Job summary
To provide high-quality, proactive and person-centered clinical assessment, intervention and care coordination for care home residents with moderate and severe frailty and/or complex health needs. The post holder will act as the clinical delivery arm of the multidisciplinary Care Home Support Team, translating MDT decisions and anticipatory care plans into timely hands-on care within the care home.

A key priority is to improve the completion, quality and review of Urgent Care Plans (UCPs), ensuring that residents have a clear, personalised plan for recognising deterioration, treatment and escalation, including how to access appropriate community services and when hospital admission is or is not appropriate. The role will support residents to receive care in their usual place of residence wherever this can be achieved safely and in accordance with their wishes.

Main duties of the job

• Key Result Areas / Principal Responsibilities
• Clinical Assessment and Intervention
• Urgent Care Plans (UCPs) - Core Responsibility
• Frailty and Proactive Care
• Care Coordination and Integrated Working
• Education, Coaching and Support to Care Homes
• Clinical Leadership and Professional Practice
• Quality, Audit, Data and Service Improvement
• Collect and submit activity and outcome data required by the service
• Contribute to clinical audit, evaluation, quality improvement and service changes
• Caseload and Prioritisation
• Communication and Working Relationships

About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

Details
Date posted: 14 October 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £45,953 to £54,254 a year per annum inc. HCAS outer pro rata
Contract: Permanent
Working pattern: Full-time
Reference number: 343-8339569-AG
Closing date: 28 October 2026

Person Specification
Education / Qualifications

• Essential: Current Registered Adult Nurse with NMC registration
• Essential: Evidence of continuing professional development relevant to the clinical role
• Essential: Relevant post-registration experience/development in frailty, older people or long-term conditions
• Desirable: Physical assessment/clinical reasoning or Practice Education/Mentorship qualification

Experience

• Essential: Significant post-registration nursing experience, including caring for older people and/or people with complex health needs
• Essential: Experience of undertaking holistic clinical assessments, developing care plans and recognising/managing deterioration
• Desirable: Experience of supporting discharge, admission avoidance and/or community-based care
• Desirable: Experience of supporting, supervising, mentoring or educating staff and/or contributing to quality improvement

Knowledge and Skills

• Essential: Sound knowledge of frailty, older people's health, long-term conditions and proactive/anticipatory care
• Essential: Ability to coordinate and build effective relationships across care homes, primary care, community, acute and social care services

Personal Attributes

• Essential: Compassionate and person-centred, putting resident choice, dignity and individual preferences at the centre of care
• Essential: Able to influence, negotiate and challenge appropriately while maintaining positive professional relationship
• Desirable: Full clean UK driving licence and access to a car for business use, with the ability to travel between care homes and other service locations

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.

Employer details
Employer name: Epsom and St Helier University Hospitals NHS Trust
Address: 1st Floor - Green Wrythe Clinic, 411a Green Wrythe Lane, Carshalton, SM5 1JF, United Kingdom
Employer's website: https://www.epsom-sthelier.nhs.uk/work-for-us

Contact for questions about the job
Senior Operational Manager: Lucy Webber, Lucy.Webber4@nhs.net, 02082964156

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