Senior Continuing Care Nurse

Job summary

The post holder will be employed by London North West University Healthcare NHS Trust (LNWUHT), with operational responsibility held by the Trust and a dotted line of accountability to the North West London (NWL) Integrated Care Board (ICB) Continuing Healthcare (CHC) team. The post is funded by the ICB to support delivery of CHC services across NWL.

This is a community-based post supporting the delivery of high-quality, person-centred NHS Continuing Healthcare assessments for patients discharged from acute hospitals and inpatient rehabilitation units into community settings.

The post holder will undertake comprehensive health needs assessments and CHC eligibility assessments in line with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, primarily in patients' own homes or care home settings.

They will work closely with Social Services, ICB CHC teams, community health professionals, hospital discharge teams, GPs, and voluntary sector organisations to ensure safe and timely progression of the CHC process following discharge.

The role will involve supporting complex patient cohorts, including those discharged under gap/complex funding arrangements (e.g. delirium, non-weight bearing, challenging behaviours), and ensuring appropriate reassessment when clinically indicated.

Main duties of the job

• Undertake screening assessments (Checklist) and full CHC assessments (DST) for patients discharged to the community, in line with the National Framework and local pathways.

• Work in close partnership with Social Services, ICB CHC teams, community health professionals, GPs, hospital discharge teams, and voluntary sector organisations.

• Optimise hospital flow and support safe, person-centred discharge by facilitating timely CHC assessment and decision-making.

• Act as a clinical resource for patients, carers, colleagues, and partner agencies on CHC processes and eligibility.

• Manage complex patient cohorts, including those discharged under gap/complex funding (e.g. delirium, non-weight bearing, challenging behaviours), ensuring appropriate oversight and reassessment.

• Contribute to safeguarding processes by identifying and appropriately referring any concerns identified during assessments.

• Support the wider CHC service through participation in service development, quality improvement, and training activity

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.