Lead Transition Nurse
East of England Community Health and Care NHS Trust delivers expert healthcare in people’s homes, community hospitals and local settings across the East of England.
Our nurses, therapists, clinicians, support teams and partners work together to provide coordinated care that supports independence, recovery and wellbeing. We believe people are best cared for close to home, in the communities where they live and belong.
By combining professional expertise with strong local relationships, we help people stay well, feel supported and access the right care at the right time. Expert healthcare, close to home, trusted by our communities.
Different ideas, experiences and backgrounds make us stronger and more creative and applications from all walks of life are welcomed. Our processes ensure that all applicants are treated fairly at every stage of the recruitment process.
East of England Community Health and Care NHS Trust is committed to creating a modern and inclusive work environment. We actively promote flexible working opportunities where possible to meet the needs and wishes of our workforce and maintain and improve their wellbeing. We also offer flexible working patterns and we would encourage you to discuss this with the recruiting manager before or during the application process if this would interest you.
We welcome applications from people who share our values and can help us deliver outstanding care in our local community.
Before applying for this vacancy, please make sure you’re familiar with ongoing GOV.uk sponsorship eligibility criteria which will impact the organisations ability to provide sponsorship, whether this is currently or in the future.
Please note, our selection processes are in place to ensure we recruit candidates with the right values and skills. Please be advised that the use of AI in applications is monitored. We remain watchful of candidates who misuse these tools to generate an application that doesn’t accurately reflect their skills.
Please note all new starters will be subject to a 6 month probationary period.
Job overview
We are looking for an enthusiastic and compassionate Transition Nurse Specialist to lead and coordinate care for young people moving from children's to adult services. Working across health, social care, education and community partners, you will ensure seamless, person-centred transitions that support independence, self-management and positive long-term health outcomes.
You will manage a specialist caseload of young people with complex needs, act as a key point of contact for families and professionals, and provide expert assessment, care coordination and clinical leadership. The role offers the opportunity to influence service development, reduce health inequalities, improve patient experience and deliver education and support to patients, families and healthcare professionals.
This is an exciting opportunity for an experienced nurse with excellent communication, leadership and partnership-working skills who is passionate about improving outcomes for young people as they transition into adult services.
"(Should we receive a high number of applications we reserve the right to close this vacancy at any point after 22/09/2026)"
Advert
Coordinating complex transition pathways across multiple agencies and services.
Providing specialist assessment, care planning and case management.
Supporting young people and families to develop confidence, independence and self-management skills.
Working collaboratively with multidisciplinary teams to ensure continuity of care.
Leading service improvement, education, audit and quality initiatives.
Promoting safeguarding, patient advocacy and equitable access to services.
This role involves working across a range of acute, community and educational settings, with regular travel required across the locality.
Working for our organisation
Rated ‘Outstanding’ by the Care Quality Commission, we are proud to provide high quality innovative services across most of the east of England that enable people to receive care closer to home and live healthier lives.
There’s one reason why our services are outstanding – and that’s our amazing staff who, for the seventh year running, rated us incredibly highly in the national staff survey.
If you share our passion for innovative and high-quality care delivery, then please submit your application and join us on our exciting journey as a leading-edge specialist community provider. All are welcome to apply and our promise to you is a culture which prioritises staff engagement and development.
Please be aware that East of England Community Health and Care NHS Trust will never ask applicants to pay fees at any stage of the recruitment process, including job applications, sponsorship arrangements, or employment offers. All recruitment communications and job applications should only be made through our official careers website and published contact details.
If you receive a suspicious job offer or recruitment-related communication, do not make any payments, share personal information, or provide identity documents. We encourage you to report the matter to your local police or relevant law enforcement agency. Any concerns relating to potential recruitment fraud should also be reported to our Local Counter Fraud Specialist (LCFS) as soon as possible.
Detailed job description and main responsibilities
Clinical Leadership and Care Coordination
Provide professional and clinical leadership for the Transition Service, ensuring the delivery of safe, effective and person-centred care.
Lead and coordinate complex transition pathways across children's and adult health services, social care, education, community services and voluntary sector partners.
Act as the named Transition Coordinator and primary point of contact for children, young people, families, carers and professionals throughout the transition journey.
