Job overview
Are you an enthusiastic Nurse, looking to develop in a community rehabilitation team? Do you want to work in a diverse multidisciplinary team? Do you like supporting patients in their home and avoid unnecessary admissions? If so…
The aim of the Intermediate Care Lambeth is to provide community based care and rehabilitation to prevent unnecessary hospital admission, facilitate early hospital discharges and promote independence reducing reliance on long term social care services.
The successful applicant will work alongside Physiotherapists, Occupational Therapists, Social Workers, Social Care Assessors, Pharmacists, Doctors/GPs and Rehab Support Workers as part of the multi-disciplinary team.
The nursing role includes the clinical assessment of patients’ conditions and intervention planning for management of blood pressure, pressure care and prevention, continence assessment, medication reconciliation, review and/or administration, urgent wound assessment and management, falls prevention and support therapists to optimise rehabilitation.
The nursing team plays a proactive role in the prevention of unnecessary admission to hospital with 8am to 10:00pm on the phone support and same day patient reviews.
These roles would be ideal for enthusiastic Band 6 or experienced Band 5 Nurses looking to develop in the specialist areas of community rehabilitation, admission avoidance, holistic assessment, and integrated care.
Closing date: 25th August 2025
Main duties of the job
Professional / Clinical Responsibilities
1. To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment in order to formulate treatment plans, maximise rehabilitation potential and set goals.
Management and Leadership
2. To monitor the quality of nursing/rehabilitation services offered and contribute to the development and review of quality measures and performance indicators.
Communication
3. To be skilled in communicating, using both verbal and non-verbal means, with clients, carers and families who may have a range of physical disabilities or other barriers to understanding.
4. To offer advice and communicate written and verbal information to clients/ carers and agencies including other health professionals regarding a client’s management.
Education, Training & Mentorship
5. To educate referrers and clients about the services the team offers.
Audit, Benchmarking & Research
6. To monitor the quality of services offered by the team and when areas of development are identified, to implement an action plan to address these under the direction of the Clinical Manager.
Personal & Professional Development
7. To reflect on practice at all times and to effectively participate in clinical supervision.
8. To maintain Nursing and Midwifery Council (NMC) registration and to work within NMC code of conduct.
Working for our organisation
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals
9. Guy’s Hospital
10. St Thomas’ Hospital
11. Evelina London Children’s Hospital
12. Royal Brompton Hospital
13. Harefield Hospital;
As well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation. We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
GSTT Values are to:
We are caring, we are ambitious, we are inclusive.
The team is a vibrant multidisciplinary, integrated team that that supports each other to share knowledge, skills and expertise. Through strong team relationships with our Adult Social Care partners, we work to meet the needs of people living in the London Borough of Lambeth.
Detailed job description and main responsibilities
Please refer to attached JD for details:
Professional / Clinical Responsibilities
14. To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.
15. To work as an autonomous lone practitioner, case managing clients in the community and coordinating their care.
16. To carry out timely assessment and rehabilitation of community clients to prevent hospital admission or re-admission and facilitate early discharge home from hospital.
Management and Leadership
17. To deputise in some tasks in the absence of the Senior Specialist Nurse if required.
Communication
18. To work in a client centred manner with mutually agreed goals, appointments and rehabilitation programmes.
19. To communicate effectively with clients, carers and family members and to develop effective working relationships with the multidisciplinary team and external agencies.
Education, Training & Mentorship
20. To induct, supervise, appraise and teach students on placements within the team.
Audit, Benchmarking & Research
Personal & Professional Development
21. To use evidence based practice to develop and maintain a high quality clinically effective and cost-effective service.
22. To identify and be responsible for own training needs as well as identifying team training needs and supporting development of others.
Person specification
Skills/Knowledge/ Ability
Essential criteria
23. Demonstrate highly developed verbal, non-verbal and written communication skills in English
24. Excellent interpersonal and negotiating skills, including observation, listening and empathy skills;
25. Ability to use an evidence based approach including clinical outcome measures to evaluate outcomes;
26. Ability to work as an autonomous practitioner and to make sound clinical judgments and decisions regarding patient care.
27. Ability to manage a complex and constantly changing workload of clinical and non-clinical duties;
28. Ability to plan and organize the provision of care to teams caseload of patients;
Desirable criteria
29. Demonstrate effective research and IT skills
Previous Experience
Essential criteria
30. Experience of working with professional from other disciplines
31. Experience of working with adults and older people with chronic conditions and complex co-morbidities
32. Experience of teaching and assessing students and rehab support workers
33. Experience of undertaking initial assessment.
34. Able to understand and contribute to a rehabilative approach with clients.
Desirable criteria
35. Experience of supervising other members of staff.
36. Experience of working in a rehabilitation or Urgent response settings.
Qualifications
Essential criteria
37. Recognized Nursing degree qualification or equivalent
Desirable criteria
38. Member of relevant Clinical Interest Group.
39. Recognised post-graduate qualification in specialist clinical area
Professional/ Statutory Registration
Essential criteria
40. Nursing and Midwifery Council State registration
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity, gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.