About this role
Job summary
In partnership with members of the multi-disciplinary team, the post holder will develop, implement and evaluate a seamless specialist service, ensuring that patients receive the highest standard of clinical care. The focus of the role is to lead the identification and clinical assessment of patients who will benefit from advanced discharge or admission avoidance with care provided, in their own home, by the Guy's and St Thomas' @Home multi-disciplinary team.
The post holder be expected to spend more than 50% of their time seeing patients and will provide Specialist Nursing Support for the GSTT@HOME service providing acute care for patients within a Community setting by providing assessments and care for patients with ambulatory care sensitive conditions who would otherwise be admitted to acute hospital care. The post holder will demonstrate a high level of expertise with regard to advanced physical assessment in this field providing advice, education and support to health care professionals and patients.
The post holder will accept referrals from consultants, GPs and other referrers while promoting the GSTT@Home service. The post holder will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, as well as policies, protocols, guidelines and service developments.
Closing date: 15th November 2026
Main duties of the job
This role involves, managing patient assessments and care within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. You will be expected to promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.
This position includes a rotation through all Band 7 roles within @home service, in addition to direct patient contact, you will be expected to complete the UPA triage role, NRSW lead nurse, Remote monitoring clinician and duty clinician role.
You will be expected to act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. To be pivotal in encouraging and managing appropriate referrals, attending ward rounds, MDT and other meetings. Ensuring that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Supporting and enabling patients and carers to make informed decisions relating to their treatment and management.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
Job description
Job responsibilities
Please refer to the attached Job Description for complete details and key responsibilities for this role.
Person Specification
Qualification and education
Essential
- RN1 on the NMC register
- BSC/1st degree (health related) or equivalent qualification/training and experience
- Masters degree or equivalent qualification/training and experience.
- Advanced Clinical Assessment Skills Course or willing to undertake
- Teaching/Mentorship courses
Desirable
- Understanding of current and evolving community and primary care services
- Non Medical Prescriber
Previous experience
Essential
- Experience of working autonomously at an advanced level within relevant service (e.g. rapid response/acute/emergency or urgent care) delivering effective patient focused care.
- Experience of working autonomously assessing, diagnosing and treating patients
- Proven evidence of advanced organisational/leadership skills and autonomous practice
- Experience of audit, research & evidence based care
- Experience of delivering change management both personally and as a facilitator
Desirable
- Community/primary care experience Teaching and assessing
Skills Knowledge/ Ability
Essential
- Advanced clinical assessment and leadership skills in specialty. Decisive, able to make decisions quickly and be assertive.
- Proven listening / counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes
- Evidence of teaching skills including teaching patients in how to manage their conditions
- Ability to clinically lead & influence staff
Desirable
- Ability to interpret and Analyse complex data and findings
- Undertaken clinical & Nursing research
Values and Behaviours
Essential
- Demonstrates good understanding and adherence to Trust's Values and Behaviours
Additional Information
Essential
- Ability to do home visits and supervise complex clinical situations/attend community based meetings and MDTs
- Ability to be decisive, hold a considered opinion and to be assertive in the interest of patients and the service
- Creative, lateral thinker
- Sensitivity based on knowledge
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
Guy's and St Thomas' NHS Foundation Trust
Address
Community - Cross site
Elm Court Health Centre
London
SE27 9AW
United Kingdom
Employer's website
https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)