Job summary
We are looking for a dynamic, enthusiastic, resilient and dedicated nurse and AHP Operational Manager to join our integrated nursing and therapy Urgent Community Response team team in Islington, North London, to lead the daily clinical and operational staff management. This is a fast-paced but rewarding role that would suit an experienced nurse or AHP who has a background in acute, community or significant experience in other urgent and emergency response teams.
This role will provide an opportunity for new challenged and on-going development in a multi-disciplinary innovative, supportive and friendly team who work closely with community and NHS services to prevent admission to hospital and support hospital discharge.
Main duties of the job
The post holder will be operationally and financially accountable to the Urgent Response Service Manager for the development and delivery of the Islington Urgent Community Response Team
To deputise for the Urgent Response Service Manager as necessary.
To lead on the continuing development of Urgent Response areas in the light of current health strategies and improve integrated working with other agencies e.g. Discharge to Assess
To be accountable for the delivery of Urgent Response services. This will include ensuring clinical standards of practice, advising or leading on recruitment and retention of staff in these teams, and giving professional advice to other service managers.
To be an effective change agent, bringing about service development by proactively seeking out new methods of working, initiating changes in policy or procedures, and reviewing the skill mix within the teams.
To coordinate and ensure the delivery of ongoing training for all staff members under your management and or supervision and to ensure equity and opportunity of access to training.
To foster cross-professional working with professionals across the Trust in order to improve patient delivery and care, including developing training, liaison and joint working.
About us
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Job description
Job responsibilities
Please refer to JD for duties, responsibilities and key relationships of the post-
MAIN DUTIES
1. Patient Care and Neighbourhood Clinical Leadership
- Provide senior clinical leadership within the ICAT Frailty Team, acting as the Lead Nurse for neighbourhood-based frailty care.
- Practise with a high level of autonomy, within agreed competence, taking responsibility for complex clinical decision-making and escalation to senior ICAT clinicians as required.
- Lead the identification, assessment, and proactive management of rising clinical risk within the neighbourhood, ensuring timely intervention and clear escalation where risk thresholds are met avoiding unnecessary admissions.
- Lead the triage and prioritisation of referrals, ensuring patients are directed to the most appropriate pathway within the neighbourhood model.
- Undertake Comprehensive Geriatric Assessment (CGA), including detailed history-taking from patients and carers, physical examination, functional assessment, and interpretation of clinical findings.
- Demonstrate expert knowledge of frailty syndromes, dementia, delirium, falls, pressure damage, incontinence, malnutrition, self-neglect, and polypharmacy, and their impact on quality of life.
- Assess, diagnose, and contribute to the management of older people with complex acute and chronic conditions in community, neighbourhood, and acute settings, supporting care closer to home wherever possible.
- Lead and contribute to case conferences, family meetings, and multidisciplinary decision-making, ensuring coordinated, person-centred care.
- Undertake mental state and cognitive assessments, applying the Mental Capacity Act, best interest decision-making, and behaviour support strategies confidently.
- Lead clinical risk assessment and management planning, supporting safe discharge and admission avoidance.
- Maintain high-quality clinical documentation and provide leadership to ensure consistent standards across the team.
- Work collaboratively with consultants, GPs, neighbourhood teams, and system partners to agree and deliver integrated care plans.
- Organise and chair regular governance meetings for the team
-
Education, Leadership, and Workforce Development
Act as a visible clinical leader within neighbourhood teams, modelling compassionate, inclusive, and accountable leadership.
Lead and support service improvement and change, using quality improvement methodologies to improve outcomes for older people.
Provide clinical supervision, mentorship, and leadership development for nursing and MDT colleagues.
Contribute to and lead multidisciplinary and frailty-focused education, including training delivery and inter-professional learning.
Support professional development through appraisal, supervision, and 360 feedback.
Maintain strong professional networks locally and nationally to support innovation and best practice.
Promote and role-model high standards in infection prevention, pressure ulcer prevention, and safe clinical practice.
Lead organisation of frailty education for colleagues in allied services such as mental health and general practice.
Service Development and Neighbourhood Integration
Lead and contribute to the development of neighbourhood-based frailty pathways, aligned to Place and ICS priorities.
Critically review current models of care and support the design of integrated, proactive frailty services.
Actively contributes to service improvement projects across ICAT, neighbourhood teams, and partner services.
Representing ICAT within internal and external working groups, supporting strategic development across primary, community, and acute care.
Play a key role in shaping new ways of working that strengthens integration across Whittington Health and system partners.
Professional Responsibilities
Practice in accordance with NMC standards, Trust policies, and relevant legislation always.
Ensure own practice and that of the team remains safe, evidence-based, and compliant with agreed standards and procedures.
Job description
Job responsibilities
Please refer to JD for duties, responsibilities and key relationships of the post-
MAIN DUTIES
1. Patient Care and Neighbourhood Clinical Leadership
- Provide senior clinical leadership within the ICAT Frailty Team, acting as the Lead Nurse for neighbourhood-based frailty care.
