Job Description

Are you an enthusiastic Nurse, looking to develop in a community rehabilitation team? Do you want to work in a diverse multidisciplinary team? Do you like supporting patients in their home and avoid unnecessary admissions? If so...



The aim of the Intermediate Care Lambeth is to provide community based care and rehabilitation to prevent unnecessary hospital admission, facilitate early hospital discharges and promote independence reducing reliance on long term social care services.



The successful applicant will work alongside Physiotherapists, Occupational Therapists, Social Workers, Social Care Assessors, Pharmacists, Doctors/GPs and Rehab Support Workers as part of the multi-disciplinary team.



The nursing role includes the clinical assessment of patients' conditions and intervention planning for management of blood pressure, pressure care and prevention, continence assessment, medication reconciliation, review and/or administration, urgent wound assessment and management, falls prevention and support therapists to optimise rehabilitation.



The nursing team plays a proactive role in the prevention of unnecessary admission to hospital with 8am to 10:00pm on the phone support and same day patient reviews.



These roles would be ideal for enthusiastic Band 6 or experienced Band 5 Nurses looking to develop in the specialist areas of community rehabilitation, admission avoidance, holistic assessment, and integrated care.

Closing date:

Midnight 24/11/2025

Interview Date:

2/12/2025



Professional / Clinical Responsibilities



To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment in order to formulate treatment plans, maximise rehabilitation potential and set goals.



Management and Leadership



To monitor the quality of nursing/rehabilitation services offered and contribute to the development and review of quality measures and performance indicators.



Communication



To be skilled in communicating, using both verbal and non-verbal means, with clients, carers and families who may have a range of physical disabilities or other barriers to understanding.

To offer advice and communicate written and verbal information to clients/ carers and agencies including other health professionals regarding a client's management.



Education, Training & Mentorship



To educate referrers and clients about the services the team offers.



Audit, Benchmarking & Research



To monitor the quality of services offered by the team and when areas of development are identified, to implement an action plan to address these under the direction of the Clinical Manager.



Personal & Professional Development



To reflect on practice at all times and to effectively participate in clinical supervision.

To maintain Nursing and Midwifery Council (NMC) registration and to work within NMC code of conduct.



Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals



Guy's Hospital



St Thomas' Hospital



Evelina London Children's Hospital



Royal Brompton Hospital



Harefield Hospital;



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.

GSTT Values are to:

We are caring, we are ambitious, we are inclusive.



The team is a vibrant multidisciplinary, integrated team that that supports each other to share knowledge, skills and expertise. Through strong team relationships with our Adult Social Care partners, we work to meet the needs of people living in the London Borough of Lambeth.

Please refer to attached JD for details:

Professional / Clinical Responsibilities



To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.



To work as an autonomous lone practitioner, case managing clients in the community and coordinating their care.



To carry out timely assessment and rehabilitation of community clients to prevent hospital admission or re-admission and facilitate early discharge home from hospital.



Management and Leadership



To deputise in some tasks in the absence of the Senior Specialist Nurse if required.



Communication



To work in a client centred manner with mutually agreed goals, appointments and rehabilitation programmes.

To communicate effectively with clients, carers and family members and to develop effective working relationships with the multidisciplinary team and external agencies.



Education, Training & Mentorship



To induct, supervise, appraise and teach students on placements within the team.



Audit, Benchmarking & Research



Personal & Professional Development



To use evidence based practice to develop and maintain a high quality clinically effective and cost-effective service.

To identify and be responsible for own training needs as well as identifying team training needs and supporting development of others.