Livewell Southwest

Community Registered Nurse

The closing date is 22 March 2026

Job summary

36 hours per week.

Join a committed and compassionate team delivering out of hours nursing care to patients in their own homes across Plymouth, South Hams, and West Devon. This part time role (up to 36 hours per week) is ideal for an experienced and motivated nurse who thrives in autonomous practice and is eager to contribute to the growing Urgent Care Nursing Service.

You will work a combination of twilight shifts (17:00 23:00 or 18:00 00:00) and night shifts (12 hours with a 1 hour unpaid break), providing high quality, patient centred care that supports individuals to remain safe, independent, and well at home.

Join a team of fun, compassionate nurses who want to make a difference, delivering high quality care to a wide range of patients, where each shift will engage you in a different way and your colleagues will support you to grow, learn and adapt to new skills, new ways of thinking and more.

What You will Do

Deliver high quality, evidence based nursing care to acutely unwell patients in their homes.
Provide end of life care and symptom management to patients in their homes.

Assess, plan, implement, monitor, and evaluate care to meet individual patient needs.

This role may not be eligible for sponsorship under the Skilled Worker route.

Please note that Livewell may close the job advertisement earlier than the specified deadline.

All staff are expected to be able and willing to work across a 7 day service.

Main duties of the job

Duties:
Deliver high quality, evidence based nursing care to acutely unwell patients in their homes.
Provide end of life care and symptom management to patients in their homes.
Assess, plan, implement, monitor, and evaluate care to meet individual patient needs.
Liaise with referring clinicians when accepting patients for treatment, with support from senior clinicians and the clinical manager.
Provide advanced and intensive nursing interventions to help prevent hospital admissions and reduce hospital length of stay.
Work collaboratively with the wider multidisciplinary team to ensure safe, effective care.
Administer intravenous therapy (full training provided). When required.

Subcutaneous and intramuscular injections, including diabetic therapies.
Administration of prescribed medications
Acute and chronic disease management.
Acute and chronic pain management.
Palliative and endoflife care in collaboration with the multidisciplinary team.
Continence management and bowel care.
Facilitating appropriate elimination care, including catheter and bowel management.
Undertaking and interpreting acute observations using tools such as NEWS2 and ABCDE.
Blood glucose monitoring.
Pulse oximetry and interpretation.
Blood tests for monitoring and review.
Undertaking ECGs and other investigative procedures to support diagnosis.

About us

Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.

Date posted

04 March 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year pro rata

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

B9832-2026-NM-10210

Job locations

Beauchamp Centre

Mount Gould

Plymouth

Devon

PL4 7QD

Job description

Job responsibilities

Key Tasks and Responsibilities of the Post

Provide holistic evidence based / best practice care to patients in accordance with National and Organisational approved policies/procedures and individual care plans.

Be responsible for the assessing, planning, implementation, and evaluation of care on a day-to-day basis. The work may be unpredictable and complex and often of a sensitive nature.

Work autonomously and unsupervised in the community setting, recognising the risks associated with lone working, both clinically and socially and work proactively to reduce those risks.

Work as an autonomous practitioner, managing and prioritising delegated workload according to local guidelines and identified need. Working in a variety of community settings, exercising a high level of judgement, discretion and decision making in clinical care.

Work within challenging and unpredictable environments e.g. patients homes, which may have constraints and require adaptability

Responsibility for the specialist assessment and co-ordination of planned care to individual patients in conjunction with patients and carers.

Supporting other members of the team in their planning of patient care.

Provides support and advice to patients carers and relatives (on patients conditions and prognosis) where appropriate.

Delivery of Direct Care

To assess, plan and evaluate care provided for patients.

Participates in monitoring of evidence-based standards through research, clinical trials, audits and staff initiatives.

Initiates prescribed care in conjunction with Team Manager/Consultant/GP and other clinicians.

Without direct supervision and reporting directly to Consultant Physician or GP will work towards undertaking care delivery involving an extensive range of activities including:

Subcutaneous/intramuscular, therapy and diabetic injections

Administration of medication

Acute and chronic disease management

Assisting the multi-disciplinary team in palliative care (EOL)

Acute/chronic pain management

Facilitating appropriate care for elimination needs (Bowel and catheter management)

Wound assessments and management

Management of surgical drainage systems

Blood glucose monitoring

Health promotion

Acting as a formal mentor to pre-registration nursing students

Adopting link roles

Intravenous drug therapy

Administration of Nebulised drugs

Administration of oxygen therapy

Undertaking investigative procedures to support diagnosis, including ECG

Computer skills

Liaising with and referring on to other agencies and professionals.

