Job summaryMake a real difference - deliver hospital-level care where it matters most: at homeAre you an experienced nurse ready to step beyond traditional ward-based care?Do you thrive in autonomous roles where your clinical judgement truly makes a difference?Join our innovative Hospital at Home team and be part of a service transforming how care is delivered across Surrey -- supporting patients to receive safe, high-quality acute care in the comfort of their own homes.Why this role is differentThis is not a typical community nurse role.You'll be working at the interface of urgent care, frailty, and acute medicine, supporting:o Hospital admission avoidanceo Early supported dischargeo Rapid response through Urgent Community Response (UCR)o Complex care delivery in the communityYou'll assess, treat, and manage patients who would otherwise require hospital admission -- making real-time decisions that directly impact patient outcomes and system flow. If you would like more information or to arrange an informal visit, we look forward to hearing from you. Please contact Sian Hine, Senior Sister by email: sian.hine@nhs.net or Nanette Garner, Integrated Frailty Matron by email: nanette.garner1@nhs.net.
Main duties of the jobThe Royal Surrey NHS Foundation Trust works to deliver acute and urgent care services within the community to support patients who would otherwise require hospital admission offering rapid assessment, diagnostics, and treatment for people with complex health and social care needs, frailty, or exacerbations of long-term conditions.
You will be part of a team that provides assessment in the community for patients either in their homes, care homes or nursing homes in order to prevent further deterioration. Early detection and intervention is key to prevent further deterioration and therefore hospital admission.
The service aim includes, urgent case management responding to crisis, recovery support, self-management, and adapt a collaborative approach with patients. The operational hours for this service are 8am - 8pm, 7 days a week.
You will provide clinical leadership within the Urgent Community Response (UCR) and Hospital at Home teams, delivering high-quality, patient-centred care to prevent unnecessary hospital admissions and support early discharge. The role includes managing day-to-day service delivery, coordinating and prioritising caseloads, supervising and supporting staff, ensuring safe staffing and skill mix, and contributing to quality improvement, governance, and service development in line with organisational standards.
About usRoyal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Job responsibilitiesAs a Band 6 Nurse, you will contribute to the provision of safe, high-quality care by:
- Using clinical judgment and risk assessments to ensure patient safety at all times.
- Recognising and responding to safeguarding concerns when an adult or child may be at risk, while understanding your own professional limits and escalating concerns appropriately.
- Acting as an advocate for patients by escalating safety concerns and contributing to a culture of openness and transparency.
- Reflecting on everyday practice to identify opportunities for improving patient safety and care quality.
- Collaborating with colleagues to foster a culture of continuous learning and service improvement.
- Maintaining accurate, clear, and comprehensive patient records in line with professional and organisational standards.
- Keeping up to date with mandatory training requirements to ensure safe and competent practice.
As a registered nurse, you are expected to adhere to the Nursing and Midwifery Council (NMC) Code of Conduct, ensuring professionalism, accountability, and a commitment to delivering compassionate, evidence-based care.
Band 6 nurses often work with people who have complex needs and contribute to the effectiveness of services by:
- Being a confident, safe nurse who take responsibility for the care they give to patients but also take responsibility for overseeing the work of others in the team including less experienced nurses, community rehabilitation practitioners, student nurses and staff without a professional qualification.
- Carry out a range of nursing interventions, to include cannulation and IV drug administration, working within the scope of professional practice.
- Working with patients and families in all stages of the care planning process including assessing risks and needs.
- Applies Specialist, analytical and judgemental skills to assess and interpret acute, chronic and palliative conditions, taking appropriate actions to prioritise patients needs.
- To assess the environment/social situation and identify any risk that could potentially lead to hospital admission.
- Assesses, plan, implement and reviews routine through to complex nursing care plans using research and evidence-based knowledge to underpin practice and which support avoiding a hospital admission.
Band 6 nurses contribute to creating and maintaining high performing teams by:
- Ensure that effective communication takes place between UCR/Hospital at Home staff/Intermediate Care at Home and other community services.
- Provide and receive information where highly complex communication skills may be required in order to reach agreement or co-operation or because of barriers to understanding, for example cognitive impairment.
- Demonstrates professional sensitivity and empathy during the emotional demands of high exposure to distressing circumstances.
- Demonstrates empathy and re-assurance while motivating patients to be as self-caring and independent as their condition allows.
