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PATCH Nurse - Paediatric Hospital at Home

Chelsea and Westminster Hospital NHS Foundation Trust
£40,701 to £48,054 per annum incl. HCAS
Closing date
3 May 2024
This position offers the post holder an exciting opportunity to be part of a new team, assisting with the design and development of a new innovative model of nursing care at West Middlesex University Hospital - PATCH team Providing Assessment and Treatment for Children at Home, with support from the Paediatric Emergency Department (PED) and Paediatric Ward Senior Management team.

Main duties of the job

The post holder will use their clinical experience and skills to independently assess and manage acutely unwell children, ensuring all children referred to the PATCH team receive high quality, compassionate and effective care at home.

The post holder will utilise face to face, virtual and telephone consultations and where escalation of treatment is required, liaise with the hospital teams ensuring timely care is maintained.

A driving license is necessary and preferably own form of transport for this role.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England. We have two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital, plus our award-winning clinics across North West London and beyond.

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

  • Ensure high standards of patient care at all times challenging and ensuring others challenge poor practise, in accordance with the NMC Professional Code of Conduct.
  • Ensure local plans support all clinical quality external accreditation, for example the Care Quality Commission (CQC)
  • Ensure agreed systems and process to consistently provide safe, effective high quality patient care and embed a culture of quality improvement
  • Through visible clinical leadership ensure that the delivery of kind, compassionate and respectful care takes place, in line with the Trust PROUD values.
  • Ensure that the delivery of care meets the individual needs of all patients and families.
  • Ensure that all patient care is assessed, planned, prioritised and high quality, both physical and psychological delegating to support staff as required. Seek advice and support from other staff as required.
  • In accordance with the individualised patient care, ensure clinical assessments are taken, results recorded and any appropriate actions taken based on the results.
  • Ensure the maintenance of professional contemporaneous records at all times, document all actions and interventions in a clear and honest and timely manner in line with Trust policy.
  • Develop effective teamwork, to ensure patients are regularly reviewed and discussed as part of regular MDT meetings, to include ongoing care plans especially for nights, weekend and bank holiday periods.
  • Ensure nursing team monitors patient progress, working towards safe and timely intervention.
  • Using professional judgement be prepared to intercede and act as patient advocate to clarify prescribed plans of care.
  • Manage concerns raised by patients and visitors in a proactive manner, review patient feedback results and update the Projects patient experience improvement plans, as needed.- Champion a safeguarding culture, which meets the needs of all vulnerable patient groups.
  • Ensure relatives and other staff are engaged in a professional manner and the team act in a courteous and polite manner at all times, thereby ensuring good public relations between patients, public and staff.
  • Store, check and administer drugs in accordance with the Trust Medicines policy.
  • Work off site when required conducting home visits, in line with the Trust lone worker policy
  • Ensure nursing documentation is maintained

Please see attached job description for more information on the roles and responsibilities of the post holder

Person Specification

Education and Qualifications


  • Part 1 Registered Nurse - Child or equivalent
  • Level 3 Safeguarding
  • PILS certificate
  • Evidence of further study


  • Advanced Assessment Course



  • Minimum 3 years post qualification
  • Recent acute paediatric experience


  • Minimum 3 years post qualification
  • Recent acute paediatric experience

Skills and knowledge


  • Driving License and willingness to travel to visits independently
  • Clinical documentary competence in IV Drug Administration
  • Ability to manage own time and prioritise
  • Excellent communication and interpersonal skills necessary to interact with the patients the multidisciplinary team emergency services and the outside agencies necessary for the efficient running of the service
  • Able to recognise the potential for physical or verbal violence and take action to defuse the situation.
  • Ensure correct use of IT systems and awareness of the importance of information governance


  • Knowledge of quality, standard setting, benchmarking and audit
  • Proven leadership qualities and ability to manage own caseload

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust


West Middlesex University Hospital

Twickenham Road



Any attachments will be accessible after you click to apply.


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