Hertfordshire Community NHS Trust

Nurse Lead Hospital at Home

The closing date is 20 February 2026

Job summary

Are you an experienced, dynamic and compassionate clinical leader looking to shape the future of urgent community care? We are seeking an exceptional Lead Nurse to join our expanding Hospital at Home service -- a pioneering model delivering hospital-level care in the comfort of patients' own homes.

You will provide expert clinical leadership across the Hospital at Home service, ensuring safe, effective and person-centred care for adults with acute and complex needs. Working as part of a triumvirate leadership model, you will collaborate with operational and medical leads to drive quality, innovation and workforce development.

This pivotal senior role will influence our strategic direction, champion clinical excellence, and support the continued transformation of community-based urgent and acute care.

You will be:

A registered nurse with substantial post-registration experience, including managing complex clinical caseloads
An inspiring leader with experience supporting diverse multidisciplinary teams
Confident in high-acuity decision-making and risk management in community or acute settings
Passionate about transforming care and enabling people to receive safe, effective treatment at home
Able to influence, motivate and shape a positive culture across a growing workforce

If you are passionate about delivering outstanding care, driving innovation, and leading the future of Hospital at Home in Hertfordshire, we would love to hear from you. **In line with the Trust's Organisational Change Management Policy, priority consideration will be given to employees who have been identified as at-risk**

Main duties of the job

Provide visible clinical leadership to nursing teams across all localities
Ensure high standards of assessment, clinical decision-making and personalised care planning
Lead on quality improvement, governance and patient safety across the service
Work collaboratively with GPs, ACPs, therapists, paramedics and system partners
Support delivery of pathways including frailty, respiratory, heart failure, infection management and 2-hour UCR response
Drive clinical supervision, competency frameworks and professional development
Contribute to service strategy, workforce planning and innovation
Represent the service at Trust-level governance and system-wide meetings
Promote a culture of empowerment, accountability and continuous improvement

About us

A big thank you for considering joining us at Hertfordshire Community NHS Trust

You'll find it a great place to work with many benefits offered to you as a member of our staff

We put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities

Our staff are proud to be Innovative, Caring and Agile in their work to help achieve the Trust vision

We welcome diversity in our workforce and are interested in applicants from all backgrounds and ages

We don't want you to miss out so we'd like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible - Apply now

You've made a great decision to apply to join to HCT - we're looking forward to taking the next steps of the journey with you.

You can apply to Access to Work to get money for communication support at a job interview - please use this link for more information: https://www.gov.uk/guidance/apply-for-communication-support-at-a-job-interview-if-you-have-a-disability-or-health-condition-access-to-workYou need to apply before the interview takes place.

Date posted

10 February 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

812-26-CR-NLHH

Job locations

Abel Smith House

Gunnels Wood Road

Stevenage

SG1 2ST

Job description

Job responsibilities

You will be working in close partnership with the Clinical and Operational Lead as part of the Hospital @Home Triumvirate to ensure resources are utilised effectively while delivering high-quality, safe, and efficient care to patients in their homes across East and North Hertfordshire.

You will lead with proactivity, compassion, and collaboration, providing visible clinical leadership across the system. Your role will ensure that robust systems and processes are in place to meet strategic objectives and drive continuous improvement in service delivery.

Role summary:

- Leading the nursing workforce, including triage and remote monitoring teams

-Collaborating with locality managers to optimize face-to-face care delivery

-Shaping service transformation through proactive care models and integrated pathways

- Overseeing recruitment, retention, and professional development of clinical staff

- Promoting innovation, quality improvement, and best practice in patient care

- Building strong partnerships with stakeholders and representing Hospital @Home at system-level forum

-Ensuring compliance with governance, policy updates, and continuous performance improvement

Role Accountabilities:

- Provide visible, proactive nursing leadership within the Hospital @Home Triumvirate, ensuring safe, high-quality care and contributing to the strategic direction of the service

-Line manage the nursing triage team and remote monitoring lead, supporting recruitment, retention, induction, job planning, appraisals, and professional development

- Collaborate with locality managers to optimize nursing workforce deployment for face-to-face care within the Hospital @Home pathway

- Maintain accountability for clinical governance in partnership with the Clinical Director, ensuring compliance with policies, pathways, and quality standards

- Drive innovation and integration across urgent and emergency care services, implementing proactive care models and supporting continuous improvement

- Build strong partnerships with internal and external stakeholders, represent Hospital @Home at system-level forums, and share best practice to influence service development

- Promote quality improvement using the Trusts Quality Wheel process, oversee audit planning, and ensure clinicians actively participate in performance reviews

- Foster a positive working environment that prioritizes health, wellbeing, and safety for all staff

- Act promptly when professional standards fall short, managing employee relations matters in line with Trust policies and supporting staff through coaching and mentoring

- Maintain personal and professional development, encourage staff training, and embed a culture of learning and improvement