Primary Integrated Community Services

PCN Home Visiting Nurse

The closing date is 26 November 2025

Job summary

PICS are pleased to be able to offer a PCN Home Visiting Nurse in Ashfield South PCN within Primary Care. You will be joining an established PCN nursing team who support housebound patients with long term conditions. This role will primarily focus on delivering an on the day service to patients within their home or care setting and supporting with acute needs and long term condition management.

The role aims to:

  • reduce avoidable emergency admissions to hospital,

  • make quicker referral to hospital where it is clinically appropriate,

  • enhance the resilience and sustainability of Primary Care by supporting GPs to manage house bound patients

  • provide a high-quality service, offering clinical care which is effective and in line with national and local guidelines (as evaluated through activity data, patient, carer and GP feedback).

  • Liaise with PCN teams and support long-term condition management, population health management and screening programmes across the PCN, supporting quality improvement and assurance initiatives

  • support, mentor, and supervise new-to-practice nurses and other healthcare professionals within the PCN

  • work collaboratively across the PCN to enhance integration with community, secondary, and social care services.

Main duties of the job

KEY RESPONSIBILITIES

  • Be an autonomous clinician for housebound patients working across the PCN footprint (Kirkby in Ashfield and the surrounding villages of Annesley, Selston and Jacksdale)

  • Able to manage acute presentations through advanced assessment skills, diagnostic skills and independent prescribing

  • Able to contribute to the management of chronic conditions

  • Able to liaise with GPs to identify the need for further investigations (e.g. bloods/radiology).

  • Able to organise emergency admissions when required.

  • Able to see all adult patients

  • Able to deal with mental health presentations

  • Implement and participate in vaccination and immunisation programmes

  • Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care

KEY REQUIREMENTS

Qualifications

  • Registered Nurse with Nursing and Midwifery Council

  • Meets NMC revalidation requirements

  • Qualified Independent Non-Medical Prescriber

  • Advanced clinical assessment and diagnostic skills or willingness to work towards developing these

Experience

  • Experience of working with housebound patients

  • Must demonstrable experience in leading long-term conditions management and quality improvement.

  • Experience of prescribing and undertaking medication reviews

  • Experience of working in a primary care environment

Due to the ARRS funding rules, we regret we are unable to accept applications form candidates who have been employed by our PCN or PCN practices in the last 12 months

About us

PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS

We offer a comprehensive package which includes:

  • NHS Pension 2015 Scheme (subject to eligibility)

  • Alternative government-based scheme (subject to eligibility)
  • Generous annual leave entitlement which references NHS Agenda for Change and recognises previous NHS service, starting 35 days pro rata (inc bank holidays)
  • Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
  • Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
  • Working in a multi-disciplinary team with support from a wide variety of professionals
  • A flexible approach to a work-life balance
  • Cycle to work scheme (subject to eligibility)
  • Access to Blue Light Card scheme
  • All staff events and conferences
  • Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
  • Free parking across many sites
  • Personalised induction into the company and job role

Details

Date posted

19 November 2025

Pay scheme

Other

Salary

Depending on experience £47,810 - £54,710 pro rata (dependant on experience)

Contract

Permanent

Working pattern

Full-time

Reference number

E0220-25-0014ASHS

Job locations

Ashfield South PCN

Nottinghamshire

NG17 7BG


Job description

Job responsibilities

KEY RESPONSIBILITIES

Professional Leadership and Development

  • To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.

  • To adhere to the individual Professional code of conduct and practice at all times, working within own scope of practice.

  • To reflect on own practice individually and/or through regular clinical supervision.

  • Engage in weekly, structured clinical supervision with PCN GP

  • Provide clinical education, training, and evaluation of clinical competence of team and multidisciplinary team staff, providing support and guidance.

  • To maintain, develop and disseminate specialist knowledge of evidence-based practice.

  • To critically evaluate own work using evidence-based projects, audits, and outcome measures.

  • To work autonomously as PCN Home Visiting Nurse within professional and PICS guidelines, policies, and procedures.

