About this role
Job summary
Deliver hospital-level care where it can make a real difference: in a patient's own home.
RUH Hospital at Home (RUH@Home) is our consultant-led virtual ward, supporting patients who would otherwise need to be admitted to hospital, or who can safely return home earlier with the right clinical support around them. The service works closely with primary, community and social care partners to ensure safe transitions of care.
You will join a multidisciplinary team of doctors, nurses, therapists, therapy assistants and healthcare assistants providing personalised acute care in patients' homes, seven days a week between 08:00 and 18:00.
In this key role you will be responsible for the assessment, planning, delivery and evaluation of care for patients with acute and complex needs within their own homes. Working autonomously, you will provide expert clinical decision-making, manage clinical risk and support the recognition and escalation of patient deterioration.
As a senior member of our multidisciplinary team, you will coordinate the day-to-day delivery of the nursing service, support patient flow and provide clinical leadership to other staff. You will contribute to service development, quality improvement and the delivery of safe, effective and compassionate care within the virtual ward model.
Main duties of the job
Patient Care Responsibilities
Assess, plan, deliver and evaluate person-centred care for patients with acute, complex and frailty-related needs. Use your clinical judgement to recognise deterioration and respond or escalate appropriately. Deliver safe, effective and compassionate nursing care, including medicines and treatments. Work collaboratively with patients, families, carers and the wider MDT to promote independence and achieve positive outcomes. Maintain high standards of patient safety, clinical documentation, dignity and confidentiality. Clinical Leadership and Service Coordination
Provide clinical leadership, advice and support to nursing and multidisciplinary colleagues. Coordinate the RUH@Home caseload, prioritising visits, allocating patients and supporting effective patient flow. Support the management of complex and deteriorating patients, ensuring timely escalation and transfer where required. Work closely with acute, community and primary care partners to support admission avoidance and safe, timely discharge. Identify and escalate clinical or operational pressures and contribute to service improvement. Support the effective use of remote monitoring and virtual ward technology.
About us
We are proud to be part of BSW Hospitals Group - a formal partnership between the Royal United Hospitals Bath NHS Foundation Trust, Great Western Hospitals NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.
We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.
By working together, we make a real difference for our patients, each other, and our community. Every role matters in delivering the exceptional, person-centred care we're proud of.
We're committed to a compassionate, inclusive culture where kindness is championed, differences are valued, and diversity makes us stronger.
We want to support you to thrive, taking your career to its full potential. We prioritise staff wellbeing - and yes, we even have a pool!
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Job description Job responsibilities
Please refer to the attached job description and person specification for further information about this role.
This is a community-based role which requires the ability to work independently across a wide geographical area whilst remaining connected to the wider multidisciplinary team. Excellent communication, compassion and adaptability are essential, as patient needs can change throughout the day.
If you enjoy variety, autonomous working and building meaningful relationships with patients, while using your clinical skills to help people avoid an unnecessary hospital stay or return home sooner, this could be a fantastic next step in your nursing career.
Person Specification
Essential Essential
Registered Nurse (Adult) with current NMC registration Evidence of ongoing CPD and professional development Experience of caring for acutely unwell adults Ability to travel independently throughout the locality
Desirable
Community nursing experience Frailty or Older Persons experience Experience coordinating daily caseloads or service delivery
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 Royal United Hospitals Bath NHS Foundation Trust
Address Royal United Hospital
Combe Park
Bath
BA13NG
United Kingdom
Employer's website https://www.ruh.nhs.uk/ (Opens in a new tab)