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Registered Nurse | Pre-Operative Assessment | Leicester - Oadby | Part time | Permanent\nSpire Leicester Hospital is looking for a passionate and experienced Registered Nurse to join our dedicated Pre‑Operative Assessment team. This is an exciting opportunity to be part of a hospital recognised for delivering exceptional patient care across the East Midlands and beyond.\nAs leaders in private healthcare, we pride ourselves on fast access to high‑quality services-from diagnostics and personalised treatment plans to complex surgery and expert aftercare.\nWhat you'll Be Doing\nIn this pivotal role, you'll help ensure our patients are fully prepared for their upcoming procedures. No two days will be the same. You will:\n * Support the Lead Nurse in running a safe, effective, patient‑centred pre‑assessment service.\n * Provide and coordinate pre‑operative assessments, collaborating with Consultants, Anaesthetists, and wider clinical teams.\n * Deliver exceptional nursing care across a variety of specialities.\n * Use your clinical expertise to communicate sensitive and complex information with clarity and compassion.\n * Promote best practice in health and safety, infection control, and clinical governance.\n * Help continuously improve patient experience and departmental processes.\n * Mentor junior colleagues and deputise for senior staff when required.\n * Uphold NMC standards, safeguarding policies, confidentiality requirements, and our organisational values.\nWho We're Looking For\nYou'll be a confident, caring professional who is committed to delivering the highest standards of clinical care.\n * NMC Registered Nurse\n * Strong clinical experience, ideally with some pre‑assessment exposure\n * Previous surgical environment experience\n * Competence across a range of nursing skills\n * Up‑to‑date mandatory training, including infection control & health and safety\n * Sound understanding of CQC standards and accountable practice\n * Strong clinical reasoning skills and confidence working with varied and complex patient cases\n * Equipment and medical devices competency\n * Experience or understanding of Root Cause Analysis\nBenefits:\nWe offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to:\n * 35 days annual leave inclusive of bank holidays\n * Employer and employee contributory pension with flexible retirement options\n * 'Spire for you' reward platform - discount and cashback for over 1000 retailers\n * Free Bupa wellness screening\n * Private medical insurance\n * Life assurance\nOur Values:\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\n * Driving clinical excellence\n * Doing the right thing\n * Caring is our passion.\n * Keeping it simple\n * Delivering on our promises\n * Succeeding and celebrating together\nWe commit to our employees' well-being through work life balance, on-going development, support and reward.\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\nOur people are our difference; it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nFor us, it's more than just treating patients; it's about looking after people

Specialist Nurse - Cancer Services | Spire Leicester Hospital | Oadby, Leicester | Full Time (37.5 hours)\nSpire Leicester Hospital is looking for a passionate and experienced Chemotherapy Specialist Nurse to join our growing Cancer Services team. This is an opportunity to work in a modern, well-equipped environment where patient care, clinical excellence, and continuous improvement are genuinely prioritised.\nYou'll play a key role in delivering high-quality, compassionate care to patients throughout their cancer journey-supporting them when it matters most.\nWhy Join Us?\nAt Spire Leicester, you'll be part of a long-established private hospital trusted by patients across the East Midlands and beyond. We invest in our people and our services, giving you the tools, support, and environment to deliver outstanding care-and to keep developing your own career.\nYour Role:\nAs a Specialist Chemotherapy Nurse, you will:\n * Act as a key worker, supporting patients through complex cancer pathways\n * Deliver safe, high-quality chemotherapy (SACT) and holistic patient care\n * Work collaboratively with multidisciplinary teams to enhance service delivery\n * Assess, plan, and evaluate care across a dynamic and varied caseload\n * Communicate sensitive information with professionalism and empathy\n * Support and drive service development and quality improvement initiatives\n * Promote best practice in infection control, safety, and patient wellbeing\nWhat We're Looking For:\nYou'll be a confident and compassionate nurse who thrives in a specialist setting:\n * Registered Nurse with relevant oncology experience\n * Qualified in SACT administration (accredited)\n * Competent in venepuncture, cannulation, and CVAD management\n * Experience managing complex cancer patient caseloads\n * Comfortable working independently within a nurse-led environment\n * Strong clinical reasoning and decision-making skills\n * Committed to continuous professional development\nBenefits:\nWe offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to:\n * 35 days annual leave inclusive of bank holidays\n * Employer and employee contributory pension with flexible retirement options\n * 'Spire for you' reward platform - discount and cashback for over 1000 retailers\n * Free Bupa wellness screening\n * Private medical insurance\n * Life assurance\nOur Values:\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\n * Driving clinical excellence\n * Doing the right thing\n * Caring is our passion.\n * Keeping it simple\n * Delivering on our promises\n * Succeeding and celebrating together\nWe commit to our employees' well-being through work life balance, on-going development, support and reward.\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nSpire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services.\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\nFor us, it's more than just treating patients; it's about looking after people

