Job summary
The Hospital at Home service will provide intensive hospital level care for acute conditions that normally require an acute hospital bed, in a patient's home for a short episode through multidisciplinary healthcare teams. The service will take appropriate patients out of hospital early to help release capacity in the hospital, deliver appropriate care and interventions and prevent unnecessary admission or attendance at hospital. The service is delivered by a team of specially trained registered professionals including GP's who visit each patient in their home to deliver the care they need.
The post holder will work autonomously and in collaboration with Acute Trusts, the Adult Community Nursing Team, other health care professionals and statutory and voluntary agencies to deliver excellent standards of patient care.The post holder will be required to:
- Work on a rotational shift basis within the Harrow H@H - service operating hours 8 am - 8 pm, 7 days a week.
- Be the Team Leader for designated shifts on a rotational basis and responsible for day-to-day service management.
- Take designated responsibility for discrete areas of operational management/ clinical practice.
- Prioritise and manage own workload with minimal supervision
Main duties of the job
The post holder will:
- Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients in Urgent Community Response services.
- Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests for this population.
- Interpret complex information and findings from diagnostic tests and examinations and formulates solutions to inform on the best treatment plans for patients and carers.
- Be involved in establishing, delivering and leading a comprehensive service within community services
- Fundamentally working as an autonomous and advance practitioner assessing, diagnosing and treating patients in an appropriate and timely fashion
- Demonstrate sounds critical decision-making in the clinical setting
- Work in line with all the relevant professional standards, codes of conduct, and organisational guidance.
About us
We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.
What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.
Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.
We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.
Job description
Job responsibilities
Successful applicants will be required to demonstrate alignment with the Trusts values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.'
Job description
Job responsibilities
Successful applicants will be required to demonstrate alignment with the Trusts values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.'
Person Specification
Education/Qualification
Essential
- Health care professional with current registration ( Nurse, Physiotherapist, Occupational Therapist, Paramedic )
- Independent Nurse Prescriber or currently undertaking the V300 course
Desirable
- Evidence of continuing professional education and training at the master's Level.
- Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment.
- Qualification in teaching or practice-based learning.
Experience
Essential
- Extensive experience in Primary/Secondary Care and/ or Accident & Emergency.
- Proven experience in utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and manage patients presenting with undifferentiated and undiagnosed conditions.
- Experience in assessing and providing quality care to people with Long Term Conditions
- Track record of practice excellence.
- Experience in effectively working in collaboration, negotiating, and liaising across organisational boundaries.
- Experience in monitoring clinical standards.
- Proven ability to prioritise and manage own workload with minimal supervision.
- Experience determining the best ongoing care for the patient
Desirable
- Experience in team/service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice.
- Evidence of innovation in practice
Skills & Knowledge
Essential
- Evidence of a comprehensive range of clinical skills and expertise relevant to the role
- Competent in physical examination of ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Confident in assessing acute clinical presentations
- Basic IT skills, including use of Microsoft Office package, EMIS, and email
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment
- In depth knowledge of pharmacology.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management
- Knowledge of acute clinical presentations and management of acute conditions.
- Clinical knowledge across a range of long term and enduring conditions
- Knowledge of current NHS organizational structures and policy initiatives.
- Knowledge of recent developments in NHS
- Knowledge of monitoring service outcome measures
- Knowledge of adult protection and safeguarding children's issues.
- Knowledge of HCPC/NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services
- Knowledge of the audit process and ability to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of clinical governance processes, assessing and managing risk
- Knowledge of clinical supervision
- Knowledge of how to implement equal opportunities in practice
Desirable
- Able to lead and motivate a team and implement change
- Knowledge of resource management.
Other
Desirable
- Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
Person Specification
Education/Qualification
Essential
- Health care professional with current registration ( Nurse, Physiotherapist, Occupational Therapist, Paramedic )
- Independent Nurse Prescriber or currently undertaking the V300 course
Desirable
- Evidence of continuing professional education and training at the master's Level.
- Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment.
- Qualification in teaching or practice-based learning.
Experience
Essential
- Extensive experience in Primary/Secondary Care and/ or Accident & Emergency.
- Proven experience in utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and manage patients presenting with undifferentiated and undiagnosed conditions.
- Experience in assessing and providing quality care to people with Long Term Conditions
- Track record of practice excellence.
- Experience in effectively working in collaboration, negotiating, and liaising across organisational boundaries.
- Experience in monitoring clinical standards.
- Proven ability to prioritise and manage own workload with minimal supervision.
- Experience determining the best ongoing care for the patient
Desirable
- Experience in team/service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice.
- Evidence of innovation in practice
Skills & Knowledge
Essential
- Evidence of a comprehensive range of clinical skills and expertise relevant to the role
- Competent in physical examination of ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Confident in assessing acute clinical presentations
- Basic IT skills, including use of Microsoft Office package, EMIS, and email
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment
- In depth knowledge of pharmacology.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management
- Knowledge of acute clinical presentations and management of acute conditions.
- Clinical knowledge across a range of long term and enduring conditions
- Knowledge of current NHS organizational structures and policy initiatives.
- Knowledge of recent developments in NHS
- Knowledge of monitoring service outcome measures
- Knowledge of adult protection and safeguarding children's issues.
- Knowledge of HCPC/NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services
- Knowledge of the audit process and ability to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of clinical governance processes, assessing and managing risk
- Knowledge of clinical supervision
- Knowledge of how to implement equal opportunities in practice
Desirable
- Able to lead and motivate a team and implement change
- Knowledge of resource management.
Other
Desirable
- Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
