Senior Community Nurse
| Company: | NHS Jobs |
|---|---|
| Salary: | Negotiable |
| Hours: | Full-time |
| Location: | Brighton, BN1 1ND |
| Job type: | Permanent |
| Posting date: | 23 Oct 2026 |
| Closing date: | 16 Nov 2026 |
Summary
Job Purpose To work as an autonomous registered nurse within the Frailty & Community Outreach Team, undertaking holistic assessment, clinical intervention and ongoing management of patients within their own homes. The post holder will manage an allocated referral-based caseload and contribute to the delivery of annual long-term condition reviews for housebound patients. They will work closely with the Community Specialist Nurse and wider health and care professionals to provide safe, personalised and preventative care. Clinical Practice The post holder will: Undertake autonomous holistic assessment of patients within their own homes. Apply Comprehensive Geriatric Assessment (CGA) principles where clinically appropriate. Undertake physical assessment, clinical observations and examination within professional competence. Assess frailty, function, falls risk, cognition, psychological wellbeing and social circumstances. Use clinical reasoning to identify priorities and develop personalised plans of care. Recognise deterioration and initiate appropriate treatment, escalation or onward referral. Support patients with multimorbidity and long-term conditions, including annual health reviews for the housebound cohort. Review medication as part of holistic assessment, identifying adherence, safety or optimisation concerns and liaising with prescribers or pharmacy colleagues as required. Support advance and future care planning where appropriate. Promote independence, self-management and prevention of avoidable deterioration. Mental Health and Engagement Recognise and assess mental health and psychological needs alongside physical health needs. Work confidently with patients with established mental health diagnoses or psychological distress. Understand how neurodivergence, substance use, self-neglect and wider psychosocial circumstances may affect health, behaviour and engagement with services. Recognise mental health deterioration and risk and escalate appropriately. Develop effective therapeutic relationships with patients who may experience difficulty accessing or engaging with conventional healthcare. Work collaboratively with primary care and specialist mental health services where appropriate. Safeguarding, Capacity and Risk Identify and respond appropriately to safeguarding concerns and self-neglect. Apply the Mental Capacity Act in clinical practice and undertake decision-specific mental capacity assessments within professional competence. Contribute to best-interests decision-making where required. Assess and manage clinical and environmental risk proportionately, balancing safety with patient autonomy. Escalate significant clinical, safeguarding or professional concerns appropriately. Caseload and Care Coordination Manage and prioritise an allocated caseload autonomously. Plan appropriate follow-up and review according to individual patient need. Coordinate care across primary care, community health, mental health, social care and voluntary-sector services. Liaise effectively with patients, families, carers and professionals. Participate in multidisciplinary discussion where this would benefit an individual patient's care. Ensure appropriate transfer or discharge when active team involvement is no longer required. Professional and Leadership Responsibilities Maintain accurate and contemporaneous clinical records. Work in accordance with the NMC Code, evidence-based practice and organisational policies. Recognise the limits of own competence and seek senior or specialist advice when required. Provide clinical support and guidance to less experienced colleagues, nursing associates, support workers and students as appropriate. Participate in clinical supervision, audit, quality improvement and service development. Maintain professional competence and continuing professional development. Contribute positively to multidisciplinary team working and the ongoing development of the Frailty & Community Outreach Team.