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Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

Do you have sound clinical knowledge and experience of managing acutely ill children and young people? Do you have a passion to provide excellent evidence based nursing care to support children and young people and their families?

This diverse and rewarding role would suite an experienced paediatric nurse from an acute background looking to move into a community setting whilst maintaining and utilising their acute clinical skills. We are a rapidly developing service looking to expand our ambulatory pathways and develop our autonomous nurse practitioner role.

Our hospital at home service provides hospital level care for children in the community with acute illnesses preventing hospital admissions and enabling early discharge. Our service is delivered by an experienced and skilled team of paediatric nurses in partnership with acute care providers supporting children and young people and their families to be able to manage their illness in their home setting.

Main duties of the job

To work as an autonomous practitioner with responsibility for facilitating early discharge, reduce length of stay and prevent hospital admissions
To provide high quality, specialist nursing care to children in their own homes
To provide continuing responsibility for the assessment, development, implementation and evaluation of nursing care for patients.
To work collaboratively with other local health care professionals/providers to maintain high quality care and promote practice that is family centred.
To continue to develop and maintain close links between Community and Hospital based services.
To be responsible for providing support to junior members and students, by developing their skills and providing mentorship through their practice placements.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream

Detailed job description and main responsibilities

Clinical

To initiate appropriate work, accepting referrals and be able to work autonomously with the child and family in the community setting.
To regularly attend and liaise with acute hospital colleagues to enable timely and safe discharge from hospital and appropriate follow-up in the community setting eg care of children with viral wheeze needing nebulisers and observation at home, fluid challenges for children with diarrhoea and vomiting
To collect and analyse daily reports from Paediatric Accident and Emergency (A&E)and follow up any children who need further support in the home setting
To establish contacts with GP's who regularly send children to A&E and promote the service offered in the community
Recognise and monitor acute exacerbations of illness and initiate appropriate nursing interventions.
To provide a holistic, autonomous and clinical nursing service using evidence based practice. To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility. Act in partnership with the child and family when assessing a child's needs and planning. To provide advice contributing to the well-being of the patient and participate in health promotion. (eg burns advice)
To ensure medical needs and instructions are carried out in accordance with nursing and midwifery council guidelines and ensure accurate record keeping (RIO system used for client records). To create reports for specific formal meetings such as child protection case conferences. Ensure confidentiality of information is adhered to at all times.
To carry out specialist procedures in the community settings eg administration of intravenous antibiotics care of central venous access devices and changing of naso-gastric tubes
To use clinical judgement and expertise in assessing and implementing change during clinical visits eg assessment of respiratory condition and management of any changes
To use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters prescribed by medical colleagues e.g. inhalers
To use clinical knowledge
To teach, support and guide patients and those with parental responsibility in relative nursing procedures and to help them carry out effective nursing care.
To be familiar with practices regarding the management of hazardous/biological substances and follow trust policies regarding their disposal.

Research

Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work.
Utilise research findings to develop new ways of working and disseminate relevant information to staff.
To assist the lead nurse and team leaders with updating or writing new care plans, policies, guidelines and competencies.
Set, monitor and review standards of care on a regular basis and initiate corrective action plans.

Work force

To manage client caseload and have the ability to work autonomously.
Act as a professional role model and mentor at all times.

Financial

To demonstrate accountability in the use and management of all resources including financial.

Partnerships

Communications and Relationships
To participate in working parties in order to propose changes to policy, procedure and guidelines within child health.
To liaise, make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes.
To co-ordinate activities with other professionals and agencies eg Team Around the Child meetings
To assess care needs and liaise with other professionals in order to assist them to develop a package of care and to provide clinical/professional advice relating to this.
To attend Children's Inpatient Ward and A&E on a daily basis to ensure all appropriate referrals are made and to provide seamless care from hospital to the community setting. To be involved in the providing and receiving of delicate and sometimes complex information during these visits. To negotiate communications with families and carers around complex issues regarding management of care in the community, including bereavement support and managing difficult situations.
Identify and intervene where circumstances contribute to an unsafe environment for patients and staff and bring to the attention of Lead Nurse.
To be responsible for the demonstrating of safe use of expensive and complex pieces of equipment. To be responsible for ensuring that medical supplies are ordered from an agreed list in order that the team remain within budget.
To assess patients' needs and initiate all requests for nursing aids or equipment. To be responsible for the training of their correct use.
There is a requirement for the post-holder to be flexible with their working hours and cover over a weekend or Public Holiday.

General

Deputise for H@H Nurse Team Leader in their absence.
Take an active role in risk assessment, supporting implementation of strategies to minimise risk. Ensure incidents and near misses are reported, through promoting a no blame culture.
To participate in teaching Nurse Learners and all other students as appropriate who visit.
To frequently market and update service with acute colleagues, attending and teaching at doctor/nurse training sessions on a regular basis
To provide a high standard of professional conduct and nursing care at all times in accordance with the NMC.
To attend relevant meetings, courses, seminars and keep professionally up-to-date.
Any other duties considered relevant to the post.

Person specification

Qualifications and Training

Essential criteria

RSCN/RN Child diploma level or equivalent
Evidence of continuing professional development
Significant experience within the field of Children's nursing

Desirable criteria

Community Specialist Practitioner
Units of study and Practice within a Community Children's Nursing Team or working towards a degree with relevant community related modules.

Experience

Essential criteria

Broad experience of nursing sick children in the hospital/community setting
Demonstrate a sound knowledge of paediatrics in the community
Demonstrate a good knowledge of recent developments in paediatric care
Good understanding of Safeguarding issues and policy framework
Understanding of audit process and research methodologies

Desirable criteria

Experience in Teaching
Previous experience of research/audit/be nchmarking

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

JD (PDF, 330.3KB)
CCNT Band 6 person spec (PDF, 1019.1KB)
Working at LGT (PDF, 4.2MB)

Hospital at Home Senior Nurse

Hospital at Home Senior Nurse

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