Job summary The Senior Site Sister/Charge nurse will be responsible for all clinical areas out of hours (predominately nights and late on weekends with flexibility) and give the site team the support they require. Provide senior leadership to maintain high standards of safe and effective care and be accountable for auditing those standards. To assure staff allocation is safe, lead in providing high levels of positive patient experience, deliver safe clinical practice and challenge decisions as a senior leader. To be aware of the Care Quality Commission and work with the multi-disciplinary team ensuring that these standards of care are maintained. The post holder will aid the site manager with patient placement (during periods of high service demand). They will work closely with the site team in achieving operational targets. They will be a visible senior presence in the hospital, providing continuous clinical supervision to junior staff as well as managerial support in the management of difficult situations and patient care concerns. Main duties of the job Working closely with the Centre for Professional Learning and Clinical Skills Teams to provide teaching/learning support in agreed areas of clinical expertise in collaboration with ward managers. The post holder will be responsible for providing leadership and professional development for the nursing and support workers within clinical areas. The SSS is responsible for area specific quality reviews out of hours which will help the Trust monitor the Quality priorities 2023/24 and maintain delivery of standards. 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 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. Some roles may require weekend shifts at multiple sites. Date posted 04 February 2025 Pay scheme Agenda for change Band Band 7 Salary £51,883 to £58,544 a year per annum Contract Permanent Working pattern Full-time Reference number 289-EI-1665 Job locations West Middlesex Hospital Twickenham Road Isleworth TW7 6AF Job description Job responsibilities Responsible for identifying infection control concerns and lead decision making with the On-Call Microbiologist with regards to Infection Prevention and Controls to maintain patient safety. Initiate operational Trust plans to provide suitable co-horting/isolation of patients with infectious disease. Monitor against key performance indicators as per Trust policy and prioritise safe staffing in all areas with the use of SafeCare. This resource will aid the post holder the overview of the hospital and lead with the allocation of skilled nursing workforce. To liaise with staff bank and Care Providers to enable them to prioritise outstanding shifts based on current and forecasted activity and acuity. Where clinical (e.g. medicine, therapy, nursing) reduced levels of staffing are identified, be responsible to discuss with consultant (or similar) to understand and challenge the need for locum cover. To work within financial requirements of Divisions Out of hours, liaise with approved medical locum agencies to obtain cover and ensure clinical sign off in line with Trust process Sign worked off locum shifts according to Trust financial instruction, utilising Patchwork To participate in direct patient care. To be trained, skilled and demonstrate competence in key nursing interventions this will include cannulation, phlebotomy, catheterisation (male and female), management of tracheostomy, management of NIV including interpretation of ABG / VBG and IV drug administration, recognition of the deteriorating adult and appropriate first line interventions and escalation (this is not an exhaustive list). Lead the collation and analysis of information regarding clinical workload of the wider Hospital at Night team. Highlighting, appropriate escalation and reporting (via Datix) (on a shift by shift basis) any unmet clinical need at night. To adhere at all times to the NMC Code of Professional Conduct, and any other NMC guidelines and regulations. Job description Job responsibilities Responsible for identifying infection control concerns and lead decision making with the On-Call Microbiologist with regards to Infection Prevention and Controls to maintain patient safety. Initiate operational Trust plans to provide suitable co-horting/isolation of patients with infectious disease. Monitor against key performance indicators as per Trust policy and prioritise safe staffing in all areas with the use of SafeCare. This resource will aid the post holder the overview of the hospital and lead with the allocation of skilled nursing workforce. To liaise with staff bank and Care Providers to enable them to prioritise outstanding shifts based on current and forecasted activity and acuity. Where clinical (e.g. medicine, therapy, nursing) reduced levels of staffing are identified, be responsible to discuss with consultant (or similar) to understand and challenge the need for locum cover. To work within financial requirements of Divisions Out of hours, liaise with approved medical locum agencies to obtain cover and ensure clinical sign off in line with Trust process Sign worked off locum shifts according to Trust financial instruction, utilising Patchwork To participate in direct patient care. To be trained, skilled and demonstrate competence in key nursing interventions this will include cannulation, phlebotomy, catheterisation (male and female), management of tracheostomy, management of NIV including interpretation of ABG / VBG and IV drug administration, recognition of the deteriorating adult and appropriate first line interventions and escalation (this is not an exhaustive list). Lead the collation and analysis of information regarding clinical workload of the wider Hospital at Night team. Highlighting, appropriate escalation and reporting (via Datix) (on a shift by shift basis) any unmet clinical need at night. To adhere at all times to the NMC Code of Professional Conduct, and any other NMC guidelines and regulations. Person Specification Education and qualifications Essential NMC Registered Nurse Masters Level Study or a willingness to undertake Completed, or willing to undertake, management/leadership qualification or extensive management experience Experience Essential Significant Experience (in different and varied acute clinical settings) confident working at a band 6 level Experience of teaching and assessing Experience of working with an electronic patient record Skills and Knowledge Essential Management of tracheostomy Management of NIV including interpretation of ABG / VBG Cannulation, phlebotomy, catheterisation (male and female) Perform a comprehensive clinical assessment IT skills including word, Cerner, PowerPoint, excel, email and internet Ability to manage potential conflict/difficult situations Ability to work independently and as part of a team Person Specification Education and qualifications Essential NMC Registered Nurse Masters Level Study or a willingness to undertake Completed, or willing to undertake, management/leadership qualification or extensive management experience Experience Essential Significant Experience (in different and varied acute clinical settings) confident working at a band 6 level Experience of teaching and assessing Experience of working with an electronic patient record Skills and Knowledge Essential Management of tracheostomy Management of NIV including interpretation of ABG / VBG Cannulation, phlebotomy, catheterisation (male and female) Perform a comprehensive clinical assessment IT skills including word, Cerner, PowerPoint, excel, email and internet Ability to manage potential conflict/difficult situations Ability to work independently and as part of a team 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). 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. 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 West Middlesex Hospital Twickenham Road Isleworth TW7 6AF Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)