North Cumbria Integrated Care NHS Foundation Trust

Band 6 Clinical Nurse Specialist/ AHP for Virtual Wards

The closing date is 20 August 2025

Job summary

The Virtual Ward has been commissioned to provide a safe alternative to manage and monitor a specific group of patients with acute respiratory illness, Frailty or Heart Failure as an alternative to hospital admission and /or to facilitate earlier discharge from hospital. The patients care will be delivered in their own home by utilising cutting edge patient friendly technology to provide remote monitoring, along with additional tailored in person or telephone support.

The role of the virtual ward team is to coordinate the hospital based and community based elements of the ward by;

  • Promoting the benefits of the virtual ward to patients and HCP
  • Identifying and admitting patients to the virtual ward, ensuring seamless transfer from the hospital site to the virtual ward.
  • Assessment and remote monitoring of patients in the community
  • Delivering Specialist expertise to ensure patients feel supported on the virtual ward
  • Employing holistic assessment and strategies to manage emerging health needs.
  • Provide administrative duties to facilitate the smooth operation of the service
  • To integrate into the wider Respiratory / Frailty / Cardiac directorate.

Main duties of the job

Requirements include:

  • To be an integral member of the virtual ward team with partnership working across the virtual ward MDT.
  • To develop specialist knowledge, skills and experience across an array of medical conditions suitable for virtual ward management.
  • To be responsible for providing specialist advice, guidance and care to patients and their carers.
  • To hold delegated responsibility for the virtual ward patient caseload co-ordinating admissions and discharges for patients referred to the service using digital technology.
  • To assess and treat patients requiring acute level care, which may include the provision of acute therapy including oxygen, nebulizers, diuretics etc if deemed appropriate within the virtual ward setting following clear care pathways supported by a named consultant.
  • To ensure compliance with Professional body regulations and with Trust policies, procedures and protocols.
  • To maintain knowledge, skills, abilities and attitudes necessary to deliver an evidenced based service that is responsive to the changing needs of the locality population and the service.
  • To provide and participate in clinical supervision to ensure high clinical standards, and to facilitate the development of individual team members.
  • To support other members of the virtual ward as required and to deputise, where appropriate.

About us

At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':

  • Being a clinically led organisation
  • Quality and safety at the heart of our Trust
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.

Details

Date posted

06 August 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year Per Annum Pro Rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

262-A-25-7367644

Job locations

Trust Wide

Cumberland Infirmary

Carlisle

CA2 7HY


Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:

  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:

  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk

Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website

Please note the cost of the DBS check is increasing from 2nd December and the new cost will be

Standard DBS check £21.50, Enhanced DBS check £49.50 + any admin costs.

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.

Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position; further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:

  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:

  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk

Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website

Please note the cost of the DBS check is increasing from 2nd December and the new cost will be

Standard DBS check £21.50, Enhanced DBS check £49.50 + any admin costs.

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.

Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position; further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification

Other Requirements

Essential

  • Able to travel independently of public transport across North Cumbria.
  • Able to work flexibly across a range of acute and community settings.
  • Willingness to occasionally travel outside of county to attend regional meetings and training events
  • Promote equality and value diversity (level 3).

Personal Circumstances

Essential

  • Ability to travel independently of public transport across North Cumbria
  • Able to work flexibly across a range of acute and community settings
  • Willingness to occasionally travel outside of county to attend regional meetings and training events

Skills and Aptitudes

Essential

  • Excellent communication and interpersonal skills
  • Excellent written skills
  • Awareness and application of digital technology
  • IT skills and ability to analyse data.
  • Enthusiasm and ability to work as part of a team and the wider MDT/ services
  • Good personal organisational skills with the ability to delegate effectively.
  • Experience initiating and participating in change
  • Ability to link with other services and disciplines

Desirable

  • Post registration relevant clinical skills with CPD evidence
  • Ability to teach/educate patients, carers and other disciplines
  • Ability to work with direction but not direct supervision.

