Royal Surrey NHS Foundation Trust
Senior Community Nurse
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Make a real difference – deliver hospital-level care where it matters most: at home
Are you an experienced nurse ready to step beyond traditional ward-based care?
Do you thrive in autonomous roles where your clinical judgement truly makes a difference?
Join our innovative Hospital at Home team and be part of a service transforming how care is delivered across Surrey — supporting patients to receive safe, high-quality acute care in the comfort of their own homes.
Why this role is different
This is not a typical community nurse role.
You’ll be working at the interface of urgent care, frailty, and acute medicine, supporting:
- Hospital admission avoidance
- Early supported discharge
- Rapid response through Urgent Community Response (UCR)
- Complex care delivery in the community
You’ll assess, treat, and manage patients who would otherwise require hospital admission — making real-time decisions that directly impact patient outcomes and system flow.
If you would like more information or to arrange an informal visit, we look forward to hearing from you. Please contact Sian Hine, Senior Sister by email: sian.hine@nhs.net or Nanette Garner, Integrated Frailty Matron by email: nanette.garner1@nhs.net.
About the Royal Surrey NHS Foundation Trust
The Royal Surrey NHS Foundation Trust works to deliver acute and urgent care services within the community to support patients who would otherwise require hospital admission offering rapid assessment, diagnostics, and treatment for people with complex health and social care needs, frailty, or exacerbations of long-term conditions.
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You will be part of a team that provides assessment in the community for patients either in their homes, care homes or nursing homes in order to prevent further deterioration. Early detection and intervention is key to prevent further deterioration and therefore hospital admission.
The service aim includes, urgent case management responding to crisis, recovery support, self-management, and adapt a collaborative approach with patients. The operational hours for this service are 8am – 8pm, 7 days a week.
Role Responsibilities
You will provide clinical leadership within the Urgent Community Response (UCR) and Hospital at Home teams, delivering high-quality, patient-centred care to prevent unnecessary hospital admissions and support early discharge. The role includes managing day-to-day service delivery, coordinating and prioritising caseloads, supervising and supporting staff, ensuring safe staffing and skill mix, and contributing to quality improvement, governance, and service development in line with organisational standards.
About Us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you feel valued from your initial interview through your entire tenure.
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We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Why Join Us
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Contact for Further Details / Informal Visits
- Name: Nanette Garner
- Job title: Matron Integrated Frailty
- Email address: nanette.garner1@nhs.net
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