Job summary
An opportunity has arisen for a Band 6 Registered Nurse or Paramedic to join our team, working across an integrated Urgent Neighbourhood Health Service, including the Urgent Community Response and Hospital at Home services.

As part of a multidisciplinary team, you will deliver high-quality care to patients in their own homes and community settings. Using your clinical and diagnostic expertise, you will assess, manage and support patients with acute health concerns, complex health needs and long-term conditions.

You will work autonomously within your professional scope of practice while collaborating closely with colleagues to provide responsive, holistic care.

A key focus of the role is supporting admission avoidance and enabling timely, supported discharge from hospital where appropriate.

You will:

• Take responsibility for managing the caseload and the team, with the support of the Team Leader.
• Support locality-based planned care teams and partner services when acute or intensive nursing care is required.
• Actively contribute to service development initiatives.

Working Hours:

• Work on a rotational shift pattern within Urgent Neighbourhood Health Services (service hours: 08:00 to 23:00).

Main duties of the job
Key duties within this role include:

• Provide day-to-day management of the service on a rotational basis in the absence of the Band 8a Clinical Lead.
• Take responsibility for designated areas of clinical practice and operational delivery.
• Prioritise and manage own workload, seeking guidance and support when required.
• To provide skilled, effective and evidence-based nursing care to patients in a variety of community settings.
• To assess referrals made to service, prioritise and respond according to priority, as appropriate both in terms of level and urgency. To respond within agreed timescales as appropriate.
• Utilise advanced clinical and diagnostic skills and expert knowledge to carry out thorough assessments of physical and psycho-social needs in order to develop a comprehensive short term care plan aiming to optimise health and wellbeing that will prevent a hospital attendance / admission.
• Provide direct advanced, autonomous clinical care to a range of patients presenting with differentiated diagnosis or RED flags, undiagnosed and/ or complex health needs and long-term conditions.
• Work within Clinical Guidelines, Policies, Procedures and Patient Group Directions (PGD's) utilising expert judgment to work outside these frameworks where necessary.

About us
We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.

What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.

Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Details
Date posted: 28 September 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £47,951 to £56,863 a year
per annum, inclusive of HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 824-SOUTH-8305183
Job locations: Tooting Works, 89 Bickersteth Rd, London, SW17 9SH, United Kingdom

Job responsibilities
Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trusts values of Accountability, Inclusion, Compassion, and Empowerment.

**Please see attached Job Description and Person Specification for full roles and responsibilities.**

Person Specification
Qualifications
Essential

• Registered Nurse or Paramedic with current NMC or HCPC registration
• Evidence of recent and continuing post-registration professional education and training

Desirable

• Experience of working in Primary Care/ Accident & Emergency.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Qualifications in Community and/ or Accident and Emergency Nursing.
• Qualification in teaching or practice-based learning.
• Physical Clinical Assessment Skills Course or willingness to undertake the course.
• Nurse prescribing qualification

Experience
Essential

• Evidence of recent substantial post-registration nursing experience
• Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Extensive range of clinical skills and experience including Vene-puncture, cannulation, catheter and bowel care, EOL
• Experience of working within a multi-disciplinary team
• Experience of working with people with complex health needs
• Experience of supervising junior staff and co-ordinating daily activities on a regular basis
• Experience of undertaking comprehensive health needs assessment and writing care plans

Desirable

• Experience of implementing evidence-based care in practice
• Experience of conducting research projects and audit.
• Experience of change management and implementing change in practice.
• Evidence of innovation in practice.

Skills
Essential

• Has high level of competence in a range of clinical skills relevant to the role and patient group
• Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
• Able to work autonomously, planning and prioritising own workload and that of others
• Ability to work in a team
• Knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
• Clinical knowledge across a range of long term and enduring conditions.
• Knowledge of current NHS organizational structures and policy initiatives.
• Able to delegate work effectively and safely.
• Ability to work under pressure.
• Ability to risk assess a situation and act appropriately.
• Ability to communicate effectively both verbally and in writing.
• Ability to identify own and others learning, and development needs and actively seek ways to meet those needs.
• Basic IT skills including use of Microsoft Office package and email.
• Principles of care for patients with long term conditions, relevant NSFs and other national standards
• NMC Code of Professional Conduct and application to practice.
• Personal Development Planning
• Primary Health Care - structures and roles (overview)
• The audit processes.
• Applying evidence-based care into practice
• The principles of clinical governance and application to practice.
• Clinical supervision - purpose and application
• Managing difficult situations and conflict resolution
• How equal opportunities can be implemented in practice.

Desirable

• Able to lead and motivate a team

Key Attributes
Essential

• Able to carry out the duties of the post with or without adaptations.
• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
• Able to work flexible shifts
• Able to provide evidence of where you have demonstrated the Trust's Values and Behaviours
• Able to demonstrate excellence in Customer Service
• Able to meet the required IT Skills for the post.
• Able to work from more than one work base.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: Central London Community Health Trust
Address: Tooting Works, 89 Bickersteth Rd, London, SW17 9SH, United Kingdom
Employer's website: https://clch.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact: Locality Manager, Vladimira Kalev, v.kalev@nhs.net, 07908450958

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.
Applicants must have current UK professional registration.