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Virtual Ward Heart Failure Nurse

North Middlesex University Hospital NHS Trust
£49,178 to £55,492 Per annum inclusive of HCAS (salary depending on experience)
Closing date
18 Jul 2024
An exciting opportunity has arisen for an experienced nurse to join the Virtual Ward at North Middlesex University Hospital. You will visit patients in the community, and also manage appropriate patients with remote monitoring devices.

You will work predominately for Virtual ward with on a joint pathway of care with the Cardiology Consultant at the North Middlesex University Hospital and Lead Heart Failure Nurse for Enfield Community Services.

We are planning to set up a consultant supervised home IV furosemide service and your role will be key to implementing this. Experience of managing IV diuretics and complications of therapy, either as inpatient or outpatient, would be ideal. We also have a daily Heart Failure MDT to discuss case management.

As Urgent Care Response (UCR) comprises of Virtual Wards and Rapid Response, you will be required to give advice as required to patients receiving Rapid Response care.

You will be working within a multi-disciplinary team and the voluntary care sector to support people who are at risk of admissions to hospital or being facilitated with transfer home under the care of the Virtual Ward.

Main duties of the job

As a Heart Failure Specialist Nurse in Virtual Ward, you will provide specialist nursing care for patients living with Heart Failure (HF). You will manage virtual ward patients, reviewing patients at home, by visits or remote monitoring by to ensure optimal medical therapy, promoting self-care strategies and onward referrals to teams such as cardiac rehabilitation and palliative care.

You will share enthusiasm and expertise in HF clinical nursing skills to peers and community carers and work closely to implement management plans with other members of the community team including cardiologists and HF Consultants at North Middlesex University Hospital/Royal Free Hospital and general practitioners. We would welcome and support you to care for our patients.

The ideal candidate would be an Independent Prescriber who is experienced in cardiology, however, if you do not meet the full personal specification, we would certainly consider your application for a band 6 developmental role if you have other relevant experience that may be advantageous in this role.

About us

North Middlesex University Hospital NHS Trust is a medium sized District General Hospital based in Edmonton in Enfield, North London. We serve a diverse multicultural population largely from the London boroughs of Enfield and Haringey. Many of our patients live in wards that are within the 5% most deprived in the UK and a large proportion of our patients were born abroad. This makes it both a fascinating and a challenging hospital to work in.

Over the last decade we have rebuilt almost all of the hospital and now have facilities that we are proud to work in. We employ over 3,500 staff, more than half of whom live locally. We encourage apprenticeships from the local community and work closely with our local Health Watch.

We are primarily an emergency led hospital with more than 90% of our bed days being used for patients admitted via our emergency and ambulatory units. As well as offering everything you would expect from a major acute hospital we have a number of tertiary services treating patients with HIV and Sickle Cell Disease and a large cancer and radiotherapy service. We also run our local community Sexual Health Clinics.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Job description

Job responsibilities

Main duties:
  • You will hold responsibility for own caseload within this specialty, working without direct supervision.
  • You will have access to advice and support from peers, both internally and externally to the Trust, and from the nurse lead and service manager as required.
  • You are required to undertake all aspects of clinical duties as an autonomous practitioner.
  • To be aware of and manage any clinical governance issues pertaining to own service and to highlight these to nurse consultant
  • To delegate supervision where appropriate and supervise junior staff members within the service.
  • To assist and support service lead in implementation of specific changes to practice or service protocols in order to improve quality of care to patients.
  • Assist and support audit, evaluation and research projects, co-coordinating their implementation to further own and teams performance
  • To contribute to the delivery of health promotion activities within the service and wider Trust initiatives
  • To assist as required in recruitment, selection, CPD, discipline and staff development within own service.
  • To supervise/mentor student placements within the service.
  • To deal with complaints and act as Trust investigator following appropriate training
  • Liaise with other agencies in order to deliver and develop more effective Heart Failure service to the community
  • To act as deputy in the absence to the nurse lead for service

Person Specification



  • Registered Nurse Level 1
  • Relevant first degree
  • Post Registration accredited disease speciality course/qualification in cardiac nursing or Heart Failure


  • Advanced physical assessment course or commitment to attain if post becomes substantive
  • Evidence of Masters Degree or Masters level working gained through experience
  • Nurse Prescriber or commitment to attain if post becomes substantive



  • Demonstrate substantial knowledge and proven clinical experience in cardiac nursing and or specifically experience of nursing patient with heart failure
  • Clinical background in cardiac nursing


  • Experience of working in the community setting
  • Experience of working in Primary Care

Knowledge and skills


  • Knowledge of current issues, research and developments within the sphere of heart failure nursing
  • Awareness of national, local, strategic and operational policy developments and implications
  • Ability to demonstrate experience, understanding and awareness of the whole portfolio of treatments for heart failure


  • Teaching certificate/ diploma ENB 998 or equivalent

Personal attributes


  • Excellent communication/interpersonnel skills
  • Ability to lead and motivate others
  • Evidence of a commitment to own personal and professional development and the capacity to reflect and learn from others
  • Full clean driving licence

Employer details

Employer name

North Middlesex University Hospital NHS Trust


North Middlesex Hospital Sterling Way

Sterling Way


N18 1QX

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