Specialist Nurse - Children & Young People (CYP) | Spire Leicester Hospital | Oadby, Leicester | Full Time | Permanent\nSpire Leicester Hospital is looking for a dedicated and compassionate Specialist Nurse - CYP to join our team. This is a rewarding opportunity to deliver high-quality, family-centred care in a supportive, modern clinical environment where your voice and expertise truly matter.\nYou'll play a vital role in ensuring children and young people receive safe, personalised care - while supporting families through every step of their healthcare journey.\nWhy Join Us?\nAt Spire Leicester, we combine clinical excellence with a genuine commitment to patient experience. You'll be part of a team that prioritises safety, compassion, and continuous improvement, with the support and resources to develop your career in paediatric care.\nYour Role:\nAs a Specialist CYP Nurse, you will:\n * Deliver high-quality, planned care for children, young people, and their families\n * Assess and manage a diverse and evolving paediatric caseload\n * Champion and actively promote family-centred care\n * Act as a strong advocate for children's rights, equality, and safeguarding\n * Communicate complex and sensitive information with clarity and empathy\n * Work collaboratively within multidisciplinary teams to ensure the best outcomes\n * Support the development and improvement of CYP services\n * Maintain the highest standards of infection prevention, safety, and clinical practice\nWho We're Looking For:\nYou'll be a confident and caring paediatric nurse who thrives in a patient-focused environment:\nQualifications & Training\n * Registered Children's Nurse (RCN)\n * Child Protection Level 3 training\n * Paediatric Resuscitation (EPALS or equivalent)\n * Working towards a relevant post-registration qualification (desirable)\nExperience & Skills\n * Recent experience in an acute paediatric setting\n * Strong clinical reasoning across complex paediatric cases\n * Experience working both independently and as part of a team\n * Skilled in children's phlebotomy\n * A passion for safeguarding and family-centred care\nBenefits:\nWe offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to:\n * 35 days annual leave inclusive of bank holidays\n * Employer and employee contributory pension with flexible retirement options\n * 'Spire for you' reward platform - discount and cashback for over 1000 retailers\n * Free Bupa wellness screening\n * Private medical insurance\n * Life assurance\nOur Values:\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\n * Driving clinical excellence\n * Doing the right thing\n * Caring is our passion.\n * Keeping it simple\n * Delivering on our promises\n * Succeeding and celebrating together\nWe commit to our employees' well-being through work life balance, on-going development, support and reward.\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nSpire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services.\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\nFor us, it's more than just treating patients; it's about looking after people

