Cambridge University Hospital NHS Foundation Trust

Deteriorating Patient Lead Practitioner

The closing date is 26 November 2025

Job summary

The Deteriorating Patient Lead will provide strategic and clinical leadership to ensure the timely recognition and effective management of acutely ill and deteriorating patients across the Trust.

This role will drive improvements in patient safety by developing and implementing evidence-based strategies, delivering education and training programmes, and supporting clinical teams with expert guidance. Working collaboratively with divisional leaders and specialist teams, the post holder will champion best practice, embed national standards such as NEWS and sepsis pathways, and lead quality improvement initiatives to reduce harm and improve outcomes for patients.

Main duties of the job

  • Provide strategic leadership for the identification, escalation, and management of deteriorating patients across the Trust.
  • Develop and implement evidence-based policies, protocols, and improvement strategies aligned with national standards (e.g., NEWS2, sepsis pathways).
  • Lead the design and delivery of education and training programmes to enhance staff competence in recognising and responding to acute deterioration.
  • Act as a clinical expert and resource, offering specialist advice and support to multidisciplinary teams.
  • Monitor compliance, analyse data, and drive quality improvement initiatives to reduce harm and improve patient outcomes.
  • Collaborate with divisional teams, Rapid Response Teams, and senior leaders to embed best practice and foster a culture of safety.
  • Contribute to incident reviews, learning processes, and implementation of the Patient Safety Incident Response Framework (PSIRF)

Skills and Experience We're Looking For

  • Advanced clinical assessment and decision-making skills for acutely ill patients.
  • Strong leadership and change management capability.
  • Experience in service improvement and implementing evidence-based practice.
  • Excellent communication and influencing skills across multidisciplinary teams.
  • Ability to design and deliver education and training programmes.
  • Knowledge of national patient safety standards and escalation protocols (e.g., NEWS, sepsis).

About us

Come Nurse with us...

Cambridge University Hospitals NHS Foundation Trust is one of the largest teaching Trusts in the country. It comprises Addenbrooke's Hospital and the Rosie Hospital. We provide accessible high-quality healthcare for the local people of Cambridge and regional and national specialist services. It's a great place to nurse, work and live.

You will work on a vibrant hospital campus with a friendly community feel; we have excellent facilities to practise your skills and abilities to support your career pathway and development. Our values of Together - Safe, Kind, Excellent support the delivery of outstanding care. We have a fully electronic patient record system that is improving health-care quality; this is transforming services, improving patient safety and clinical outcomes.

Why choose Cambridge University Hospitals?

o Our values and reputation for outstanding careo Opportunities to experience a range of specialitieso Career and development opportunitieso Preceptorship and mentoring programmes delivered by a dedicated clinical education support teamo Research experience and opportunitieso Lovely location and quality of lifeo Excellent schools/colleges and transport links (road, rail and air)

Details

Date posted

06 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year p.a. pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

180-F-257262

Job locations

Addenbrookes Hospital-Corporate

Hills Road

Cambridge

CB2 0QQ


Job description

Job responsibilities

Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.

Due to Home Office immigration rules, a full time permanent vacancy cannot be filled by individuals on a Student visa. Therefore, please be advised that if you are a Student visa holder, we will not be able to offer you a full time permanent contract unless you have:- applied for a Graduate visa- or you will have successfully completed your course and have applied for a Graduate visa before the anticipated start date of your employment- or the Trust has agreed that they will Sponsor you as a Skilled Worker and you will complete your studies within 3 months of the anticipated start

For NHS Cambridgeshire and Peterborough based roles, all applicants from NHS Cambridgeshire and Peterborough who have identified that they are at risk of redundancy will be prioritised over those not at risk. However, interviews cannot be guaranteed.

This vacancy will close at midnight on 26 November 2025

Interviews are due to be held on 11 December 2025

Benefits to you

At Cambridge University Hospitals, we want to do all we can to support good working days. We offer development opportunities and a wide range of benefits, including on-site leisure facilities, shopping concourse and day nurseries. Our good work programme currently includes providing reduced cost Stagecoach bus travel to and from Cambridge University Hospital site. Park and Ride bus journeys between Babraham Road and Trumpington sites are free, as is the route to and from Cambridge train station and our hospitals. We also subsidise the cost of parking on site for eligible staff.

