Job Description

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NHS AfC: Band 7

Main area

Surrey Downs Health & Care

Grade

NHS AfC: Band 7

Contract

Permanent

Hours

Full time - 37.5 hours per week (8am-8pm shifts across 7/7 (150 hours in a 4 week period))

Job ref

343-SDH&C-7105579-A

Site

Community role, based at Epsom General Hospital

Town

Epsom

Salary

53,751 - 60,651 Pro Rata Per Annum inc Outer HCAS

Salary period

Yearly

Closing

11/08/2025 23:59
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Job overview

Surrey Downs Health & Care

We are looking for dynamic individuals who will play a key role in driving our Urgent Community Response and Virtual Ward services in Surrey Downs. You will have excellent organisational and time management skills and be passionate about delivering holistic care that has the patient at its centre. You will relish developing new ways of working to improve quality and develop a "one team" culture. This is a great opportunity for a proactive individual keen to take the next step in their career, joining an exciting forward thinking team.



So, if you're looking for an employer that is working to push beyond and remove traditional boundaries and barriers, bringing care to patients when and where they need it, and you want to work alongside motivated, passionate and visionary colleagues, come and work for Surrey Downs Health and Care!


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Main duties of the job

The post holder is an experienced nurse who, acting within their professional boundaries will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will have the ability to work autonomously and will demonstrate safe, clinical decision-making and expert care including assessment and diagnostic and treatment skills, which may include prescribing, for patients within the Home First home Service. The post holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Clinical and Operational Leads and the whole team to meet the needs of patients, supporting the delivery of policy and procedures, providing nursing leadership. In order to work at this level, NMC requirements for advanced practice must be met.

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Working for our organisation

Surrey Downs Health and Care deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations.



Surrey Downs Health and Care has a track record of providing person centered care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:


The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area CSH Surrey Epsom and St Helier's University Hospitals NHS Trust Surrey Council County

Historically, there have been boundary lines between the organisations that provide care to people in their homes, in GP surgeries and in hospitals, but we have always been united in our mission to provide great care to the people who need us.



It's on those grounds that the Surrey Downs Health and Care was formed - we want local people to receive the care that they need in the right environment. By bringing together our expertise, we can improve patient care and enable local people to access the right support, care and treatment more easily than ever before.



In bringing this partnership together, we are working to the same set of values that will translate into better care for our residents.


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Detailed job description and main responsibilities

To deliver expert, specialist service for older people with complex health and social needs who may be benefit from, or who are under the care of, the Home First Service. To coordinate a seamless service through the development of enhanced interdisciplinary team processes and communication, within the Home First Service and across the wider Surrey Downs Health and Care (SDHC) whole system. To empower patients and carers to make informed decisions regarding their goals and outcomes and the care they will receive to support them to meet these. To support the development and evaluation of clinical protocols and systems of inter-agency documentation to enhance both continuity and the standards of care. To understand and apply the Mental Capacity Act in regard of mental capacity in decision making and appropriate application of Deprivation of Liberty requirements and working with other agencies within the Safeguarding framework. To attend meetings as required including deputising for the Operational and Clinical Leads as requested. To develop close links with the wider community to enhance both care for individual patients and the wider development of Surrey Downs Health and Care. To manage a complex caseload requiring specialist skills and interventions. To ensure the coordination of appropriate input from relevant individuals and services taking account of the degree of acuity, illness and disability experienced, the expressed wishes of the patient and carer and the existence of clinical, social and psychological factors. To promote and implement research / evidence based practice and audit clinical outcomes to inform and lead clinical practice and set clinical standards. Ensure that accurate and complete records of care are kept and that own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care. Assess, diagnose, plan, implement and evaluate treatment / interventions and care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care Support patients to adopt health promotion strategies that apply principles of self care. To promote and implement research / evidence based practice and audit clinical outcomes to inform and lead clinical practice and set clinical standards Ensure that accurate and complete records of care are kept and that own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care

Please refer to the attached and Person Specification for more details.


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Person specification

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Education/Qualification

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Essential criteria

Nurse registration with NMC Relevant post registration study at degree level and/or relevant CPPD #####

Desirable criteria

Advanced physical assessment or working towards ####

Experience

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Essential criteria

Experience in managing the needs of complex patients in relevant care setting, i.e. community or unscheduled care Experience of mentoring students and/or experience in supervising, mentoring and appraising staff #####

Desirable criteria

Working as clinician of the day/lead clinician on duty ####

Skills/ability/knowledge

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Essential criteria

Insight into current issues relating to delivery of community/primary care Holistic Assessment skills ####

Other

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Essential criteria

Car driver with access to car for work ###

Employer certification / accreditation badges

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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.