About this role
Job summary
An exciting opportunity has arisen for a motivated, experienced and forward-thinking nurse leader to join the Rainsford Mowlem Discharge Ready Unit (DRU) at Chelsea and Westminster Hospital as the Band 7 Ward Manager.
Rainsford Mowlem Discharge Ready Unit (DRU) is a 36-bedded, nurse-led ward supporting patients who are medically fit for discharge but awaiting external placement or community support. The DRU plays a key role in improving patient flow, maintaining and enhancing patient function, preventing deconditioning and creating capacity within acute speciality wards by providing safe, effective and person-centred care for this patient group.
The successful candidate will provide visible clinical and operational leadership, ensuring high standards of patient care, effective workforce management and strong clinical governance. Working closely with the multidisciplinary team, Discharge Hub, community services and partner organisations, the Ward Manager will lead service development and quality improvement, support timely and safe discharge, and promote a positive culture for patients, families and staff. The role requires extensive clinical leadership experience, strong change-management skills and a commitment to developing frailty and discharge services.
Main duties of the job
Provide visible, compassionate and effective leadership for the Discharge Ready Unit (DRU), ensuring safe, high-quality, patient-centred care Lead the operational management of the 36-bedded DRU, maintaining patient flow, timely admissions and discharges, and optimal ward capacity Work collaboratively with multidisciplinary teams, the Discharge Hub, community services and local authority partners to support safe and effective discharge planning Ensure high standards of clinical governance through audit, risk management, incident investigation, patient feedback and quality improvement initiatives Lead, support and develop the nursing workforce through recruitment, rostering, supervision, appraisal, education and performance management Promote rehabilitation-focused care and initiatives that prevent deconditioning, maximise independence and improve patient outcomes Ensure compliance with Trust policies, professional standards and regulatory requirements, maintaining a safe environment for patients, visitors and staff Lead and contribute to service improvement and transformation projects that enhance patient experience, discharge performance and operational effectiveness Act as a senior clinical role model, providing expert support in complex situations and maintaining high standards of care, communication and professionalism Foster a positive, inclusive and high-performing team culture aligned with the Trust's PROUD values
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Job description Job responsibilities
Roles and responsibilitiesManagement: To be responsible for the provision of nursing care on the ward 24 hour a day.
S/he will have the overall responsibility of the area. They will have full control of admissions using the agreed criteria.
To be responsible for the early identification and movement of suitable medically fit patients for the Discharge Ready Unit (DRU) to optimise patient flow through the hospital and contribute to a reduced length of stay on the acute wards.
To follow and assist in updating the Standard Operating procedure for DRU patients
To provide an environment for an holistic approach to patient assessment, care planning and support
Recruit and retain a workforce qualified to meet the needs of the patients in that area. This may include nursing staff, support workers, administrative staff, and housekeeping staff.
Manage ward staffing day to day to ensure effective use of resources. This includes responsibility for the duty rotas, annual and study leave, bank and agency usage.
Ensure that all staff in the area undergoes an annual performance development review and have a personal development plan (PDP). Collate all staffs PDPs in order to identify and plan the educational needs of the area.
Identify and investigate any issues of conduct, discipline and performance within your team, in accordance with trust policies and procedures, in liaison with the Divisional Matron.
Maintaining the area budget (pay and non-pay) within the agreed budget. Report and investigate any deviation from this position (both deficits and surpluses). Also to deliver savings and efficiencies in line with the Trusts objectives.
Maintain a safe and acceptable environment for patients, visitors, students and staff, reporting and taking appropriate action on any hazards, incidents, faulty equipment or inadequate standards of cleaning. Coordinate the reporting of all such incidents for the area in liaison with the Divisional Risk Manager and Matron.
Collect data and provide essential information in a timely and accurate manner as requested by the directorate and trust management teams. This could include dependency studies, manpower and a variety of audits.
To ensure safe custody and administration of drugs in accordance with Trust policies and procedures and in liaison with the pharmacy team.
Ensure the areas team is aware of trust policies and procedures and know how to access the latest versions. Disseminate any changes in policy and procedures in a timely manner. Work within these policies.
To participate in meetings and project work as identified and delegated by the Matrons, Service Managers and Lead Nurse.
Deputise and act up for the Matron if required.
To investigate and respond to informal and formal complaints in a timely manner encouraging an open and learning environment.
To monitor all incidents that occur within the clinical area undertaking root cause analysis as required. To manage any changes in practice or learning identified through incident reviews Provide 24-hour responsibility for frailty clinical areas, ensuring safe, effective, and compassionate care for older people living with frailty.
Provide leadership that promotes patients, families, and carers as partners in care, recognising the complexities of frailty, multi-morbidity, and personalised care planning.
Ensure services continually improve to meet the needs of frail patients, including prevention of deterioration, maintenance of independence, and holistic assessment.
