Nursing

Nursing Introduction - Careers

At North Bristol NHS Trust, we will support you to be the best nurse that you can be.

From day one, you will benefit from strong nursing leadership, experienced role models and a structured support network to maximise your wellbeing and professional development.

What specialties could I work in as a Nurse?

Nursing opportunities

NBT cares

Registered Nurse

Nurse with patient

Healthcare Support Worker

Healthcare Support Worker with Patient

Nursing Associate

Nurse Associate with mask on smiling at camera

Return to Practice Nurse

Senior Nurse on ward

Your Nursing Career at North Bristol NHS Trust

Current Nursing Vacancies

Research Nurse/AHP - Band 5 - Trauma & Orthopaedics

Job reference
339-LMG4709
Salary
pa, pro rata
Salary period
Full time, Part time, Job share - 37.5 hours per week
Grade
NHS AfC: Band 5
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

We are looking for:

·         Registered nurse/AHP with current professional registration

·         A desire to contribute to improving patient care based on research evidence

·         Excellent verbal and written communication skills

·         Organised, self-motivated and adaptable with a flexible approach to team working

·         Excellent attention to detail

·         Strong IT skills

The post holder will be working on a variety of trauma orthopaedic, elective orthopaedic and major trauma research studies. The role will include:

·         Screening and recruiting patients to a range of studies.

·         Co-ordinating the logistics for patient follow-up visits and undertake patient assessments in accordance with study protocol. 

·         Ensuring appropriate study information is accurately recorded in the patient’s records.

·         Monitoring patients for any adverse events and ensure they are reported as necessary in a timely manner.

Registered Nurse - Interventional Radiology - Recovery - Band 5

Job reference
339-TA-CCS-RN-IRREC06
Salary
per annum
Salary period
Full time - 37.5 hours per week (37.5 hours per week)
Grade
NHS AfC: Band 5
Contract
Permanent
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

THE ROLE – Key duties will include:

  • Working with patients who will be undergoing a wide variety of Interventional procedures.
  • Being responsible for coordinating and providing complete care to patients and working as a part of the team as well as independently.
  • Working closely with members of the multidisciplinary team.
  • To be actively involved in their own development and supporting junior members of the team in their development
  • To strictly adhere to Local and Trust wide Infection Control policy and procedures.
  • Participate in assisting the Radiologists as the Scrub Nurse for a wide variety of procedures.
  • Circulating within the Lab assisting the Radiologist/Scrub Nurse by providing the appropriate equipment. Monitoring and communicating with the patient throughout.
  • Participate in on call duties.

Neurosurgical Specialist Nurse - Band 6

Job reference
339-JKL4366-C
Salary
Per annum
Salary period
Full time - 37.5 hours per week (no weekend cover required)
Grade
NHS AfC: Band 6
Contract
Maternity leave
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

  • Demonstrate politeness, courtesy, and sensitivity in providing compassionate care for patients, visitors/relatives, and colleagues.
  • Contribute towards sharing good practice within the multidisciplinary team.
  • Work cohesively with all members of the multidisciplinary team and promote effective liaison with the team in ensuring that the very best services to patients are always provided.
  • Communicate effectively within the multidisciplinary, participate in motivating and supporting team members and maintain confidentiality with patients and carers. Give written and verbal advice/teaching to patients and carers.
  • will be required to have all clinical extended roles to provide seamless high quality care to our Neurosurgical patients

 

 

 

Research Nurse/ AHP - Band 5

Job reference
339-LMG4486-A
Salary
Per annum, pro rata. Dependent on experience
Salary period
Full time, Part time - 37.5 hours per week (Part time of 3-4 days/week considered)
Grade
NHS AfC: Band 5
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Please see the Job Description for more information

  • Contribute to the performance of the Renal Research Team
  • Screening and recruiting patients to a range of studies.
  • Extended use of computer systems
  • Enter research data onto study databases and manage any queries raised.
  • Co-ordinate the logistics for patient visits and undertake patient assessments in accordance with study protocol.
  • Maintain Investigator site file (s) and complete Case Report Forms (CRF/eCRF) with a high degree of accuracy.
  • Ensure appropriate study information is accurately recorded in the patient’s records.
  • Monitor patients for any adverse events and ensure they are reported as necessary in a timely manner.
  • Work closely with the senior research nurse, research nurse team and Research and Innovation department to manage workload, study progress and personal development.

