The Hillingdon Hospital NHS Foundation Trust

Critical Care Outreach Nurse

The closing date is 05 February 2026

Job summary

The Band 7 senior sister for critical care outreach will be a senior member of the critical care outreach team. They will possess expert clinical skills in the assessment and treatment of acutely unwell and deteriorating patients. They will deliver a high standard of care to patients in ward areas, seeking to avert admissions to Intensive Care or facilitate prompt and safe transfer. They will assist with safe patient discharge from Intensive Care, providing input into rehabilitation and providing psychological support for patients and relatives. They will provide professional and educational support to colleagues working in other clinical areas. Active participation in audit, quality improvement and research is a key requisite of the role.

Main duties of the job

Main Tasks and Responsibilities

Clinical

1. Act as a self-directed, autonomous clinical practitioner who can effectively prioritise own workload and that of others in the clinical arena

2. To be a confident, reflective clinician who demonstrates skill in critical decision making and problem solving

3. To possess expert specialist knowledge and demonstrate excellence in clinical competence in a variety of hospital scenarios and settings

4. To respond to track and trigger scoring, enabling timely recognition of deterioration in acutely ill patients

5. To respond rapidly in an appropriate manner to all medical emergency and cardio-pulmonary arrest calls within the hospital setting

6. To effectively perform advanced patient assessment based on history taking and clinical presentation.

7. In liaison with the multi-disciplinary team, initiate appropriate diagnostic intervention and accurately interpret and act upon clinical findings

8. In liaison with the multi-disciplinary team, set appropriate goals for patient management and skilfully participate in the implementation and evaluation of all therapeutic interventions

. 9. In collaboration with the multi-disciplinary team, participate in patient stabilisation prior to and during the transfer process to another clinical area.

10. To demonstrate excellent communication skills with all professional colleagues, making appropriate and timely referrals where necessary and working collaboratively to set goals

About us

The Hillingdon Hospitals NHS Foundation Trust is the only acute Hospital in the London Borough of Hillingdon and offers a wide range of services including accident and emergency, inpatient care, day surgery, outpatient clinics and maternity services. The Trust's services at Mount Vernon Hospital include routine day surgery, delivered at a modern treatment centre, a minor injuries unit and outpatient clinics.

The safety and well-being of our patients and of our staff is paramount and we are making urgent improvements to address this - particularly in infection prevention and control. We are making progress and going forward by working in partnership with local GPs, charities,community services, academic partners, our local authority, neighbouring hospitals and the wider North West London Integrated care system, and ensuring that we listen and work in partnership with our local population. We are absolutely focused on ensuring that our hospitalsprovide high quality, safe and compassionate care, while drive forward the building of the new Hillingdon Hospital.

We have over 3,500 members of staff that are proud to care for nearly half a million people, with a vision to be an outstanding provider of healthcare through leading health and academic partnerships, transforming services, to provide the best care where needed.

Details

Date posted

27 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year per annum/incl HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

394-CCON-220126

Job locations

Hillingdon Hospital

Pield Heath Road

Uxbridge

UB8 3NN


Job description

Job responsibilities

Main Tasks and Responsibilities

Clinical

1. Act as a self-directed, autonomous clinical practitioner who can effectively prioritise own workload and that of others in the clinical arena

2. To be a confident, reflective clinician who demonstrates skill in critical decision making and problem solving

3. To possess expert specialist knowledge and demonstrate excellence in clinical competence in a variety of hospital scenarios and settings

4. To respond to track and trigger scoring, enabling timely recognition of deterioration in acutely ill patients

5. To respond rapidly in an appropriate manner to all medical emergency and cardio-pulmonary arrest calls within the hospital setting

6. To effectively perform advanced patient assessment based on history taking and clinical presentation.

7. In liaison with the multi-disciplinary team, initiate appropriate diagnostic intervention and accurately interpret and act upon clinical findings

8. In liaison with the multi-disciplinary team, set appropriate goals for patient management and skilfully participate in the implementation and evaluation of all therapeutic interventions

. 9. In collaboration with the multi-disciplinary team, participate in patient stabilisation prior to and during the transfer process to another clinical area.