Communication and Relationships

  • Demonstrate advanced communication skills in providing advice, empowerment, facilitation, influence, motivation, and counselling.

  • Be able to raise any concerns to appropriate professionals, communicate treatment plan and request additional support or requirements from GP or other Healthcare Professionals

  • Manage complex communication issues that may arise between differing health and social care professionals including de-escalation skills when working in highly antagonistic, hostile, and emotive clinical areas.

  • Demonstrate an understanding of the need to involve patients, parents and carers in decision making, offering them informed choices, respecting their views.

  • Demonstrate the ability to recognise barriers to understanding that can be encountered with those without English as their first language, patients with disabilities and those with mental health difficulties such as anxiety, clinical depression, or personality disorders.

  • Seek out different styles and methods of communicating to assist longer term needs and aims.

  • The nature of some communication can be unpredictable and can be of an urgent high priority nature: this can therefore be responsible for impacting into time allocated towards other necessary tasks.

  • Provide and receive complex and sensitive information in relation to patient care and will have the ability to advise and support others to communicate information in an understandable, empathic, and reassuring way to children and young people with Mental Health and/or Learning Disabilities and/or Cognitive difficulties and their parents, family and carers.

  • Utilise communications in accordance with Caldicott Principles, Data Protection, Freedom of Information Act and Trust Policies and procedures.

Knowledge, Skills, Training and Experience

Essential:

  • Registered Nurse with Nursing and Midwifery Council

  • Meets NMC revalidation requirements

  • Qualified Independent Nure Prescriber

  • Advanced clinical assessment skills and diagnostic skills or willingness to work towards developing these

  • Experience of prescribing and undertaking medication reviews

  • Experience of working with housebound patients

Desirable

  • More than one academic Level 6 diploma or postgraduate diploma in long-term conditions care and/or public health initiatives.

  • post graduate qualification at level 7

Planning and organisation skills

  • Responsible for planning and managing their own workload alongside surgery rotas.

  • Work independently to manage own complex caseload.

  • Promote, develop, and implement clinical standards and good practices both in care delivery and appropriate record keeping.

Responsibilities for patient/client care

  • Following the completion of a comprehensive core assessment, develop and provide an individualised, evidence-based programme of care based on formulation, including to those with complex needs/challenging behaviours.

  • At all times work in collaboration with patients and carers ensuring that the patients are treated with compassion, respect and dignity.

Policy and Service Development

  • Adhere to policies, procedures, protocols and standards and be instrumental in embedding these in service provision.

  • Adhere to professional code of conduct and standards, and requirements of other legislation.

  • Understand, contribute and advise on statutory issues which impact on patients and carers. Perform statutory duties and seek advice where necessary.

  • Ensure Implementation of National, Trust and Local Service Legislation, Policies, Procedures and Guidelines for Health and Social Care and be involved in their development where appropriate. Report any deficiencies within the clinical environment or equipment.

  • Actively participate in service developments and improving the quality of the delivery of evidence-based Treatment Interventions by others, ensuring a consistent and standardised approach across the Pathway.

  • Participate in the effective monitoring, review and evaluation of the service provided

Human Resources

  • Take responsibility for keeping own professional knowledge and skills up to date through mandatory training, reflective practice, shared learning, etc.

  • Be responsible for being actively involved in CPD and professional development plans via supervision and appraisal process.

Research and Development

  • Initiate and lead on regular Clinical Audit and participate in Research as required.

  • Keep up to date with relevant research in the field in order to evaluate current practice and suggest service improvement.

  • Share any knowledge gained via conference, peer review journals, specific training sessions, workshops, presentations etc. in order to develop and underpin good practice.

  • To reflect on own practice through clinical supervision and mentorship and to develop skills as a clinical supervisor/mentor to others.

  • To contribute to the development of local evidence-based standards, policies and guidelines related to the speciality.

  • Identify areas of risk and poor quality and address these through appropriate governance structures and forums.

Clinical Governance

  • To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements. Ensure all information with regard to each patient related contact is recorded within SystmOne records

  • Identify need for, and undertake, research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care.