Sister

Job reference
339-LMH4708
Salary
pa
Salary period
Part time - 22.5 hours per week (08:00-16:00)
Grade
NHS AfC: Band 6
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

 For a more detailed understanding of the role please see Job description  attached. However main duties will include:

Day to day running of the clinics and service 

Staff allocation and staff Rota

Clinical audits

Staff appraisals and staff management

Clinical experience and support. 

Ordering of equipment and stores

 

Student Nursing Associate

Job reference
339-SNA-OCT 2024
Salary
per annum pro rata
Salary period
Full time, Part time - 37.5 hours per week (Or can be over a minimum of 30 hours per week. Shift patterns across the weeks including weekend and nights this also includes placements in other areas throughout the apprenticeship.)
Grade
Band 3
Contract
24 months course duration (Apprenticeship), followed by completion at Award Board.
Staff Group
Additional Clinical Services
Town
Bristol

Description

Knowledge and Expertise

• Understands and acts in line with NMC  Code Of Conduct.

• Understanding of the scope of the role of the Nursing Associate in context of the nursing and interdisciplinary team and the organisation, and how the role  contributes to service development.

• Knowledge of when to seek advice and escalate to the appropriate 
professional for expert help and advice.

 • Understanding of the importance of following procedures and treatment 
plan.

Experience

• Experience of working in teams under appropriate supervision as part of a multi-disciplinary team.

• Insight into how to evaluate own strengths and development needs, 
seeking advice where appropriate.

• Experience of providing and receiving complex, sensitive information.

Skills

• Ability to take part in reflective practice and clinical supervision 
activities.

• Ability to organise and prioritise own delegated workload.

• Ability to deal with non routine and unpredictable nature of workload and individual patient contact.

• Ability to communicate effectively (written, verbal and non verbal 
communication) with patients/relatives and carers and all members of the multi-disciplinary team.

• Ability to develop effective and appropriate relationships with people, 
their families, carers and colleagues.

• Ability to support, supervise, assess and act as a role model to nursing 
associate students, other learners and health care support workers as 
required within the clinical setting. 

Clinical Nurse Specialist in Breast Care

Job reference
339-LMH4689
Salary
per annum pro rata
Salary period
Part time - 22.5 hours per week (no weekend cover required)
Grade
Band 6
Contract
Staff Group
Nursing and Midwifery Registered
Town
Weston-Super-Mare

Description

To provide highly specialist nursing care for a patient case load ensuring everyone receives a high standard of  care, working to co-ordinate care and provide easy access to services and ongoing physical and emotional support for patients and their families.

To participate in clinical audit and research.

To promote culture of evidence based practice.

To be involved in health promotion.

To plan the provision of day to day organisational tasks in the absence of band 7 breast cancer CNS.

To participate in quality improvement, using improvement methodology to motivate and reassure staff through negotiation and training, to facilitate service improvement.

To act as autonomous practitioner, independent planning, implementing and evaluating  program of care achieved through systematic and holistic assessment skills and personalised care planning including the management of wounds and seroma care.

Demonstrate highly  developed communication skills to provide guidance, advice and support to the individual and the carer regarding their holistic care.

To demonstrate the ability to work well within the team and maintain professional relationships and communication.

To lead on implementation of clinical competency, supervision and assessment framework in place to assure a consistently high standard of nursing care for cancer patients.

To collate and record quantitative and qualitative data that provides evidence of productivity, outcomes and quality through audit and research.

