Somerset NHS Foundation Trust

Senior Frailty Specialist Nurse H@H

Information:

This job is now closed

Job summary

As a Band 7 Community Nurse, you will be an exceptional autonomous practitioner, delivering advanced care in patients' homes and playing a key role in preventing avoidable hospital admissions. You will provide timely assessments, interventions, and clinical decisionmaking to support safe and effective patient flow.

You will be highly proficient across a wide range of advanced clinical skills, including IV therapy, palliative and endoflife care, complex wound management, catheter and continence care, diabetes management, PICC line care, medication administration, and drain tube management. Your expertise will enable you to manage complex cases independently and act as a senior clinical resource for the team.

In addition to your clinical responsibilities, you will provide strong leadership and support for Band 5 and Band 6 colleagues. This includes delivering training, offering supervision, and guiding staff in developing their clinical confidence and competence. You will lead by example, helping coordinate team activity and ensuring consistently high standards of safe, effective care.

Applicants must be able to demonstrate evidence of effective team management, the ability to lead others, and a commitment to continuous improvement within the service

Main duties of the job

As a Band 7 Community Nurse, you will provide highly skilled, autonomous care to patients in their homes, managing a wide range of complex and acute clinical needs. You will work closely with the Hospital @ Home team to support admission avoidance and ensure safe, effective patient flow across the system.

In this senior role, you will be expected to demonstrate advanced clinical proficiency across a broad scope of practice, including IV medication administration, palliative and endoflife care, complex wound management, catheter and continence care, diabetes management, PICC line care, medication administration, and drain tube management. You will be fully competent in these areas and able to act as a source of expert clinical guidance for the wider team.

You will make autonomous clinical decisions, undertake comprehensive assessments, and develop holistic care plans tailored to individual patient needs. As a Band 7, you will play a key leadership role--supporting the development of junior staff, providing supervision, and delivering highquality training to build capability and confidence across the team.

You will work collaboratively with Team Leaders and multidisciplinary colleagues, modelling clinical excellence and helping to drive innovation, high standards, and continuous improvement within the service.

About us

At Somerset NHS Foundation Trust, we're committed to supporting our employees with a range of benefits designed to enhance your professional and personal life. We offer:

  • Flexible working options to help you balance work and life
  • NHS pension scheme for long-term financial security
  • Generous annual leave allowance to recharge and relax
  • A strong focus on career development to help you grow and achieve your potential

Additionally, you'll gain access to our Blue Light Card, unlocking exclusive discounts on shopping, dining, and leisure activities, as well as NHS-specific perks to support you both inside and outside of work.

We are proud to foster a diverse, skilled, and inclusive workforce, and we encourage applications from all backgrounds.

Why Somerset? Somerset offers the perfect blend of idyllic countryside, outstanding areas of natural beauty, and breathtaking coastlines, with vibrant cities like Bristol, Bath, and Exeter just a short drive away - and only two hours to London.

The region is home to excellent educational facilities, and with affordable housing compared to other parts of the country, it's a great place to build both your career and your future.

Somerset truly has it all - the peaceful countryside and cosmopolitan city life, with something for everyone to enjoy.

Details

Date posted

23 April 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year

Contract

Permanent

Working pattern

Full-time

Reference number

184-OL-BL-4653

Job locations

Shepton Mallet Comm Hospital

Old Wells Road

Shepton Mallet

Somerset

BA4 4PG


Harrison House

Taunton

Somerset

TA1 2PX


Job description

Job responsibilities

Role Purpose

The Band 7 Community Nurse is an exceptional autonomous practitioner responsible for delivering advanced, highquality care to patients within their homes. The role plays a critical part in preventing avoidable hospital admissions and supporting safe, effective patient flow through timely assessment, intervention, and clinical decisionmaking.

Key Responsibilities

Provide expert clinical assessment and advanced nursing interventions for patients with complex and acute needs in their own homes.

Work closely with the Hospital @ Home team to support admission avoidance and maintain effective system flow.

Deliver a wide range of advanced clinical skills, including IV therapy, palliative and endoflife care, complex wound management, catheter and continence care, diabetes management, PICC line care, medication administration, and drain tube management.

Act as a senior clinical resource, offering expert guidance and support to colleagues in managing complex cases.

Lead by example in providing safe, personcentred, holistic care that promotes independence and wellbeing.

Leadership and Staff Development

Provide strong clinical leadership and daytoday support for Band 5 and Band 6 nursing staff.

Deliver training, supervision, and mentorship to develop the team's skills, confidence, and professional growth.

Coordinate workloads, support effective team working, and ensure high standards of care across the service.

