Care Home Practice Link Nurse

As a Care Home Link Registered Nurse, youll be at the heart of delivering high-quality, proactive care to care home residents, helping them live healthier, safer, and more dignified lives. This is a rewarding, autonomous role where your clinical expertise directly reduces avoidable hospital admissions through timely reviews, personalised care planning, and early intervention. Working closely with GPs, multidisciplinary teams, care home staff, residents, and families, youll lead holistic assessments, coordinate care, and champion prevention and wellbeing.

If youre looking for a role that values your professional judgement, supports integrated working, and gives you the opportunity to shape and improve services while building meaningful relationships, this is the role for you.

Interviews for this role are planned to be held on 26 February 2026.

The post holder will act as the key clinical link between GP practices and aligned care and nursing homes, delivering comprehensive nursing assessments, personalised care planning, and regular reviews for residents. The role involves leading and coordinating multidisciplinary team meetings, identifying and managing early signs of deterioration to prevent avoidable hospital admissions, and responding appropriately to urgent and emergency situations. The nurse will provide clinical advice, education, and support to care home staff, residents, and families, deliver a range of clinical interventions including long-term condition management, wound care, and immunisations, and promote prevention, health education, and vaccination programmes.

Working closely with GPs, primary care teams, and external services, the post holder will ensure coordinated, high-quality, patient-centred care while contributing to service development, audits, and quality improvement initiatives.

Haxby Group is a high-quality, community-based healthcare organisation with general practice at its core, delivering exceptional care to over 95,000 patients across 10 GP surgeries in York, Scarborough, and Hull. Rated Outstanding by the CQC in York and Hull and Good in Scarborough, we are committed to improving the health of our local communities through compassionate, innovative care. Our digitally enabled, research-active approach helps reduce waiting times and continuously improve patient outcomes.

Supported by a large, multidisciplinary team and strong training and workforce development programmes, Haxby Group offers a dynamic, supportive environment with opportunities to develop, innovate, and make a real difference in primary care.

We have a clear mission

To deliver high quality, compassionate care to our local communities with an innovative and ethical mindset" and we achieve this by applying our organisational values: patient-centered, innovative and professional.

Job Summary

You will be a Registered Nurse, responsible for delivering high-quality nursing care for residents in aligned care and nursing homes. The aim of this role is to minimise hospital admissions by ensuring timely care reviews and support efficient, patient-centred care planning. This role involves assessing, planning, and coordinating the healthcare needs of residents, providing clinical advice and education to care home staff, and supporting the integration of care.

You will work closely with the practice clinical teams to ensure that appropriate care is provided.

You must work at all times within your own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC). You should use your own judgement, knowledge and common sense in your day-to-day activities.

Care Home Link Nurse Responsibilities

• Act as the primary point of contact for aligned care homes building effective working relationships with care home staff, residents and families.
• Lead and coordinate multidisciplinary team (MDT) reviews.
• Develop and update personalised care and support plans.
• Conduct comprehensive nursing assessments, including for long-term conditions and frailty.
• Identify, diagnose, and manage treatment plans for at-risk patients.
• Support patients and carers with treatment adherence and health promotion.
• Respond to urgent or emergency situations and initiate appropriate care.
• Identify and manage early signs of health deterioration.
• Implement and support vaccination and immunisation programmes.
• Assess and refer patients with mental health needs as per guidelines.
• Communicate sensitively and effectively with patients, carers, and colleagues.
• Collaborate with GPs and primary care professionals to manage caseloads.
• Make informed decisions about care pathways and resource deployment
• Actively contribute to the primary care team, including service improvement and research.
• Lead on prevention and early intervention initiatives.
• Undertake clinical duties as directed such as wound care, immunisations, chronic disease management, and phlebotomy where required.
• Deliver proactive care, including health…