10. To demonstrate excellent communication skills with all professional colleagues, making appropriate and timely referrals where necessary and working collaboratively to set goals

11. To demonstrate excellent communication skills with patients and their families, providing sensitive, appropriate support and consistent and realistic information

12. To maintain accurate records, effectively documenting patient assessment, care planning, implementation and evaluation.

13. To always practice in accordance with the NMC Code of Professional Conduct and Trust policies and protocols

Education

1. To maintain current professional registration with the NMC

2. To maintain current mentor status with the NMC

3. To ensure that own clinical practice is evidence based and that all requisite academic knowledge is obtained and regularly updated.

4. To ensure that all clinical competencies pertinent to the role are successfully achieved and regularly updated

5. To actively participate in the annual appraisal process, demonstrating commitment to the professional development of self and others

6. To devise and implement an educational strategy for the development and assessment of clinical skills and specialist knowledge in ward areas

7. To work collaboratively with colleagues in Learning and Education and other clinical colleagues in the delivery of specialist courses for ward staff within the Trust

Leadership and Management

1. To contribute to the ongoing provision and development of critical care outreach services within the Trust

2. To create and maintain effective communication channels both within the outreach team and for the teams interaction with other multi-disciplinary colleagues

3. Provide a safe working environment for outreach team members and ensure sufficient resources are available for service deliver

4. To facilitate teamwork and ensure that the delegation of responsibility to team members is appropriate and managed effectively

5. To effectively manage and evaluate change in clinical practice

6. To work collaboratively with senior multi-disciplinary colleagues within the Trust and attend all relevant meetings impacting on acute care provision

7. To act as a clinical role model and a learning resource for nursing colleagues in ward areas

8. To act as a knowledgeable, highly skilled leader and learning resource for more junior members of the critical care outreach team

9. To participate in the recruitment of critical care outreach team members and provide all new staff with effective induction to the role and workplace

10. To effectively appraise junior team members and facilitate their professional development

11. To effectively monitor junior team members clinical performance and implement supervision and additional training where necessary

Research, Development and Improvement

1. To ensure the practice of all critical care outreach team members is evidence based, ensuring current research and best practice guidelines are always implemented

2. To lead clinical auditing of the critical care outreach service and actively participate in research activities

3. To identify areas for improvement, both within the critical care outreach team and in the clinical area, and use recognised quality improvement methods and practices to pursue continuous improvement

4. To identify potential areas for nurse led research within the outreach service and actively participate in research activities

5. To support junior team members in auditing and research activities

6. To lead the presentation of audit and research findings to multi-disciplinary colleagues within the Trust and externally

7. To contribute to the publication of audit and research material nationally and internationally

8. To participate and contribute to regional critical care network activities

9. To contribute to Trust strategies for nursing and clinical governance

Job description

Job responsibilities

Main Tasks and Responsibilities

Clinical

1. Act as a self-directed, autonomous clinical practitioner who can effectively prioritise own workload and that of others in the clinical arena

2. To be a confident, reflective clinician who demonstrates skill in critical decision making and problem solving

3. To possess expert specialist knowledge and demonstrate excellence in clinical competence in a variety of hospital scenarios and settings

4. To respond to track and trigger scoring, enabling timely recognition of deterioration in acutely ill patients

5. To respond rapidly in an appropriate manner to all medical emergency and cardio-pulmonary arrest calls within the hospital setting

6. To effectively perform advanced patient assessment based on history taking and clinical presentation.

7. In liaison with the multi-disciplinary team, initiate appropriate diagnostic intervention and accurately interpret and act upon clinical findings

8. In liaison with the multi-disciplinary team, set appropriate goals for patient management and skilfully participate in the implementation and evaluation of all therapeutic interventions

. 9. In collaboration with the multi-disciplinary team, participate in patient stabilisation prior to and during the transfer process to another clinical area.

10. To demonstrate excellent communication skills with all professional colleagues, making appropriate and timely referrals where necessary and working collaboratively to set goals

11. To demonstrate excellent communication skills with patients and their families, providing sensitive, appropriate support and consistent and realistic information

12. To maintain accurate records, effectively documenting patient assessment, care planning, implementation and evaluation.