Provide leadership that supports effective, timely, and person-centred discharge planning, incorporating patient and carer views, community services, and multidisciplinary frailty pathways.
Promote effective multidisciplinary working across acute, community, therapy and social care teams to ensure seamless care.
Provide expert advice on frailty care, supporting staff in complex decision-making and escalation planning.
Monitor standards of cleanliness, safety, and the patient environment, ensuring suitability for frail and vulnerable patients.
Ensure health and safety of staff and patients through compliance with infection control, medicines management, medical devices, and other relevant standards, with specific consideration of frailty risks.
Ensure rotas support safe staffing and skill mix to meet the needs of frail patients, managing resources within the agreed financial envelope.
Support reduction in length of stay for frail patients through early assessment, enhanced recovery principles, and proactive discharge planning.
Act up as Modern Matron in their absence, providing visible leadership across frailty services.
Clinical Practice
To act as a role model of expert clinical practice in the specialty.
To be a role model and effective leader.
To participate in direct patient care.
To audit the effectiveness of DRU in line with the improvement team
To work closely with carers and relatives to ensure individualized patient centred care is provided with a rehabilitation focus.
To analyse the feedback from patients and make changes as required.
To obtain patient and relative feedback by undertaking clinical rounds with the aim of providing excellent standards of care.
To ensure that nursing documentation is maintained to a high standard and to audit documentation in liaison with the Matron. Be a competent user of and participate in the on-going development of the Electronic Patient Record.
To work in close liaison with other members of the multidisciplinary team.
To promote the development of evidenced based practice on the ward.
To promote clinical supervision on the ward within the Trusts strategy.
To ensure high standards of care are given to all patients, monitoring this through spot checks and clinical quality indicators outcome measures.
Explore opportunities to develop nursing roles in accordance with the Chief Nursing Officer of Englands Ten Key Roles
Advise patients on the promotion of health and the prevention of illness.
To liaise with other departments in the hospital e.g. Estates, Facilities, Finance, IT.
To ensure that services supplied are of an acceptable standard and problems identified are registered and addressed. On-going or serious problems will be notified to the line manager.
Educational Role
To identify educational needs of all members of staff through regular appraisal and review, taking appropriate action in liaison with the Matron.
To be aware of the educational needs of student nurses ensuring that preceptors and assessors are available. Work in close liaison with the Practice Facilitators and other educational staff.
To be responsible for the orientation and development of new staff to the area, including the allocation of a preceptor.
To ensure the ward maintains a sound learning environment for all students.
Organise and participate in educational activities (e.g. teaching programmes) within the clinical area.
Professional Development
To participate in own performance development review, developing and actioning a Personal Development Plan (PDP) in liaison with the Matron.
To attend appropriate educational programmes to develop his/her self and team in accordance with the needs of the service.
To adhere at all times to the NMC Code of Professional Conduct, and any other NMC guidelines and regulations.
Communication
Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
Person Specification
Essential and Desirable Essential
Registered Nurse (adult) Evidence of recent professional development relevant to older/frail adults Qualification in mentoring and assessing Specialist knowledge in care of older adults Relevant management qualification Relevant post registration qualification in Acute /older medicine Extensive experience in a relevant acute setting post registration with exposure to care of older people Experience in caring for acutely unwell, complex and frail including delirium, dementia, falls, end of life care Demonstrable management skills in clinical ward setting Extensive experience in clinical leadership/ management at Band 6/7 level Experience in service development and quality improvement within an acute or frailty-focused setting Effective multidisciplinary team working, including therapy, geriatric medicine and community service People management experience at ward level Relevant experience on health rostering and workforce management Experience in conflict resolution, complaints handling and supporting patients and families sensitively Strong leadership and change management skills, with ability to support transformation in frailty services Competent in carrying out basic procedures such as: cannulation, venepuncture, NGT insertion, catheterization (male/female) Demonstrated commitment to extending clinical knowledge and skills in older people's and frailty care Knowledge of clinical governance and its application Effective interpersonal skills Excellent problem - solving skills Knowledge of healthcare policy Computer literacy and ability to use digital systems to support patient flow and care delivery Project management Knowledge and recent experience in carrying out audits and quality improvement initiatives relevant to frailty care Excellent verbal and written communication skills Ability to work independently and prioritise workload Ability to function as a senior member of a team Demonstrates and consistently upholds the Trust's PROUD values
Desirable
Working towards a Master's degree or holds a Master's degree Relevant post registration qualification in Acute /older medicine Ability to apply knowledge learned from ILS
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 (Opens in a new tab).
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 (Opens in a new tab).
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 Chelsea and Westminster Hospital NHS Foundation Trust
Address Chelsea and Westminster Hospital
369 Fulham Road
London
SW10 9NH
United Kingdom
Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)