  • Disseminate research and audit findings through presentation to multi- professional groups and publication.

  • Take responsibility for the development and implementation of policies, procedures and guidelines relevant to own area of work, which may have an impact across the organisation.

  • Promote patient and public involvement activities in the specialist area, leading to service improvement.

  • Actively promote peoples equality, diversity and rights.

  • Evaluate service delivery, identify areas for improvement and initiate change.

  • Monitor health, safety and security of self and others and promote best practice.

  • Identify risk issues that impact on the patients health or social are needs.

  • Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.

  • Demonstrate effective team working inclusive of all relevant professionals.

  • Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

Professional Development and Personal Performance

  • Identify learning needs, plan, implement and evaluate programmes of education to meet identified need.

  • Participate in the Appraisal System and demonstrate the achievement of agreed personal objectives.

  • High degree of personal credibility, emotional intelligence, patience, and flexibility, including ability to use reflective practice and access support when required.

  • Ability to cope and adapt autonomously with unpredictable situations.

  • Confident in facilitating and challenging others

  • Demonstrates a flexible approach, critical ethical dimension and ability to make connections between known and unknown areas to ensure best patient care is delivered

Job description

Job responsibilities

KEY RESPONSIBILITIES

Professional Leadership and Development

  • To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.

  • To adhere to the individual Professional code of conduct and practice at all times, working within own scope of practice.

  • To reflect on own practice individually and/or through regular clinical supervision.

  • Engage in weekly, structured clinical supervision with PCN GP

  • Provide clinical education, training, and evaluation of clinical competence of team and multidisciplinary team staff, providing support and guidance.

  • To maintain, develop and disseminate specialist knowledge of evidence-based practice.

  • To critically evaluate own work using evidence-based projects, audits, and outcome measures.

  • To work autonomously as PCN Home Visiting Nurse within professional and PICS guidelines, policies, and procedures.

Communication and Relationships

  • Demonstrate advanced communication skills in providing advice, empowerment, facilitation, influence, motivation, and counselling.

  • Be able to raise any concerns to appropriate professionals, communicate treatment plan and request additional support or requirements from GP or other Healthcare Professionals

  • Manage complex communication issues that may arise between differing health and social care professionals including de-escalation skills when working in highly antagonistic, hostile, and emotive clinical areas.

  • Demonstrate an understanding of the need to involve patients, parents and carers in decision making, offering them informed choices, respecting their views.

  • Demonstrate the ability to recognise barriers to understanding that can be encountered with those without English as their first language, patients with disabilities and those with mental health difficulties such as anxiety, clinical depression, or personality disorders.

  • Seek out different styles and methods of communicating to assist longer term needs and aims.

  • The nature of some communication can be unpredictable and can be of an urgent high priority nature: this can therefore be responsible for impacting into time allocated towards other necessary tasks.

  • Provide and receive complex and sensitive information in relation to patient care and will have the ability to advise and support others to communicate information in an understandable, empathic, and reassuring way to children and young people with Mental Health and/or Learning Disabilities and/or Cognitive difficulties and their parents, family and carers.

  • Utilise communications in accordance with Caldicott Principles, Data Protection, Freedom of Information Act and Trust Policies and procedures.

Knowledge, Skills, Training and Experience

Essential:

  • Registered Nurse with Nursing and Midwifery Council

  • Meets NMC revalidation requirements

  • Qualified Independent Nure Prescriber

  • Advanced clinical assessment skills and diagnostic skills or willingness to work towards developing these

  • Experience of prescribing and undertaking medication reviews

  • Experience of working with housebound patients

Desirable

  • More than one academic Level 6 diploma or postgraduate diploma in long-term conditions care and/or public health initiatives.

  • post graduate qualification at level 7

Planning and organisation skills

  • Responsible for planning and managing their own workload alongside surgery rotas.

  • Work independently to manage own complex caseload.

  • Promote, develop, and implement clinical standards and good practices both in care delivery and appropriate record keeping.

