Job summary
We are recruiting x3 full-time Band 7 Senior Hospital at Home Practitioners to join our Brent Unplanned Care Team, based at Sudbury. This is an exciting opportunity to play a key leadership role within an innovative service that delivers high-quality, hospital-level care directly in patients' homes.
As a Senior Hospital at Home Practitioner, you will work with a high level of autonomy while collaborating closely with Acute Trusts, the Adult Community Nursing Team, and a range of health and care partners, including statutory and voluntary agencies, to deliver excellent, person-centred care.
You will work on a rotational shift basis within the Brent Hospital at Home service (8am-8pm, seven days a week) and act as Team Leader on designated shifts, taking responsibility for day-to-day service delivery. You will also hold delegated responsibility for specific areas of clinical practice or operational management, contributing to service development and quality improvement. The role requires strong prioritisation skills and the ability to manage a varied workload with minimal supervision.
This role is ideal for an experienced practitioner who is passionate about leadership, innovation, and delivering high-quality acute care in the community.
Main duties of the job
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Undertake comprehensive health assessments, including physical examination and the ordering and interpretation of appropriate diagnostic tests for patients within the Hospital at Home service.
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Use advanced clinical assessment and decision-making skills to coordinate care planning and initiate timely referrals for diagnostics and specialist input where appropriate.
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Contribute to the establishment, delivery, and leadership of a comprehensive Hospital at Home service within community services.
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Practise autonomously as an advanced practitioner, assessing, diagnosing, and treating patients safely and effectively in a timely manner.
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Demonstrate sound clinical judgement and critical decision-making in complex and evolving clinical situations.
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Actively support the delivery of key performance indicators and contribute to strategic objectives, service development, and continuous improvement initiatives.
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Take responsibility for the day-to-day management of a defined caseload, ensuring high standards of quality, safety, risk management, and performance.
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As a non-medical prescriber, prescribe in line with national and local policies, within scope of practice and under Patient Group Directions where applicable.
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Provide clear, compassionate information to patients and families to support understanding of disease processes and enable self-management.
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
- 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
- Able to deal with conflict and manage appropriately
- 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.
Key Attributes
Essential
- 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
- 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
- Able to deal with conflict and manage appropriately
- 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.
Key Attributes
Essential
- 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
