Visa sponsorship Home Office sponsor register · Skilled Worker route

This role is listed by an employer that holds a live Home Office sponsor licence on the Skilled Worker route.

Salary for this role£47,810 – £54,710 a year

Health and Care route minimum£25,000 a year

Pay basisNational pay scales (NHS bands)

This occupation falls under the Health and Care Worker route. Salaries set by national pay scales (NHS bands) at or above the relevant band rate typically meet the occupation's requirement.

Closest occupation match: SOC 2234, Registered nurse practitioners. Pay for this occupation is set by national pay scales (NHS bands), so no single Home Office going rate applies.

Individual eligibility depends on personal circumstances. These figures are public reference information, not advice or a verdict on this job.

Role description

Job summary

Job Title: Nurse Practitioner

Division: Corporate

Care Group: Operations

Band: 7

Salary: £47,810 - £54,710 per annum/ pro rata

We are recruiting for the SMART (Surgical Medical Acute Recovery Team) Service, Nurse Practitioner, who shares our ambition and vision to deliver theBest of Care by the Best Peopleand has the drive to take the service and the Trust forward, by ensuring that we continue to be the first choice for patients.

This Nurse Practitioner role will allow a robust clinical decision to admit all adult patients, who would benefit in being treated at home in SMART virtual bed, as step up and and step down straight from all front doors to the hospital also from the community as admission avoidance.

Main duties of the job

The post holder will exercise complex levels of judgment, discretion and decision making in a clinical care. (s)he will monitor and improve standards of care through the health assessment, examination, conduct treatments , plan and evaluate care under the Supervision of the Virtual ward Acute medical Registrar, Acute Physician consultants and clinical nurse lead.

The aim to avoid hospital bed stays and encourage inpatient care at home.

This role ensures a patient-focussed programme of care, which addresses the complex and changing health and well-being needs of the client group.

The post holder must have skills and knowledge to identify, assess, diagnosis, treat and manage patients with Acute Medical and all surgical specialty needs who require treatment following optimization on a virtual ward.

The post holder

Our values are Bold, Every Person Counts, Sharing and Open and Together. It is important that you understand and to refer to our values when completing your application and always reflect our values throughout your employment with the Trust.

We are committed to endorsing diversity, multiculturalism, and inclusion; our policies / procedures ensure that all applicants are treated fairly at every stage of the recruitment process.

To contribute to our exciting future and become part of our team, apply today.

About us

Do you have the ambition and vision to deliver our mission of theBest of Care by the Best of People providing excellent care, every time?

Here at Medway, we pride ourselves on working together as one to ensure that our shared vision is achieved for our patients.

As a key partner in the healthcare of our local population, we are keen to deliver this as an outcome of our Trust-wide strategy - Patient First. Using an Operational Excellence approach to align our priorities and operational management structures, we are just over a year and half into our Patient First deployment. We are looking for creative, skilled people to join our Transformation Team and further support us on this journey.

Our culture and values define us here at Medway NHS Foundation Trust and are the heartbeat of who we are as an organisation.

Our BEST values underpin Patient First and are at the core of the care we give to our patients, the support we offer to our staff and our overall leadership approach:

B - Bold

E - Every person counts

S - Sharing and open

T - Together

Our Trust is a great choice for people who want to develop their career in an ambitious and dynamic environment; our employees are able to choose the coverage and supplemental benefits that best fit their needs and those of their families. This includes the promotion of flexible working opportunities across the Trust.

Date posted

05 November 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum pro rata

Contract

Fixed term

Duration

24 months

Working pattern

Full-time

Reference number

275-2611-CEF-SMARTNP

Job locations

SMART SERVICE.

MEDWAY MARITIME HOSPITAL. WINDMILL ROAD

GILLINGHAM

ME7 5NY

United Kingdom

Job description

Job responsibilities

You will triage, assess, plan and implement the care of patients who are transferred home under the care of the SMART service, into a virtual ward in the community. All our patients use Remote patient monitoring, hence a good clinical knowledge in analysing vital signs and escalating clinical concerns for urgent treatment via our virtual pathway is essential

The SMART Service is nurse led, therefore the ability to work autonomously as well as effectively within a team is essential. The work will include driving to visit patients in the community therefore it is essential that you have a full driving license and a car.

Members of SMART work autonomously, therefore we are looking for someone with excellent evidence based experience in the care of acute patients. Specific training will be provided to facilitate the pathways covered by SMART in the community. Confidence, good communication skills and the ability to make sound decisions is also vital.

Be working in an acute sphere of practice and have current experience of assessing, plan investigations, discuss possible provisional diagnosis, instigate and execute treatment pathways for acutely unwell adult patients from all specialties. We are always very keen to expand the service further so any new ideas are welcomed.

To work as a clinically independent and autonomous practitioner, participate and manage a defined patient caseload, as an all rounded Surgical and Medical patient Care Nurse Practitioner in the SMART.

Works with ED/SDEC/Lister Assessment Centre/Hot clinics/SAU/ESAC/Theatre recovery/Interventional radiology and all speciality out patient departments/ inpatient wards and community Virtual wards, to initiate admissions onto SMART virtual ward encouraging early supportive discharge and admissions avoidance into acute beds.

Carries out patient assessment and plans, implements and evaluates the best course of action through the following activities:

To provide expert clinical nursing assessment, plan, implement and evaluate comprehensive programmers of professional development, providing highly specialist advice and maintaining associated records, utilizing the Nurse Practitioner knowledge and skills.

To provide specialized advise and care either via SMART remote patient technology or face to face in clinic/patients home.

Prescribes for patients within patient group directives (PGDS) according to local and national policies and procedures and agreed by SMART Acute physician Consultant who will be responsible for the patients.

Person Specification

Qualifications

Essential

RN1 Nurse on the NMC register
BSc in Emergency Care or Acute Medicine
Mentorship / teaching qualification

Skills

Essential

Clinical leadership skills
Communication skills, both written, verbal and non-verbal
Negotiation and conflict management skills

Knowledge

Essential

Up to date knowledge of current clinical and professional issues.
Knowledge of evidence based practice
Ability to organise and plan own time and that of junior staff and learners.
Clinical examination skills

Experience

Essential

Significant post registration experience
Nurse-led management of acute on chronic conditions.
Able to manage immediate post operative surgical and orthopaedic procudres remotely using remote monitoring pathways.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.