Job summary
This an exciting opportunity to join a new and evolving team. Centred around the early identification, recognition, assessment and treatment of a deteriorating patient across CHFT

The post holder will be a member of the Resilience, Acute Flow and Transformation directorate sitting within the Corporate Division, working effectively with fellow ward teams and Divisional Matrons to deliver quality services for patients, efficiently. There is a specific focus on the deteriorating patient and improving outcomes for patients. As part of the interview process, all candidates will have an Objective Structured Clinical Examination (OSCE) assessment in addition to the Panel interview.

The post holder will be responsible for the assessment, planning, implementation and evaluation of care to acutely deteriorating and critically ill patients. This includes, non-medical prescribing, ultrasound guided cannulation, arterial blood gas sampling, spirometry out of hours, review of all tracheostomies/laryngectomy patients, liaising with Critical care.

• To provide clinical and managerial leadership for nursing and other healthcare professionals
• The post holder will provide advice and support to wider members of the multi-disciplinary team
• To facilitate the stepdown of patients from Critical Care to ward areas
• To provide informal and formal education to all healthcare professionals within the Trust
• To proactively manage the clinical workload at night as necessary

Main duties of the job

• The post holder will ensure safe and effective patient care
• To assess, plan, implement and evaluate care to deteriorating patients referred by the ward teams and NEWS2 escalation
• Work closely with the medical, surgical and critical care consultants and resident doctors, attending medical handovers
• Provide expert clinical advice and guidance to ward staff in the support of patients 24/7
• To provide informal and formal education to all staff regarding recognition and care of deteriorating patients and acutely ill patients
• Manage and support the Nursing Associates allocate tasks via the Trusts Task Management system to coordinate the delivery of care in Out of Hours period
• Establish and maintain effective communication with all members of the multi-disciplinary teams
• To liaise and work closely with medical and nursing staff within Critical Care
• Work in partnership with ward managers to ensure that prescribed standards of patient care are met
• To support the Clinical lead with Quality Improvement projects across the trust, taking the lead when required
• To provide relevant and clear information, education and advice for patients, carer's and family at all times

About us
We employ more than 6,500 staff who deliver compassionate care from our two main hospitals, Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as in community sites, healthcentres and in patients' homes. We also are incredibly proud to have almost 150 volunteers here at CHFT.

We provide a range of services including urgent and emergency care; medical; surgical; maternity; gynaecology; critical care; children's and young people's services; end of life care and outpatient and diagnostic imaging services.

We provide community health services, including sexual health services in Calderdale from Calderdale Royal and local health centres. These include Todmorden Health Centre and Broad Street Plaza.

We continue to modernise and invest in our health services to build on our strong reputation. Foundation trusts are public leaders in improving quality in health services. They are part of the NHS, yet decisions about what they do and how they do it are driven by independent boards. Boards listen to their Council of Governors and respond to the needs of their members - patients, staff and the local community.

Foundation trusts provide what the health service wants, yet are also free to invest quickly in the changes to the local community needs, in striving to be the best, and in putting their patients first.

Details
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year, per annum, pro rata
Contract: Permanent
Working pattern: Full-time
Reference number: 372-CORP2091
Closing date: 30 October 2026

Job responsibilities

• Attend, structure and lead all medical handovers alongside the registrar/consultant
• Initiate, lead and coordinate management of patients identified as clinically at risk, referring to appropriate colleagues when necessary.
• Ensure timely and appropriate care is delivered by the relevant health care professionals.
• To undertake a comprehensive assessment of patients, participate in the assessing, planning, implementation and evaluation of individualised programmes of care.
• Co-ordinate clinical emergencies i.e. cardiac arrest.
• Act as an innovative and enthusiastic role model, providing leadership, guidance and advice to staff on clinical, operational and professional issues.
• Demonstrates clinical expertise by role modelling patient centred practice.
• Ensures that staff adhere to the systems and processes in place to support the provision of patient centred care to agreed standards.
• Ensures adherence to the CHFT and NMC guidelines for the safe handling, administration, storage and custody of medicinal products
• Ensures good communication between staff and relatives is maintained to assist in their understanding of care, treatment and progress of the patient is and implemented and adhered to.
• Maintains own personal and professional development in accordance with NMC Code of Professional Conduct and within the Scope of Professional Practice.
• Participates effectively in the multi-professional team providing an expert nursing perspective.
• Contribute to the audit process in line with the National Outreach Forum Standards and utilise results in practice.
• Ensures staff are aware of and work in line with Trust policies.
• Support patient care using technology relating to task management, observations and handover.

Essential qualifications and experience

• Independent Prescribing or to complete this within 2 yrs.
• First level registration and current NMC registration
• PG Certification in acute care/Critical care course or willingness to do this within 2 years
• National outreach forum competencies to enhanced level, or working towards
• ALS certificate (or willingness to immediately undertake)
• IRMER (Ionising Radiation), willingness to undertake to enable x-ray requesting
• Evidence of leadership skills
• Evidence of mandatory training
• Competent in cannulation and phlebotomy or willingness to undertake in 3 months including ultrasound guided cannulation
• Competent in male/female catheterisation or willingness to undertake in 3 months
• Competent in arterial blood gas sampling or willingness to undertake in 3 months
• Verification of Death or willingness to undertake in 3 months
• CVAD trained competent or willingness to undertake within 3 months
• Competent in spirometry or willingness to undertake within 3 months
• Evidence of post registration study and development in acute or critical care or working towards
• Extensive and recent experience in acute/critical care setting
• Advanced acute clinical knowledge
• Ability to coordinate and prioritise workload
• Excellent written and verbal communication skills, able to work within MDT

Desirable

• Teaching and assessing post registration qualification
• Master's Level Qualification / working towards, or equivalent highly specialised experience and knowledge
• Competent in the use of nerve centre

Employer details
Calderdale and Huddersfield NHS Foundation Trust, Cross site, Acre Street, Huddersfield, HD3 3EA, United Kingdom
Employer's website: https://www.cht.nhs.uk

For questions about the job, contact:
ART Lead Practitioner, Maria Toshack, maria.toshack@cht.nhs.uk, 01484343401

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. 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. Applicants must have current UK professional registration.