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Finding employment in independent health and social care

Advice for newly registered nurses

Discover your path in independent health and social care

Care stretches far beyond the NHS. Independent health and social care settings offer a huge range of roles you might not have considered in your search for work. Learn more about the exciting opportunities available to you as a newly registered nurse and feel confident applying.

Registered nurse standing in ward

What does independent health and social care include?

Independent health and social care services offer rewarding environments to grow your skills and make a real impact.

These services operate outside the NHS, but they work alongside it to provide joined-up care. Many patients and service users move between the NHS and independent settings to get the holistic care they need – whether that's physical, mental, emotional or social. 

What are some examples of independent health and social care?

There's loads to get stuck into with a career in independent health and social care, with a range of services including:

  • Private hospitals offering general and specialist medical care
  • Mental health services including residential care, rehab and secure units
  • Hospices providing compassionate end-of-life care
  • Care homes for people of all ages with physical or mental health needs
  • Specialist support for people with learning disabilities or autism
  • General practice nursing and health care assistants
  • Agency nursing roles across different settings
  • Home care (domiciliary services) helping people live independently
  • Community health and social care teams
  • Justice services like prison health, police liaison and court support
  • School nursing, including support in specialist schools
  • Rehabilitation for both mental and physical health

Why choose a career in independent health and social care?

You’ll be part of a diverse, creative and person-centred approach to care. You’ll gain hands-on experience in unique settings, build confidence and develop a wide range of transferrable skills that will shape your nursing journey.

Whether you're passionate about mental health, end-of-life care or supporting people in their own homes, there’s a place for you here. 

Get the facts about independent health and social care

You may recognise some of these myths about working in independent health and social care. Let's bust them together. Choose a myth to reveal to truth. 

This is a myth. There are a wide range of opportunities in independent settings for newly registered nurses.

This is a myth. An increasing number of service providers are offering preceptorship programmes, making roles in the sector a viable, important and valuable option. While some organisations already offer preceptorship, Skills for Care, a strategic partner of the Department of Health and Social Care, are providing a programme of support to enable more independent employers to develop preceptorship programmes.

This is a myth. Independent health and social care consists of thousands of different organisations across all services. While pay, terms and conditions vary between organisations, they're often equal to, if not better than those offered by the NHS.

This is a myth. Independent employers offer a clear pathway for career development. The wide range of roles at different levels of each organisation offer the opportunity both for career progression and the development of specialist skills. Careers in independent settings are careers for life, just like in other areas of health care.

Preceptorship in independent health and social care settings

As with any new role for a newly registered nurse, it's essential you receive professional and personal support. And preceptorship is an integral part of that. It ensures your smooth transition from student to autonomous professional.

You should receive support from an experienced practitioner. They'll help you develop your skills, knowledge and the confidence required to provide effective person-centred care to the people in your care. This is the same for any newly registered nurse role  – it doesn't matter who the employer is or what the service covers.

What to expect

  • Your employer should have a preceptorship policy in place
  • Your preceptorship programme should be designed to welcome you into the organisation. This should be separate from your induction
  • Your preceptorship period should last from 6 to 12 months
  • You should be supernumerary for a minimum of two weeks from the start of your preceptorship
  • Time for activities and meetings that are part of your preceptorship should be protected
  • Your preceptor should have at least 8 to 12 hours of protected time to carry out preceptorship responsibilities, including preceptor training
  • You and your preceptor should have regular meetings to discuss your progress and development
  • You and your preceptor should be offered the opportunity to provide feedback to evaluate the preceptorship programme

Learn more about preceptorship


Four steps to a role in independent health and social care

Searching for roles as a newly registered nurse can be stressful. It's important that you keep your options open. Read our top tips for landing your ideal role.

There are thousands of organisations to choose from. Be systematic in your search for roles.

Consider the area that you'd like to work in and carry out research to identify organisations in that area. Familiarise yourself with the type of service provision offered. Look for the mission statement and reflect on whether this is something that aligns with your own ethos and values.

We have a range of networks and forums that can connect you to other professionals. This can help to identify opportunities, develop professional relationships and keep on top of current issues. It's also a great opportunity to get more involved in our work here at the RCN.

Get more information about our Early Career Nurses Network

Find more information about all our forums and networks