TDDI Nurse
Posted 4 days 15 hours ago by NHS
New Shepherd Care is seeking an experienced TDDI Nurse to support the safe delivery of complex care across domiciliary and supported living services in Watford and surrounding areas.
This is a clinically focused role suited to a confident nurse who values autonomy, accountability and real influence in service delivery. You will work within a structured governance framework to ensure individuals receiving Treatment of Disease, Disorder or Injury are supported safely in community settings.
As our complex care provision continues to grow, this role offers the opportunity to shape clinical standards, strengthen workforce competence and contribute to high quality, outcome focused care outside of traditional hospital environments.
If you are an experienced nurse who enjoys working independently while being part of a well organised and digitally enabled provider, this is an opportunity to apply your clinical expertise where it directly improves lives.
Main duties of the jobThe post holder will provide clinical leadership and nursing input across community based care packages requiring TDDI support.
You will work alongside operational leadership to ensure safe delivery of care, maintain clinical standards and support workforce competence. The role includes providing guidance to care teams, supporting safe decision making, strengthening care delivery through clinical oversight and acting as a point of escalation where health needs change.
You will also work collaboratively with wider health professionals to ensure individuals receive coordinated and appropriate support within their home or supported living environment.
This role plays an important part in ensuring people with complex needs can be supported safely outside hospital settings.
About usNew Shepherd Care is a CQC rated Good provider delivering domiciliary care and supported living for individuals with complex and long term needs.
Based in Watford, we work in partnership with the NHS, local authorities and private clients to support people in community settings. Our approach combines strong clinical governance with modern digital systems to ensure care is safe, consistent and outcome focused.
We are a structured and professionally led organisation that values competence, accountability and respectful working relationships. Staff are supported through clear leadership, ongoing development and defined governance pathways.
Our team culture is collaborative, calm and standards driven. We expect professionalism and support good practice at every level.
Joining New Shepherd Care means working within an organisation that is organised, forward thinking and committed to doing things properly.
Job responsibilities Job DescriptionJob Title: TDDI Nurse
Location: Watford, Hertfordshire (covering surrounding areas)
Reporting to: Registered Manager
Work Pattern: Part Time / Flexible
Job Purpose
To provide clinical oversight and nursing input for individuals receiving Treatment of Disease, Disorder or Injury (TDDI) within domiciliary care and supported living settings.
The post holder will support safe delivery of complex care in community environments, ensuring appropriate clinical standards, governance and accountability are maintained.
The role combines clinical input, oversight and leadership to support safe outcomes for individuals with complex and long term health needs living outside hospital settings.
Key Responsibilities Clinical OversightProvide nursing input and clinical oversight across TDDI care packages within domiciliary and supported living services.
Support safe implementation of nursing interventions delivered in community environments.
Monitor individuals health status and contribute to escalation where deterioration or clinical concern is identified.
Care Planning and Clinical SupportSupport development and review of clinically informed care plans.
Ensure care delivery reflects current clinical needs and supports safe outcomes.
Provide guidance to care teams to ensure care is delivered in line with agreed clinical standards.
Medication and Health ManagementSupport safe medication practices within TDDI frameworks.
Provide clinical advice relating to health needs, treatment and ongoing monitoring where required.
Workforce SupportProvide clinical guidance to non registered staff.
Support competency development where clinical tasks are delegated.
Promote safe working practices within care delivery teams.
Quality and GovernanceSupport clinical audits and quality assurance activity.
Contribute to risk management processes.
Maintain appropriate records in line with professional standards.
Work collaboratively with the Registered Manager to support safe service delivery.
Partnership WorkingLiaise with GPs, community services and other health professionals where required.
Support coordinated care across health and social care settings.
Professional ResponsibilitiesMaintain active NMC registration.
Work in line with the NMC Code and professional standards of practice.
Maintain confidentiality and adhere to data protection requirements.
Act within scope of competence at all times.
Person RequirementsRegistered Nurse with current NMC registration.
Experience supporting individuals with complex health needs.
Confidence in working within community environments.
Ability to support and guide care teams.
Strong communication and organisational skills.
Full UK driving licence with access to a vehicle.
Additional Information
The role involves community based working across domiciliary and supported living settings.
Flexible working arrangements are available.
Person Specification Experience- Experience delivering nursing care in community or non-acute settings
- Experience supporting individuals with complex or long term health needs
- Experience monitoring health status and recognising deterioration
- Experience working independently in community environments
- Experience supporting safe care delivery through guidance to non registered staff
- Experience liaising with external health professionals
- Experience overseeing delegated clinical tasks
- Experience supporting complex care packages
- Experience contributing to clinical audits or quality processes
- Experience working within multidisciplinary teams
- Experience supporting individuals in domiciliary or supported living settings
- Registered Nurse with current NMC registration
- Valid professional licence to practise in the UK
- Evidence of post-registration clinical experience
- Knowledge of Treatment of Disease, Disorder or Injury delivery in community settings
- Understanding of clinical governance and risk management in non-acute environments
- Evidence of continuing professional development
- Full UK driving licence
- Experience in community or complex care nursing
- Experience supporting or overseeing delegated clinical tasks
- Training in medication management or long-term condition support
- Experience working across multi-disciplinary teams
- Additional clinical training relevant to complex care or long-term health needs
- Knowledge of delivering care within community settings
- Ability to work autonomously and make sound clinical judgements
- Ability to support safe practice within care teams
- Strong communication skills with professionals and support staff
- Ability to maintain accurate and professional records
- Confidence using digital care systems
- Ability to manage risk and escalation appropriately
- Organised and able to prioritise workload
- Knowledge of complex care pathways
- Experience using electronic care planning systems
- Understanding of multidisciplinary working in community settings
- Confidence delivering training or guidance to care staff
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.