Job summary
An exciting opportunity has arisen for an experienced Advanced Community Practitioner (Band 7) to join the Thame Adult Community Healthcare Team (ACHT).

A Specialist Practitioner Qualification in District Nursing is essential for this post. We are seeking a motivated and experienced District Nurse to provide clinical and operational leadership within a supportive community team. Working across an integrated healthcare system, you will lead and develop staff, manage complex caseloads, support urgent community interventions, and drive high standards of patient-centred care.

This is an excellent opportunity for a qualified District Nurse looking to further develop their leadership career while making a positive difference to patients, families, and communities across Thame and the surrounding areas.

If you are committed to excellence, passionate about community nursing, and motivated to make a positive difference to patients, families, and colleagues, we would love to hear from you.

Join us and help shape the future of community nursing services in Thame and the surrounding areas.

Main duties of the job

• Provide skilled, professional assessment of health needs and relevant nursing complex case management
• To proactively case find patients who are very high intensity users of community and primary healthcare and / or are at high risk of unplanned admission to hospital
• To educate and support the members of the multi-disciplinary teams to intensively case manage these patients.
• To intensively case manage their own caseload of patients with highly complex and unstable health needs
• Develop systems and processes to support intensive case management within the multi-disciplinary team and with partners across the health system.
• To work with and refer appropriately to other agencies to enable identified patients to be intensively managed in a pro-active way with the aim of preventing hospital admission, supporting early discharge and reduce GP contact.

About us
Listen to why colleagues think we are a great place to work! - BHT - A great place to work (buckshealthcare.nhs.uk)

What does Buckinghamshire Healthcare NHS Trust offer you?

• As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.
• We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.
• We provide a range of health and wellbeing services to promote a healthy, happy workforce.

Why work for us?

• We're committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
• As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
• Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.
• A keen supporter of the Armed Forces Community who know the value of employing a service leaver/veteran and their families.

What do we stand for?

• Our vision is to provide outstanding care, support healthy communities and be a great place to work.
• Our mission is to provide personal and compassionate care every time.
• Our care values are collaborate, aspire, respect and enable.

Details
Date posted: 20 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year, per annum pro rata for part time
Contract: Permanent
Working pattern: Full-time, Part-time, Job share, Flexible working
Reference number: 434-CR8297327
Job location: Thame Annex, Thame ACHT, East Street, Thame, OX9 3JT, United Kingdom

Job responsibilities
For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on bht.recruitment@nhs.net quoting the vacancy reference number.

Person Specification
Education, qualifications and training
Essential

• Educated to Degree level or equivalent competencies in health related subjects
• Level 1 Registered Nurse
• Recognised teaching or mentorship qualification equivalent to level 3
• District Nursing SPQ
• Relevant post graduate clinical training e.g. Elderly, Long Term Conditions, Respiratory Disease, Cardiac Disease, Dementia, Rehabilitation, Trauma and Orthopaedics and End of Life

Desirable

• Independent/supplementary non-medical prescriber

Experience
Essential

• Experience of working as advanced clinical practitioner/ case management long terms conditions Complex Case manager
• Medicines management at a senior level
• Supporting self-care and enabling independence
• Professional practice and leadership
• Managing care at the end of life
• Experience of interagency and partnership working
• Developing highly specialised programmes of care, providing advice concerning treatment of patients
• Professional practice and leadership
• Managing care at end of life Experience of inter-agency and partnership working

Skills, abilities and knowledge
Essential

• Highly specialist knowledge in managing patients in the community with complex medical needs, long term/chronic disease management and palliative care
• Highly developed professional knowledge base, supported by educational development and different work environments
• Knowledge of current political drivers, health and social care issues
• Specialist knowledge of governance and risk strategies and their application in a community setting
• Highly developed general management practice, including organisational performance management, finance, human resources and equality and diversity
• Highly specialist clinical and technical skills in managing long term conditions / end of life care
• Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and the public
• Excellent written and verbal communication skills Strong IT skills - including Excel and PowerPoint
• Good presentation skills /public speaking
• Ability to plan and manage resources within allocated budget effectively
• Ability to work autonomously without supervision Ability to meet deadlines and work under pressure
• Ability to adapt to the demands of a constantly changing environment
• Patient Focused Responsive and flexible innovative approach to improving patient experience Promotes service improvement
• Maximising Value Seeks opportunity to provide medium - long term value Addresses inefficiencies quickly Evaluates and streamlines ways of working
• Achieving Results Proactive, solutions focused attitude Focuses self and team to deliver results Provides clear goals and objectives Takes responsibility for resolving problems
• Inspirational Leadership Makes things happen Motivates and nurtures talent Celebrates success Manages underperformance Promotes continuous learning
• Working Together Promotes cohesion and team working Works collaboratively with teams within the Trust and across the Local Health Economy Resolves conflict effectively Assertive, honest and open

Special circumstances
Essential

• Valid and current driving license or able to travel to locations throughout Buckinghamshire

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.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Buckinghamshire Healthcare NHS Trust
Employer's website: https://careers.buckshealthcare.nhs.uk/

For questions about the job, contact:
Community Nursing Matron, Selma Lino, selma.lino@nhs.net, 07725560149

Buckinghamshire Healthcare NHS Trust's privacy notice is available on the NHS Jobs website. © Crown copyright