Job summary
The Community Independence Service (CIS) is a growing part of Intermediate Care. Through our Urgent Community Response pathway, we deliver admission avoidance support, providing timely, high-quality care in patients' homes via a diverse multi-professional team.
We are seeking an experienced nurse, paramedic, or therapist who is passionate about patient care and thrives in a collaborative environment. This bi-borough role supports the Urgent Community Response pathway across Westminster and Kensington & Chelsea.
The post is ideal for someone creative, adaptable, and committed to ensuring patients receive the best care. Strong leadership skills are essential, as you will contribute to service delivery and support the wider multi-disciplinary team.
The successful candidate will work across both bases with guidance from the Borough Leads, Head of Service, and Clinical Lead. You will be jointly accountable to two managers, benefiting from their ongoing support.
We are committed to professional development, offering supervision, Personal Development Reviews, and opportunities to lead service and quality improvement projects. We provide excellent development prospects within a supportive, friendly, and forward-thinking team.
Selection process: stakeholder panel on 20th November 2025, followed by interviews on 28th November 2025.
Main duties of the job
This is a highly skilled clinical post requiring the post holder to manage clinical risk in a fastpaced community environment.
The post holder will be responsible for the leadership of a borough-based clinical pathway for the urgent community response (nurses,paramedics and AHPs) and Home First Pathway having direct line management responsibility for clinicians in their pathway and professional responsibility for senior clinicians of their own background across the service as required.
The post holder will be responsible for ensuring that staff working within the Pathway provide effective assessment, planning, implementation and evaluation of care that meets professional and organisational quality standards.
The post holder will be responsible for ensuring that the team has adequate nursing and therapy staff rostered on duty with the appropriate skills to safely meet the needs of patients.
The post holder will undertake direct clinical work for an agreed proportion of their time, undertaking a complex clinical caseload and act as a role model for excellence in clinical care provision while providing clear professional clinical leadership.
The service operates 8.00 - 20.00, 7 days per week. The post holder may be required to participate in a management on call rota as appropriate.
About us
The bi-borough Urgent Community Response Service is a multi-disciplinary team of nurses, therapists, health technicians, HCAs, and pharmacy staff. We take pride in our skilled clinicians and strong teamwork, supported by a positive culture of shared lunches, celebrations, and staff recognition. This is reinforced by regular compliments from service users and partner organisations.
Essential requirements:
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High level of clinical and managerial leadership
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Excellent communication, clinical knowledge, and assessment skills
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Current NMC/HCPC registration
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Reliability and strong work ethic
In return, we offer:
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A supportive environment to learn and develop
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Opportunities to work with a Consultant Geriatrician and extend knowledge beyond standard practice
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Regular statutory and mandatory training
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Strong focus on work-life balance
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Opportunities to deliver training sessions
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Full NHS benefits package plus lease car option
This is a demanding, specialist post. We recommend contacting us for an informal discussion or visiting one of our teams before applying.
This role involves patient contact. As an NHS Trust, we strongly encourage vaccination to protect yourself, your colleagues, and those in our care.
Job description
Job responsibilities
- To have overall responsibility for the safe and effective delivery of care to patients accepted into the service.
- Establish effective communication links with community colleagues providing planned care and specialist disease specific care, supporting integrated working to manage smooth hand over of care.
- To manage budgets effectively to own delegated level, actively participating in organisational and divisional budget monitoring arrangements.
- Be responsible for maintaining safe staffing levels in the service pathway, by monitoring rostering arrangements, minimising vacancies and leading on timely recruitment and selection processes.
- To ensure that all new staff in the pathway have a comprehensive induction and orientation to the service and that all staff have on-going personal development programmes.
- Manage the governance of the teams covering the investigation of complaints and incidents to ensure lessons learnt are shared and implemented.
- Manage the workforce planning in the teams, managing recruitment and selection of personnel and ongoing performance management including appraisals and objective setting.
- To manage the clinical performance of staff they directly line manage, ensuring that their interventions are commensurate with the required competency
- Responsible, with line management support for ensuring that the service pathway meets all Key Performance Indicators, CQUINS, and QIPP requirements.
- To develop and implement recovery plans should these be required, reporting progress to the senior management team.
- Take responsibility for plans/projects/programmes for own service area as delegated.
- To be responsible for maintaining and developing high performance in the clinical pathway by managing staff absence, performance and conduct in accordance with HR policy and good people management practices.
- Ensure that sickness absence information is recorded on a monthly basis via Trust absence reporting system in place.
- To instigate a schedule of minuted weekly staff meetings to ensure effective team communication, clinical excellence and staff support.
- Manage, analyse and interpret data associated with the team and make suggestions for improvements based on reported statistics and facts.
- To provide rapid and effective support to staff in order to solve problems, handle informal patient feedback and to convey difficult or contentious information in a sensitive and skilled manner
To communicate service information when required to own staff, management team and external agencies in an effective and professional manner.
- To represent own service area at relevant internal and external meetings in a professional and positive manner.
- To occasionally provide high quality clinical leadership and support to staff outside of own pathway where required.
- To undertake management duties in line with Trust values Compassion, Respect Empowerment, Partnership.
Job description
Job responsibilities
- To have overall responsibility for the safe and effective delivery of care to patients accepted into the service.
- Establish effective communication links with community colleagues providing planned care and specialist disease specific care, supporting integrated working to manage smooth hand over of care.