- Practise with a high level of autonomy, within agreed competence, taking responsibility for complex clinical decision-making and escalation to senior ICAT clinicians as required.
- Lead the identification, assessment, and proactive management of rising clinical risk within the neighbourhood, ensuring timely intervention and clear escalation where risk thresholds are met avoiding unnecessary admissions.
- Lead the triage and prioritisation of referrals, ensuring patients are directed to the most appropriate pathway within the neighbourhood model.
- Undertake Comprehensive Geriatric Assessment (CGA), including detailed history-taking from patients and carers, physical examination, functional assessment, and interpretation of clinical findings.
- Demonstrate expert knowledge of frailty syndromes, dementia, delirium, falls, pressure damage, incontinence, malnutrition, self-neglect, and polypharmacy, and their impact on quality of life.
- Assess, diagnose, and contribute to the management of older people with complex acute and chronic conditions in community, neighbourhood, and acute settings, supporting care closer to home wherever possible.
- Lead and contribute to case conferences, family meetings, and multidisciplinary decision-making, ensuring coordinated, person-centred care.
- Undertake mental state and cognitive assessments, applying the Mental Capacity Act, best interest decision-making, and behaviour support strategies confidently.
- Lead clinical risk assessment and management planning, supporting safe discharge and admission avoidance.
- Maintain high-quality clinical documentation and provide leadership to ensure consistent standards across the team.
- Work collaboratively with consultants, GPs, neighbourhood teams, and system partners to agree and deliver integrated care plans.
- Organise and chair regular governance meetings for the team
-
Education, Leadership, and Workforce Development
Act as a visible clinical leader within neighbourhood teams, modelling compassionate, inclusive, and accountable leadership.
Lead and support service improvement and change, using quality improvement methodologies to improve outcomes for older people.
Provide clinical supervision, mentorship, and leadership development for nursing and MDT colleagues.
Contribute to and lead multidisciplinary and frailty-focused education, including training delivery and inter-professional learning.
Support professional development through appraisal, supervision, and 360 feedback.
Maintain strong professional networks locally and nationally to support innovation and best practice.
Promote and role-model high standards in infection prevention, pressure ulcer prevention, and safe clinical practice.
Lead organisation of frailty education for colleagues in allied services such as mental health and general practice.
Service Development and Neighbourhood Integration
Lead and contribute to the development of neighbourhood-based frailty pathways, aligned to Place and ICS priorities.
Critically review current models of care and support the design of integrated, proactive frailty services.
Actively contributes to service improvement projects across ICAT, neighbourhood teams, and partner services.
Representing ICAT within internal and external working groups, supporting strategic development across primary, community, and acute care.
Play a key role in shaping new ways of working that strengthens integration across Whittington Health and system partners.
Professional Responsibilities
Practice in accordance with NMC standards, Trust policies, and relevant legislation always.
Ensure own practice and that of the team remains safe, evidence-based, and compliant with agreed standards and procedures.
Person Specification
EDUCATION / QUALIFICATIONS
Essential
- Registered Nurse
- Specialist practitioner qualification
- Community Practitioner Prescribing Qualification
- Nurse Independent Prescribing Qualification (or willingness to undertake)
- Evidence of Continuing Professional Development (ability to work at Masters level/willingness to undertake Masters Degree)
- Advanced physical assessment qualification (or willingness to undertake)
KNOWLEDGE/ABILITIES
Essential
- An understanding of team development and leadership
- Current knowledge of issues affecting the provision of health services
- An understanding of Quality and Assurance and monitoring systems
- Commitment to multi agency working and integrated approach
- An understanding and ability to
Requirements
Essential
- support change management processes
- Able to work flexibly and contribute to the programme of change using advanced negotiating skills
- Ability to project plan and carry our clinical audit
- Time management skills
- Ability to work to deadlines and deliver agreed objectives
- Able to act appropriately in stressful situations
- Ability to develop practice and give feedback to clinicians and managers at all levels
- Ability to challenge traditional views and work practices
- Commitment to working in an inner-city environment
Person Specification
EDUCATION / QUALIFICATIONS
Essential
- Registered Nurse
- Specialist practitioner qualification
- Community Practitioner Prescribing Qualification
- Nurse Independent Prescribing Qualification (or willingness to undertake)
- Evidence of Continuing Professional Development (ability to work at Masters level/willingness to undertake Masters Degree)
- Advanced physical assessment qualification (or willingness to undertake)
KNOWLEDGE/ABILITIES
Essential
- An understanding of team development and leadership
- Current knowledge of issues affecting the provision of health services
- An understanding of Quality and Assurance and monitoring systems
- Commitment to multi agency working and integrated approach
- An understanding and ability to
Requirements
Essential
- support change management processes
- Able to work flexibly and contribute to the programme of change using advanced negotiating skills
- Ability to project plan and carry our clinical audit
- Time management skills
- Ability to work to deadlines and deliver agreed objectives
- Able to act appropriately in stressful situations
- Ability to develop practice and give feedback to clinicians and managers at all levels
- Ability to challenge traditional views and work practices
- Commitment to working in an inner-city environment
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.
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.
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).
