This is an exciting opportunity to lead the continued development of the innovative PATCH (Providing Assessment and Treatment for Children at Home) service, helping to shape and deliver a progressive model of paediatric nursing care.
The successful candidate will manage a cross-site team of skilled nurses delivering high-quality assessment and treatment to children and young people in their own homes, preventing unnecessary admissions to acute inpatient wards wherever possible. Alongside this leadership role, you will also provide direct clinical care, delivering a wide range of paediatric nursing interventions in the homes of children and young people.
This rewarding role offers the opportunity to make a real difference to the experience and outcomes of children, young people and their families by providing safe, effective, and compassionate care closer to home.
Please note: A full UK driving licence is an essential requirement for this role.
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
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.
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 Trust’s 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 patient’s 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 Trust’s 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 Trust’s 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 Trust’s 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 patient’s 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 patient’s 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 patient’s 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.