Responsibilities for patient/client care

  • Following the completion of a comprehensive core assessment, develop and provide an individualised, evidence-based programme of care based on formulation, including to those with complex needs/challenging behaviours.

  • At all times work in collaboration with patients and carers ensuring that the patients are treated with compassion, respect and dignity.

Policy and Service Development

  • Adhere to policies, procedures, protocols and standards and be instrumental in embedding these in service provision.

  • Adhere to professional code of conduct and standards, and requirements of other legislation.

  • Understand, contribute and advise on statutory issues which impact on patients and carers. Perform statutory duties and seek advice where necessary.

  • Ensure Implementation of National, Trust and Local Service Legislation, Policies, Procedures and Guidelines for Health and Social Care and be involved in their development where appropriate. Report any deficiencies within the clinical environment or equipment.

  • Actively participate in service developments and improving the quality of the delivery of evidence-based Treatment Interventions by others, ensuring a consistent and standardised approach across the Pathway.

  • Participate in the effective monitoring, review and evaluation of the service provided

Human Resources

  • Take responsibility for keeping own professional knowledge and skills up to date through mandatory training, reflective practice, shared learning, etc.

  • Be responsible for being actively involved in CPD and professional development plans via supervision and appraisal process.

Research and Development

  • Initiate and lead on regular Clinical Audit and participate in Research as required.

  • Keep up to date with relevant research in the field in order to evaluate current practice and suggest service improvement.

  • Share any knowledge gained via conference, peer review journals, specific training sessions, workshops, presentations etc. in order to develop and underpin good practice.

  • To reflect on own practice through clinical supervision and mentorship and to develop skills as a clinical supervisor/mentor to others.

  • To contribute to the development of local evidence-based standards, policies and guidelines related to the speciality.

  • Identify areas of risk and poor quality and address these through appropriate governance structures and forums.

Clinical Governance

  • To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements. Ensure all information with regard to each patient related contact is recorded within SystmOne records

  • Identify need for, and undertake, research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care.

  • Disseminate research and audit findings through presentation to multi- professional groups and publication.

  • Take responsibility for the development and implementation of policies, procedures and guidelines relevant to own area of work, which may have an impact across the organisation.

  • Promote patient and public involvement activities in the specialist area, leading to service improvement.

  • Actively promote peoples equality, diversity and rights.

  • Evaluate service delivery, identify areas for improvement and initiate change.

  • Monitor health, safety and security of self and others and promote best practice.

  • Identify risk issues that impact on the patients health or social are needs.

  • Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.

  • Demonstrate effective team working inclusive of all relevant professionals.

  • Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

Professional Development and Personal Performance

  • Identify learning needs, plan, implement and evaluate programmes of education to meet identified need.

  • Participate in the Appraisal System and demonstrate the achievement of agreed personal objectives.

  • High degree of personal credibility, emotional intelligence, patience, and flexibility, including ability to use reflective practice and access support when required.

  • Ability to cope and adapt autonomously with unpredictable situations.

  • Confident in facilitating and challenging others

  • Demonstrates a flexible approach, critical ethical dimension and ability to make connections between known and unknown areas to ensure best patient care is delivered

Person Specification

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide your registration number of your NMC professional registration.

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Person Specification

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide your registration number of your NMC professional registration.

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Knowledge and skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

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).

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.

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

Primary Integrated Community Services

Address

Ashfield South PCN

Nottinghamshire

NG17 7BG


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer details

Employer name

Primary Integrated Community Services

Address

Ashfield South PCN

Nottinghamshire

NG17 7BG


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Lead Nurse

Hazel Firmin

h.firmin@nhs.net

Details

Date posted

19 November 2025

Pay scheme

Other

Salary

Depending on experience £47,810 - £54,710 pro rata (dependant on experience)

Contract

Permanent

Working pattern

Full-time

Reference number

E0220-25-0014ASHS

Job locations

Ashfield South PCN

Nottinghamshire

NG17 7BG


Supporting documents

Privacy notice

Primary Integrated Community Services's privacy notice (opens in a new tab)