Job summary This position offers the post holder an exciting opportunity to be part of a an innovative model of nursing care at West Middlesex University Hospital - PATCH team "Providing Assessment and Treatment for Children at Home", with support from the Paediatric Emergency Department (PED) and Paediatric Ward Senior Management team. Main duties of the job The post holder will use their clinical experience and skills to independently assess and manage acutely unwell children, ensuring all children referred to the PATCH team receive high quality, compassionate and effective care at home. The post holder will utilise face to face, virtual and telephone consultations and where escalation of treatment is required, liaise with the hospital teams ensuring timely care is maintained. A driving license is necessary for this role. 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 sitesChelsea and Westminster Hospital and West Middlesex University Hospitalalong 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 are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed." 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. Some roles may require weekend shifts at multiple sites. Date posted 07 March 2025 Pay scheme Agenda for change Band Band 6 Salary £42,939 to £50,697 a year per annum incl. HCAS Contract Permanent Working pattern Full-time, Job share, Flexible working Reference number 289-SC-2402 Job locations West Middlesex University Hospital Twickenham Road Isleworth TW7 6AF Job description Job responsibilities Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct. Ensure local plans support all clinical quality external accreditation, for example the Care Quality Commission (CQC) Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of quality improvement Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, in line with the Trust PROUD values. Ensure that the delivery of care meets the individual needs of all patients and families. Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required. In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results. Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy. Develop effective teamwork, to ensure patients are regularly reviewed and discussed as part of regular MDT meetings, to include ongoing care plans especially for nights, weekend and bank holiday periods. Ensure nursing team monitors patient progress, working towards safe and timely intervention. Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care. Manage concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the Projects patient experience improvement plans, as needed. - Champion a safeguarding culture, which meets the needs of all vulnerable patient groups. Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff. Store, check and administer drugs in accordance with the Trust Medicines policy. Work off site when required conducting home visits, in line with the Trust lone worker policy Ensure nursing documentation is maintained Please see attached job description for more information on the roles and responsibilities of the post holder Job description Job responsibilities Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct. Ensure local plans support all clinical quality external accreditation, for example the Care Quality Commission (CQC) Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of quality improvement Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, in line with the Trust PROUD values. Ensure that the delivery of care meets the individual needs of all patients and families. Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required. In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results. Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy. Develop effective teamwork, to ensure patients are regularly reviewed and discussed as part of regular MDT meetings, to include ongoing care plans especially for nights, weekend and bank holiday periods. Ensure nursing team monitors patient progress, working towards safe and timely intervention. Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care. Manage concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the Projects patient experience improvement plans, as needed. - Champion a safeguarding culture, which meets the needs of all vulnerable patient groups. Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff. Store, check and administer drugs in accordance with the Trust Medicines policy. Work off site when required conducting home visits, in line with the Trust lone worker policy Ensure nursing documentation is maintained Please see attached job description for more information on the roles and responsibilities of the post holder Person Specification Education and Qualifications Essential Part 1 Registered Nurse - Child or equivalent Level 3 Safeguarding PILS certificate Evidence of further study Desirable APLS/EPALS Advanced Assessment Course Evidence of further study Experience Essential Minimum 3 years post qualification Desirable Experience working in a Hospital Home team Experience working in the Emergency Department Community nursing experience Skills and knowledge Essential Clinical assessment skills Clinical documentary competence in IV Drug Administration Ability to manage own time and prioritise Excellent communication and interpersonal skills necessary to interact with the patients; the multidisciplinary team; emergency services; and the outside agencies necessary for the efficient running of the service Proven leadership qualities and ability to manage own caseload Ability to deal with relatives in a stressful situation, giving a high level of support and advice Able to recognise the potential for physical or verbal violence and take action to defuse the situation. Ensure correct use of IT systems and awareness of the importance of information governance Be aware of role in a major incident and be capable of managing the department response to an incident. An understanding of professional issues relating to safeguarding the child and family. Knowledge of quality, standard setting, benchmarking and audit. Person Specification Education and Qualifications Essential Part 1 Registered Nurse - Child or equivalent Level 3 Safeguarding PILS certificate Evidence of further study Desirable APLS/EPALS Advanced Assessment Course Evidence of further study Experience Essential Minimum 3 years post qualification Desirable Experience working in a Hospital Home team Experience working in the Emergency Department Community nursing experience Skills and knowledge Essential Clinical assessment skills Clinical documentary competence in IV Drug Administration Ability to manage own time and prioritise Excellent communication and interpersonal skills necessary to interact with the patients; the multidisciplinary team; emergency services; and the outside agencies necessary for the efficient running of the service Proven leadership qualities and ability to manage own caseload Ability to deal with relatives in a stressful situation, giving a high level of support and advice Able to recognise the potential for physical or verbal violence and take action to defuse the situation. Ensure correct use of IT systems and awareness of the importance of information governance Be aware of role in a major incident and be capable of managing the department response to an incident. An understanding of professional issues relating to safeguarding the child and family. Knowledge of quality, standard setting, benchmarking and audit. 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. 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 West Middlesex University Hospital Twickenham Road Isleworth TW7 6AF Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)