Senior Nurse IV @ Home and Extended Access
The Greater Peterborough Network is commissioned to provide IV antibiotic therapy for housebound patients under the care of North West Anglia NHS Foundation Trust (NWAFT).
We are seeking an experienced registered nurse with leadership skills and competence in administering IV antibiotics via PICC lines and midlines in the community.
The post-holder will lead a team of registered nurses, coordinate referrals, assess patient suitability, and support onboarding into the service. The role requires strong organisation, collaborative working with healthcare professionals, and effective team leadership. On occasion, the post-holder may also deliver IV antibiotic therapy directly in the community.
Additional responsibilities include compliance, governance, and line management. The post-holder may be required to visit Peterborough City Hospital and Hinchingbrooke Hospital to support patient onboarding.
In addition to the IV service, the successful applicant may also support the Extended Access Hub at City Care Centre, Peterborough.
This role is advertised full-time on a fixed-term basis, with part-time hours considered. There is potential for the post to become permanent. Some evening and weekend working may be required, with enhanced pay for Saturdays, Sundays, and Bank Holidays.
The role combines coordination of the IV at Home service with support for Extended Access services.
Main duties of the job
The post holder will
- Provide first line management of nursing staff working within the IV at home service and extended access hub.
- Manage referrals to the IV at Home Service and ongoing liaison with secondary care teams.
- Provide operational clinical leadership for specific services providing a highly visible presence ensuring the provision of high quality, responsive services with the needs of the patient/service user at the centre of care delivery.
- Ensure all governance/quality standards for the specific services are met including monthly audit returns and timely review of learning events ensuring dissemination of lessons learnt.
- Work in support of the clinical service lead to ensure effective and efficient management of service delivery with particular focus on clinical pathways, guidelines, policies and procedures
- Maintain a visible uniformed presence where patients, staff and visitors can turn for assistance and upon whom they can rely to ensure that the fundamental and specialist aspects of care are met. This includes working regular clinical / service delivery shifts.
- Ensure management of stock and supplies in line with service budgets.
About us
The Greater Peterborough Network is a not-for-profit GP Federation established in 2015 and owned by GP Practices across Greater Peterborough. We deliver enhanced evening and weekend access, urgent community care (including a virtual ward), and clinical advice support for ambulance crews.
Our vision: To provide high-quality, sustainable healthcare that helps patients stay well and remain at home for as long as possible.
We are a GP-led organisation, owned and run by member practices, governed by a Board of GP Directors, supported by a Chief Executive Officer and Non-Executive Directors. We are an ambitious primary care provider at scale, committed to integration, innovation, and improving population health.
Our services: We provide extended GP access, deliver large-scale programmes to improve health and wellbeing, and support integration across Primary Care Networks and the wider health and care system. We also contribute to workforce development through the Cambridgeshire & Peterborough Training Hub and deliver community services such as virtual wards, urgent community response, ambulance advice support, and mental health reviews.
Our principles: We champion high-quality patient care, innovation in primary care, collaboration, strong clinical leadership, and continuous service improvement.
Our ambition: To be a leading primary care provider at scale, delivering end-to-end pathways where gaps exist, including services such as Spirometry and Urgent Community Response.
Job responsibilities
1. Clinical/patient care
To deliver and participate in the clinical care of patients / service users working to own skill grade as a registered professional.
To ensure that every patient receives advice and appropriate management.
Direct responsibility for the management of patients within own case load and supervision /development of junior members of the team.
To manage patient expectations using highly developed communication skills, recognising that many patients will have chronic conditions that should be managed within primary care This communication will often involve conflict due to unrealistic expectations and that managing these expectations will require delivery of a contentious message. To work in an environment that is high pressured, with multiple competing priorities, caring for patients from a range of backgrounds and conditions.
Maintain own clinical development by keeping abreast of new treatments and technologies within primary, acute and emergency care.
To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.
Practice with confidence and competence within professional bodies guidelines as appropriate.
To ensure that accurate documentation and records of patient care are kept.
Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
To be a conscientious, confident and competent healthcare worker who works within their own scope of practice.
2. Management and Leadership
- Holding team to account for delivery of high standards of care
- Ensuring effective action is taken where clinical standards fall below expected levels
- Ensure patients are treated with compassion, dignity and respect.
Demonstrate first line clinical leadership by being visible, accessible and using clinical skills within the workplace as appropriate.
Ensure effective workforce planning to maintain cover for specified services and the needs of patients are met.
Manage referrals to the IV at Home Service from secondary care teams ensuring treatment regimes are agreed and within the remit of the service and medicines formulary.
Manage the IV at Home Service clinical delivery day to day ensuring patients care plans are met and appropriate management of escalation.
Work proactively with secondary care teams to prioritise referrals to the service and to ensure capacity utilisation is maximised.
Manage the extended access hub nursing services ensuring the needs of patients are met. Work collaboratively with operational colleagues to ensure maximal use of capacity and value for money.
Provide credible clinical leadership within the services of the organisation by undertaking clinical / service delivery shifts.
Continually evaluate the quality and effectiveness of care given, effecting change to ensure high standards of appropriate care.
