Clinical Nurse Practitioner: Sponsorship Available

Job summary

In partnership with members of the multi-disciplinary team, the post holder will develop, implement and evaluate a seamless specialist service, ensuring that patients receive the highest standard of clinical care. The focus of the role is to lead the identification and clinical assessment of patients who will benefit from advanced discharge or admission avoidance with care provided, in their own home, by the Guy’s and St Thomas’ @Home multi-disciplinary team.

The post holder be expected to spend more than 50% of their time seeing patients and will provide Specialist Nursing Support for the GSTT@HOME service providing acute care for patients within a Community setting by providing assessments and care for patients with ambulatory care sensitive conditions who would otherwise be admitted to acute hospital care. The post holder will demonstrate a high level of expertise with regard to advanced physical assessment in this field providing advice, education and support to health care professionals and patients.

The post holder will accept referrals from consultants, GPs and other referrers while promoting the GSTT@Home service. The post holder will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, as well as policies, protocols, guidelines and service developments.

Closing date: 15th November 2026

Main duties of the job

This role involves, managing patient assessments and care within the speciality whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care. You will be expected to promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.

This position includes a rotation through all Band 7 roles within @home service, in addition to direct patient contact, you will be expected to complete the UPA triage role, NRSW lead nurse, Remote monitoring clinician and duty clinician role.

You will be expected to act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. To be pivotal in encouraging and managing appropriate referrals, attending ward rounds, MDT and other meetings. Ensuring that patients receive high quality clinical care and a good patient experience, having regard for their social circumstances, customs, religious beliefs and doctrines. Supporting and enabling patients and carers to make informed decisions relating to their treatment and management.

Person Specification

Qualification and education

Essential

• RN1 on the NMC register
• BSC/1st degree (health related) or equivalent qualification/training and experience
• Masters degree or equivalent qualification/training and experience.
• Advanced Clinical Assessment Skills Course or willing to undertake
• Teaching/Mentorship courses

Desirable

• Understanding of current and evolving community and primary care services
• Non Medical Prescriber

Previous experience

Essential

• Experience of working autonomously at an advanced level within relevant service (e.g. rapid response/acute/emergency or urgent care) delivering effective patient focused care.
• Experience of working autonomously assessing, diagnosing and treating patients
• Proven evidence of advanced organisational/leadership skills and autonomous practice
• Experience of audit, research & evidence based care
• Experience of delivering change management both personally and as a facilitator

Desirable

• Community/primary care experience Teaching and assessing

Skills Knowledge/ Ability

Essential

• Advanced clinical assessment and leadership skills in specialty. Decisive, able to make decisions quickly and be assertive.
• Proven listening / counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes
• Evidence of teaching skills including teaching patients in how to manage their conditions
• Ability to clinically lead & influence staff

Desirable

• Ability to interpret and Analyse complex data and findings
• Undertaken clinical & Nursing research

Values and Behaviours

Essential

• Demonstrates good understanding and adherence to Trust’s Values and Behaviours

Additional Information

Essential

• Ability to do home visits and supervise complex clinical situations/attend community based meetings and MDTs
• Ability to be decisive, hold a considered opinion and to be assertive in the interest of patients and the service
• Creative, lateral thinker
• Sensitivity based on knowledge

Closing Date: 15 November 2026