Pulse oximetry and interpretation

Recognising and managing emergency situations e.g. treatment of anaphylaxis (using Patient Group Directions PGD) and cardiac/respiratory arrest/Sepsis

Undertake and interpret acute observations using an appropriate tool e.g. News 2, ABCDE

Blood tests for monitoring

Management of Lines e.g., TIVAD, PICC and Midline

2. Management and Leadership:

Have on-going responsibility and duty of care for patients, staff, self and others in all aspects of Health, Safety and Risk.

Participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team.

Participate in recruitment and selection of new staff.

Reporting of all incidents and near misses. Supporting team manager in investigations of incidents. Report to line manager any untoward incidents e.g., complaints, accidents, defective equipment and take appropriate action to ensure safety of patients, relatives, self and colleagues and follow up with appropriate documentation.

Inform Band 6 or 7 of any on-going nursing/management issues affecting patient care or working capacity.

Be aware of pressures facing your work colleagues and offer support and ensure they are aware of additional support that may be available to them.

To be responsible for the procurement and monitoring of equipment for patients on caseload.

The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.

To preserve confidentiality and comply with of the Data Protection Act, Access to Health Records and Consent for Treatment

To have a flexible approach to the working day to meet the needs of the patient/service.

3. Professional

To work within the NMC code and fulfil revalidation requirements.

Act as a role model for all staff and students demonstrating clinical skills and high standards of practice and professional conduct.

To remain updated and competent and ensure that clinical practice is evidence based.

To have an up-to-date personal development plan and professional portfolio.

To participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed, and objectives set. In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role.

Undertake regular clinical supervision.

4. Education and Training

Support the team manager in providing and maintaining a learning environment and maximise opportunities for education and development in the clinical are to enhance individual development and performance in the delivery of high standards of care.

Take part in the process of clinical supervision and support clinical supervision for junior team members.

Take responsibility for your own personal and professional development; maintain competence, knowledge and skills commensurate with role.

To undertake all required training and competencies required for the role.

Maintain attendance at mandatory and statutory training as per organisation guidelines.

Integrate theory into practice by bringing new knowledge around acute care from training into the practice environment.

Act as a mentor for students and fulfil requirements of a practice placement.

To facilitate induction for new members of the team.

Act as a link nurse for speciality to enhance team education.

5. Research

Actively participate in audit as directed by the Team Manager.

Collect, collate and evaluate a range of information to support clinical and service audit. Maintain accurate and up to date patient records, data bases and specialist reporting in accordance with organisation policy and professional guidance.

Support the team manager in working towards the achievement of specific performance targets related to acute care team.

6. Communication

Use a high level of communication skills daily with patients, carers and relatives to encourage concordance with care planning and agreed outcomes.

Use a high level of communication/negotiation skills daily with other health and social care professionals. To inform each, as appropriate, of the highly complex and sensitive information related to patients condition required to achieve the best outcomes and care pathways.

Show empathy and sensitivity when dealing with life threatening illnesses or other sensitive health related problems of patients, relatives and carers.

Ensure effective and timely information exchange is maintained, verbally, written or electronically.

Will be expected to liaise with: people with acute and chronic diseases, relatives and carers, members of the public, consultants, GPs and any other medical nursing or therapy staff. Community and Acute providers, Intermediate Care Service staff, Social Services, other specialist practitioner, statutory and voluntary organisations.

Provide and receive complex, sensitive, or contentious information where persuasive, motivational, negating, empathetic and reassurance skills are required verbal and non-verbal, as well as written and electronic to communicate effectively with patients, carers, and GPs. This will include patients who may have difficulty understanding or communicating e.g., patients may be dysphasic, depressed, deaf and blind or may have difficulty accepting diagnoses.

Able to provide the interface between hospital and primary, community and social care settings in reaching to inpatient facilities to facilitate discharge to community.

Demonstrate highly developed communication skills required to take a lead role in case discussions/case conferences concerning service users in their caseload.

Act as patient advocate as required to ensure individual needs, preferences and choices are delivered.

Support the team manager in communication and promotion of the service.

Support the team manager in development, implementation and evaluation of protocols, guidelines, policies, integrated pathways and tools.

If the post holder is supplied with use of mobile phone, laptop and lone worker device they are for work purposes and are expected to abide by organisation.