Job summary
Join Our Hospital at Home Team - Advanced Clinical Practitioner (Band 8a)
The Hospital at Home service delivers acute, hospital-level care in patients' homes, supporting timely treatment, reducing hospital admissions, and improving patient experience. Working within a multidisciplinary team, care is provided using home-based monitoring, point-of-care testing, and intravenous therapy.
As an Advanced Clinical Practitioner, you will autonomously triage, assess, and manage patients at home, working collaboratively across primary, community, and hospital services. This senior role supports operational resilience through cross-cover with the UCR Team Lead and plays a key role in ensuring safe, seamless care and improved patient outcomes.
If you are passionate about delivering high-quality, patient-centred care within an innovative service, we would welcome your application.
Main duties of the job
- 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.
- At all times, ensuring that patients and their carers receive a high quality and patient centred service, ensuring that care is accessible, effective and delivered at a time and place according to clinical need.
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
Clinical Practice
- Practice autonomously within national guidelines and professional standards, ensuring high-quality, evidence-based care.
- Provide clinical leadership and expert advice for patients, families, and staff.
- Assess, diagnose, and treat patients, ensuring timely and appropriate interventions.
- Prescribe medications and perform advanced clinical assessments (e.g., physical exams, mental health screenings, falls assessments).
- Ensure safe practices, including infection control and health & safety policies.
- Support and guide clinical staff, fostering continuous learning and critical thinking.
- Maintain accurate documentation and liaise with multidisciplinary teams to deliver coordinated care.
Education and Development
- Continuously develop personal and professional skills through training and education.
- Lead training for clinicians, promoting reflective practice and knowledge sharing.
- Contribute to the development of educational resources and support staff learning.
Management and Leadership
- Lead and motivate healthcare professionals, maintaining high patient care standards.
- Ensure effective communication within the team and across services.
- Oversee staff performance and support development through regular appraisals.
- Ensure efficient use of clinical resources and manage patient information.
- Monitor and audit clinical practices, contributing to policy development and quality improvement.
Audit and Research
- Stay updated on clinical advancements and contribute to research initiatives.
- Implement and review clinical guidelines and participate in service evaluations.
- Promote evidence-based practice and support staff in research and development efforts
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
Clinical Practice
- Practice autonomously within national guidelines and professional standards, ensuring high-quality, evidence-based care.
- Provide clinical leadership and expert advice for patients, families, and staff.
- Assess, diagnose, and treat patients, ensuring timely and appropriate interventions.
- Prescribe medications and perform advanced clinical assessments (e.g., physical exams, mental health screenings, falls assessments).
- Ensure safe practices, including infection control and health & safety policies.
- Support and guide clinical staff, fostering continuous learning and critical thinking.
- Maintain accurate documentation and liaise with multidisciplinary teams to deliver coordinated care.
Education and Development
- Continuously develop personal and professional skills through training and education.
- Lead training for clinicians, promoting reflective practice and knowledge sharing.
- Contribute to the development of educational resources and support staff learning.
Management and Leadership
- Lead and motivate healthcare professionals, maintaining high patient care standards.
- Ensure effective communication within the team and across services.
- Oversee staff performance and support development through regular appraisals.
- Ensure efficient use of clinical resources and manage patient information.
- Monitor and audit clinical practices, contributing to policy development and quality improvement.
Audit and Research
- Stay updated on clinical advancements and contribute to research initiatives.
- Implement and review clinical guidelines and participate in service evaluations.
- Promote evidence-based practice and support staff in research and development efforts
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
- Educated to degree level (first and higher)
- Appropriate post graduate qualification in relevant clinical area
- NMC/HCPC registration
- Advanced assessment qualification
- Evidence Of CPD relevant to the treatment of people with physical disabilities
- Non-medical prescriber qualification
Desirable
- Advance life support qualification
- ENB 998 mentorship
Experience
Essential
- Significant relevant post-registration experience, including experience at senior clinical level equivalent to Band 7
- Demonstrable experience in a range of long term conditions/frailty/patients with comorbidities
- Postgraduate experience of working in a multi professional team
- Experience in teaching and training
- Clinical management experience
- Experience of staff management
- Experience of minor adaptations and home modifications
Desirable
- Qualified MSC in a relevant speciality with leadership module
- Experience of working with social services Experience of research and clinical audit
- Experience of successful project management within a clinical area
Skills & Knowledge
Essential
- Evidence of good leadership qualities, including delegation and co-ordination of teams
- Presentation skills
- Evidence of good management practices
- Evidence of commitment to patient & carer involvement in care
- Knowledge of clinical governance issues and risk management strategies
- Experience and ability to manage conflict situations
- Evidence of good understanding of NHS plans
- Experience of budget management
- Computer Literacy
- Physical assessment skills
Person Specification
Education/Qualification
Essential
- Educated to degree level (first and higher)
- Appropriate post graduate qualification in relevant clinical area
- NMC/HCPC registration
- Advanced assessment qualification
- Evidence Of CPD relevant to the treatment of people with physical disabilities
- Non-medical prescriber qualification
Desirable
- Advance life support qualification
- ENB 998 mentorship
Experience
Essential
- Significant relevant post-registration experience, including experience at senior clinical level equivalent to Band 7
- Demonstrable experience in a range of long term conditions/frailty/patients with comorbidities
- Postgraduate experience of working in a multi professional team
- Experience in teaching and training
- Clinical management experience
- Experience of staff management
- Experience of minor adaptations and home modifications
Desirable
- Qualified MSC in a relevant speciality with leadership module
- Experience of working with social services Experience of research and clinical audit
- Experience of successful project management within a clinical area
Skills & Knowledge
Essential
- Evidence of good leadership qualities, including delegation and co-ordination of teams
- Presentation skills
- Evidence of good management practices
- Evidence of commitment to patient & carer involvement in care
- Knowledge of clinical governance issues and risk management strategies
- Experience and ability to manage conflict situations
- Evidence of good understanding of NHS plans
- Experience of budget management
- Computer Literacy
- Physical assessment skills
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).