Demonstrate clear evidence of effective team management and the ability to lead others in a dynamic community environment.

Collaboration and Service Improvement

Work in partnership with Team Leaders, GPs, AHPs, and wider multidisciplinary colleagues to ensure safe, joinedup care.

Contribute to service development, quality improvement, and embedding best practice.

Maintain accurate, timely documentation and uphold professional standards in line with NMC requirements.

Professional Requirements

Registered Nurse with extensive community nursing experience.

Advanced clinical competence relevant to community practice.

Evidence of team leadership, supervision, and staff development.

Strong decision making skills and a commitment to continuous improvement.

Job description

Job responsibilities

Role Purpose

The Band 7 Community Nurse is an exceptional autonomous practitioner responsible for delivering advanced, highquality care to patients within their homes. The role plays a critical part in preventing avoidable hospital admissions and supporting safe, effective patient flow through timely assessment, intervention, and clinical decisionmaking.

Key Responsibilities

Provide expert clinical assessment and advanced nursing interventions for patients with complex and acute needs in their own homes.

Work closely with the Hospital @ Home team to support admission avoidance and maintain effective system flow.

Deliver a wide range of advanced clinical skills, including IV therapy, palliative and endoflife care, complex wound management, catheter and continence care, diabetes management, PICC line care, medication administration, and drain tube management.

Act as a senior clinical resource, offering expert guidance and support to colleagues in managing complex cases.

Lead by example in providing safe, personcentred, holistic care that promotes independence and wellbeing.

Leadership and Staff Development

Provide strong clinical leadership and daytoday support for Band 5 and Band 6 nursing staff.

Deliver training, supervision, and mentorship to develop the team's skills, confidence, and professional growth.

Coordinate workloads, support effective team working, and ensure high standards of care across the service.

Demonstrate clear evidence of effective team management and the ability to lead others in a dynamic community environment.

Collaboration and Service Improvement

Work in partnership with Team Leaders, GPs, AHPs, and wider multidisciplinary colleagues to ensure safe, joinedup care.

Contribute to service development, quality improvement, and embedding best practice.

Maintain accurate, timely documentation and uphold professional standards in line with NMC requirements.

Professional Requirements

Registered Nurse with extensive community nursing experience.

Advanced clinical competence relevant to community practice.

Evidence of team leadership, supervision, and staff development.

Strong decision making skills and a commitment to continuous improvement.

Person Specification

Qualifications

Essential

  • Registered Nursing degree
  • Non-medical prescribing, or willingness to work towards
  • Experience in leadership/management role

Desirable

  • Please see Job Description.

Experience

Essential

  • Applicants should be able to demonstrate proven experience in managing a team, providing clinical leadership, and supporting staff to achieve excellent standards of care.
  • Please see Job Description
  • .

Desirable

  • Experience of assessing and managing acutely unwell patients in their own homes and wider community environments
  • Enhanced understanding of Frailty conditions such as heart failure
  • Please see Job Description

Additional Criteria

Essential

  • Please see Job Description

Desirable

  • Please see Job Description
Person Specification

Qualifications

Essential

  • Registered Nursing degree
  • Non-medical prescribing, or willingness to work towards
  • Experience in leadership/management role

Desirable

  • Please see Job Description.

Experience

Essential

  • Applicants should be able to demonstrate proven experience in managing a team, providing clinical leadership, and supporting staff to achieve excellent standards of care.
  • Please see Job Description
  • .

Desirable

  • Experience of assessing and managing acutely unwell patients in their own homes and wider community environments
  • Enhanced understanding of Frailty conditions such as heart failure
  • Please see Job Description

Additional Criteria

Essential

  • Please see Job Description

Desirable

  • Please see Job Description

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

Somerset NHS Foundation Trust

Address

Shepton Mallet Comm Hospital

Old Wells Road

Shepton Mallet

Somerset

BA4 4PG


Employer's website

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

Employer details

Employer name

Somerset NHS Foundation Trust

Address

Shepton Mallet Comm Hospital

Old Wells Road

Shepton Mallet

Somerset

BA4 4PG


Employer's website

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

Employer contact details

For questions about the job, contact:

Hiring Manager

Sharon Poole

Sharon.poole@somersetft.nhs.uk

07771390121

Details

Date posted

23 April 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year

Contract

Permanent

Working pattern

Full-time

Reference number

184-OL-BL-4653

Job locations

Shepton Mallet Comm Hospital

Old Wells Road

Shepton Mallet

Somerset

BA4 4PG


Harrison House

Taunton

Somerset

TA1 2PX


Supporting documents

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