care and intravenous antibiotic therapy.

The post holder will be required to work across hospitals sites on a planned basis and in community when responding to urgent community referrals. Post holder will undertake delegated line management of junior staff, both informal and formal basis.

The team act as a liaison between acute and community settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and on- going case management. Referrals are received from Health and Social Care professionals, Medical Teams, General Practitioners and Ambulance Services.

Working for our organisation

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:

We Listen

We Care

Detailed job description and main responsibilities

The Team work directly with (LAS) and act as a liaison between Emergency Departments, Community and Care home settings, by identifying the most appropriate onward referrals and initiating integrated care pathways, ensuring seamless provision of care and the instigation of on- going case management of long term condition management. The Rapid Response Team provides community follow up and support and review.

The post holder will assist with and directly triage urgent patient referrals with varied and complex needs in acute hospital and community setting acting as an expert nursing clinical resource to Rapid Response Team members by facilitating high quality evidence-based practise.

The post holder will also have the opportunity to work closely with our Community Consultant.

Rapid Response aims to:

• Avoid unnecessary Presentations to Emergency Departments.
• Avoid unnecessary Hospital Admissions
• Improve patient wellbeing through timely responsive interventions
• Reduce admissions to residential care
• Increase the number of people who feel safe in their home

Main Responsibilities:

• Be professionally and legally responsible and accountable for all professional activities
• Demonstrate theoretical knowledge of acute, multiple, complex, and long-term pathologies and impairments in the assessment of clients
• Work closely with other health professionals and social services and provide nursingadvice in meeting the needs of the clients
• Conduct a thorough assessment of clients, obtaining consent in accordance withprofessional guidelines and local team procedures
• Recommend appropriate interventions to promote independence and safety, utilisingeffective clinical reasoning skills and evidence-based practice
• Complete a care plan for clients who require input from integrated community services (bed-based or home-based input)
• Maintain effective multidisciplinary communication with other members of the team and the wider clinical network to ensure that client’s needs are met
• Provide specialist advice to client, carers and relatives based on clinical evidence when required
• Participate in MDT meetings and family conferences as required
• Maintain up-to-date clinical written records and computerised records in accordance with local and professional standards; and also writing comprehensive reports on clients as required and inputting onto RiO
• Ensure management of clinical risk with clients under their care
• Be able to identify when and how to terminate involvement or refer onwards to appropriate teams/services and complete input in a timely, seamless manner
• Seek guidance from more experienced colleagues when required
• Be professionally curious in terms of safeguarding adults and children and promote professional curiosity

Training and Education:

• Utilise communication and teaching skills to educate the diverse and multiculturalpopulation in a range of disease specific techniques, principles and guidelines when required
• Provide support and take a proactive role in the education and training of undergraduate and graduate AHP students, nurses and rehabilitation assistants
• Maintain continuing professional development by participating in regular in-service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriate to disseminate learning
• Maintain competency in manually handling people
• Maintain up-to-date mandatory and statutory training

Management:

• Maintain high level of efficiency and effectiveness in work area to utilise resources to thefull and report defects in equipment in a timely manner
• The ability to deputise in the absence of the Manager if required
• Coordinate staff activity to meet demands of service
• Ensure risk is managed for self, clients, colleagues and the work environment
• Participate in the development of the team by working proactively within the MDT
• Maintain throughput of casework and organise and prioritise own work tasks and activities,being flexible to the needs of the service
• Ensure all patient information is input onto RiO
• Ensure new team members are adequately introduced to the team during induction andproviding peer support
• Undertake a proactive role in the ongoing in-service training programme
• Maintain efficient day-to-day running of the service

Organisational:

• Flexibly plan and organise own time
• Achieve the effective daily management of a caseload of clients, including prioritising clinical work and balancing other client related and professional duties
• Provide statistical information as required in a timely manner
• Keep up-to-date statistics in accordance with team requirements
• Be responsible for any organisational tasks related to the post
• Be flexible in the undertaking of any other duties as requested by line managers to meetthe changing needs of the service
• Attend Team and trust meetings and case conferences as required

