Hampshire and Isle of Wight Healthcare NHS Foundation Trust

Home Visiting Nurse/Paramedic - Hospital at Home team

The closing date is 18 December 2025

Job summary

This is a dual role working across two complementary services, a GP home visiting service and the Hospital at Home (H@H) Frailty Virtual Ward. The post holder will provide timely, high-quality care to patients in their own homes or care homes, supporting both short-term acute needs and longer-term interventions that help patients remain safely out of hospital.

Working independently and autonomously, you will deliver face-to-face assessments, make safe and effective clinical decisions, and provide expert care within your professional boundaries and scope of practice.

Within the Hospital at Home Frailty Virtual Ward, you will support patients who would otherwise require hospital admission, delivering acute treatment and monitoring in their usual place of residence. This model of care helps reduce deterioration and avoids unnecessary hospital stays.

The Hospital at Home team also provides an Urgent Community Response (UCR) function, offering rapid assessment, diagnostics, and treatment for people with complex health needs, frailty, or exacerbations of long-term conditions. Patients referred to the service are triaged to be seen within 2 hours, or same day for urgent assessment.

Main duties of the job

Clinical Assessment & Diagnosis

Act as an autonomous clinician, performing comprehensive history-taking, physical examinations, and clinical assessments in patients' own homes or care homes.Diagnose and manage undifferentiated, acute, and complex conditions within scope of practice.Undertake and interpret diagnostic tests (e.g., ECG, urinalysis, blood tests, point-of-care testing) to inform clinical decision-making.

Treatment & Care Planning

Provide both urgent and routine care, including prescribing (if qualified) or recommending appropriate treatment plans in collaboration with the GP or clinical team.Develop and implement management and treatment plans for patients with acute illness, exacerbations of long-term conditions, or frailty-related deterioration.

Home Visiting, Hospital at Home & UCR

Respond to same day visit requests for acute illness, minor injuries, or worsening of chronic conditions, ensuring safe and effective care delivery in the patient's usual place of residence.Conduct home visits for patients unable to attend the practice, including those with frailty, complex needs, or acute deterioration.Deliver care as part of the Hospital at Home (H@H) Frailty Virtual Ward, providing treatment to include IV therapy, monitoring, and review at home for patients who would otherwise require admission.

About us

Hampshire and Isle of Wight Healthcare NHS Foundation Trust provides joined-up mental and physical healthcare for around two million people across our communities. With over 13,000 staff working in the community and local hospitals, we deliver care at every stage of life, helping people live their best and healthiest lives.

Our mental health services include community-based support and early intervention in psychosis (EIP) for both adults and young people, alongside a network of specialist inpatient wards covering forensic, learning disability, eating disorder and older person's care.

We deliver extensive physical health services too, from urgent community response teams helping frail and older patients remain safely at home, to hospitals at home teams providing acute-level care in familiar surroundings. Our neurological services offer rehabilitation and treatment for conditions including Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease, Head Injury, Cerebral Palsy and Stroke. Across Hampshire, our community hospitals provide inpatient rehabilitation as a step down from acute care, and our dedicated teams also staff Treetops Sexual Assault Referral Centre in Portsmouth, offering expert, compassionate support.

Everything we do is underpinned by our CARE values of compassion, accountability, respect and excellence

Date posted

04 December 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year

Contract

Permanent

Working pattern

Full-time

Reference number

348-MNH-9795

Job locations

1 Bullspen

Manor Court, Herriard

Basingstoke

Hampshire

RG25 2PH

Job description

Job responsibilities

Further information about the Trust and this role can be found on the Job Description and Person Specification document attached. It is important to us that we ensure our recruitment processes are accessible and inclusive to everyone - if as a potential candidate you are concerned a person specification may prevent or restrict your application for employment as a result of unintentional barriers on the grounds of your sex, race, age, sexual orientation, religion/belief or disability please initially contact the Trust's Recruitment team - detailed in the advert. The Trust will seek to resolve this issue wherever possible.

We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Job description

Job responsibilities

We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Person Specification

Qualifications

Essential

Appropriate professional qualification RGN, or Paramedic
Professional UK registration e.g. NMC / HCPC
Evidence of Continued Professional
Level 6 or 7 advanced history taking and physical examination
Level 6 or 7 diagnostics and decision making or evidence of autonomous decision making in practice

Person Specification

Qualifications

Essential

Appropriate professional qualification RGN, or Paramedic
Professional UK registration e.g. NMC / HCPC
Evidence of Continued Professional
Level 6 or 7 advanced history taking and physical examination
Level 6 or 7 diagnostics and decision making or evidence of autonomous decision making in practice

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Hampshire and Isle of Wight Healthcare NHS Foundation Trust

Address

1 Bullspen

Manor Court, Herriard

Basingstoke

Hampshire

RG25 2PH

Employer's website

https://hiowhealthcare.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Hampshire and Isle of Wight Healthcare NHS Foundation Trust

Address

1 Bullspen

Manor Court, Herriard

Basingstoke

Hampshire

RG25 2PH

Employer's website

https://hiowhealthcare.nhs.uk/ (Opens in a new tab)