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Lead Nurse for Children's Services

Chelsea and Westminster Hospital NHS Foundation Trust
£66,718 to £76,271 per annum incl. HCAS
Closing date
8 Mar 2024

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We are looking to recruit an experiencedLead Nurse for Children's Services at West London Children's Healthcare.

We seek an individual who shares and embodies our vision, values and behaviours. The Lead Nurse will support delivering strategic and operational objectives set by West London Children's Hospital (WLCH) and the Chelsea and Westminster NHS Foundation Trust (CWFT).

The role will be expected to provide senior leadership and support to Children's Services across both the Trusts hospital sites and deputising for the Head of Nursing covering all areas of the directorate when required.

Main duties of the job

The Lead Nurse will provide professional nursing leadership to clinical areas and contribute to the operational delivery and management of WLCH and Trust quality agenda.

The Lead Nurse is vital in ensuring efficient and effective use of resources and developing and maintaining the highest standards of care and service delivery. The post holder will lead defined projects across the Children's Service and report progress to the Head of Nursing for Children Services.

The Lead Nurse will be required to work collaboratively within the paediatric nursing teams to implement a strategy for nursing that supports the priorities of the division, trust and commissioning bodies.

About us

helsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the best performing Trusts in the country. We're also one of the top trusts to work for - our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

Clinical Responsibilities
  • Provide expert advice on all matters relating to Childrens Services
  • Demonstrate expert knowledge by being visible, accessible and using clinical skills within the workplace as appropriate
  • Supervise and ensure a consistent approach to childrens nursing across all areas covered, through collaborative working and the development of shared procedures and guidelines, supervising the audit of practice development and the implementation of action plans
  • Supervise and set standards for clinical practice in collaboration with the Senior Nurse, Clinical Nurse Specialists/Advanced Nurse Practitioners and Senior Sisters/Ward Managers
  • Supervise and ensure that continuous quality improvement programmes are in place working collaboratively with the Directorate of Nursing
  • Supervise the management of complaints and clinical incidents, ensuring robust systems are developed and implemented to inform and improve practise
  • Have responsibility for ensuring that cleaning and catering targets are met within all responsible areas
  • Keep informed of National and Trust policies, especially those affecting service delivery and patient care, and disseminate the information as appropriate, ensuring that implications of recommendations are discussed at Divisional Board level
  • Provided Senior Nurse on Site cover, out of hours including weekends and bank holidays.

Professional and Leadership
  • Provide strong professional and managerial leadership, by being a highly visible and authoritative presence ensuring the provision of a high quality, responsive childrens nursing service with the needs of the child and its family placed at the centre of care delivery
  • Work collaboratively with the Childrens Head of Nursing, other Lead and Senior Nurses within the Directorate in the delivery of the Business Plan and the Trusts Nursing and Midwifery Strategy
  • Ensure that all children within the service receive appropriate evidence based nursing care. Work collaboratively with the Senior Nurses of all departments within the Trust and across WLCH where children are seen to ensure this occurs in areas outside of the Childrens Services
  • Support the Head of Nursing and Director of Nursing to champion the Children and Young People nursing agenda by providing expertise across the Trust and WLCH.
  • Support and facilitate the development of nursing research
  • Advise the Head of Nursing, General Manager and the Director of Nursing for WLCH, on the formulation of staffing establishments
  • Develop and implement an annual nursing workforce plan which integrates with the local delivery plan
  • Act as a senior member of the management team ensuring nursing input into strategic and operational decisions
  • Keep up to date with current developments in paediatric nursing ensure evidence based practice, assisting with the implementations of the National Service Framework in all areas of the Trust where children are treated, and NICE guidance
  • Act as a catalyst for change, leading the development of policy, practice and staff in the delivery of patient centred care
  • Develop systems in order to learn from and implement changes to practice arising from complaints, clinical risks, litigation and medication errors.
  • Work with the Senior Nurses, Senior Sisters, Ward Managers, Clinical Nurse Specialists, ANPs and the Infection prevention and control team to proactively reduce hospital acquired infection
  • Engender a culture of respectful relationships
  • Ensure registered practitioners are aware of, and comply with the Code of Professional Conduct, ensuring processes are in place to monitor that all nurses within areas of responsibility are registered annually with the Nursing and Midwifery Council (NMC).
  • Develop new skills and knowledge pertaining to paediatric nursing as required
  • Take responsibility for self development through the appraisal system and work towards completing an agreed personal development plan
  • Conduct oneself in accordance with the NMC Code of Professional Conduct and Trust policies
  • Lead innovation in nursing practice using an evidence based approach to met the needs of the child, family, relatives and staff
  • Be an effective role model and able to represent WLCH and Trust organisationally and professionally, both internally and externally
  • Work closely with the named and designated Nurses/Doctors/Midwives for Safeguarding children, taking responsibility for ensuring that Safeguarding issues are managed effectively and appropriately by relevant agencies and that staff fulfil their obligations in relation to their responsibilities in this area