 

Clinical Excellence Lead – Professional Nurse Advocacy & Later Careers

Job reference
339-DJF4719
Salary
per annum
Salary period
Full time, Part time, Job share, Flexible working - 37.5 hours per week (Monday to Friday Predominantly 08.30-5.30pm)
Grade
NHS AfC: Band 8a
Contract
or Secondment Opportunity
Staff Group
Nursing and Midwifery Registered
Town
Southmead Road, Westbury-on-Trym

Description

The post holder will be responsible for developing the Legacy Mentor role across North Bristol NHS Trust and Lead on the development of the Professional Advocacy Programme for Nursing and Midwifery Practitioners. The Postholder will also be responsible for implementation of  a framework that will facilitate and support strategies for developing the Legacy Mentor Role.

Responsibilities will Include:

  • To actively promote and educate teams about the PNA role and framework.
  • To work with colleagues to ensure the sustainability of PNA development and implement quality improvement initiatives within clinical practice.
  • To develop a robust PNA restorative supervision model throughout the Trust that will effectively support, supervise, and coach practitioners in practice.
  • To facilitate a positive working environment for people in their later career and provide support where possible through coaching and mentoring.
  • Provide clinical expertise on a range of projects, supporting best practice and enhancing the learning environment for all.
  • Raise the profile of the role of legacy mentors and share good practice with others, enhancing the profile of the organisation and providing support to managers.
  • Contributing to the education and development of staff, providing space for group reflection and team building

 

Registered Nurse - Cardiology - Band 5

Job reference
339-TA-MED-RN-CAR0624
Salary
per annum
Salary period
Full time - 37.5 hours per week (days and nights)
Grade
NHS AfC: Band 5
Contract
Secondment will be considered
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Organise and participate in the delivery of high standards of evidence based nursing car       Take regular responsibility to carry out required planned, direct patient care to a high standard without direct supervision in accordance with established nursing procedures and policies.

Care of acute cardiac medical patients including those pre and post invasive procedures.

To report to the appropriate members of the multidisciplinary team any significant changes in a patient’s condition or situation.

 In the absence of senior staff be responsible for delegation and supervision of appropriate work to other qualified staff, health care assistants and students 

   To be able to act in emergency situations and to be familiar with emergency procedures including fire and resuscitation.  To be responsible for the support and direction of junior staff in such situations according to Trust policy.

  To be responsible for ensuring provision of a safe and therapeutic environment for all patients, relatives, visitors and colleagues.

    Ensure the readiness for use of special equipment and the availability of nursing supplies in conjunction with the senior ward nurse

     Report to nurse in charge/line manager all complaints, incidents or accidents involving self, staff, patients, visitors and complete relevant documentation according to Trust procedure.

see full job description

 

 

Registered Nurse - Emergency Department - Band 5

Job reference
339-TA-MED-RN-ED0624
Salary
per annum
Salary period
Full time - 37.5 hours per week (Up to 37.5 hours per week)
Grade
Band 5
Contract
Substantive
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Working within the Emergency Department, your main duties will include: 

  • Organising and participating in the delivery of high standards of evidence-based nursing care. 
  • Taking responsibility to carry out required planned, direct patient care to a high standard without direct supervision, in accordance with established nursing procedures and policies. 
  • Contributing towards the health promotion for all patients by provided education, support and advice as necessary, ensuring referral to appropriate professionals or agencies as required.  
  • In the absence of senior staff, taking responsibility for the delegation and supervision of appropriate work to other qualified staff, healthcare support workers and students. 
  • Where relevant, be responsible and assist in the co-ordination of discharge planning in partnership with the multidisciplinary team. 
  • Taking personal responsibility for treating all patients with courtesy, respecting their individual needs and maintaining confidentiality at all times.  
  • Ensuring provision of a safe and therapeutic environment for all patients, relatives, visitors and colleagues. 

Trainee Advanced Neonatal Nurse Practitioner

Job reference
339-ANJ4677
Salary
per annum
Salary period
Full time - 37.5 hours per week
Grade
Band 7
Contract
Band 7 during training, to progress to Band 8A upon successful completion of the Advanced Clinical Practice course.
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Please refer to the job description and person specification for more information of the main duties and responsibilities of the role. 

