PATCH Nurse - Paediatric Hospital at Home

Date posted: 13 July 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £47,951 to £56,863 a year
Pro rata per annum incl. HCAS
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time, Part-time, Job share, Flexible working
Reference number: 289-WLCH-109
Job locations: Chelsea and Westminster Hospital, 369 Fulham Road, London, SW10 9NH, United Kingdom

Job summary
This position offers the post holder an exciting opportunity to be part of a an innovative model of nursing care at Chelsea and Westminster Hospital - PATCH team "Providing Assessment and Treatment for Children at Home", with support from the NWL PATCH Team, the Virtual Wards Programme and West London Children's Healthcare.

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, lone working and travel by public transport to patient visits is necessary for this role.

About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use. We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

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 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.
• 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 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 with the possibility of conducting home visits, in line with the Trust lone worker policy
• Ensure nursing documentation is maintain

Person Specification
Education and Qualifications
Essential

• Part 1 Registered Nurse - Child or equivalent
• Level 3 Safeguarding
• PILS certificate
• Mentoring/Assessing Qualification

Desirable

• Advanced/Enhanced Assessment Course
• Evidence of further study
• APLS/EPALs

Experience
Essential

• Minimum 3 years post qualification

Desirable

• Experience working in a Hospital @ Home team
• Experience working in the Emergency Department
• Community nursing experience

Skills and knowledge
Essential

• Clinical assessment skills
• Clinical documentary competence in IV Drug Administration
• UK Driving License or equivalent
• 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
• Ability to manage own time and prioritise
• Ability to deal with relatives in a stressful situation, giving a high level of support and advice
• 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
• Be aware of role in a major incident and be capable of managing the department response to an incident.
• An understanding of professional issues relating to safeguarding the child and family.
• Proven leadership qualities
• Knowledge of quality, standard setting, benchmarking and audit.

Trust Values
Essential

• Putting patients first
• Responsive to patients and staff
• Open and honest
• Unfailingly kind
• Determined to develop

Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration: Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).