Health Visitor

Start Well Trust


This job is now closed

Job overview

The Start Well Trust brings together three local Childrens Centre organisations with a record of delivering high quality services for families across Greenwich. With our local community roots, we build relationships with families as early as possible by embedding parental involvement as a core objective to building a positive life around their children.

Our innovative, integrated model protects the services that our families rely on and wraps our new health visiting service securely around them from pre-birth to school.

Health Visitors and Children Centre Early Years staff will be leading the way in transforming services for children and families in Greenwich. The new integrated teams will be working in our communities pioneering a holistic and inclusive approach to 0-4 years Childrens Universal and Early Intervention services.

Main duties of the job

The role of the health visitor is to deliver the Healthy Child Programme to all eligible children and families as part of an integrated team with Nursery Nurses, Wellbeing Practitioners and local service providers. This is achieved through, individualised health needs assessments, planning of programmes of care tailored to families needs and effective liaison with colleagues within Start Well Trust and with partner agencies.

We are seeking a dynamic individual with a strong public health focus and a passion for Integration, who is fully committed to improving the health and wellbeing of our diverse population within Greenwich.

You will be a qualified Health Visitor (SCPHN) and RGN Registered Nurse (Adult or Paediatric) leading on the delivery of the Healthy Child Programme, as per the commissioned Health Visiting Specification.

About us

We put children and families at the heart of everything we do.

We deliver health and wellbeing services in our local communities for children under five and their families, giving every child the best possible start for their future.

We offer NHS Pensions and Agenda for Change terms & conditions, the opportunity to work in a way that makes a real difference to our children and families, and the opportunity to shape a new, innovative service.

The successful post holder will be supported in developing skills and knowledge through the Performance Appraisal and Development Review process.

Job description

Job responsibilities

To deliver the Healthy Child Programme by:

Carrying out ongoing health needs assessments for all children and families within the community, using professional judgement to allocate each family to the correct level of health visiting care, Universal, Additional Support Offer, Intensive support and Intensive Support Offer for Young Parents pathways

Delivering the key touch-point contacts, within required timescales, according to the service model, to meet KPI targets

Overseeing the delivery of Universal service key touchpoints by skill mix team members

Delivering Additional Support Offer, Intensive support and Intensive Support Offer for Young Parents packages of care to families

Using Outcome measures to evaluate the effectiveness of care delivered, planning and implementing revised packages of care, where required, and closing or escalating packages of care as required for each child.

Participating and where appropriate, leading on the Early Help process for children, ensuring timely assessment and that coordinated care is delivered to address the needs of the child and family

To provide health visiting support and advice within the clinic setting, according to the service model and guidelines

To liaise effectively with colleagues within SWT and partner organisations to ensure care for children and families is timely, well-coordinated and effective

To plan own workload effectively to meet client needs, clinical activity targets and KPIs

Management and Leadership responsibilities

To participate in supervision according to Start Well Trust policy, for self and supervisees, ensuring that supervision requirements are met

Ensure that Supervision of junior colleagues is timely and effective in managing the quality of their work, and their professional development

Work with Lead Nurses to address any issues regarding development support needs or poor performance within the team

To lead and work collaboratively with colleagues and Lead Nurses to ensure fair, effective allocation of workload, across the team, to both health visitors and nursery nurses

To reallocate work effectively and responsively where required, for instance unexpected sickness of a colleague, or late notification of an urgent client contact

To assess the team caseload, allocating families to the correct level of service U, UP or UPP, returning them to Universal when possible, or escalating to UPP if required.

Act as a role model for junior staff, students and partner agencies

Attend team and service meetings as required, disseminating information to colleagues and team members

Delegate to junior team members retaining overall responsibility and overseeing their contribution to patient care

To manage the orientation programme for new staff

Ensure the provision of a conducive learning environment and effective placement experience for under-graduate nursing and midwifery students on community placement, carrying out summative and formative assessments

To work according to the Trust values to ensure high quality, responsive patient focused care is delivered to all children and families

To work in accordance with the NMC Code of professional practice and Start Well Trust policy documents,


To implement the Healthy Child Programme and associated activities to support the health and well-being of families in accordance with national and local guidance and policies.

To take responsibility for a defined caseload and work collaboratively with colleagues to ensure the caseload is managed effectively.

Work with local service providers to develop, deliver and promote individual and community based health services which are easily accessible to families.