- To manage budgets effectively to own delegated level, actively participating in organisational and divisional budget monitoring arrangements.
- Be responsible for maintaining safe staffing levels in the service pathway, by monitoring rostering arrangements, minimising vacancies and leading on timely recruitment and selection processes.
- To ensure that all new staff in the pathway have a comprehensive induction and orientation to the service and that all staff have on-going personal development programmes.
- Manage the governance of the teams covering the investigation of complaints and incidents to ensure lessons learnt are shared and implemented.
- Manage the workforce planning in the teams, managing recruitment and selection of personnel and ongoing performance management including appraisals and objective setting.
- To manage the clinical performance of staff they directly line manage, ensuring that their interventions are commensurate with the required competency
- Responsible, with line management support for ensuring that the service pathway meets all Key Performance Indicators, CQUINS, and QIPP requirements.
- To develop and implement recovery plans should these be required, reporting progress to the senior management team.
- Take responsibility for plans/projects/programmes for own service area as delegated.
- To be responsible for maintaining and developing high performance in the clinical pathway by managing staff absence, performance and conduct in accordance with HR policy and good people management practices.
- Ensure that sickness absence information is recorded on a monthly basis via Trust absence reporting system in place.
- To instigate a schedule of minuted weekly staff meetings to ensure effective team communication, clinical excellence and staff support.
- Manage, analyse and interpret data associated with the team and make suggestions for improvements based on reported statistics and facts.
- To provide rapid and effective support to staff in order to solve problems, handle informal patient feedback and to convey difficult or contentious information in a sensitive and skilled manner
To communicate service information when required to own staff, management team and external agencies in an effective and professional manner.
- To represent own service area at relevant internal and external meetings in a professional and positive manner.
- To occasionally provide high quality clinical leadership and support to staff outside of own pathway where required.
- To undertake management duties in line with Trust values Compassion, Respect Empowerment, Partnership.
Person Specification
Education and Qualification
Essential
- Relevant registered Nursing/AHP Qualification
- Relevant Professional Body Membership
- Evidence of continued professional development to Masters level or equivalent
- Evidence of working in a multi-disciplinary team in a leadership role
- Teaching/Mentoring experience
- Demonstrate post graduate training relevant to this area of working
Desirable
- An understanding of the current health service policies
- Non-Medical Prescribing Requirements
- A good understanding of Primary Care
Previous experience
Essential
- Extensive clinical experience at band 7 of acute disease management and crisis care
- Experience in managing a case load of complex patients
- Experience of leading and managing a clinical team
- Substantial post-qualification experience of acute disease management and crisis care
- Assessing and care planning for complex patients
- Previous community clinical experience in an inner city/urban environment
- Experience of line management of clinical staff including performance management and staff development
Desirable
- Experience of leading and managing a multi-disciplinary team
- Report writing for the public domain
Attitudes, aptitudes, personal Characteristics
Essential
- Develop and maintain communication with people about difficult matters and/or in difficult situations effectively
- Demonstrate the application of Trust values - Respect, Compassion, Empowerment, Partnership with an engaging and approachable management style
Desirable
- Inspirational and influential leadership style
Skills and Knowledge
Essential
- In depth physical assessment skills
- History Taking and clinical Examination Skills
- Advanced communication and interpersonal skills
- Experience of successfully leading or managing multi professional staff groups and teams
- Advanced assessment and care planning skills for complex patients
- Experience of safeguarding processes
- Knowledge of long-term conditions including end of life care
Desirable
- Knowledge and experience of working with people with Dementia
- Project management skills and experience
- Knowledge and understanding of current NHS policy and economic drivers for health care including commissioning arrangements
Person Specification
Education and Qualification
Essential
- Relevant registered Nursing/AHP Qualification
- Relevant Professional Body Membership
- Evidence of continued professional development to Masters level or equivalent
- Evidence of working in a multi-disciplinary team in a leadership role
- Teaching/Mentoring experience
- Demonstrate post graduate training relevant to this area of working
Desirable
- An understanding of the current health service policies
- Non-Medical Prescribing Requirements
- A good understanding of Primary Care
Previous experience
Essential
- Extensive clinical experience at band 7 of acute disease management and crisis care
- Experience in managing a case load of complex patients
- Experience of leading and managing a clinical team
- Substantial post-qualification experience of acute disease management and crisis care
- Assessing and care planning for complex patients
- Previous community clinical experience in an inner city/urban environment
- Experience of line management of clinical staff including performance management and staff development
Desirable
- Experience of leading and managing a multi-disciplinary team
- Report writing for the public domain
Attitudes, aptitudes, personal Characteristics
Essential
- Develop and maintain communication with people about difficult matters and/or in difficult situations effectively
- Demonstrate the application of Trust values - Respect, Compassion, Empowerment, Partnership with an engaging and approachable management style
Desirable
- Inspirational and influential leadership style
Skills and Knowledge
Essential
- In depth physical assessment skills
- History Taking and clinical Examination Skills
- Advanced communication and interpersonal skills
- Experience of successfully leading or managing multi professional staff groups and teams
- Advanced assessment and care planning skills for complex patients
- Experience of safeguarding processes
- Knowledge of long-term conditions including end of life care
Desirable
- Knowledge and experience of working with people with Dementia
- Project management skills and experience
- Knowledge and understanding of current NHS policy and economic drivers for health care including commissioning arrangements
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).