On CUH campus, hot food is available 24/7 and at a reduced cost for colleagues. Recently we launched the first of our staff pod break spaces. Located in the Deakin Centre, we have a purpose-created colleague-only caf, with free tea and coffee, a break space and private outside area for colleagues to rest, refuel and recharge. Just one of the ways we are working hard to support good working days at CUH.

CUH is committed to assisting employees in achieving a good work-life balance irrespective of role or personal circumstances. Flexible arrangements may include, but are not limited to, part-time working, job-share, term-time working and flexible start and finish times.

Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases, alternative working hours will be considered.

We welcome applications from the Armed Forces.

Job description

Job responsibilities

Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.

Due to Home Office immigration rules, a full time permanent vacancy cannot be filled by individuals on a Student visa. Therefore, please be advised that if you are a Student visa holder, we will not be able to offer you a full time permanent contract unless you have:- applied for a Graduate visa- or you will have successfully completed your course and have applied for a Graduate visa before the anticipated start date of your employment- or the Trust has agreed that they will Sponsor you as a Skilled Worker and you will complete your studies within 3 months of the anticipated start

For NHS Cambridgeshire and Peterborough based roles, all applicants from NHS Cambridgeshire and Peterborough who have identified that they are at risk of redundancy will be prioritised over those not at risk. However, interviews cannot be guaranteed.

This vacancy will close at midnight on 26 November 2025

Interviews are due to be held on 11 December 2025

Benefits to you

At Cambridge University Hospitals, we want to do all we can to support good working days. We offer development opportunities and a wide range of benefits, including on-site leisure facilities, shopping concourse and day nurseries. Our good work programme currently includes providing reduced cost Stagecoach bus travel to and from Cambridge University Hospital site. Park and Ride bus journeys between Babraham Road and Trumpington sites are free, as is the route to and from Cambridge train station and our hospitals. We also subsidise the cost of parking on site for eligible staff.

On CUH campus, hot food is available 24/7 and at a reduced cost for colleagues. Recently we launched the first of our staff pod break spaces. Located in the Deakin Centre, we have a purpose-created colleague-only caf, with free tea and coffee, a break space and private outside area for colleagues to rest, refuel and recharge. Just one of the ways we are working hard to support good working days at CUH.

CUH is committed to assisting employees in achieving a good work-life balance irrespective of role or personal circumstances. Flexible arrangements may include, but are not limited to, part-time working, job-share, term-time working and flexible start and finish times.

Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases, alternative working hours will be considered.

We welcome applications from the Armed Forces.

Person Specification

Qualifications

Essential

  • Current clinical qualification and professional registration (NMC or HCPC)
  • Educated to degree level
  • Masters in related area of healthcare (or working towards)
  • Post registration qualification in related subject
  • Evidence of continuous professional development.
  • Quality improvement training.

Desirable

  • Leadership training.
  • Teaching or mentoring qualification

Experience

Essential

  • Significant relevant clinical experience in the Specialty and ability to demonstrate expert skills.
  • Experience of formal and informal teaching and mentoring.
  • Experience in quality improvement projects.
  • Experience of leading Trust wide audit process for national standards.
  • Experience in managing a team including management of workforce procedures.
  • Experience of working in a large and complex NHS organisation in relation to the speciality.
  • Experience of leading or supporting patient safety investigation processes.

Knowledge

Essential

  • Understands the requirement for a strong commitment to patient safety and quality improvement, with a focus on continuous learning and development.
  • Advanced knowledge of evidence-based practice.
  • Knowledge of measuring and monitoring standards of care using quantitative and qualitative information.
  • Understanding of clinical governance principles and procedures.
  • Knowledge of national and international standards related to the speciality
  • Budgetary management and business planning; including workforce planning.
  • Quality Improvement models and measurement and monitoring of key performance indicators
  • Understanding of patient safety principles of systems thinking, psychological safety, and just culture.

Desirable

  • Experience of interpreting Statistical Process Control charts.