  • Working as part of the neonatal team on the neonatal unit and postnatal wards
  • Performing practical procedures and septic screens on infants from the postnatal ward and infants admitted to the neonatal intensive care unit, subject to appropriate training and experience
  • Attending deliveries, subject to training and relevant resuscitation accreditation
  • Maintaining timely and appropriate documentation
  • Supporting and contributing to timely discharge planning – to include completing discharge paperwork (Badger discharge summaries and referrals to relevant specialist teams)
  • Performing NIPE examinations
  • Having, developing and maintaining specialist medical knowledge appropriate to the role through relevant Continuing Professional Development (CPD)/Continuing Medical Education (CME)
  • Contributing to achieving and maintaining outstanding performance in the team / organisation
  • Leveraging a nursing background, the post holder will continue to develop the core elements of advanced practice, covering the four pillars mapped by Heath Education England (HEE) Advance practice framework.

Registered Nurse - Bright Satellite Dialysis Unit - Band 5

Job reference
339-LMH4613-A
Salary
per annum
Salary period
Full time, Part time - 37.5 hours per week
Grade
Band 5
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Working within our department, your main duties will include:

  • Organising and participating in the delivery of high standards of evidence-based nursing care. 
  • Taking responsibility to carry out required planned, direct patient care to a high standard without direct supervision, in accordance with established nursing procedures and policies.
  • Contributing towards the health promotion for all patients by provided education, support and advice as necessary, ensuring referral to appropriate professionals or agencies as required.
  • In the absence of senior staff, taking responsibility for the delegation and supervision of appropriate work to other qualified staff, healthcare support workers and students. 
  • Co-ordinate a shift on a regular basis to develop leadership and management skills with the support of senior colleagues
  • Undertake named nurse responsibilities for a group of patients monitoring their renal treatment and care interventions from the wider multidisciplinary team
  • Taking personal responsibility for treating all patients with courtesy, respecting their individual needs, and maintaining confidentiality at all times. 
  • Ensuring provision of a safe and therapeutic environment for all patients, relatives, visitors, and colleagues

Critical Care - Clinical Band 7

Job reference
339-ANJ4673
Salary
per annum pro rata
Salary period
Part time - 30 hours per week
Grade
Band 7
Contract
Maternity Leave Cover
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

·         To provide clear and efficient leadership

·         To participate and lead in assessment, planning and delivery of direct patient care in the Intensive Care Unit

·         To be fully accountable and responsible for shift management

·         Manage see and treat environment safely, ensure safe and effective practice at all times from all key personnel working within that area.

·         To work in collaboration with the Supervisory Sister and Clinical Matron to ensure the delivery of high calibre of evidence based patient care, and to encourage and develop a flexible work force through the efficient use of facilities, manpower and other resources.

·         To initiate, promote and maintain high standards of practice within the team in line with departmental requirements.

·         To provide clinical expertise both on shift and when representing the department.

·         To manage all resources effectively and within budget parameters.

·         To actively participate in audit.

·         To identify areas of clinical need and to assist in changing practice to meet service requirements.

 

Maternity Flow and Safety & Labour Ward Co-ordinator - Band 7

Job reference
339-JKL4666
Salary
pro rata
Salary period
Full time, Part time, Job share - 37.5 hours per week (Shift pattern to include day and night shifts)
Grade
NHS AfC: Band 7
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

You will provide leadership to midwifery and non-midwifery staff, ensuring effective management of the daily activity and throughput within the maternity unit. 

Lead the on ensuring the flow across maternity is maintained in the hospitals by acting as a role model for staff providing clinical expertise and advice.

Oversee the daily service delivery, identifying constraints and redeploying resources to meet the service needs. Liaising with and updating the senior management team if additional resources e.g. agency staff are required or in the event of resources being unable to address current service needs.

Have an overview of all staff within the maternity services.

Escalate any concerns according to the Maternity escalation policy and the Regional Opel escalation procedure

Your role will also include Coordination of the Intrapartum area, to help ensure the safe, efficient and effective day to day running of Labour Ward.

Duties include:

To manage the shift and have clinical responsibility for the area.

To provide clinical midwifery care to women within the Maternity Services.

To provide expert leadership advice to the maternity team

To be proactive in the development of midwifery within the Maternity Unit.

To manage/lead a team of staff within maternity service.

