Chelsea and Westminster Hospital NHS Foundation Trust

PATCH Lead Nurse

Information:

This job is now closed

Job summary

This new post offers an exciting opportunity to lead the ongoing development of a progressive model of nursing care - the PATCH team "Providing Assessment and Treatment for Children at Home". The post holder will manage a cross-site team of nurses providing treatment to children and young people in their homes who would otherwise be admitted to acute inpatient wards.

Main duties of the job

The post holder will:

  • Use their experience and skills in the independent assessment and management of acutely unwell children to ensure all children referred to the PATCH team receive high quality, effective, individualised care that is compassionate and caring.
  • Provide clinical supervision and clinical training for the band 6 members of the PATCH team and other nurses that rotate through the team.
  • Work closely with the lead paediatric ED consultants to oversee clinical governance and audit of the PATCH project and to lead, monitor and feedback on the project performance.
  • Assist in the reduction of acute admissions to inpatient hospital beds by supporting children and families in the community to self-manage conditions
  • To participate in auditing effectiveness and incorporate findings into practice.
  • To ensure safeguarding issues are acted upon promptly and appropriately

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Details

Date posted

07 March 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£54,320 to £60,981 a year per annum including HCAS

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

289-SC-2404

Job locations

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH


Job description

Job responsibilities

1. Clinical Responsibilities

1.1 Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct.

1.2 In collaboration with senior members of the Divisional team provide assurance that the standards set out in the relevant Nursing & Midwifery strategy and direction of Nursing & Midwifery for the Trust are delivered.

1.3 Ensure local plans support all clinical quality external accreditation, for example Care Quality Commission (CQC) essential standards, Safety Thermometer, Commissioning for Quality and Innovation (CQUIN), Quality Accounts, NHS Litigation Authority.

1.4 Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of improvement, focusing on the Trusts harm free indicators, measuring practice and using variations in the data to develop local improvement projects are in place.

1.5 Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, and that the Project team develop relationships with patients that involve better listening and decision making; no decision without me

1.6 Act as the patients advocate when appropriate, when informed decisions may lead to choices being made concerning treatment options.

1.7 Ensure that the delivery of care meets the individual needs of all patients and families.

1.8 Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required.

1.9 In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results.

1.10 Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy.

1.11 Develop effective teamwork, to ensure patients are regularly reviewed and discussed as part of regular MDT meetings, to include ongoing care plans especially for nights, weekend and bank holiday periods.

1.12 Ensure nursing team monitors patient progress, working towards safe and timely intervention.

1.13 Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care.

1.14 Deal with concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the Projects patient experience improvement plans, as needed.

1.15 Champion a safeguarding culture, which meets the needs of all vulnerable patient groups.

1.16 Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff.

1.17 Store, check and administer drugs in accordance with the Trust Medicines policy.

1.18 Work off site when required with the possibility of conducting home visits as a sols worker

2. Management Responsibilities

2.1 Ensure nursing practices comply with Trust procedural documents.

2.2 To have local open and transparent communication channels that support the Project team to do the right thing for people we care for, to be bold when they have good ideas and to speak up when things go wrong.

2.3 To ensure the Trusts risk management policy is appropriately utilised.

2.4 Manage and lead the clinical team when on duty with overall continuing clinical responsibility, in order to carry out delivery of care to a cohort of patients both in the hospital and community.

2.5 Manage the delegated budget for the Project, working closely with the Lead Consultant, and Finance managers, in order to deliver the project brief within the confines of the allocated funds

2.6 Develop the Project clinical team, ensuring a learning environment, leading by example and to be aware of the effect of change upon all staff.

2.7 Ensure the health and safety of all staff, patients and visitors, reporting any incidents, hazards, or defects and taking responsibility to minimise risk. To implement action plans to ensure improvement if an incident has occurred. At all times adhering to and ensuring adherence to Trust policies and procedures.

2.8 Identify and lead on changes to the working model of the Project as it develops. Communicate changes to all relevant clinical and managerial staff involved in the project.

2.9 In accordance with Trusts policy for Provision of Safe Staffing and Skill Mix levels, formally agree with Divisional Director of Nursing the Projects workforce requirements, utilising acuity and dependency tools monitor and review of nursing workforce as indicated, ensuring integration with the local delivery plan, and the optimal deployment of the nursing workforce.

2.10 In line with the Trusts e-Rostering policy deploy staff to ensure safe and appropriate nursing care is given at all times. This includes the approval of off-duties anticipating problems where they exist and taking local / timely actions as appropriate.

2.11 Take responsibility for human resource issues including appraisal, personal development, sickness absence, disciplinary and grievance, recruitment and selection and personal career development.