Skills

Essential

  • Demonstrates strong leadership skills, including the ability to motivate and inspire others, and excellent communication and interpersonal skills.
  • Expert clinical skills and decision-making.
  • Ability to lead on key governance systems and process related to the speciality
  • Adaptable to changing situations due to service needs.
  • Ability to work unsupervised and effectively manage own workload.
  • Effective interpersonal and leadership skills.
  • Demonstrate analytical and judgmental skills.
  • Ability to quickly appraise situation and act accordingly.
  • Demonstrates experience of adaptability and ability to work across professional boundaries
  • Develops performance through constructive feedback and encouragement.
  • Highly effective verbal and written communication skills.
  • IT skills: Outlook, Word, and Excel as a minimum

Desirable

  • Trained After Action Review facilitator.
  • Training in patient safety investigation methodology

Additional Requirements

Essential

  • The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust values of safe, kind, excellent.
  • To always act in a professional manner in accordance with relevant professional standards
  • Capable of developing liaisons with other practice areas/academic institutions.

Desirable

  • Knowledge of broader issues related to national standards and NHS strategies.
Person Specification

Qualifications

Essential

  • Current clinical qualification and professional registration (NMC or HCPC)
  • Educated to degree level
  • Masters in related area of healthcare (or working towards)
  • Post registration qualification in related subject
  • Evidence of continuous professional development.
  • Quality improvement training.

Desirable

  • Leadership training.
  • Teaching or mentoring qualification

Experience

Essential

  • Significant relevant clinical experience in the Specialty and ability to demonstrate expert skills.
  • Experience of formal and informal teaching and mentoring.
  • Experience in quality improvement projects.
  • Experience of leading Trust wide audit process for national standards.
  • Experience in managing a team including management of workforce procedures.
  • Experience of working in a large and complex NHS organisation in relation to the speciality.
  • Experience of leading or supporting patient safety investigation processes.

Knowledge

Essential

  • Understands the requirement for a strong commitment to patient safety and quality improvement, with a focus on continuous learning and development.
  • Advanced knowledge of evidence-based practice.
  • Knowledge of measuring and monitoring standards of care using quantitative and qualitative information.
  • Understanding of clinical governance principles and procedures.
  • Knowledge of national and international standards related to the speciality
  • Budgetary management and business planning; including workforce planning.
  • Quality Improvement models and measurement and monitoring of key performance indicators
  • Understanding of patient safety principles of systems thinking, psychological safety, and just culture.

Desirable

  • Experience of interpreting Statistical Process Control charts.

Skills

Essential

  • Demonstrates strong leadership skills, including the ability to motivate and inspire others, and excellent communication and interpersonal skills.
  • Expert clinical skills and decision-making.
  • Ability to lead on key governance systems and process related to the speciality
  • Adaptable to changing situations due to service needs.
  • Ability to work unsupervised and effectively manage own workload.
  • Effective interpersonal and leadership skills.
  • Demonstrate analytical and judgmental skills.
  • Ability to quickly appraise situation and act accordingly.
  • Demonstrates experience of adaptability and ability to work across professional boundaries
  • Develops performance through constructive feedback and encouragement.
  • Highly effective verbal and written communication skills.
  • IT skills: Outlook, Word, and Excel as a minimum

Desirable

  • Trained After Action Review facilitator.
  • Training in patient safety investigation methodology

Additional Requirements

Essential

  • The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust values of safe, kind, excellent.
  • To always act in a professional manner in accordance with relevant professional standards
  • Capable of developing liaisons with other practice areas/academic institutions.

Desirable

  • Knowledge of broader issues related to national standards and NHS strategies.

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

Cambridge University Hospital NHS Foundation Trust

Address

Addenbrookes Hospital-Corporate

Hills Road

Cambridge

CB2 0QQ


Employer's website

https://www.cuh.nhs.uk (Opens in a new tab)

Employer details

Employer name

Cambridge University Hospital NHS Foundation Trust

Address

Addenbrookes Hospital-Corporate

Hills Road

Cambridge

CB2 0QQ


Employer's website

https://www.cuh.nhs.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Lead Nurse for Accreditation & Harm Free Care

Vicky Carr

victoria.carr6@nhs.net

Details

Date posted

06 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year p.a. pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

180-F-257262

Job locations

Addenbrookes Hospital-Corporate

Hills Road

Cambridge

CB2 0QQ


Supporting documents

Privacy notice

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