Main area RUH Hospital at Home Grade NHS AfC: Band 6 Contract Permanent Hours Part time – 30 hours per week (7 day service. 8am-6pm (under review).) Job ref 427- 8327472
Employer Royal United Hospitals Bath NHS Foundation Trust Employer type NHS Site Royal United Hospital Town Bath Salary £39,959 – £48,117 Pro Rata Salary period Yearly Closing 27/10/2026 23:59
Junior Sister/Charge Nurse – RUH at Home
NHS AfC: Band 6
Job overview
Deliver hospital-level care where it can make a real difference: in a patient’s own home.
RUH Hospital at Home (RUH@Home) is our consultant-led virtual ward, supporting patients who would otherwise need to be admitted to hospital, or who can safely return home earlier with the right clinical support around them. The service works closely with primary, community and social care partners to ensure safe transitions of care.
You will join a multidisciplinary team of doctors, nurses, therapists, therapy assistants and healthcare assistants providing personalised acute care in patients’ homes, seven days a week between 08:00 and 18:00.
In this key role you will be responsible for the assessment, planning, delivery and evaluation of care for patients with acute and complex needs within their own homes. Working autonomously, you will provide expert clinical decision-making, manage clinical risk and support the recognition and escalation of patient deterioration.
As a senior member of our multidisciplinary team, you will coordinate the day-to-day delivery of the nursing service, support patient flow and provide clinical leadership to other staff. You will contribute to service development, quality improvement and the delivery of safe, effective and compassionate care within the virtual ward model.
Main duties of the job
Patient Care Responsibilities
- Assess, plan, deliver and evaluate person‑centred care for patients with acute, complex and frailty-related needs.
- Use your clinical judgement to recognise deterioration and respond or escalation appropriately.
- Deliver safe, effective and compassionate nursing care, including medicines and treatments.
- Work collaboratively with patients, families, carers and the wider MDT to promote independence and achieve positive outcomes.
- Maintain high standards of patient safety, clinical documentation, dignity and confidentiality.
Clinical Leadership and Service Coordination
- Provide clinical leadership, advice and support to nursing and multidisciplinary colleagues.
- Coordinate the RUH@Home caseload, prioritising visits, allocating patients and supporting effective patient flow.
- Support the management of complex and deteriorating patients, ensuring timely escalation and transfer where required.
- Work closely with acute, community and primary care partners to support admission avoidance and safe, timely discharge.
- Identify and escalation clinical or operational pressures and contribute to service improvement.
- Support the effective use of remote monitoring and virtual ward technology.
Working for our organisation
We are proud to be part of BSW Hospitals Group – a formal partnership between the Royal United Hospitals Bath NHS Foundation Trust, Great Western Hospitals NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.
We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.
By working together, we make a real difference for our patients, each other, and our community. Every role matters in delivering the exceptional, person‑centred care we’re proud of.
We’re committed to a compassionate, inclusive culture where kindness is championed, differences are valued, and diversity makes us stronger.
We want to support you to thrive, taking your career to its full potential. We prioritise staff wellbeing – and yes, we even have a pool!
Detailed job description and main responsibilities
Please refer to the attached job description and person specification for further information about this role.
This is a community-based role which requires the ability to work independently across a wide geographical area whilst remaining connected to the wider multidisciplinary team. Excellent communication, compassion and adaptability are essential, as patient needs can change throughout the day.
If you enjoy variety, autonomous working and building meaningful relationships with patients, while using your clinical skills to help people avoid an unnecessary hospital stay or return home sooner, this could be a fantastic next step in your nursing career.
Person specification
- Registered Nurse (Adult) with current NMC registration Evidence of ongoing CPD and professional development
- Experience of caring for acutely unwell adults
- Ability to travel independently throughout the locality
- Community nursing experience
- Frailty or Older Persons experience
- Experience coordinating daily caseloads or service delivery
Please note – Due to recent changes in UK immigration and visa rules applicants who do not currently have the right to work in the UK may not be considered unless an alternative right to work solution can be provided. Candidates requiring sponsorship (or will need sponsorship at the end of a current visa e.g. those with graduate visa’s) should reviewthe eligibility criteria on the gov.uk website before applying: Prove your right to work to an employer: Overview – GOV.UK
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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