Embed values, behaviours and attitudes congruent with organisations values
Support the Operations team and Clinical Service Lead to ensure that all aspects of risk and clinical governance are robustly and effectively managed.
Manage, appraise and provide leadership to direct reports.
Monitor issues and escalate matters as appropriate.
Ensure all areas within the areas of responsibility have robust induction programmes.
Provide professional role modelling to lead and inspire professional development.
Ensure that trainees and students are supported and experience a positive learning environment.
Ensure policies and procedures for the specific services remain up to date and current.
Create a climate for ongoing learning of self and staff.
Support service improvement projects or development programmes that contribute to the modernisation of patient services, providing both professional and clinical advice as necessary;
Support the delivery of the service KPIs and play an active part in clinical governance, developing and leading on action plans.
Be actively involved in the development of effective communication with other members of the multidisciplinary team.
Deliver the highest level of interpersonal and communication skills and be actively involved in the development of effective communication strategies with other members of the multidisciplinary team. This will include discussions with patients around sensitive information and difficult conversations with patients and relatives.
Participate in the development of a specialist service and act as a change agent, where necessary leading staff and facilitating the change process whilst encouraging others to be innovative and adaptable in the approach to change including development of new services.
To act as a champion for the team, proactively liaising with external and internal stakeholders advocating advanced practice provision that is effective and responsive and that patients and clinicians experience a high standard of communication care and continuity.
To act as a role model for infection control practice and medicines management ensuring best practice in these areas is intrinsic to care delivery.
To develop competencies for staff working within the team.
To develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.
To work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.
To be conversant with all policies and procedures and ensure they are correctly implemented.
Act as clinical advisor on nursing issues to ensure a high-standard of care is maintained utilising evidence-based practice.
3. Education and Training
Identify, plan and implement clinical development of staff working within the service, monitor the development of skills within the team.
To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements are addressed.
To support the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.
To plan, implement and participate in teaching programmes for junior staff.
4. Audit
Ensure the specific services meet all audit requirements in a timely manner, working with the clinical service lead to develop remedial / recovery action plans as required.
5. Resource Management
To ensure all service delivery offers best value for money to the health system, that equipment and consumable use is managed within service budgets.
Manage staff attendance inline with GPN policies and procedures ensuring the specific services are delivered within staffing budgets.
To ensure that systems are in place to manage, reduce and prevent risk to self and others within services.
To assist in the assessment and management of risk in line with the GPN standards and alongside the operational management team by ensuring adverse incidents (learning events) are reported, investigated and utilised to develop and open culture of learning from risk.
To monitor incidents highlighted by members of the team and communicate to appropriate areas to address risk issues.
Promote best practice in health & safety, utilising organisational policies.
All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records.
All employees have a responsibility under the organisations health and safety policy, to be aware of and conform to the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to a manager in accordance with policy.
This job description is not intended to be an exhaustive list of duties and it may be reviewed and altered in the light of changed service needs and developments after discussion with the post holder.
Person Specification
Experience
- 1.RGN – with at least 5 years post registration experience
- 2.OPAT/ IV therapy and central venous access device (CVAD) experience at a senior level
- 3.Leadership skills & knowledge
- 4.Ability to cannulate & perform venepuncture
- 5.Urgent/acute/primary care management experience
- 6.Experience in recruitment and retention matters, staff appraisal and performance management
- 7.Experience of audit and implementation of audit recommendations
- 8.Experience of stock management and control
- 9.Excellent interpersonal skills & engage within MDTs. Able to present in a group
- 10.Experience in conducting / investigating RCA/ Incidents
- 11.Knowledge & understanding of NMC/ Professional standards
- 12.Knowledge & understanding of current national standards in OPAT/IV therapy
- 13.IT literate on digital platforms being used in healthcare settings
- 1. Ability to insert mid / PICC lines independently
Additional criteria
- 1. Ability to lead and motivate empower others
- 2. Budget management
- 3. Developing and implementing policies, procedures and guidelines
- 4. Ability to prioritise work, meet tight deadlines and work independently
- 5. Positive and effective team worker
- 6. Ability to make effective judgements in stressful situations
- 7. The ability to understand and be professional, towards patients, visitors and colleagues according to our values
Qualifications
- 2.Current NMC registration
- 3.Evidence of Continuous Professional Development
- 5.Management training
- 6.Degree / equivalent qualifications or working towards
- 7.Post registration qualification & relevant experience in OPAT / IV therapy
- 8.Driving licence
- 9.Access to a functioning car to perform home visits
- 1.Recognised teaching qualification
- 3.Working towards Masters or equivalent study
- 4.Non-medical prescriber
Skills
- 1. Good communication skills: interpersonal, written and verbal
- 2. Confidence to adapt to an evolving and changing service.
- 4. Proven leadership skills, with a vision to work with others
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.
£39,000 a yearUplifted 15% Saturdays and 25% Sundays/BH
Contract
Fixed term
Duration
10 months
Working pattern
Reference number
U0088-26-0007
Job locations
Allia Future Business Centre
London Road
Peterborough
Cambridgeshire
PE2 8AL
United Kingdom
Hinchingbrooke hospital
hinchingbrooke park road
Huntingdon
pe29 6NT
United Kingdom
City Hospital
Peterborough City Hospital, Bretton Gate
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