Job overview
Band 6 - Senior Community Nurse - Tower Hamlets, London
Hours: Full-Time (37.5 hours)
Are you passionate about making a difference for older people and supporting safe, timely discharges from hospital? Do you want to be part of an innovative, integrated service working at the interface of acute and community care?
We are looking for an experienced and motivated B6 Community Nurse to join our Integrated In-Reach and Older People Service, helping to deliver high quality of, person centred, care for patients living with frailty, complex health care needs, and social care challenges.
This exciting role is central to supporting hospital flow, avoid unnecessary admissions, and ensuring patients return safely to their home or community setting with the right care in place.
This is role is ideal for a dynamic, forward thinking nurse with experience in acute, community, or older people's services. You will be confident working across boundaries, enjoy problem solving, and thrive in a fast-paced environment where you can make a real impact on patient outcomes.
Main duties of the job
1. Work proactively on hospital wards to identify medially fit patients at risk of delayed discharge and coordinate timely, safe transitions of care
2. Use advance assessment and frailty and falls screening skills to support older people with complex needs, ensuring personalised care planning.
3. Collaborate closely with community health services, social care, primary care, and care homes to streamline pathways and avoid readmissions.
4. Provide clinical leadership, education, and support to junior colleagues, care staff, and multidisciplinary teams.
5. Contribute to service development and the wider frailty and admission avoidance pathway, ensuring best practice and innovation..
6. This is borough wide cover.
7. To introduce and enable self management and self care.
8. To work as part of a team ensuring all patients have a safe handover to the professional and team to complete the care plan and measure the outcomes.
Working for our organisation
Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Detailed job description and main responsibilities
For a more detailed job description and person specification please see attached JD & PS.
If you have any questions then please do not hesitate to contact the recruiting manager.
Person specification
Education/qualification/training
Essential criteria
9. RGN
10. Physical assessment and first contact course (or willingness to undertake)
11. Awareness of current developments in primary and community care in particular with older people
12. Specialist practitioner (District Nursing) Degree or equivalent certificate/diploma
Desirable criteria
13. Non-Medical Prescriber V300
14. Non-Medical Prescriber V300
15. Nurse Formulary prescriber V100
Experience
Essential criteria
16. Ability to organize and deliver high standards of evidence based clinical nursing care
17. Ability to assess, monitor, plan and evaluate care
18. Good organizational Skills and ability to priories work and delegate effectively to the team
19. Ability to liaise effectively with members of the Primary care team.
20. Experience and knowledge on holistic initial assessments.
Desirable criteria
21. Experience of managing a team within the health care setting
22. Experience of working in older people including chronic disease management of long-term condition in acute, community, or intermediate care
23. Ability to undertake clinical audit and evaluate, analyse and interpret data working collaboratively and able to produce required reports
Knowledge and skills
Essential criteria
24. Understanding and knowledge of the complex needs and long term conditions management.
25. Good knowledge of safeguarding processes and able to escalate issues around vulnerable adults
26. Sound knowledge and competence in IT and clinical systems for example Emis.
27. Knowledge of community nursing practice and current legislation
28. Knowledge of information governance and the responsibility
Desirable criteria
29. Knowledge of HR process for line management of staff
30. Knowledge of current professional issues facing nursing