2.12 Take an active role in planning care and ensure close and effective liaison with other agencies following a patients discharge. Liaise with community support services to ensure satisfactory levels of service and where concerns bring these to the attention of the Project lead Consultant

2.13 Ensure all complaints both formal and informal are dealt with promptly and courteously in accordance with Trust policy. To respond in writing to complaints by interviewing staff, collating information and writing statements to provide evidence, reviewing practise where appropriate in response.

2.14 Actively participate in local and Trust level meetings proactively seeking to improve patients experience and feeding back relevant information to the Team.

2.15 Meet regularly with the Lead Consultant to monitor clinical care, finance/resources and HR issues, ensuring clear communication pathways into and out of the department.

2.16 Handle, check and store patients cash and valuables in accordance with the Trust policy.

2.17 Assist the lead Consultant in producing Project progress reports on measurable outcomes.

Please see attached job description and person specification to this advert for further details.

Job description

Job responsibilities

1. Clinical Responsibilities

1.1 Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct.

1.2 In collaboration with senior members of the Divisional team provide assurance that the standards set out in the relevant Nursing & Midwifery strategy and direction of Nursing & Midwifery for the Trust are delivered.

1.3 Ensure local plans support all clinical quality external accreditation, for example Care Quality Commission (CQC) essential standards, Safety Thermometer, Commissioning for Quality and Innovation (CQUIN), Quality Accounts, NHS Litigation Authority.

1.4 Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of improvement, focusing on the Trusts harm free indicators, measuring practice and using variations in the data to develop local improvement projects are in place.

1.5 Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, and that the Project team develop relationships with patients that involve better listening and decision making; no decision without me

1.6 Act as the patients advocate when appropriate, when informed decisions may lead to choices being made concerning treatment options.

1.7 Ensure that the delivery of care meets the individual needs of all patients and families.

1.8 Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required.

1.9 In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results.

1.10 Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy.

1.11 Develop effective teamwork, to ensure patients are regularly reviewed and discussed as part of regular MDT meetings, to include ongoing care plans especially for nights, weekend and bank holiday periods.

1.12 Ensure nursing team monitors patient progress, working towards safe and timely intervention.

1.13 Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care.

1.14 Deal with concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the Projects patient experience improvement plans, as needed.

1.15 Champion a safeguarding culture, which meets the needs of all vulnerable patient groups.

1.16 Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff.

1.17 Store, check and administer drugs in accordance with the Trust Medicines policy.

1.18 Work off site when required with the possibility of conducting home visits as a sols worker

2. Management Responsibilities

2.1 Ensure nursing practices comply with Trust procedural documents.

2.2 To have local open and transparent communication channels that support the Project team to do the right thing for people we care for, to be bold when they have good ideas and to speak up when things go wrong.

2.3 To ensure the Trusts risk management policy is appropriately utilised.

2.4 Manage and lead the clinical team when on duty with overall continuing clinical responsibility, in order to carry out delivery of care to a cohort of patients both in the hospital and community.

2.5 Manage the delegated budget for the Project, working closely with the Lead Consultant, and Finance managers, in order to deliver the project brief within the confines of the allocated funds

2.6 Develop the Project clinical team, ensuring a learning environment, leading by example and to be aware of the effect of change upon all staff.

2.7 Ensure the health and safety of all staff, patients and visitors, reporting any incidents, hazards, or defects and taking responsibility to minimise risk. To implement action plans to ensure improvement if an incident has occurred. At all times adhering to and ensuring adherence to Trust policies and procedures.

2.8 Identify and lead on changes to the working model of the Project as it develops. Communicate changes to all relevant clinical and managerial staff involved in the project.

2.9 In accordance with Trusts policy for Provision of Safe Staffing and Skill Mix levels, formally agree with Divisional Director of Nursing the Projects workforce requirements, utilising acuity and dependency tools monitor and review of nursing workforce as indicated, ensuring integration with the local delivery plan, and the optimal deployment of the nursing workforce.

2.10 In line with the Trusts e-Rostering policy deploy staff to ensure safe and appropriate nursing care is given at all times. This includes the approval of off-duties anticipating problems where they exist and taking local / timely actions as appropriate.

2.11 Take responsibility for human resource issues including appraisal, personal development, sickness absence, disciplinary and grievance, recruitment and selection and personal career development.

2.12 Take an active role in planning care and ensure close and effective liaison with other agencies following a patients discharge. Liaise with community support services to ensure satisfactory levels of service and where concerns bring these to the attention of the Project lead Consultant

2.13 Ensure all complaints both formal and informal are dealt with promptly and courteously in accordance with Trust policy. To respond in writing to complaints by interviewing staff, collating information and writing statements to provide evidence, reviewing practise where appropriate in response.

