Critical Care Outreach Nurse Specialist

Job Summary We are looking for an enthusiastic, highly motivated nurse with extensive acute / critical care experience to join the Worthing Critical Care Outreach team. This is an ideal opportunity for a critical care or acute care nurse who wishes to expand their clinical skills, to work autonomously within a supportive and progressive team. The post holder will be expected to work flexibly, currently day shifts over 7 days. There is an opportunity for a senior band 5/6 to apply for this position as a training position at Band 6 with a view to moving to band 7 following a successful training programme and completion of competencies. This role is eligible for visa sponsorship under the UK Visas & Immigration (UKVI) Skilled Worker route; sponsorship can only be provided where applicants meet the specific requirements set by UKVI, including the relevant skill and salary thresholds (£25000), and any role‑specific criteria. Fixed Term Contract/Secondment opportunity available (possibly 6‑month band 6 development secondment if no prior experience). Please note that if you currently work for another NHS Trust or UHSussex and you are applying to accept this position as a secondment opportunity, before applying you must seek agreement and authorisation from your current Trust/Manager. Secondments can’t be agreed without this approval. If you are unable to gain approval you should refrain from applying unless you wish to take this role as a fixed‑term position. Details Date posted: 25 November 2025 Pay Scheme Agenda for change Band Band 6 Salary £38,682 to £54,710 a year per annum pro rata Contract Permanent Working Pattern Full‑time, Part‑time Reference Number 279-7627157-NOV25 Job Locations Worthing Hospital, Lyndhurst Rd, Worthing, BN11 2DH Job Description & Responsibilities Communication Liaises with all members of the multidisciplinary team on the management of acutely and critically ill patients under the care of the Critical Care Outreach team. Ensures that appropriate, consistent, and realistic information is provided to patients and families. Provides sensitive and complex information to relatives and patients in sometimes hostile and highly emotive environments. Participates in complex patient case reviews as required. Liaises with other wards, departments, and relevant health‑care professionals, including the Institute of Nursing & Midwifery, on the purpose of the Critical Care Outreach service. Ensures all incidents are reported appropriately. Keeps concise records of Outreach patients for audit purposes (including the Critical Care Outreach Database). Documents concise patient assessment and recommendations in the patient’s medical notes. Service Delivery and Improvement Participates in the nursing audit programme, quality improvement cycle and practice development within Critical Care, particularly within the Outreach service. Works in collaboration with the multi‑professional team to support and develop research projects. Actively contributes to the development of high‑quality evidence‑based service Critical Care Outreach across the Trust. Contributes to the ongoing development of the University Hospitals Sussex NHS Foundation Trust Strategy for Nursing and Clinical Governance. Is aware of Unit, Trust and national guidelines, standards, and procedures for the service area. Participates in presentation and publication of outreach data to local and international level. Participates in the National Outreach forum. Education and Experience Ensures appropriate development and education for members of the critical care outreach team. Identifies ward staff learning needs in conjunction with matrons and senior nurses / senior practice development nurses. Assists in the formal and informal educational and training of members of the multi‑professional team. Acts as a mentor for staff undertaking post‑registration education relevant to Critical Care Outreach. Training Proactively maintains and develops own personal and professional development as part of lifelong learning. Familiarises with and attends annual updates of mandatory training. Provides day‑to‑day supervision and teaching to the multi‑professional staff in ward areas. Facilitates study days to support the management of acutely / critically ill patients. Contributes to critical care‑based education programmes with UHS and the University of Brighton. Participates and supports competency‑based assessments / ongoing practice reviews for staff undertaking expanded role activities (e.g. tracheostomy care / non‑invasive ventilation). Leadership Acts as an expert resource for all members of the multi‑professional team, participating in review of patients outside of Critical Care and liaising with clinicians in the transfer of patients to critical care when appropriate. Acts as a professional role model who leads by example in regard to behaviour, attitudes, conduct and appearance. Independently manages a caseload of referrals / follow‑up of patients from critical care. Effectively leads, manages and evaluates change in clinical practice. People Management and Development Provides critical care outreach support to inpatients and staff, supporting the service development within the Trust. Ensures that high‑quality service is provided within allocated resources, informing the critical care matron of any potential or actual budgetary pressures or savings. Is an expert practitioner in critical care nursing and can use these skills in a variety of clinical settings. Works flexibly within the multi‑professional team, to deliver high‑quality care to the acutely and critically ill ward patient. Provides support and advice to patient, family, and ward staff prior to and following the discharge of the patient from critical care. Takes part in the recruitment and retention process, ensuring all new staff are supported with an appropriate induction programme. Implements the University Hospitals Sussex NHS Foundation Trust Absence Policy. Patient Care Delivery Acts as a self‑directed practitioner who directs, provides and evaluates patient care based on nursing and medical models. Works independently and without direct supervision in a variety of clinical settings trust‑wide. Monitors the use of the track and trigger scoring system for the timely recognition of significant deterioration in acutely and critically ill patients. Performs comprehensive patient assessment based on history taking and physical assessment to arrive at a differential nursing / medical diagnosis. Independently suggests solutions and makes recommendations. Participates in the provision of direct patient care supporting the management of haemodynamic instability and other appropriate respiratory and organ support. Demonstrates clinical competence and confidence in using highly developed specialist knowledge, equipment and skills in a variety of clinical settings across the hospital site. Demonstrates the ability to work independently and prioritise workload in a variety of clinical settings. Demonstrates critical thinking, problem solving and decision‑making skills. Makes and receives direct referrals to and from members of the multi‑professional teams (e.g. medical team, palliative care, physiotherapy, speech and language therapy, dietician, pain team). Provides rapid response and support for patients identified by ward staff at risk by the Track and trigger tool / medical emergency / cardiac arrest / anaesthetic emergency or trauma call. As appropriate, following attainment of competency, develops the ability to make clinical judgements about patients, order diagnostics, interpret results, advise, or prescribe treatment and refer to relevant health‑care professionals to achieve treatment targets. Advise and support on the stabilisation and transfer of acutely and critically ill patients to the appropriate environment. Provides expert clinical advice to ward staff on the management of acutely and critically ill patients at UHS. Follows the Trusts Bed Management Policy facilitating discharge of patients from Critical Care. Practises in accordance with the NMC Code of Professional Conduct and Scope of Professional Practice. Please see attached Job Description for further details. Person Specification Essential Registered nurse with valid PIN on NMC register. Critical Care / Acute Care course. Extensive experience in a senior role. Post‑registration qualification or evidence in specialist area (e.g. ITU/A&E/Theatre). Mentorship course / ENB 998 or equivalent. Masters level or equivalent level of experience. Desirable ALS/ILS. Quality Improvement Experience. Critical Care Outreach Experience. Variety of Acute Care Settings. Advanced Physical Assessment Module. Teaching qualification. Research Experience. Equality, Diversity and Inclusion Essential Evidence of having undertaken own development to improve understanding of equalities issues. Evidence of having championed diversity in previous roles (as appropriate to role). 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. Employer Details University Hospitals Sussex NHS Foundation Trust (279) Worthing Hospital, Lyndhurst Rd, Worthing, BN11 2DH https://www.uhsussex.nhs.uk/ (opens in a new tab) #J-18808-Ljbffr