About this role
Job summary
We are looking for a skilled and compassionate Nursing Associate to join our Home 1st (Urgent Community Response) team. You will deliver high-quality, person-centred care to patients in their own homes, supporting independence and helping to prevent unnecessary hospital admissions.
The post holder must be able to deliver delegated clinical care autonomously in patients' homes, including completing clinical observations, recognising and escalating deterioration, administering medicines within scope of practice, and maintaining accurate electronic clinical records, in order to support safe, timely Urgent Community Response and prevent unnecessary hospital admissions. This is a community-based role requiring strong clinical skills, professionalism and a commitment to CNWL values.
Main duties of the job
Deliver high-quality, person-centred care to patients in their own homes as part of the Urgent Community Response (Home 1st) team, supporting early intervention and preventing unnecessary hospital admissions. Work under the supervision of a Registered Nurse to assess, plan, deliver and evaluate urgent and short-term care for patients experiencing acute deterioration or crisis at home. Carry out a wide range of delegated clinical tasks within scope of practice, including clinical observations (NEWS2), wound care, catheter care and medicines administration. Recognise, respond to and escalate signs of deterioration promptly, contributing to rapid decision-making within a multidisciplinary urgent care pathway. Communicate effectively with patients, carers and partner services, maintaining accurate electronic clinical records to support safe and coordinated care. Uphold NMC standards and CNWL values, contributing to patient safety, service improvement and continuous professional development within a fast-paced community service.
About us
Central and North West London NHS Foundation Trust (CNWL) is a large, inclusive organisation committed to providing high-quality, compassionate care and supporting staff to thrive in their roles. We value compassion, respect, empowerment and partnership, and work hard to create a positive, supportive working environment.
At CNWL, you'll have access to supervision, training and development opportunities, with a strong focus on staff wellbeing, flexible working where possible and career progression. Joining CNWL means being part of a collaborative organisation where your contribution is valued and the care you provide genuinely makes a difference to local communities.
Job description Job responsibilities The Nursing Associate plays a vital role within the Urgent Community Response (Home 1st) service, delivering highquality, compassionate, patientcentred care to people in their own homes. The role supports timely assessment, intervention and shortterm care to promote independence, prevent unnecessary hospital admissions and identify deteriorating patients early.
Clinical Care
Deliver highquality, personcentred care to patients in their own homes, promoting independence, health and wellbeing and helping to prevent unnecessary hospital admissions. Undertake a wide range of delegated clinical tasks within scope of practice, including clinical observations (using NEWS2), wound care, pressure ulcer prevention, catheter care (including suprapubic), venepuncture, ECGs and blood glucose monitoring. Prepare and administer medicines within the limitations of the Nursing Associate role, in line with Trust and national policies. Urgent and Community Care
Recognise, respond to and escalate signs of patient deterioration promptly, seeking advice and guidance from Registered Nurses or other registered professionals as required. Contribute to rapid assessment and shortterm intervention as part of the Urgent Community Response (Home 1st) service, supporting safe and timely care at home. Risk Management and Patient Safety
Assist in the identification, assessment and management of clinical risk, including falls, nutrition, moving and handling and pressure damage, in line with Trust policies. Maintain patient privacy, dignity and safety at all times. Report incidents, risks and concerns using DATIX and escalate issues appropriately. Communication and Team Working
Communicate effectively with patients, carers, Registered Nurses and the wider multidisciplinary team, sharing relevant information to support coordinated care. Work collaboratively with partner services including health, social care and voluntary organisations within scope of practice. Professional Practice
Practise in accordance with the NMC Code, remaining accountable for own actions and working within defined limits of competence. Maintain accurate, timely and professional clinical records using electronic systems in line with Trust policy and NMC standards. Take responsibility for own learning, reflective practice and continued professional development, meeting NMC revalidation requirements. Support and contribute to the learning and development of students, trainees and support staff as required. Governance and Service Improvement
Participate in audit, service improvement and quality activities within the service. Use equipment and resources safely and economically, reporting faults, hazards or equipment failure. Comply with Trust policies relating to safeguarding, infection prevention and control, confidentiality, information governance, equality and diversity, and health and safety.
Person Specification
Qualifications Essential
Successful completion of the Nursing Associate trainee programme Evidence of the Nursing Associate Qualification (higher apprenticeship and/or a relevant Foundation Degree programme. NMC Registration Membership of recognised and relevant professional body. Demonstrate Commitment to continuous professional development.
Knowledge & Experience Essential
Ability to work effectively as a team player under appropriate supervision, and as part of a multi-disciplinary team Able to deal with non-routine situations and the unpredictable nature of the workload and individual patient contact. Insight into how to evaluate own strengths and development needs seeking advice where appropriate Able to take part in reflective practice and clinical supervision duties. Understanding the scope of the role of the Nursing Associate in the context of the team and the organisation and how the role may contribute to service development. Able to communicate with members of the public and health and care providers. Knowledge of where to seek advice and refer to a registered care professional. Understanding the importance of the promotion of health and well being (Making Every Contact Count) Understanding of evidence based practice. Able to evaluate, act upon and report appropriately a range of clinical values when recording a patient's vital signs. Evidence of involvement in supporting and developing less experienced staff. Experience of providing and receiving complex, sensitive information.
Key Skills/Abilities Essential
Evidence of time management skills and ability to prioritise own workload. Evidence of proficient IT skills. Able to communicate effectively with patients/relatives and carers and all members of the multi disciplinary team. Proficient written communication skills Ability to work collaboratively within multidisciplinary team Ability to adapt to a situation / patient's needs Resilient under pressure. Able to use initiative within the boundaries of the role. Ability to support patients/carers/families in distressing and emotional situations. Commitment to personal and service development. Motivated and positive person with an ability to encourage and inspire patient activity.
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 Central and North West London NHS Foundation Trust
Address CNWL Trust HQ, Pentz Building, Level 2.
CNWL-HQ, Open University Campus, Pentz Building, MK7 6AA
Milton Keynes
MK7 6AA
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)