Specialist Nurse - Cancer Services | Spire Leicester Hospital | Oadby, Leicester | 12 month FTC (37.5 hours per week)\nSpire Leicester Hospital is looking for a passionate and experienced Chemotherapy Specialist Nurse to join our growing Cancer Services team on a 12 month fixed term contract. This is an opportunity to work in a modern, well-equipped environment where patient care, clinical excellence, and continuous improvement are genuinely prioritised.\nYou'll play a key role in delivering high-quality, compassionate care to patients throughout their cancer journey-supporting them when it matters most.\nWhy Join Us?\nAt Spire Leicester, you'll be part of a long-established private hospital trusted by patients across the East Midlands and beyond. We invest in our people and our services, giving you the tools, support, and environment to deliver outstanding care-and to keep developing your own career.\nYour Role:\nAs a Specialist Chemotherapy Nurse, you will:\n * Act as a key worker, supporting patients through complex cancer pathways\n * Deliver safe, high-quality chemotherapy (SACT) and holistic patient care\n * Work collaboratively with multidisciplinary teams to enhance service delivery\n * Assess, plan, and evaluate care across a dynamic and varied caseload\n * Communicate sensitive information with professionalism and empathy\n * Support and drive service development and quality improvement initiatives\n * Promote best practice in infection control, safety, and patient wellbeing\nWhat We're Looking For:\nYou'll be a confident and compassionate nurse who thrives in a specialist setting:\n * Registered Nurse with relevant oncology experience\n * Qualified in SACT administration (accredited)\n * Competent in venepuncture, cannulation, and CVAD management\n * Experience managing complex cancer patient caseloads\n * Comfortable working independently within a nurse-led environment\n * Strong clinical reasoning and decision-making skills\n * Committed to continuous professional development\nBenefits:\nWe offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to:\n * 35 days annual leave inclusive of bank holidays\n * Employer and employee contributory pension with flexible retirement options\n * 'Spire for you' reward platform - discount and cashback for over 1000 retailers\n * Free Bupa wellness screening\n * Private medical insurance\n * Life assurance\nOur Values:\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\n * Driving clinical excellence\n * Doing the right thing\n * Caring is our passion.\n * Keeping it simple\n * Delivering on our promises\n * Succeeding and celebrating together\nWe commit to our employees' well-being through work life balance, on-going development, support and reward.\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nSpire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services.\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\nFor us, it's more than just treating patients; it's about looking after people

Registered Nurse | Bank | Spire Leicester Hospital | Oadby | Flexible Shifts\nSpire Leicester Hospital has an exciting opportunity for a Registered Nurse to join our Bank team, offering flexible, ad-hoc shifts to suit your lifestyle.\nAt Spire Healthcare, we're committed to delivering outstanding patient care in a safe, supportive, and high-quality clinical environment. With a strong reputation across the UK's independent healthcare sector, we pride ourselves on combining clinical excellence with a patient-first approach.\nDuties and responsibilities:\nAs part of our nursing team, you will:\n * Deliver high-quality patient care, maintaining excellent clinical standards at all times\n * Assess, plan, and implement care across a varied and often complex caseload\n * Support patients' health, wellbeing, and recovery throughout their journey\n * Ensure a clean, safe, and compliant clinical environment\n * Communicate effectively with patients, families, and the wider multidisciplinary team\n * Provide guidance and support to junior staff, acting as a role model for best practice\n * Deputise for senior staff when required\n * Contribute to service development, quality improvement, and clinical governance\n * Promote equality, diversity, and patient dignity in all aspects of care\n * Adhere to infection prevention and control policies, including HCAI responsibilities\n * Work in line with the NMC Code and all Spire Healthcare policies and procedures\nWho we're looking for:\n * Registered Nurse with a valid NMC registration\n * Previous clinical nursing experience\n * Strong clinical knowledge and a broad range of nursing skills\n * Ability to manage workload effectively in a fast-paced environment\n * A commitment to high standards of patient care and safety\n * Understanding of clinical governance and regulatory frameworks (e.g. CQC)\n * A proactive, team-focused approach with excellent communication skills\nBank Benefits:\n * Bank colleagues are paid weekly\n * We offer competitive rates to our bank colleagues who work on a flexible basis, often to cover busy periods, sickness, or annual leave\n * Save an average of £50 per month with our free onsite car park\n * Access to Spire Healthcare pension\n * Access to Blue Light Card discounts\n * Smartspending discounts (in addition to Blue Light discounts) via 'Spire for You'\n * Wellbeing Centre access via 'Spire for You'\n * Free uniform\n * Free DBS\n * Full induction, including mandatory training updates\n * Opportunities for further training and progression into permanent posts\n * Knowledge, support and guidance through your recruitment journey from Spire's specialist Resourcing Team\nOur Values:\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\nDriving clinical excellence\nDoing the right thing\nCaring is our passion.\nKeeping it simple\nDelivering on our promises\nSucceeding and celebrating together\nWe commit to our employees' well-being through work life balance, on-going development, support and reward.\nSpire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services.\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\nFor us, it's more than just treating patients; it's about looking after people

