Great Western Hospitals NHS Foundation Trust

Lead Nurse - Enhanced Therapeutic Observations of Care

The closing date is 15 March 2026

Job summary

Lead Nurse - Enhanced Therapeutic Observations of Care (ETOC)

Your role will be to be the clinical lead and expert for Enhanced Therapeutic Observations of Care (ETOC) for the organisation. Your role will be key in ensuring that all enhanced care is provided therapeutically, to a high standard and in accordance with Trust policies and best practice.

The post holder will use excellent communication and risk assessment skills to support clinical teams to understand the needs of patients, to develop person-centred care plans and to monitor the effectiveness of interventions, to aid recovery and reduce length of stay. You will need to work closely with The Falls and Frailty team.

Main duties of the job

The post holder;

  • Deliver safe, high-quality care for patients requiring Enhanced Therapeutic Observations and Care (ETOC), ensuring all interventions support patient wellbeing and safety.
  • Undertake specialist clinical assessments, including risk assessments, and develop, implement, evaluate and document personalised care plans.
  • Lead on the training, education and skills development of ward and bank staff involved in enhanced care, with a focus on mental health, learning disabilities and the application of relevant legal frameworks such as the Mental Capacity Act (MCA) and Mental Health Act (MHA).
  • Coordinate and deploy Health Care Support Workers and Enhanced Care Support Officers effectively, ensuring staffing aligns with patient need, acuity and risk.
  • Act as an expert clinical resource for senior leaders and frontline teams, maintaining a visible and accessible presence to support high-quality care delivery

About us

Our STAR values - Service, Teamwork, Ambition and Respect - are a golden thread running through everything we do. These values serve as a guiding principle, driving us towards our vision of delivering great joined up services to our local community. Whether at home, in the community, or within the hospital, our goal is to empower individuals to lead independent and healthier lives.

Details

Date posted

02 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum

Contract

Secondment

Working pattern

Full-time

Reference number

249-7739673

Job locations

Great Western Hospital

Marlborough road

Swindon

SN3 6BB


Job description

Job responsibilities

Your role will be to be the clinical lead and expert for Enhanced Therapeutic Observations of Care (ETOC) for the organisation. Your role will be key in ensuring that all enhanced care is provided therapeutically, to a high standard and in accordance with Trust policies and best practice. The post holder will use excellent communication and risk assessment skills to support clinical teams to understand the needs of patients, to develop person-centred care plans and to monitor the effectiveness of interventions, to aid recovery and reduce length of stay. You will need to work closely with The Falls and Frailty team.

Please find attached the full Job Description

Job description

Job responsibilities

Your role will be to be the clinical lead and expert for Enhanced Therapeutic Observations of Care (ETOC) for the organisation. Your role will be key in ensuring that all enhanced care is provided therapeutically, to a high standard and in accordance with Trust policies and best practice. The post holder will use excellent communication and risk assessment skills to support clinical teams to understand the needs of patients, to develop person-centred care plans and to monitor the effectiveness of interventions, to aid recovery and reduce length of stay. You will need to work closely with The Falls and Frailty team.

Please find attached the full Job Description

Person Specification

Education, Qualifications and Training

Essential

  • Degree level education or equivalent experience
  • Registered Nurse/RMN
  • Evidence of Continuing professional development
  • Full driving license/access to transport

Desirable

  • Management/leadership qualification
  • MSc in a relevant clinical area
  • Specialist training to master's level or equivalent experience
  • Evidence of post graduate study
  • Teaching qualification
  • Mentorship qualification
  • Previous experience of leading audit, research and project management

Experience

Essential

  • Ability to assess, plan, implement and evaluate care programmes for individual patients utilising specialist knowledge across a range of work procedures and practices underpinned by theoretical knowledge.
  • Broad range of clinical skills including complex and specialist Assessments
  • Ability to provide and communicate complex information to arrange of health, social care and third-party workers
  • Ability to provide and receive complex information to patients and carers using a wide range of highly developed communication skills
  • Able to work unsupervised in a range of settings, analysing and making decisions in relation to patient risk and care in complex cases
  • Ability to maintain accurate written records/reviewing and monitoring documentation
  • Ability to manage/prioritise a caseload, demonstrating skills in appropriate delegation of nursing care/work rotas
  • IT Skills/experience

Desirable

  • Undertaken a management programme
  • Safeguarding Adult Investigation Skills
  • Awareness of local and government agendas
  • Understands clinical governance/clinical supervision
Person Specification

Education, Qualifications and Training

Essential

  • Degree level education or equivalent experience
  • Registered Nurse/RMN
  • Evidence of Continuing professional development
  • Full driving license/access to transport

Desirable

  • Management/leadership qualification
  • MSc in a relevant clinical area
  • Specialist training to master's level or equivalent experience
  • Evidence of post graduate study
  • Teaching qualification
  • Mentorship qualification
  • Previous experience of leading audit, research and project management

Experience

Essential

  • Ability to assess, plan, implement and evaluate care programmes for individual patients utilising specialist knowledge across a range of work procedures and practices underpinned by theoretical knowledge.
  • Broad range of clinical skills including complex and specialist Assessments
  • Ability to provide and communicate complex information to arrange of health, social care and third-party workers
  • Ability to provide and receive complex information to patients and carers using a wide range of highly developed communication skills
  • Able to work unsupervised in a range of settings, analysing and making decisions in relation to patient risk and care in complex cases
  • Ability to maintain accurate written records/reviewing and monitoring documentation
  • Ability to manage/prioritise a caseload, demonstrating skills in appropriate delegation of nursing care/work rotas
  • IT Skills/experience

Desirable

  • Undertaken a management programme
  • Safeguarding Adult Investigation Skills
  • Awareness of local and government agendas
  • Understands clinical governance/clinical supervision

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

Great Western Hospitals NHS Foundation Trust

Address

Great Western Hospital

Marlborough road

Swindon

SN3 6BB


Employer's website

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


Employer details

Employer name

Great Western Hospitals NHS Foundation Trust

Address

Great Western Hospital

Marlborough road

Swindon

SN3 6BB


Employer's website

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


Employer contact details

For questions about the job, contact:

Head of Quality and Practice Development

Sue Day

susan.day5@nhs.net

01793604020

Details

Date posted

02 March 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum

Contract

Secondment

Working pattern

Full-time

Reference number

249-7739673

Job locations

Great Western Hospital

Marlborough road

Swindon

SN3 6BB


Supporting documents

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