Positive 2023 NHS Staff Survey results, scoring highly in compassionate culture & leadership, and staff wellbeing support.
Job summaryThe Community Heart Failure Service is a well-established team of experienced Heart Failure Specialist Nurses, Heart Failure Assistant, and admin staff, working across Central locality of Horsham, Crawley, and Mid Sussex. You will work within the Heart Failure team with patients in the community and clinic setting but you will have clinical support from senior team members as well as the primary and secondary care heart failure teams.
Our aim is to improve patient's symptoms and quality of life using pharmacological and non-pharmacological interventions, requiring close monitoring, whilst working hard to reduce unnecessary hospital admission & readmission in line with National initiatives and guidance.
To provide expertise, increase the skills & confidence of other team members and community practitioners in the care and management of heart failure patients and support the use of the NICE & ESC Clinical Guidelines for heart failure.
Main duties of the job- To contribute to the management of patients with Heart Failure in the community and clinic settings.
- Optimising their care and treatment, to reduce unnecessary hospital admissions, and manage and respond to exacerbation / deterioration of their condition with direct support from HFSN.
- To liaise with secondary care and GPs as directed by HFSN to ensure seamless care pathways.
- To refer to, and discharge to, other services within the Trust and to use management plans as appropriate
- To provide education and support to other members of the multidisciplinary team
- To ensure carers receive support and are signposted to appropriate services
- To ensure excellent end of life care as appropriate
- Work towards completing the Heart Failure Competency Framework for Health Care Professionals, under guidance from Heart Failure Nurse Specialists within team.
About usWe are the main provider of NHS community services across East and West Sussex. Our 6,000 staff serve a population of 1.3 million providing essential medical, nursing, and therapeutic care to adults and children.
Our Trust vision is to provide excellent care at the heart of the community, helping people plan, manage, adapt to changes in their health, supporting avoidable hospital admissions and reducing hospital stay times.
We have opportunities for everyone across our wide variety of services including medical, clinical, support and corporate services.
Why work for us?
- Positive 2023 NHS Staff Survey results, scoring highly in compassionate culture & leadership, and staff wellbeing support
- Variety of working environments across the community, in patients' homes, within our community hospitals and bases across the county
- Supportive flexible working patterns such as: part time, flexi time, annualised hours, and flexi retirement options
- Excellent training and development opportunities
- Research opportunities
- Cost-effective workplace nurseries in Crawley, Hove and Brighton
- Thriving BAME, Disability and Wellbeing, LGBT+ and Religion and Belief staff networks
- Level 3 accredited Disability Confident Leader, committed to creating inclusive workplaces
- Veteran Aware Trust, achieving accreditation from Veterans Covenant Healthcare Alliance (VCHA)
- Located in stunning Sussex, with easy access to the South Downs and the coast
- Access to a wide range of benefits and discounts for NHS staff
Job description Job responsibilities- Co-manage their own caseload with direct support from Band 7 Heart Failure Specialist Nurse within the team
- Provide follow up for patients who have been admitted to hospital with heart failure, & provide input to patients with a new diagnosis of heartfailure, or those with an exacerbation of their heart failure in the community
- Review medication regimes to ensure patients are receiving appropriate therapy within agreed prescription guidelines as directed by HFSN
- Be responsible for the assessment of these patients, develop a nursing care plan, and deliver heart failure care according to the patients individual management plan under direction of HFSN. Evaluate the effectiveness of these interventions and feedback to HFSN
- Provide health education strategies for patients, carers, team members & other health professionals, focusing on medication and symptom management that meets individual patient need & choice.
- Provide a patient held record to empower the patient with their heart failure management with support from HFSN
- Develop an individual plan of care through consultations tailored to meet the patients individual needs. This may include clinic visits, home visits or visits to nursing and residential homes.
- Provide heart failure advice and support to other team members and themultidisciplinary team for heart failure patients as they approach the end of their life, drawing on the expertise of the Palliative care team when required.