13. To always practice in accordance with the NMC Code of Professional Conduct and Trust policies and protocols

Education

1. To maintain current professional registration with the NMC

2. To maintain current mentor status with the NMC

3. To ensure that own clinical practice is evidence based and that all requisite academic knowledge is obtained and regularly updated.

4. To ensure that all clinical competencies pertinent to the role are successfully achieved and regularly updated

5. To actively participate in the annual appraisal process, demonstrating commitment to the professional development of self and others

6. To devise and implement an educational strategy for the development and assessment of clinical skills and specialist knowledge in ward areas

7. To work collaboratively with colleagues in Learning and Education and other clinical colleagues in the delivery of specialist courses for ward staff within the Trust

Leadership and Management

1. To contribute to the ongoing provision and development of critical care outreach services within the Trust

2. To create and maintain effective communication channels both within the outreach team and for the teams interaction with other multi-disciplinary colleagues

3. Provide a safe working environment for outreach team members and ensure sufficient resources are available for service deliver

4. To facilitate teamwork and ensure that the delegation of responsibility to team members is appropriate and managed effectively

5. To effectively manage and evaluate change in clinical practice

6. To work collaboratively with senior multi-disciplinary colleagues within the Trust and attend all relevant meetings impacting on acute care provision

7. To act as a clinical role model and a learning resource for nursing colleagues in ward areas

8. To act as a knowledgeable, highly skilled leader and learning resource for more junior members of the critical care outreach team

9. To participate in the recruitment of critical care outreach team members and provide all new staff with effective induction to the role and workplace

10. To effectively appraise junior team members and facilitate their professional development

11. To effectively monitor junior team members clinical performance and implement supervision and additional training where necessary

Research, Development and Improvement

1. To ensure the practice of all critical care outreach team members is evidence based, ensuring current research and best practice guidelines are always implemented

2. To lead clinical auditing of the critical care outreach service and actively participate in research activities

3. To identify areas for improvement, both within the critical care outreach team and in the clinical area, and use recognised quality improvement methods and practices to pursue continuous improvement

4. To identify potential areas for nurse led research within the outreach service and actively participate in research activities

5. To support junior team members in auditing and research activities

6. To lead the presentation of audit and research findings to multi-disciplinary colleagues within the Trust and externally

7. To contribute to the publication of audit and research material nationally and internationally

8. To participate and contribute to regional critical care network activities

9. To contribute to Trust strategies for nursing and clinical governance

Person Specification

Critical Care

Essential

  • Post registration qualification in Critical care Nursing or equivalent Acute Care
  • Physical Assessment course
  • Minimum of 2 years experience at Band 6
  • Experience of providing formal teaching

Desirable

  • ALS Provider
  • Non-medical Prescriber
  • Previous CCOT experience
Person Specification

Critical Care

Essential

  • Post registration qualification in Critical care Nursing or equivalent Acute Care
  • Physical Assessment course
  • Minimum of 2 years experience at Band 6
  • Experience of providing formal teaching

Desirable

  • ALS Provider
  • Non-medical Prescriber
  • Previous CCOT experience

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

The Hillingdon Hospital NHS Foundation Trust

Address

Hillingdon Hospital

Pield Heath Road

Uxbridge

UB8 3NN


Employer's website

https://www.thh.nhs.uk/index.php (Opens in a new tab)

Employer details

Employer name

The Hillingdon Hospital NHS Foundation Trust

Address

Hillingdon Hospital

Pield Heath Road

Uxbridge

UB8 3NN


Employer's website

https://www.thh.nhs.uk/index.php (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Lead Nurse

Michaela Stockdale

michaela.stockdale@nhs.net

01895238282

Details

Date posted

27 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year per annum/incl HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

394-CCON-220126

Job locations

Hillingdon Hospital

Pield Heath Road

Uxbridge

UB8 3NN


Supporting documents

Privacy notice

The Hillingdon Hospital NHS Foundation Trust's privacy notice (opens in a new tab)