Registered Nurse/Leicester/Oadby/Bank/Ad-Hoc Shifts\n\nSpire Leicester Hospital has an exciting opportunity for a Registered Nurse to join the Bank team. \n\nDuties and responsibilities:\n\nTo ensure that standards of patient care are consistently maintained at all times in accordance with agreed operational policies and procedures as a skilled member of the nursing team, ensuring a clean and safe environment.\n\nTo promote and safeguard the well-being and interests of all patients, employees and visitors.\n\nTo assist Senior Staff in their management of clinical departments and to provide effective leadership and management in their absence.\n\nAssess patients' health and wellbeing across a complex and changing caseload.\nAssist in the delivery of care to meet individuals' health and wellbeing needs\nProvide and receive complex, sensitive or contentious information.\nDevelop own knowledge and skills and that of others.\nPromote best practice in health and safety and security.\nAssist in maintaining and developing services.\nContribute to quality improvement.\nPromote people's equality, diversity and rights.\nAcknowledge the risk of Healthcare Associated Infections (HCAI) and understand own responsibility as agreed with line manager in the prevention and control of HCAI.\nTo maintain standards of infection control within the hospital and own department and to assist patients to maintain their own infection control needs\nTo provide advice, guidance and support to junior staff by maintaining professional standards to ensure the delivery of high quality care\nTo deputise for senior staff when required\nTo meet Spire values, whilst delivering care to patients and relatives\nTo adhere to the NMC Code of Conduct and Spire Policies, Procedures, Protocols and Standards at all times\nTo ensure that Clinical Governance and risk management are embedded within daily practice.\nProvide and receive patient information, ensuring that all patient information is provided, received and recorded in accordance with the Data Protection Act and Spire Policies.\nCarry out any other duty that reasonably falls within the general nature and level of responsibility of the post.Who we're looking for:\n\nRegistered Nurse with NMC registration\nPrevious nursing experience.\nCompetence across a range of nursing skills supported by professional and clinical knowledge.\nPossess the mandatory training requirements for role including infection control and health and safety competencies\nBasic workload / shift management\nAble to demonstrate the principles of accountable practice.\nKnowledge of appropriate standards and external bodies, such as the Care Quality CommissionBank Benefits:\n\nBank colleagues are paid weekly\nWe offer competitive rates to our bank colleagues who work on a flexible basis, often to cover busy periods, sickness, or annual leave\nSave an average of £50 per month with our free onsite car park\nAccess to Spire Healthcare pension\nAccess to Blue Light Card discounts\nSmartspending discounts (in addition to Blue Light discounts) via 'Spire for You'\nWellbeing Centre access via 'Spire for You'\nFree uniform\nFree DBS\nFull induction, including mandatory training updates\nOpportunities for further training and progression into permanent posts\nKnowledge, support and guidance through your recruitment journey from Spire's specialist Resourcing TeamOur Values:\n\nWe are extremely proud of our heritage in private healthcare and of our values as an organisation:\n\nDriving clinical excellence\nDoing the right thing\nCaring is our passion.\nKeeping it simple\nDelivering on our promises\nSucceeding and celebrating togetherWe commit to our employees' well-being through work life balance, on-going development, support and reward.\n\nSpire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services.\n\nSpire Healthcare are proud to be an equal opportunities employer. We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it's their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart. \n\nClosing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.\n\nFor us, it's more than just treating patients; it's about looking after people

Registered General Nurse (RGN) – Leicester\n\nOur client is seeking a Registered General Nurse (RGN) to join their elderly residential care service, providing nursing and personal care for adults with dementia and other conditions related to old age.\n\nThis is an excellent opportunity for a qualified and compassionate nurse with a valid NMC PIN to work in a person-centred, values-led environment supporting elderly residents\n\nThe Role\n\nAs a Registered General Nurse, you will deliver high-quality clinical care and support the wellbeing of all residents. Key responsibilities include:\n\nProviding safe, effective, and compassionate nursing care\nCompleting assessments, implementing care plans, and evaluating outcomes\nAdministering medications in line with professional standards\nSupporting residents with complex needs in a person-centred, flexible manner\nWorking collaboratively with the wider care team to maintain a safe and supportive environment.\nCandidate Requirements\n\nRegistered General Nurse with a valid NMC PIN\nFull right to work in the UK. Visa Sponsorship is NOT offered\nExperience in mental health\nAbility to work independently and as part of a team\nCommitment to person-centred, flexible, and inclusive care\nThe Service\n\nOur clients service is set up with a 'home from home' feel in mind, offering a friendly atmosphere that supports daily living and personal freedoms, while benefiting from landscaped grounds and numerous pleasing aesthetics.\n\n Benefits\n\nOur client values their staff and offers a comprehensive benefits package and a very competitive pay rate.\n\nSo if this is the type of role that you would be interested in then please apply today or call Nurse Seekers on (phone number removed) for more information