- Collect audit data from this group of patients in line with the NSF, NICE clinical guideline, and local outcomes, these will be used to support effective evaluation of service.
- Regularly auditing service effectiveness in achieving improved patient outcomes, including reducing unnecessary admissions to secondary care
- Provide ongoing telephone support, accessibility and expert advice to the patient, their careers, and other health professionals.
- Work in collaboration with existing services delivering exercise, to develop a holistic programme for those with the potential to benefit.
Job description
Job responsibilities- Co-manage their own caseload with direct support from Band 7 Heart Failure Specialist Nurse within the team
- Provide follow up for patients who have been admitted to hospital with heart failure, & provide input to patients with a new diagnosis of heartfailure, or those with an exacerbation of their heart failure in the community
- Review medication regimes to ensure patients are receiving appropriate therapy within agreed prescription guidelines as directed by HFSN
- Be responsible for the assessment of these patients, develop a nursing care plan, and deliver heart failure care according to the patients individual management plan under direction of HFSN. Evaluate the effectiveness of these interventions and feedback to HFSN
- Provide health education strategies for patients, carers, team members & other health professionals, focusing on medication and symptom management that meets individual patient need & choice.
- Provide a patient held record to empower the patient with their heart failure management with support from HFSN
- Develop an individual plan of care through consultations tailored to meet the patients individual needs. This may include clinic visits, home visits or visits to nursing and residential homes.
- Provide heart failure advice and support to other team members and themultidisciplinary team for heart failure patients as they approach the end of their life, drawing on the expertise of the Palliative care team when required.
- Collect audit data from this group of patients in line with the NSF, NICE clinical guideline, and local outcomes, these will be used to support effective evaluation of service.
- Regularly auditing service effectiveness in achieving improved patient outcomes, including reducing unnecessary admissions to secondary care
- Provide ongoing telephone support, accessibility and expert advice to the patient, their careers, and other health professionals.
- Work in collaboration with existing services delivering exercise, to develop a holistic programme for those with the potential to benefit.
Person Specification Qualifications Essential - Registered Nurse
- Specialist Interest in Heart Failure
Desirable - Degree
- Physical Assessment (or prepared to undertake)
Experience Essential - At least 2 Years Post Reg Experience
- Experience in Teaching & Mentorship
- Experience of Multi Agency Working
- Experience of up to date knowledge and evidence of clinical competency managing long term conditions
Desirable - Experience of Cardiac work or Heart Failure Modules
Key Skills & Knowledge Essential - Basic Assessment & Phlebotomy Skills
- Ability to problem solve
- Ability to Caseload Manage
- Ability to work alone but under Specialist Nurse Guidance
Desirable - Heart Failure Pathophysiology
- Awareness of Heart Failure National Guidelines
Other requirements Essential - UK Car drivers Licence and access to car for work
Person Specification
Qualifications Essential - Registered Nurse
- Specialist Interest in Heart Failure
Desirable - Degree
- Physical Assessment (or prepared to undertake)
Experience Essential - At least 2 Years Post Reg Experience
- Experience in Teaching & Mentorship
- Experience of Multi Agency Working
- Experience of up to date knowledge and evidence of clinical competency managing long term conditions
Desirable - Experience of Cardiac work or Heart Failure Modules
Key Skills & Knowledge Essential - Basic Assessment & Phlebotomy Skills
- Ability to problem solve
- Ability to Caseload Manage
- Ability to work alone but under Specialist Nurse Guidance
Desirable - Heart Failure Pathophysiology
- Awareness of Heart Failure National Guidelines
Other requirements Essential - UK Car drivers Licence and access to car for work
Disclosure and Barring Service CheckThis 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 RegistrationApplicants must have current UK professional registration. For further information please see
Additional information
UK RegistrationApplicants must have current UK professional registration. For further information please see
Employer details Employer nameSussex Community NHS Foundation Trust
AddressHorsham Hospital
Rose Wing
Horsham Hospital
RH12 2DR
Employer's website Job summaryThe Community Heart Failure Service is a well-established team of experienced Heart Failure Specialist Nurses, Heart Failure Assistant, and admin staff, working across Central locality of Horsham, Crawley, and Mid Sussex. You will work within the Heart Failure team with patients in the community and clinic setting but you will have clinical support from senior team members as well as the primary and secondary care heart failure teams.
