Band 7 Community Heart Failure Nurse

We are seeking an experienced and motivated Band 7 Community Heart Failure Nurse to join our Oxfordshire team on a 12-month fixed-term basis. This is an exciting opportunity to play a key role in delivering high-quality, patient-centred care to individuals living with heart failure in their own homes and community settings. The post holder will work autonomously and as part of a multidisciplinary team to provide specialist assessment, diagnosis support, treatment optimisation, and ongoing management of patients with heart failure. You will contribute to reducing hospital admissions, improving quality of life, and supporting patients and their carers through education and self-management strategies. The role involves close collaboration with GPs, cardiologists, community teams, and acute services to ensure seamless, coordinated care across the patient pathway. You will also support service development, clinical audit, and quality improvement initiatives to enhance outcomes for patients with heart failure. This position is ideal for a nurse with significant cardiology or heart failure experience who is confident in clinical decision-making, medication titration, and delivering care in community settings., + Deliver specialist heart failure care in community settings, including home visits and clinic-based reviews, for patients with confirmed heart failure. + Undertake comprehensive clinical assessments, including history taking, physical examination, and interpretation of relevant investigations (e.g. blood tests, ECGs, echocardiogram reports). + Initiate, titrate, and optimise guideline-directed medical therapy for heart failure in line with local and national protocols, using independent prescribing skills where appropriate. + Monitor patients' clinical status, response to treatment, and disease progression, adjusting management plans to reduce risk of deterioration and hospital admission. + Provide expert education and support to patients, families, and carers to promote self-management, including advice on medication adherence, symptom recognition, fluid management, and lifestyle modification. + Deliver and support advance care planning, and provide palliative and end-of-life care for patients with advanced heart failure, working closely with patients, families, and specialist palliative care services to ensure care is aligned with patient wishes. + Work collaboratively with GPs, cardiologists, community teams, pharmacists, and other healthcare professionals to coordinate care and ensure timely escalation when required. + Contribute to service development, including audit, quality improvement initiatives, and implementation of evidence-based practice., + Demonstrate autonomous decision making at a highly specialist level whilst taking responsibility and accountability for a designated caseload of patients to optimise health and wellbeing. + Be an expert clinical resource and role model, delivering advanced clinical nursing review and consultations within nurse led clinics and patients' homes. This will be in accordance with the developing needs of the service. + Have the knowledge and skill to undertake a full and thorough assessment of a patient's health status, including physical examination, a review of their medical history and medications, determine a differential diagnosis, as well as analysis and interpretation of diagnostic test results. + Using a holistic approach assess and evaluate, with patients and/or carers, the effectiveness of the treatment and care provided in conjunction with specialist teams, implementing necessary adjustments to management plans based on their evolving needs and response to treatment. + Analyse and interpret complex facts and situations that enable the delivery of appropriate treatments and interventions such as medication management, symptom control, lifestyle modifications, and anticipatory care planning. + Work autonomously within the wider health care team and as a lone practitioner. + Provide expert support and guidance to those receiving and delivering palliative care to heart failure patients (including GPs, Palliative care HCPs, Community HCPs). + All new starters have a thorough induction process, both local and Trust wide, which aims to create a positive supportive working environment allowing new employees to learn key elements of their role over a reasonable timescale. + Appointment to this post is subject to the trust receiving satisfactory references covering 3 years of employment or study. Please ask your referees to respond promptly to reference requests. + We're advocates of flexible working and many of our roles offer a range of employment options to help you balance your work and personal life. + Employees are expected to undertake mandatory and statutory training related to their role. + We are ambitious in our pursuit of excellence, driven by the belief that a fair, just and fully inclusive organisational culture enables our teams to deliver the best quality of care and services possible and we work hard to ensure that our diverse workforce reflects the communities that we serve. + We welcome applications from all sections of the community, are an Equal Opportunities employer with a number of internal networking groups to support our employees and where possible will always look to make reasonable adjustments in order that you can fulfil the role to recognise your full potential. All our employees are committed to demonstrating through their behaviour our core values - safe, caring and excellent. + We are committed to safeguarding and promoting the welfare of children and vulnerable adults, we expect all staff and volunteers to share this commitment. + Oxford is a world-renowned centre of excellence for research. Oxford Health works closely with the University of Oxford department of Psychiatry and the Department of Primary care, has a Biomedical Research Centre dedicated to improving mental health and the NIHR Clinical Research Facility at the Warneford site. The Trust also hosts the NIHR Applied Research Collaboration (ARC) which carries out applied research that directly impacts patient health and wellbeing

Oxford Health NHS Foundation Trust has been rated as Good by the Care Quality Commission (CQC). We are a responsive and innovative Foundation Trust that places our values of Caring, Safe and Excellent at the heart of everything we do. We take great pride in our staff and believe that investing in you is key to us achieving our vision of outstanding care delivered by outstanding people. We work with a wide range of partner organisations to deliver care and support to people in their own homes and from a number of hospitals and community bases. We focus on delivering care as close to home as possible for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and North East Somerset. We actively support anti-racism, equality, diversity, and inclusion so, if you're excited about this job opportunity and you meet our Trust values, but feel unsure about applying, then please get in touch and we will be happy to have a conversation with you. We are also committed to increasing diversity in the workforce, that is why we actively encourage applications from those groups of people who are currently under-represented, which include amongst others: people with disabilities; men from all socio-economic backgrounds; people from diverse ethnic backgrounds; and people from the LGBTQIA+ community.

As a Trust we provide physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and Northeast Somerset. Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible. Our vision is that no matter who you are or where you are, you will tell us that you receive: "Outstanding care delivered by an outstanding team" Our values are: "Caring, safe and excellent" We offer a wide range of benefits designed to support your career and wellbeing. These include:

• Excellent opportunities for career progression
• Access to tailored individual and Trust wide learning and development
• 27 days annual leave, plus bank holidays, rising to 33 days with continuous service
• NHS Discount across a wide range of shops, restaurants and retailers
• Competitive pension scheme
• Lease car scheme
• Cycle to work scheme
• Employee Assistance Programme
• Mental Health First Aiders
• Staff accommodation (please note waiting lists apply)
• Staff networking and support groups hosted by our Equality, Diversity & Inclusion team