An established, first-opinion small animal practice in the Southeast is seeking an experienced Veterinary Surgeon to join their stable, supportive team. This is a replacement role within a well-run practice with low staff turnover, strong clinical standards and a genuine focus on work–life balance. The team is not rushed to hire and is happy to wait for the right person. Salary - £60,000 - £70,000 The exact salary within this banding will be awarded commensurate on experience. Location Salfords, Surrey Established first-opinion small animal practice, opened in 2018 and extended in 2021. The practice is operating at capacity with a loyal, established client base and high standards of care. The Role • 4-day working week, • 10-hour days with a paid 30-minute lunch, • Vets finish at 6:30pm; phones off after 6pm, • Opportunity to leave early if work is completed, • 1 in 3 Saturdays (8am–4pm), • TOIL for each Saturday worked, • Mix of consulting and operating, • 15-minute consults as standard, • Longer consults for complex cases, new clients and euthanasia, • Blocked end-of-day admin time, • Currently supported via a sister hospital, • Experienced, self-sufficient GP veterinary surgeon, • Confident managing their own caseload, • Comfortable with routine soft tissue surgery and dentals, • Able to “hit the ground running” without placing pressure on the team, • Happy to support and potentially train new graduates in the future Practice Overview • First-opinion small animal practice, • Stable team with low staff turnover, • Strong leadership with an organised, structured and supportive management style, • Ultrasound, • Dental X-ray (separate prep room), • Laser, • Diathermy, • Suction, • Video equipment, • Separate theatre and prep areas Culture and Development • Open-door, supportive culture, • Daily case discussion encouraged, • Strong mentoring environment, • Emphasis on finishing on time and maintaining balance, • Collaborative team that covers for one another Benefits • Salary: £45,000 – £70,000 DOE, • 4-day working week, • 5 weeks holiday, increasing with service, • Option to buy an additional week of leave, • January / February annual leave incentive, • £1,500 CPD allowance plus paid CPD leave, • Certificate support available, • RCVS fees plus one additional membership paid, • Staff discounts on treatments, food and products For further details on this exceptional role, please click the Apply Now button. If you can specify the best time to talk, please do; we will get in touch when it suits you best. You will then be contacted by one of our specialist consultants, who will provide you with further details about the role. If you would like to talk ahead of sending us your CV, please give us a call on 0113 5129626 Please note, any contact is in the strictest confidence and we will not send your details to any practice without your expressed consent to do so. Is this role almost right for you, but not quite ticking all the boxes? If so, we have many other roles available and also offer a Bespoke Job Search Service where we work proactively to find you your perfect job. We have been named as the Recruitment Firm of the year at the HealthInvestor Awards, Winners of the Professional Service Provider of the Year at the General Practice Awards, Winners of the Recruitment Award at the LaingBuisson Awards and named on the Recruiter Hot100 list, so in dealing with us you'll be in safe hands! For every placement we make, Menlo Park plants two trees! We plant one on your behalf and the other on the surgery's behalf. By planting two trees we offset 0.6 tonnes of CO2, the equivalent of driving 1,466 miles in a standard car. We want to contribute towards helping save the planet! Josh Deacon JBRP1_UKTJ

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A healthcare staffing agency is looking for an experienced RGN with complex care experience to support clients in their homes across Greater London. The role requires NMC registration and relevant training in complex clinical needs. You will deliver high-quality, person-centred care while working lo

If you’re looking for a worthwhile opportunity to develop your skills with an ‘Outstanding’ rated healthcare provider, work with a compassionate team of healthcare professionals and provide world-class care, please apply by clicking the apply button now and our team will be in touch. As an ‘

As a Registered Nurse (RMN) at a Barchester complex care home, you’ll use your compassion and experience to help deliver the exceptional levels of care and support we’re known for. Working within a multi-disciplinary team, you’ll provide care and support to residents with complex and sometimes