Our aim is to improve patient's symptoms and quality of life using pharmacological and non-pharmacological interventions, requiring close monitoring, whilst working hard to reduce unnecessary hospital admission & readmission in line with National initiatives and guidance.
To provide expertise, increase the skills & confidence of other team members and community practitioners in the care and management of heart failure patients and support the use of the NICE & ESC Clinical Guidelines for heart failure.
Main duties of the job- To contribute to the management of patients with Heart Failure in the community and clinic settings.
- Optimising their care and treatment, to reduce unnecessary hospital admissions, and manage and respond to exacerbation / deterioration of their condition with direct support from HFSN.
- To liaise with secondary care and GPs as directed by HFSN to ensure seamless care pathways.
- To refer to, and discharge to, other services within the Trust and to use management plans as appropriate
- To provide education and support to other members of the multidisciplinary team
- To ensure carers receive support and are signposted to appropriate services
- To ensure excellent end of life care as appropriate
- Work towards completing the Heart Failure Competency Framework for Health Care Professionals, under guidance from Heart Failure Nurse Specialists within team.
About usWe are the main provider of NHS community services across East and West Sussex. Our 6,000 staff serve a population of 1.3 million providing essential medical, nursing, and therapeutic care to adults and children.
Our Trust vision is to provide excellent care at the heart of the community, helping people plan, manage, adapt to changes in their health, supporting avoidable hospital admissions and reducing hospital stay times.
We have opportunities for everyone across our wide variety of services including medical, clinical, support and corporate services.
Why work for us?
- Positive 2023 NHS Staff Survey results, scoring highly in compassionate culture & leadership, and staff wellbeing support
- Variety of working environments across the community, in patients' homes, within our community hospitals and bases across the county
- Supportive flexible working patterns such as: part time, flexi time, annualised hours, and flexi retirement options
- Excellent training and development opportunities
- Research opportunities
- Cost-effective workplace nurseries in Crawley, Hove and Brighton
- Thriving BAME, Disability and Wellbeing, LGBT+ and Religion and Belief staff networks
- Level 3 accredited Disability Confident Leader, committed to creating inclusive workplaces
- Veteran Aware Trust, achieving accreditation from Veterans Covenant Healthcare Alliance (VCHA)
- Located in stunning Sussex, with easy access to the South Downs and the coast
- Access to a wide range of benefits and discounts for NHS staff
Job descriptionJob responsibilities- Co-manage their own caseload with direct support from Band 7 Heart Failure Specialist Nurse within the team
- Provide follow up for patients who have been admitted to hospital with heart failure, & provide input to patients with a new diagnosis of heartfailure, or those with an exacerbation of their heart failure in the community
- Review medication regimes to ensure patients are receiving appropriate therapy within agreed prescription guidelines as directed by HFSN
- Be responsible for the assessment of these patients, develop a nursing care plan, and deliver heart failure care according to the patients individual management plan under direction of HFSN. Evaluate the effectiveness of these interventions and feedback to HFSN
- Provide health education strategies for patients, carers, team members & other health professionals, focusing on medication and symptom management that meets individual patient need & choice.
- Provide a patient held record to empower the patient with their heart failure management with support from HFSN
- Develop an individual plan of care through consultations tailored to meet the patients individual needs. This may include clinic visits, home visits or visits to nursing and residential homes.
- Provide heart failure advice and support to other team members and themultidisciplinary team for heart failure patients as they approach the end of their life, drawing on the expertise of the Palliative care team when required.
