Closing date: 13 November 2026

Job summary
Permanent - up to 37.5 hours per week.

An opportunity to further develop your competency and career.

The role requires positivity and excellent communication, enthusiasm, the ability to participate in the assessment and care needs of the individual. You will need to demonstrate integrity, initiative, clinical knowledge with evidence based practice from the direction of a Registered Nurse or Nurse Associate, approaching your work in a coordinated way.

We work integrated with primary care, adult social care, therapists, urgent and intermediate care services alongside our specialist services informing our ageing well MDTs which facilitates shaping our future to deliver great quality care for housebound individuals.

We strive to maximise wellbeing, improve health outcomes and patient experience and support people to remain at home with our DN Team or within a care home with our Care Home Support Service. Through expert advice and clinical support and treatment, promoting the optimum quality of life. Whilst providing an effective and efficient service delivery, utilising health promotion, wound, medication and continence management.

If you have an interest in community nursing, preventing hospital admissions and caring for people with complex long-term disease, through to the last stages of their life, this role is for you.

We provide opportunity for continued learning and career progression, if this ignited your interest we would like to hear from you.

Main duties of the job
Your role is vital to support care through holistic evidence-based best practice in accordance with National and Organisational approved policies and procedures.

You will be required to be an autonomous practitioner and a team player. Be responsible for developing your competencies in clinical duties that the Community Registered Nurses and Nurse Associate delegate to you.

This includes being able to recognise when a person changes in their clinical conditions and be able to perform observations. In exceptional circumstances this can involve unplanned care in consultation with Registered Nurses and Nurse Associate.

You are required to undertake a robust induction, allocated a mentor to support your learning to develop in your role.

We offer training in line with the required competencies for you to build on your knowledge, experience and skills. You will be expected to undertake continued learning with accessibility to accredited courses.

Ability to frequently travel independently and in a timely manner between LWSW sites and community locations, including areas not served by public transport, is essential.

Post may not be eligible for sponsorship under the Skilled Worker route.

Please note we may close this advert early if a high number of applications are submitted.

All staff are expected to be able and willing to work across a 7-day service.

Job responsibilities

• To maintain accurate records, which are confidential, contemporaneous, and legible, with all care given documented at the time. The post holder will be expected to participate in standard of patients records by audit or peer review and have a regular open discussion with team members.
• Make appropriate records in the multi-disciplinary patient file, which will then be counter-signed by a registered nurse.
• To report and record incidents and near misses relating to health, safety, security, fire, physical violence, aggression and verbal abuse.
• To have a working knowledge and be responsible for ensuring nurses and patients equipment is in safe working order, disposed of or returned when no longer required as per Policy and to inform Line Manager if any problems occur.
• To provide holistic evidence-based/best practice care to patients in accordance with National and organisation approved policies/procedures and individual care plans.
• To undertake specific clinical tasks as delegated by members of the Nursing team having once undertaken relevant training and deemed competent. Working in line with the Livewell Southwest Delegation to band 3 and 4 support workers guidance.
• To provide appropriate support and advice to family and carers, demonstrating tact and sensitivity in dealing with complex and sensitive information and negotiating a positive outcome.
• To recognise and respond to any changes in patient care situations, which might include risks to self and others including adult and child protection concerns. The post holder must inform the most appropriate professional at the earliest opportunity. Be conversant with the safeguarding adult and child protection procedures and policies.
• To ensure privacy, dignity and human rights are respected for patients and Carers.
• To be willing to participate actively in appropriate in-service training programmes which the manager believes to be of benefit to the individual. To assume co-responsibility for maintaining skills and knowledge levels.
• The post holder is required to comply with all infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager (if no action or explanation received, then it is the individuals responsibility to escalate).
• To contribute to the development, implementation and monitoring of standards.
• To work within challenging and unpredictable environments e.g. patients homes which may have constraints and require adaptability.
• To provide basic education and continuing support to patients, family and carers.
• To identify areas of concern regarding practice and communicate to the Caseload Holder.