 

Labour Ward Manager - Band 7

Job reference
339-JKL4667
Salary
per annum
Salary period
Full time, Part time, Job share - 37.5 hours per week (Flexible working pattern across 7 days, with a day and night shift pattern available)
Grade
NHS AfC: Band 7
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

This post will provide the clinical and managerial leadership with the Matron taking responsibility for providing a clear focus for the profession and effective clinical leadership and accountability for the service.

You will be responsible for ensuring that the team act in a manner that upholds the values of the Trust and that of the profession. Working in collaboration with the Matron and Specialty teams you will be expected to:

Participate in activity with the Specialist team to manage and develop the service in line with local and national requirements ensuring the delivery of performance targets;

Line manage a team of staff working within designated clinical area;

Work closely with Matron to ensure the efficient and effective running of area of responsibility;

Have overall responsibility for ensuring their clinical area is safe

Deputise for the Matron and form part of the Directorate senior team;

Contribute to the development of patient-centred services;

Be responsible for successful attainment of Trust and national quality and safety objectives within area of responsibility

Provide expert clinical advice and care within the clinical area

Registered Nurse - Neonatal Intensive Care - Band 5

Job reference
339-TA-W&C-RN-NICU0624
Salary
pa
Salary period
Full time, Part time - 37.5 hours per week
Grade
NHS AfC: Band 5
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

The Band 5 Staff Nurse will work and communicate effectively within the multidisciplinary team and contribute to the successful provision of the service.
You will be responsible for assessment, planning, provision, maintenance and evaluation of family centred patient care in conjunction with the multidisciplinary team and the infants parents.
The post holder will take responsibility for the supervision and guidance of other staff including health care assistants and students on a daily basis.
You will actively contribute to the provision of a good learning environment by taking on the role of mentor/assessor for learners e.g. Student nurses and support worker roles.

 

 

 

 

 

Research Nurse/AHP - Breastcare

Job reference
339-LMG4721
Salary
per annum (pro rata)
Salary period
Part time, Flexible working, Home or remote working - 18.75 hours per week (Alternating weeks consisting of 2 days (15hours) and 3 days (22.5hours); Monday to Friday)
Grade
Band 6
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

Please see the Job Description for the full details. 

  • Attending clinics ( off site) and recruitment of patients into the trial
  • Phone calls required to screen patients and offer trial (possibility to work from home)
  • Consent all patients either face-to-face or over the phone directing to e-consent.
  • Work together with the clinical teams and other research nurses to conduct the trial together at the highest standard.
  • Performs all visits, observations, and interventions with the participants in accordance with the procedures and schedule of the study protocol.
  • Ensure appropriate trial information and data is contained in patient’s hospital notes if appropriate
  • Provides and receives complex information in the process of explaining study involvement and obtaining informed consent. Discussion of alternative treatment, benefit and harm
  • Maintain Investigator Site File(s) and complete Case Report File / eCRF with a high degree of accuracy
  • With the support of appropriate staff undertakes the management of the research related aspects of care of a group of study participants over the period of the study, which includes:
  • The assessment of patients/volunteers for eligibility for research and monitoring their condition throughout their participation.
  • Recruitment, follow up and data entry for all patients during the period of the trial.

Operating Department Practitioner - Anaesthetic, Scrub, Recovery - B5

Job reference
339-TA-ASCR-OD-TH0524
Salary
per annum
Salary period
Full time - 37.5 hours per week (Up to 37.5 hours per week)
Grade
Band 5
Contract
Substantive
Staff Group
Allied Health Professionals
Town
Bristol

Description

The main duties of the role will be dependent on the speciality you are working within. Please refer to the Job Descriptions and Person Specifications attached to this job role. 

