Adult Nurse at Herefordshire and Worcestershire Health and Care NHS Trust

The job at Herefordshire and Worcestershire Health and Care NHS Trust

Adult nurses assess, plan, deliver and evaluate care for adults of all ages, from young adults to older people, across conditions ranging from heart disease and diabetes to cancer and traumatic injury. They build trusting relationships with patients and families while working in multidisciplinary teams alongside occupational therapists, pharmacists, radiographers and healthcare assistants. Adult nursing is the largest field of nursing practice on the NMC register, and adult nurses work across hospital wards, outpatient clinics, patients' homes and community settings. Adults of all ages with acute and long-term conditions, and their families, across hospital, outpatient, home and community settings.

At an integrated care organisation such as Herefordshire and Worcestershire Health and Care NHS Trust, that work means a caseload that can cross the ward, the outpatient clinic and the patient’s home inside a single organisation, because acute and community services sit under one employer. Rotations can follow the pathway rather than the building, so you can see the same patient group in hospital and at home without applying for a different job. Across the profession as a whole, adult nurses work in settings including NHS acute trust wards, outpatient clinics, patients' homes, community health teams and GP practices — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so Herefordshire and Worcestershire Health and Care NHS Trust pays band 5 exactly what every other NHS employer in England pays it: £32,073 at the bottom of the band on the 2026/27 scale. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.

This page states no figure specific to Herefordshire and Worcestershire Health and Care NHS Trust because none is published in the open data. When the workforce and staff survey feeds include this organisation, the establishment size, the response rate and the theme scores will appear above.