Manage a specialist caseload of children and young people with complex physical, developmental and psychosocial needs.
Undertake comprehensive assessments and develop personalised transition plans that support independence, self-management and achievement of agreed outcomes.
Monitor progress throughout the transition process and ensure timely escalation of concerns or emerging risks.
Specialist Practice
Undertake highly complex assessments involving clinical, psychological, social and environmental factors.
Exercise advanced clinical judgement and autonomous decision-making in the planning and delivery of care.
Provide specialist advice and consultancy regarding transition planning, complex case management and best practice.
Act as a specialist resource in safeguarding, ensuring concerns are recognised, escalated and managed appropriately.
Ensure Mental Capacity Act principles, consent processes, advocacy and safeguarding responsibilities are embedded within practice.
Partnership Working
Develop and maintain effective relationships with multidisciplinary, multi-agency and cross-sector partners.
Chair and contribute to multidisciplinary meetings, case conferences and complex care-planning forums.
Facilitate effective communication between children's and adult services to ensure continuity of care.
Support integrated working across acute, community, primary care, social care and education settings.
Education and Development
Provide education, coaching and support to young people, families and carers to enhance knowledge, confidence and self-management skills.
Design and deliver specialist training programmes for healthcare professionals and partner organisations.
Support workforce development through supervision, mentorship, preceptorship and education of students and staff.
Maintain expert knowledge of transition policy, legislation, professional standards and evidence-based practice.
Service Development and Quality Improvement
Lead and contribute to service improvement initiatives, audit, research and evaluation activities.
Monitor transition outcomes and use data to improve service quality, patient experience and clinical outcomes.
Identify service gaps, health inequalities and opportunities for pathway redesign and innovation.
Contribute to the development of policies, guidelines, standard operating procedures and integrated care pathways.
Support business planning, workforce development and delivery of Trust and Integrated Care System priorities.
Governance and Information Management
Maintain accurate, timely and legally compliant clinical records.
Ensure compliance with Information Governance, GDPR, professional standards and Trust policies.
Analyse activity, performance and outcome data to support clinical governance and service improvement.
Report and manage incidents, complaints, risks and safeguarding concerns appropriately.
Resources and Professional Responsibilities
Ensure the safe and effective use of equipment and resources.
Promote cost-effective use of financial and physical resources.
Plan and manage a complex workload, balancing competing priorities and service demands.
Travel across healthcare, community and educational settings as required to support service delivery.
Undertake any other duties consistent with the grading and responsibilities of the post.
Equal Opportunities - We are an equal opportunities employer and welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion. Additionally, people with disabilities that fall under the Disability Confident Scheme will be offered an interview providing they meet the minimum criteria for the post (outlined in the Person Specification). All sites are Smoke Free.
If you need this application in an offline format, please let us know.
Immigration Status – East of England Community Health and Care NHS Trust is a diverse employer and welcomes all job applications. However, potential applicants should note that although the Trust is registered with the Home Office as a sponsor organisation for migrant workers, sponsorship can only be offered against eligible roles. If you are an applicant from outside the UK and do not already hold a self-gained right to work, we recommend you check the Home Office eligibility requirements before making an application.
Please note: Although we are a registered sponsor organisation, we are unable to offer sponsorship for some job roles, and this will be identified through filtering questions at the start of any job application on the Trac recruitment system.
Our safe recruitment pre-employment checks are undertaken before an appointment is confirmed and may include a DBS check. Where the role requires you to drive, we'll ask you to validate your driving licence online via the DVLA.
Redeployment - Please note that in the first instance priority for this vacancy will be given to staff who are on the Trusts Redeployment Register.
Closing and Interview Dates -This vacancy may close early if sufficient applicants are received.
Data Protection - A privacy notice detailing how we will handle your data is attached to this advert as a document. Your application will be transferred to our recruitment management system (Trac) once the advert has closed and you will receive notification then detailing how Trac will handle your data.
ALL CORRESPONDENCE will be via the e-mail address on your application form. If you have not been invited to interview within 2 weeks of the closing date, you unfortunately haven’t been successful on this occasion, but keep an eye on our vacancies as a job that’s just right for you may appear!