- Collect audit data from this group of patients in line with the NSF, NICE clinical guideline, and local outcomes, these will be used to support effective evaluation of service.
- Regularly auditing service effectiveness in achieving improved patient outcomes, including reducing unnecessary admissions to secondary care
- Provide ongoing telephone support, accessibility and expert advice to the patient, their careers, and other health professionals.
- Work in collaboration with existing services delivering exercise, to develop a holistic programme for those with the potential to benefit.
Job description
Job responsibilities- Co-manage their own caseload with direct support from Band 7 Heart Failure Specialist Nurse within the team
- Provide follow up for patients who have been admitted to hospital with heart failure, & provide input to patients with a new diagnosis of heartfailure, or those with an exacerbation of their heart failure in the community
- Review medication regimes to ensure patients are receiving appropriate therapy within agreed prescription guidelines as directed by HFSN
- Be responsible for the assessment of these patients, develop a nursing care plan, and deliver heart failure care according to the patients individual management plan under direction of HFSN. Evaluate the effectiveness of these interventions and feedback to HFSN
- Provide health education strategies for patients, carers, team members & other health professionals, focusing on medication and symptom management that meets individual patient need & choice.
- Provide a patient held record to empower the patient with their heart failure management with support from HFSN
- Develop an individual plan of care through consultations tailored to meet the patients individual needs. This may include clinic visits, home visits or visits to nursing and residential homes.
- Provide heart failure advice and support to other team members and themultidisciplinary team for heart failure patients as they approach the end of their life, drawing on the expertise of the Palliative care team when required.
- Collect audit data from this group of patients in line with the NSF, NICE clinical guideline, and local outcomes, these will be used to support effective evaluation of service.
- Regularly auditing service effectiveness in achieving improved patient outcomes, including reducing unnecessary admissions to secondary care
- Provide ongoing telephone support, accessibility and expert advice to the patient, their careers, and other health professionals.
- Work in collaboration with existing services delivering exercise, to develop a holistic programme for those with the potential to benefit.
Person SpecificationQualificationsEssential - Registered Nurse
- Specialist Interest in Heart Failure
Desirable - Degree
- Physical Assessment (or prepared to undertake)
ExperienceEssential - At least 2 Years Post Reg Experience
- Experience in Teaching & Mentorship
- Experience of Multi Agency Working
- Experience of up to date knowledge and evidence of clinical competency managing long term conditions
Desirable - Experience of Cardiac work or Heart Failure Modules
Key Skills & KnowledgeEssential - Basic Assessment & Phlebotomy Skills
- Ability to problem solve
- Ability to Caseload Manage
- Ability to work alone but under Specialist Nurse Guidance
Desirable - Heart Failure Pathophysiology
- Awareness of Heart Failure National Guidelines
Other requirementsEssential - UK Car drivers Licence and access to car for work
Person Specification
QualificationsEssential - Registered Nurse
- Specialist Interest in Heart Failure
Desirable - Degree
- Physical Assessment (or prepared to undertake)
ExperienceEssential - At least 2 Years Post Reg Experience
- Experience in Teaching & Mentorship
- Experience of Multi Agency Working
- Experience of up to date knowledge and evidence of clinical competency managing long term conditions
Desirable - Experience of Cardiac work or Heart Failure Modules
Key Skills & KnowledgeEssential - Basic Assessment & Phlebotomy Skills
- Ability to problem solve
- Ability to Caseload Manage
- Ability to work alone but under Specialist Nurse Guidance
Desirable - Heart Failure Pathophysiology
- Awareness of Heart Failure National Guidelines
Other requirementsEssential - UK Car drivers Licence and access to car for work
Disclosure and Barring Service CheckThis 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 RegistrationApplicants must have current UK professional registration. For further information please see
Additional information
UK RegistrationApplicants must have current UK professional registration. For further information please see
Employer detailsEmployer nameSussex Community NHS Foundation Trust
AddressHorsham Hospital
Rose Wing
Horsham Hospital
RH12 2DR
Employer's website