Senior Nurse Practitioner - @home

Guy's and St Thomas' NHS Foundation Trust

The closing date is 26 May 2025

Job summary

Are you looking for an exciting new opportunity to develop your career and interested in working towards advanced practice? We provide safe, high quality care, treatment and interventions in patients' usual place of residence. Our @home service is at the forefront of healthcare delivery and we are looking for a dynamic nurse to join our team. The team brings acute clinical care usually provided in hospitals to patient homes.

The service operates 7 days per week, from 08.00hrs to 23.00hrs. Patients using the service will range from those requiring a single episode of care e.g. intravenous therapy for rehydration. To patients who periodically require short term treatment for acute decompensation of chronic conditions. E.g. heart failure.

This role will be based within the community visiting patients in their own homes. The successful candidate will be able to assess, treat and plan care for acutely unwell patients, to support early discharge from hospital and prevent unnecessary admissions

We encourage any potential applicants to contact the service to find out more.

Closing Date: 26/05/2025

Interview Date: 05/06/2025 or 06/06/2025

This role will be part of a Transparent interview pilot. If you are shortlisted we will share some or all of your interview questions with you when we send you your interview invite.

Main duties of the job

This role involves direct patient care within the community for acutely unwell adults.

You will be able to independently manage a group of patients whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care and requesting of agreed diagnostic procedures/clinical investigations. You will be responsible for the correct administration of prescribed medication including intravenous therapy. Be responsible for assessing and recognising emergencies in the speciality. You will also be able to interpret information and take appropriate action and lead others to do the same.

You will be expected to act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. To be pivotal in encouraging and managing appropriate referrals, attending ward rounds, MDT and other meetings. Ensuring that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Supporting and enabling patients and carers to make informed decisions relating to their treatment and management.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.

Date posted

25 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year p.a inc. HCA

Contract

Permanent

Working pattern

Full-time

Reference number

196-NM12819

Job locations

Elm Court Health Centre

London

SE27 9AW


Job description

Job responsibilities

This role involves, managing patient assessments and care within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. You will be expected to promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.

You will be able to independently manage a group of patients within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care and requesting of agreed diagnostic procedures/clinical investigations. You will be responsible for the correct administration of prescribed medication including intravenous therapy. Be responsible for assessing and recognising emergencies in the speciality. You will also be able to interpret information and take appropriate action and lead others to do the same.

You will be expected to act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. To be pivotal in encouraging and managing appropriate referrals, attending ward rounds, MDT and other meetings. Ensuring that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Supporting and enabling patients and carers to make informed decisions relating to their treatment and management.

Job description

Job responsibilities

This role involves, managing patient assessments and care within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. You will be expected to promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.

You will be able to independently manage a group of patients within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. Demonstrate appropriate practice and specialist advice in the assessment, planning, implementation and evaluation of patient care and requesting of agreed diagnostic procedures/clinical investigations. You will be responsible for the correct administration of prescribed medication including intravenous therapy. Be responsible for assessing and recognising emergencies in the speciality. You will also be able to interpret information and take appropriate action and lead others to do the same.

You will be expected to act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. To be pivotal in encouraging and managing appropriate referrals, attending ward rounds, MDT and other meetings. Ensuring that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Supporting and enabling patients and carers to make informed decisions relating to their treatment and management.

Person Specification

Values and Behaviours

Essential

  • Values and Behaviours

Experience

Essential

  • Experience and competent in management of patients requiring acute intervention and monitoring
  • Ability to manage staff, conflict and difficult situations and to challenge and support others appropriately/assertively.
  • substantial post-registration experience in relevant specialty.
  • Experience of interagency and collaborative working.
  • Experience of coordinating duties/rotas.

Education/ Qualification

Essential

  • Registered Nurse on current NMC register
  • Evidence of relevant professional/clinical knowledge supplemented by specialist clinical, managerial training and CPD.
  • Mentorship/Teaching Experience
  • Advanced Physical Assessment

Additional information

Essential

  • Demonstrates an awareness of clinical governance and risk management and how this effects their role and department
  • Able to motivate and lead staff
  • Able and willing to work flexible shift patterns, internal rotation (and community and acute settings) unsocial hours according to the service needs

Skills and Knowledge

Essential

  • Ability to do advanced clinical assessments, plan, implement and evaluate specialist care delivered to patients and give advice
  • Up to date knowledge clinical and professional issues. Knowledge of evidence based practice relevant to the client group
  • In depth drugs knowledge and ability to administer prescribed medication and give IV therapy
  • Ability to work flexibly, prioritise and respond to changing demands in workload. And to work with uncertainty and changing situations
Person Specification

Values and Behaviours

Essential

  • Values and Behaviours

Experience

Essential

  • Experience and competent in management of patients requiring acute intervention and monitoring
  • Ability to manage staff, conflict and difficult situations and to challenge and support others appropriately/assertively.
  • substantial post-registration experience in relevant specialty.
  • Experience of interagency and collaborative working.
  • Experience of coordinating duties/rotas.

Education/ Qualification

Essential

  • Registered Nurse on current NMC register
  • Evidence of relevant professional/clinical knowledge supplemented by specialist clinical, managerial training and CPD.
  • Mentorship/Teaching Experience
  • Advanced Physical Assessment

Additional information

Essential

  • Demonstrates an awareness of clinical governance and risk management and how this effects their role and department
  • Able to motivate and lead staff
  • Able and willing to work flexible shift patterns, internal rotation (and community and acute settings) unsocial hours according to the service needs

Skills and Knowledge

Essential

  • Ability to do advanced clinical assessments, plan, implement and evaluate specialist care delivered to patients and give advice
  • Up to date knowledge clinical and professional issues. Knowledge of evidence based practice relevant to the client group
  • In depth drugs knowledge and ability to administer prescribed medication and give IV therapy
  • Ability to work flexibly, prioritise and respond to changing demands in workload. And to work with uncertainty and changing situations

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Guy's and St Thomas' NHS Foundation Trust

Address

Elm Court Health Centre

London

SE27 9AW


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Elm Court Health Centre

London

SE27 9AW


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


For questions about the job, contact:

Matron

Tony Latham

anthony.latham@gstt.nhs.uk

02030495751

Date posted

25 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year p.a inc. HCA

Contract

Permanent

Working pattern

Full-time

Reference number

196-NM12819

Job locations

Elm Court Health Centre

London

SE27 9AW


Supporting documents

Privacy notice

Guy's and St Thomas' NHS Foundation Trust's privacy notice (opens in a new tab)