Management and Leadership

• To undertake designated duties as required in line with the Delegation to band 3 and 4 support worker guidance.
• Only undertake work which is within own competence and to identify any work required to be undertaken by more senior staff.
• To identify and take responsibility in the maintaining of clinical competencies in line with the job role. Ensuring these are adequately supported by clinical sign off. Identifying areas where this may be required.
• To be responsible for organising own time management on a daily basis in line with caseload demands, using own initiative and be flexible when organising own workload on a day to day basis, which is often unpredictable in order to respond to the needs of the service.
• To maintain and preserve confidentiality at all times, and be aware of the Data Protection Act, Access to Health Records and Consent for Treatment.
• Complete on time and submit all necessary forms, documentation, including IT data and forward as required by the manager/organisation.
• To complete and submit any necessary documentation as required by the District Nurse/Caseload Holder and District Nursing Manager.
• Monitoring and ordering of stock levels and to utilise resources economically and effectively and promote cost consciousness throughout the service.
• To share knowledge and information to promote a cohesive team.
• To act as a role model for all staff and students demonstrating clinical skills and high standards of practice and professional conduct.
• To participate in team activities so as to develop and consolidate a cohesive and supportive team ensuring openness within the team.
• The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.

Communication

• To demonstrate effective communication with patients, staff and other members of the multi-disciplinary team. When communicating with patients it should be at the appropriate level for patients to understand such as patients suffering from terminal illness, dementia, disability, visual impairment and/or hearing impairment.
• Able to communicate the role and eligibility criteria of the District Nursing Service.
• Maintain accurate and up to date patient records and inform other professionals about changes in patients condition.
• Act as a patient advocate as required ensuring individual needs, preferences and choices are delivered by the Service.
• The Post Holder to be supplied with mobile telephones and lone working devices for work purposes and be expected to abide by Livewell Southwest Lone working policy including the Operational procedure for lone working devices.

Education and Training

• Maintain own clinical expertise by attending meetings, study days and in-service training and learn new specialist skills required for service development. To maintain an up to date personal competency portfolio.
• To attend and participate in meetings as negotiated within the team and to provide relevant timely feedback.
• To participate in Reflective Practice, Practice Supervision and Appraisals and line management supervision as per policy.
• Participate in the provision of community experience for all nurse learners and other professionals as appropriate.
• To be encouraged to organise informal training sessions on behalf of the team using a variety of resources.
• Travelling in all weather in heavy traffic to unknown areas on a daily basis, in the dark and adverse weather conditions. Reasonable adjustments will be considered as per the Equality Act.

Physical, Mental and Emotional Effort

• At every patient contact the post holder deals with emotional issues of patients and relatives.
• Need to deal with highly distressing and difficult family situations frequently such as grief, crisis care management with unpredictable care conditions.
• Continuously interrupted, multi-tasking e.g. writing notes, answering mobile telephone call. Staff to carry a mobile telephone and are expected to be available to other staff and professionals and can be interrupted at any time.
• Use of hoists and other lifting equipment often in a confined space in the patients home on difficult floor surfaces e.g. carpet.
• Regularly carry and transport District Nurse equipment e.g. Nursing bag, documentation Laptop, phlebotomy equipment, sphygmomanometers and blood sugar machines.
• The job involves several times in a day exposure and contact to highly unpleasant working conditions such as secondary smoking, bodily fluids, including sputum, vomit, blood, urine and faeces, soiled linen, fleas, lice, scabies, poor hygiene standards and communicable diseases.
• Occasional exposure to verbal and physical aggression and dangerous pets.
• Daily working in cramped conditions within patients own homes.
• Frequent exposure to heat and cold in patients homes.
• Mobile phones may not work in areas where there is poor network reception. Staff will utilise lone working devices.

Person Specification
Essential

• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
• Effective communication and interactive skills including oral, written and IT.
• Ability to use initiative and work independently.
• Good time management.
• Understanding of physical health, mental health and learning disabilities.
• Understanding of the role of Clinical support worker / Health care assistant and boundaries.
• Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
• Demonstrates the values required to work in this role, including demonstration of commitment to Livewell values.
• Develops and maintains positive and appropriate relationships with service users, families and carers demonstrates kindness, empathy and respect at all times.
• Experience of formulating therapeutic relationships.
• Relevant experience of working within a health care setting (Employment, work experience, volunteering).
• Maths and English GCSE grade 4 or above (A-C).
• NVQ III in Care (or evidence of working towards) or able to demonstrate the skills knowledge and ability to work to this level.

Desirable

• Willingness to learn, evidence of previous professional development, evidence of recent study.
• Care certificate.

Employer details
Employer name: Livewell Southwest
Address: 200 Mount Gould Road, Mount Gould, Plymouth, Devon, PL4 7PY, United Kingdom
For questions about the job, contact: Natasha Head, Healthcare Manager, natasha.head@nhs.net, 07514519768

Pay scheme: Agenda for change, Band 3
Salary: £25,760 to £27,476 a year pa, pro-rata
Contract: Permanent
Working pattern: Full-time, Part-time, Job share, Flexible working
Reference number: B9832-2026-NM-10556

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. Livewell Southwest values diversity and encourages applications from all sections of the community.