Practice Development Nurse

Job reference
339-DJF4726
Salary
per annum
Salary period
Full time, Part time - 37.5 hours per week
Grade
NHS AfC: Band 6
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

- Support newly qualified registered practitioners and new staff during their period of 
preceptorship / rotation programme
- Support and develop the preceptors using a facilitation / coaching approach
- Provide direct supervision and training for qualified registered practitioners and new staff
- Support development of the learning environment and competency frameworks benchmarked 
against national standards of care.
- Support the design and implementation of specific educational programmes within medicine
- Support the development of clinical practice guidelines & policies
- Assist the workforce in achieving quality standards
- Develop and implement new initiatives and ways of working
- Contribute to the delivery, management and review of all existing accredited and internal 
education programmes

Assistant Chief Nursing Officer - Research Development and Genomics

Job reference
339-LMG4676
Salary
Per annum
Salary period
Part time - 22.5 hours per week
Grade
NHS AfC: Band 8b
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

  • As a senior member of the Chief Nursing Officer’s team, the post holder will liaise with divisional directors of nursing to identify research priorities and formulate research questions that improve the patient experience and quality of care across all divisions at NBT.
  • The post holder will work alongside clinical colleagues in the genomics service to design a nursing and midwifery strategy for genomics in the professions of nursing and midwifery.  Translating national and local policy to interface with Trust objectives and context.
  • Working closely with the Trusts senior nurse leaders and managers to explore how to embed research and genomics into clinical nursing roles.
  • Support the development of enhanced and advanced practice by working closely with the Assistant Chief Nursing Officer for Advanced Practice to explore opportunities for developing the research pillar of advanced and consultant practitioners roles at NBT. 
  • The post holder will provide strategic leadership for the development of nurse and midwife -led research initiatives across the Trust in partnership with a range of external healthcare agencies, NIHR, Charities (Macmillan, CRUK….).

Lung Cancer Nurse Specialist

Job reference
339-LMG4604
Salary
pro rata
Salary period
Full time - 37.5 hours per week
Grade
NHS AfC: Band 7
Contract
Staff Group
Nursing and Midwifery Registered
Town
Westbury- On-Trym, Bristol

Description

  • To plan, develop, improve and promote the service ensuring the delivery of high-quality, cost-effective care
  • To act as an autonomous practitioner, independently planning, implementing and evaluating programmes of care.
  • To assess, develop and implement specialist nursing care programmes that deliver evidence based individualised and personalised care through holistic needs assessment, care planning and evaluation of care and care interventions
  • To provide patients and staff with highly developed specialist advice to manage complex symptoms
  • To work closely with community and network, other hospital and community staff to ensure an effective seamless service
  • To develop and utilize the skills needed to embed patient and public involvement within the sphere of specialist nursing practice
  • To transcribe radiology requests on ICE following successful completion of the IR(M)E training course
  • To work as patient advocate, to help negotiate the patient journey and ensure optimum care is provided to each patient
  • To nurture and maintain links with other health care agencies and organisations providing support and information to patients
  • To act as a positive role model for nurses in the hospital through the demonstration of excellent communication and clinical skills
  • To expertly deliver highly complex sensitive condition related information to patients and relatives
  • To provide professional leadership for band 6 specialist nurses and be a role model in relation to this specialist area.

Sister/Charge Nurse - Band 6

Job reference
339-DJF4725
Salary
per annum (pro rata)
Salary period
Part time - 34.5 hours per week (Will need to be able to work 7 days a week including night duty)
Grade
Band 6
Contract
Staff Group
Nursing and Midwifery Registered
Town
Bristol

Description

The post holder will work closely with and provide clinical and managerial support for the ward Sister
and wider team.
The post holder will take charge of the ward as and when required in the absence of the ward
manager on a daily basis.
The post holder will be expected to lead on an area of ward quality and working with the ward sister
and other Band 6’ ensure the ward submits all quality and Infection control audits monthly and that the
results are reviewed and acted upon to ensure continuous improvement.
The post holder will be responsible for managing the ward team in relation to the assessment,
planning, provision, maintenance and evaluation of programmes of high standards of care
The post holder will assist the ward Sister in provision of high quality patient care within the
constraints of the allocated ward budget.
In the absence of the ward Sister, the post holder will be responsible for ensuring that care delivery by
all members of the care team is carried out in accordance with Trust policies and procedures and the
guidelines for practice set by the NMC code of conduct.
The post holder will take responsibility for the management, supervision and guidance of other
qualified staff, Health care assistants or students on a daily basis.