2.14 Actively participate in local and Trust level meetings proactively seeking to improve patients experience and feeding back relevant information to the Team.

2.15 Meet regularly with the Lead Consultant to monitor clinical care, finance/resources and HR issues, ensuring clear communication pathways into and out of the department.

2.16 Handle, check and store patients cash and valuables in accordance with the Trust policy.

2.17 Assist the lead Consultant in producing Project progress reports on measurable outcomes.

Please see attached job description and person specification to this advert for further details.

Person Specification

Education and Qualifications

Essential

  • Registered Nurse (Child)
  • Evidence of ongoing, continuing professional development within paediatric care linked to demonstrable clinical competences
  • APLS/EPALS qualification
  • Level 3 Safeguarding qualification
  • Mentorship or equivalent teaching qualification

Experience

Essential

  • Relevant Post registration experience working as an experienced Band 6
  • Experience of working the relevant specialism including Paediatric Emergency Department and/or Community setting
  • Experience of teaching on formal & informal education programmes
  • Experience of working effectively as part of a multidisciplinary team

Desirable

  • Experience of leading teams and line management duties
  • Knowledge of quality, standard setting, benchmarking and audit.
  • Experience working in as part of a Virtual Ward Team

Skills and knowledge

Essential

  • Competency in medication administration including IV drugs.
  • Excellent communication and interpersonal skills necessary to interact with the patients; the multidisciplinary team; and the outside agencies necessary for the efficient running of the service
  • Ability to manage change, both personally & as a facilitator
  • Computer literate: able to use word, email, excel and manage databases
  • Understanding of professional issues relating to safeguarding the child and family.
  • Ability to deal with relatives in a stressful situation, giving a high level of support and advice
  • Able to recognise the potential for physical or verbal violence and take action to defuse the situation.
  • Excellent problem-solving skills
  • Knowledge of quality, standard setting, benchmarking and audit.

Desirable

  • Experience in handling clinical incidents & complaints
  • Knowledge of budget management
  • Experience in performance management, personal development goal setting and appraisals
  • UK Driving License

Personal qualities

Essential

  • Performs as an effective role model
  • Approachable, supportive, receptive, adaptable, innovative, assertive.
  • Self-motivated and able to motivate others within the team.
  • Commitment to teamwork.
  • Able to prioritise and coordinate own work and that of others.
  • Demonstrates professional behaviour.
  • Committed to providing child-friendly care.
Person Specification

Education and Qualifications

Essential

  • Registered Nurse (Child)
  • Evidence of ongoing, continuing professional development within paediatric care linked to demonstrable clinical competences
  • APLS/EPALS qualification
  • Level 3 Safeguarding qualification
  • Mentorship or equivalent teaching qualification

Experience

Essential

  • Relevant Post registration experience working as an experienced Band 6
  • Experience of working the relevant specialism including Paediatric Emergency Department and/or Community setting
  • Experience of teaching on formal & informal education programmes
  • Experience of working effectively as part of a multidisciplinary team

Desirable

  • Experience of leading teams and line management duties
  • Knowledge of quality, standard setting, benchmarking and audit.
  • Experience working in as part of a Virtual Ward Team

Skills and knowledge

Essential

  • Competency in medication administration including IV drugs.
  • Excellent communication and interpersonal skills necessary to interact with the patients; the multidisciplinary team; and the outside agencies necessary for the efficient running of the service
  • Ability to manage change, both personally & as a facilitator
  • Computer literate: able to use word, email, excel and manage databases
  • Understanding of professional issues relating to safeguarding the child and family.
  • Ability to deal with relatives in a stressful situation, giving a high level of support and advice
  • Able to recognise the potential for physical or verbal violence and take action to defuse the situation.
  • Excellent problem-solving skills
  • Knowledge of quality, standard setting, benchmarking and audit.

Desirable

  • Experience in handling clinical incidents & complaints
  • Knowledge of budget management
  • Experience in performance management, personal development goal setting and appraisals
  • UK Driving License

Personal qualities

Essential

  • Performs as an effective role model
  • Approachable, supportive, receptive, adaptable, innovative, assertive.
  • Self-motivated and able to motivate others within the team.
  • Commitment to teamwork.
  • Able to prioritise and coordinate own work and that of others.
  • Demonstrates professional behaviour.
  • Committed to providing child-friendly care.

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH


Employer's website

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

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH


Employer's website

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

Employer contact details

For questions about the job, contact:

Lead Nurse - PATCH Team

Natasha King

natasha.king2@nhs.net

07397795816

Details

Date posted

07 March 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£54,320 to £60,981 a year per annum including HCAS

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

289-SC-2404

Job locations

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH


Supporting documents

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