Knowledge and Experience

Essential

  • Substantial post registration experience
  • Demonstrate evidence of working as part of a multi professional team
  • Evidence of leadership skills within the role
  • Ability to use initiative, prioritise effectively
  • Problem solving skills and critical decision making.
  • Demonstrable understanding of the scope and extent of the role.
  • Broad knowledge base of acute care and chronic conditions.
  • Demonstrate evidence to motivate team/peers and manage change.
  • Understanding of scope of professional practice.
  • Understanding of reflective practice and its application.
  • Self-awareness and appreciation of limitations.
  • Knowledge and experience within research and audit

Desirable

  • Experience managing a caseload of patients
  • Knowledge of local integrated respiratory, frailty or acute care pathways depending upon role.
  • Knowledge and experience of integrated care.
  • Insight into the National virtual ward programme.
  • Experience of teaching and delivering presentations.
  • Understanding of a wide variety of respiratory treatments including oxygen therapy
  • Experience of working across boundaries within respiratory care/ Frailty /cardiology

Qualifications

Essential

  • Level 1 Registered Nursing Qualification or Registered Physiotherapist
  • Evidence of continuous professional development to degree level or equivalent experience

Desirable

  • Post registration qualification in chronic disease management
  • Specialist qualification in nursing / AHP equivalent experience in the field
Person Specification

Other Requirements

Essential

  • Able to travel independently of public transport across North Cumbria.
  • Able to work flexibly across a range of acute and community settings.
  • Willingness to occasionally travel outside of county to attend regional meetings and training events
  • Promote equality and value diversity (level 3).

Personal Circumstances

Essential

  • Ability to travel independently of public transport across North Cumbria
  • Able to work flexibly across a range of acute and community settings
  • Willingness to occasionally travel outside of county to attend regional meetings and training events

Skills and Aptitudes

Essential

  • Excellent communication and interpersonal skills
  • Excellent written skills
  • Awareness and application of digital technology
  • IT skills and ability to analyse data.
  • Enthusiasm and ability to work as part of a team and the wider MDT/ services
  • Good personal organisational skills with the ability to delegate effectively.
  • Experience initiating and participating in change
  • Ability to link with other services and disciplines

Desirable

  • Post registration relevant clinical skills with CPD evidence
  • Ability to teach/educate patients, carers and other disciplines
  • Ability to work with direction but not direct supervision.

Knowledge and Experience

Essential

  • Substantial post registration experience
  • Demonstrate evidence of working as part of a multi professional team
  • Evidence of leadership skills within the role
  • Ability to use initiative, prioritise effectively
  • Problem solving skills and critical decision making.
  • Demonstrable understanding of the scope and extent of the role.
  • Broad knowledge base of acute care and chronic conditions.
  • Demonstrate evidence to motivate team/peers and manage change.
  • Understanding of scope of professional practice.
  • Understanding of reflective practice and its application.
  • Self-awareness and appreciation of limitations.
  • Knowledge and experience within research and audit

Desirable

  • Experience managing a caseload of patients
  • Knowledge of local integrated respiratory, frailty or acute care pathways depending upon role.
  • Knowledge and experience of integrated care.
  • Insight into the National virtual ward programme.
  • Experience of teaching and delivering presentations.
  • Understanding of a wide variety of respiratory treatments including oxygen therapy
  • Experience of working across boundaries within respiratory care/ Frailty /cardiology

Qualifications

Essential

  • Level 1 Registered Nursing Qualification or Registered Physiotherapist
  • Evidence of continuous professional development to degree level or equivalent experience

Desirable

  • Post registration qualification in chronic disease management
  • Specialist qualification in nursing / AHP equivalent experience in the field

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

North Cumbria Integrated Care NHS Foundation Trust

Address

Trust Wide

Cumberland Infirmary

Carlisle

CA2 7HY


Employer's website

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

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust

Address

Trust Wide

Cumberland Infirmary

Carlisle

CA2 7HY


Employer's website

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

Employer contact details

For questions about the job, contact:

Manager Virtual ward

Louise Jones

Louise.jones@ncic.nhs.uk

07810648942

Details

Date posted

06 August 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year Per Annum Pro Rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

262-A-25-7367644

Job locations

Trust Wide

Cumberland Infirmary

Carlisle

CA2 7HY


Supporting documents

Privacy notice

North Cumbria Integrated Care NHS Foundation Trust's privacy notice (opens in a new tab)