- Maintain a high level of communication/negotiation skills on daily basis with other health and social care professionals to achieve best outcomes in care pathways.
- To ensure that up-to-date written and electronic records and activity data are maintained in accordance with professional and trust standards.
- To work as a member of the multi-disciplinary team, discussing decisions with regard to patient treatment programmes and discharge planning.
- To be responsible for maintaining accurate and comprehensive patient treatment records in line with professional standards.
Band 6 nurses contribute to the people using our services feeling respected and empowered to make decisions about their health and wellbeing by:
- Working in partnership with patients and their families and carers.
- Gaining consent and, as far as possible, involving people in all decision making.
- Signposting patients and carers to resources provided by the local authority or voluntary and community enterprise sector.
- Reassuring people by being professional, responsive, knowledgeable and confident.
- Demonstrating clinical leadership and challenging any poor behaviour to patients, families or other staff members and creating a positive, inclusive culture in which everyone is treated with kindness and respect and the trusts values are embedded in all practice.
All services and teams in the Trust should be able to demonstrate that they are meeting the Care Quality Commission (CQC) standards of care. Nurses are expected to be Clinical Leaders and play an active role in ensuring that the team understands the CQC standards and what individual team members do to help achieve those standards by:
- Contributing to the performance of the teams and creating a positive culture in which the team can learn from mistakes and is enthusiastic to improve.
- To undertake the role of Practice Supervisor with a view to also becoming a Practice Assessor.
Engaged staff are more productive and Band 6 nurses play a role in engaging in other staff members in the Trust and the work we do by:
- Participating constructively in their own supervision and annual appraisal processes.
- Using continuing professional development funds to develop a relevant clinical specialism, gain sign-off mentorship skills or undertake accredited leadership or management modules.
Band 6 nurses provide day to day clinical leadership and maintain high standards of professional practice by:
- Supervising, leading, informing and delegating staff as appropriate to the needs of the service by utilising skills and resources effectively as directed by the senior sister.
- Participating in the Performance and Development Review process within the team and undertakes review of junior staff under supervision of the senior sister.
- Participating in and lead clinical meetings to facilitate the continuity of patient care ensuring patients and relatives are kept informed of treatments, progress and discharge arrangements.
- Facilitating teaching and supervision for less experienced members of staff and students.
- Acting as an expert practitioner, professional role model and specialist resource to the multi-disciplinary team in regard to UCR /Hospital at Home.
- Participating in the development and implementation of local nursing strategies and policies.
- Participating in audit and resource management to ensure service quality is prioritised.
Band 6 nurses actively contribute to safe effective and evidence based care by:
- Participating in patient engagement encouraging feedback and evidence actions taken in response to feedback received.
- Contributing to the improvement of services and the development, implementation and evaluation of protocols and clinical guidelines.
- Participating in the investigation of complaints and safeguarding concerning nursing services in accordance with the level of experience and encourage comments and suggestions on improving the quality of the service.
- Ensuring that accidents, complaints and unusual incidents are reported in accordance with the policy.
- Analysing workloads and constantly review work patterns as required.
- Participating in systems of clinical governance to achieve quality improvements i.e. clinical audit and evidence-based practice and make recommendations to the senior sister for changes to practice.
- Supporting and developing staff using CPD and to identify future leaders.
Organise and prioritise daily workload in line with service needs. Work flexibly across different localities as required. Support the provision of a flexible and responsive service that manages the complexity of the workload within operational hours. Ensure timely inputting of relevant activity data within the designated timeframe agreed To participate with the matron in the efficient management of budgets effectively utilising allocated resources and to raise area of concern to appropriate personnel.
Person SpecificationQualificationsEssential- NMC registered qualification
- Practice supervisor/Practice Assessor
- Evidence of a range of clinical competencies appropriate for the role.
- Degree level qualification in relevant training or equivalent knowledge and experience in health related subject
Desirable- Relevant urgent care, community, frailty or long term conditions related training
- Health Assessment course
- Non -Medical Prescriber
Knowledge and ExperienceEssential- Experience of delivering care in acute, community, intermediate care or urgent care setting
- Experience of working independently whilst recognising professional boundaries
- Evidence of CPD aligned to the role
- Understanding of integrated care systems and community pathways
- Leadership and supervision skills
Desirable- Experience in urgent community response, virtual ward, frailty or admission avoidance services
- Knowledge of the national UCR services specifications (2 hour response model)
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.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).Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). 