Performance Management and Service Development
  • Ensure Senior Nurses and Ward Managers are effectively managing their wards/departments, within the agreed budget and have responsibility for managing nursing budgets within sphere of responsibility
  • Assist with the strategic and financial planning for all wards and department within the Service, working closely with the General Manager, Service Manager and Childrens Head of Nursing
  • Ensure robust systems are in place to ensure the booking of bank and agency staff is appropriate ad that reliance on temporary staff is reduced
  • Responsible for staffing strategies in order to
    • Reduce vacancies
    • Increase retention
    • Decrease sickness and absence
    • Decrease staff turnover
    • Promote career development
  • Ensure all Human Resources Policies and Procedures are followed
  • Respond appropriately to major incidents, internal disasters and other significant events impacting on patient care
  • Ensure that nursing practices comply with the Trust policy for procedures and guidelines
  • Communicate effectively at all times and maintain a harmonious working environment
  • Supervise the provision of adequate staff cover by monitoring duty rosters and re-deploying staff as required to provide safe and effective care to children and their families
  • Supervise and assist with the effective management of staff performance
  • Advise on the recruitment, selection and appointment of new staff as required to maintain agreed nursing establishments
  • Assist with the identification of areas for service development, propose and supervise the development of policies, procedures and guidelines to support changes in paediatric nursing practice
  • Recognise and assess risks, ensuring they are appropriately documented and communicated, making recommendations and leading change to reduce these. Work proactively with management staff to minimise risk and ensure compliance with Health and Safety legislation.
  • Work collaboratively with the Patient Advisory and Liaison Service, identifying areas for public and patient involvement and ensuring that the Family Liaison Nurses are involved in co-ordinating this work within the Service and all areas of the Trust where children are treated. This includes leading on the patient/parent involvement strategy, ensuring that opportunities to learn from user experiences are sought and opportunities to improve the experience of patients are families are taken
  • Ensure that appropriate systems are in place to collect data for quality analysis, including performance data
  • Supervise the annual appraisal of staff within sphere of responsibility and undertake individual performance reviews and setting of objectives for direct reports, utilising the Knowledge Skills Framework (KSF)
  • Provide guidance and support to the senior nurse, senior sisters, ward managers, CNSs and ANPs in their professional development an assist in identifying educational needs
  • Supervise the quality of nursing documentation and safe keeping of patient records in compliance with the Data protection Act

Other Duties
  • Deputise for the Childrens Head of Nursing, as required
  • Undertake any other duties requested by the WLCH leadership team, Managing Director, Medical Director, Director of Nursing
  • Promote the WLCH as a centre for excellence for Childrens Services at conferences and professional forums

Person Specification



  • RSCN/RN (child)
  • Post registration qualification in specialty
  • Educated to degree or master's level in relevant subject area
  • Recognised teaching/assessing qualification
  • Recognised management/leadership qualification or equivalent experience
  • Evidence of continuing professional development


  • Master's degree or working towards one.

Skills & Abilities


  • Proven leadership skills through experience of leading a large team
  • Strong commitment to improving patient services with focus on achieving performance goals
  • Proven organisational and people management skills
  • Proven ability to effectively manage change
  • Time management skills, with the ability to meet deadlines and work effectively under pressure
  • Ability to work strategically

Knowledge & Experience


  • Experience at senior nurse level within specialty
  • Sound knowledge and understanding of current issues in specialty
  • Experience and knowledge of quality, standard setting and audit
  • Effective budget management experience
  • Sound experience in managing complaints and quality assurance

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust


Chelsea And Westminster Hospital

369 Fulham Road


SW10 9NH

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