Work collaboratively with Childrens Centres, GPs and other professionals to ensure locally relevant health improvement activities are delivered when families most need them, signposting and referring to other services where necessary.

To promote the health and well-being of families through individual contact, community based group activities and clinic sessions.

Identify children and adults in need of protection, actively working in a multi-disciplinary manner to provide co-ordinated packages of care, liaison and referral, including Early Help, TAC and Family Well-being.

Participate at Child Protection Case Conferences, Core Groups or other assessments in relation to vulnerable families within the caseload, contributing to the development, delivery and monitoring of appropriate care plans.

To undertake nurse prescribing adhering to national guidelines.

To regularly review caseload and Inform the Line Manager of workload pressures that may adversely affect the level and quality of service provided.

To maintain high level skills for health needs assessment and care planning, delivery and evaluation.

To maintain up to date knowledge and skills for working with families with complex needs, including Domestic Violence and Abuse, mental health, substance misuse and learning disabilities.

To maintain patient centred communication and assessment skills, delivering care using models such as the Solihull Approach, Motivational interviewing.

To maintain knowledge and excellent skills in advising and supporting parents with infant feeding, to contribute to the continuation of Unicef BFI Level 3 accreditation for the service


Has the ability to research, innovate, educate and demonstrate sound practice

To keep up to date with research and guidance, ensuring that all care is evidence based, implementing agreed changes.


Communicate and liaise with professional partners including GPs, Midwives and Childrens Centres in a way that promotes health and wellbeing including the sharing of sensitive, complex and confidential information in accordance with Start Well Trust guidelines.

Skilled in interpreting and assessing complex situations and able to influence and communicate within multi-disciplinary teams and with external professionals

To follow Start Well Trust and service mobile working guidelines, completing and utilising electronic diary and record keeping functions

To complete the electronic diary and outcome contacts, as a tool for advance planning of work, communication with colleagues, confirmation of contacts completed and to support reporting for KPIs

To follow and comply with Lone worker Start and end of day procedures to ensure own and colleagues safety.

To liaise and communicate effectively with colleagues within Start Well Trust and Childrens Centres, and partner agencies, to ensure timely, effective and coordinated care for families

To maintain contemporaneous records using the Start Well Trust IT system, in line with NMC, Trust and service guidelines

To complete appropriate forms / templates and care plans, as required to provide a comprehensive record of health assessments and care delivered, and to facilitate reporting of service KPIs

To write reports when required, such as Child Protection Case Conference Reports, Court Reports, following Start Well Trust and the Safeguarding Team guidance.

The above Job Description does not purport to be an exhaustive list of duties and responsibilities. The post holder will be expected to undertake additional duties as the requirements of the post change.

Person Specification

Skills / Knowledge


  • Ability to work as part of a team
  • Ability to work autonomously
  • Good communication skills and inter-personal skills
  • Ability to work in partnership with statutory/voluntary organisation
  • Ability to assess needs and to develop care plans to meet these
  • Ability to use electronic record keeping systems and other IT systems
  • Awareness of current NHS strategy and local initiatives
  • Ability to change practice in response to national guidance and local priorities
  • Critically evaluate relevant research and incorporate in practice
  • Leadership / Team management skills
  • Application of Safeguarding procedures
  • Support students in clinical placements
  • Flexible to meet the needs of the service
  • Commitment to the concept of diversity and equal opportunities



  • Experience of public health approaches in community health visiting
  • Experience of multi-disciplinary / agency working
  • Experience of developing public health initiatives to address identified health needs
  • Experience of mentorship
  • Experience of Clinical Supervision



  • Registered General Nurse / Midwife / Mental health nurse
  • Specialist Public Health Community Nurse / Health Visiting
  • Current NMC registration

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Start Well Trust


Middlegate House 2 Seymour Street

The Royal Arsenal

Woolwich London

SE18 6SX

For help with your application, contact:

Date posted

20 April 2021

Pay scheme

Agenda for change


Band 6


£36,070 to £42,712 a year



Working pattern

Full-time, Part-time, Flexible working

Reference number


Job locations

Middlegate House 2 Seymour Street

The Royal Arsenal

Woolwich London

SE18 6SX

Boxgrove Road



42 Brumwell Avenue


SE18 6BD

Ridgebrook Road



Orchard Hill


SE13 7QZ

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0300 330 1013

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+44 300 330 1013

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Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.