Professional:

• Participate in regular supervision and reflective practice
• Participate in regular supervision and PDR
• Comply with professional guidelines, codes of conduct of practice, trust and departmentalpolicies
• Maintain links with the department, organisation and wider sector by attending meetings, seminars/case conferences etc as deemed appropriate

Research:

• Demonstrate the ability to critically evaluate current research and apply it to practice
• Broaden research and development skills through participation in local audit and researchprojects

Communication and Key Working Relationships:

• Communicate relevant medical/social information, assessment details, advice andrecommendations across agencies following local and professional guidelines for sharinginformation and consent. This would include Consultants, GP’s, Social Services, otherhealth care professionals and voluntary agencies
• Work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
• Convey complex and sensitive information relating to clients using skill in situations wherethere may be barriers to communication i.e. use of interpreters, receptive/cognitivepathologies or excess noise
• Be able to adapt complicated and sensitive information into a simplified form to clients whomay be seriously ill or have complex or long-term conditions
• Clearly convey complex information to small and large groups during training andeducation sessions
• Promote and encourage the ethos of rehabilitation/enabling with therapy assistants/support workers/carers/relatives through demonstration, example, and support
• Promote an awareness of the nurse role within the team, negotiating priorities were appropriate
• Actively contribute to service & policy review and implementation
• Participate in the operational planning, implementation, evaluation and audit of practice, clinical care pathways and protocols within own clinical area

Person specification

Community Exerience

• Three years post registration experience / working in the community
• NMP Qualification V300
• Community Practitioner Prescribing V160

Multidisciplinary experience

• Experience of multidisciplinary working

Driving Licence

• Car Driver with access to own car

Qualifications

• Registered Adult Nurse
• Enhanced Clinical Assessment Skills (Level 6/7)
• Mentorship or Equivalent
• Intravenous Additive Qualification
• Long Term Conditions Management or equivalent
• Cannulation Skills
• Community Specialist Practitioner

We are committed to creating an inclusive workplace that welcomes and supports individuals of all abilities. Remember, if you meet the minimum criteria for this role and you have a disability, you can be guaranteed an interview under the Disability Confident Scheme - Please ensure you select this on your application form. We would encourage you to be open about your needs so we can work with you to design a comfortable and accessible interview experience. Any information you provide regarding a disability or a need for adjustments will be treated in confidence and will only be shared with colleagues who are supporting this request.

If you require any adjustments to participate fully in the interview process, please let us know by adding the relevant details when scheduling your preferred interview date and time. Please feel free to contact the appointing manager to discuss your needs.

We encourage applicants to contact the hiring manager before their interview, if they have any questions about the role or the process. This is a great way to get clarity and prepare effectively for the interview.

If you have declared you are part of the armed forces community, you may be asked to provide evidence during the recruitment process. If you misrepresent this information, your offer may be withdrawn. For Armed Forces specific support, see our webpage: https://oxleas.nhs.uk/armed-forces-community/

Use of Artificial Intelligence (AI)

If you choose to use AI or other tools to assist in writing your application, it's essential to personalise this information, particularly your supporting information section. While AI can help streamline the writing process, these tools cannot fully grasp the context or requirements of the job you’re applying for. There is also a risk that it can generate false or misleading information. AI-generated job applications can often be generic, impersonal and may not accurately reflect your qualifications, knowledge, skills, and experiences. It is crucial that you personalise your supporting statement by articulating these in your unique voice. Relying solely on AI to write your application and supporting information section is not advocated by Oxleas NHS Foundation Trust and could negatively impact your chances of success in the application process.

We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Ibinabo Orubo Job title Advanced Primary Care Nurse Email address [e-mail] Telephone number 0203 889 0980 Additional information

Matron Cherie Trew or ACP Berth Ware/APN Ibinabo Orubo

0203 889 0980