Job summary Surrey Downs Health and Care SDHC Home First Services supports the approach of "why not home, why not today?" and focus on the reduction of hospital attendances through admission avoidance. Wherever possible, patients should be supported home, where this is not possible alternative pathways are available. Staying in hospital for longer than necessary has a negative impact on patient outcomes. Surrey Downs Health & Care and Epsom & St Helier University Hospitals Trust have developed an Integrated model of care which brings together primary care, secondary care and community services within Surrey Downs Place to support patients by offering acute level care, monitoring and treatment in their own homes. This offering is a safe and efficient alternative to NHS bedded care preventing avoidable admissions into hospital and supporting early discharge out of hospital. This Home First service runs 7 days a week, 8am to 8pm. It is delivered by a multidisciplinary team including geriatric consultants, doctors, nurses, therapists, physician associates, paramedics, pharmacists, rehabilitation support workers and administration. The team offers medical assessment, daily review, MDT discussion, and management of conditions. Home First encompasses the following functions: Virtual Ward, Urgent Community Response, Front Door, Home First, Recovery at Home, Mary Seacole Frailty Unit Main duties of the job The post holder will be an experienced healthcare practitioner who, acting within their professional boundaries, will provide care for presenting patients in the UCR and Virtual Ward within the HomeFirst service. They will demonstrate safe, clinical decision making and expert care, including assessment and diagnostic skills, for patients within the department. The post holder will demonstrate critical thinking in the clinical decision making process. They will work collaboratively within the MDT to meet the needs of the patients, supporting the delivery of policy and procedures, and providing professional leadership as required. In order to work at this level, professional body e.g. NMC requirements for advanced practice must be met. The ACP will use specialist knowledge and skills to provide healthcare independently to patients. The ACP is accountable for the total episode of care for patients with undifferentiated and undiagnosed needs The post holder will act as a role model, delivering advanced practice and promoting clinical effectiveness in care. They will be required to work autonomously in delivering independent assessment, clinical examination, diagnosis, clinical decision making and planning of care and treatment, diagnosis, prescribing, health promotion and safe discharge of patients. The post holder will work closely with all members of the multidisciplinary team and will play an integral role in the operational/strategic development of the service About us Surrey Downs Health and Care deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations. Surrey Downs Health and Care has a track record of providing person centered care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes: The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area CSH Surrey Epsom and St Helier's University Hospitals NHS Trust Surrey Council County Historically, there have been boundary lines between the organisations that provide care to people in their homes, in GP surgeries and in hospitals, but we have always been united in our mission to provide great care to the people who need us. It's on those grounds that the Surrey Downs Health and Care was formed - we want local people to receive the care that they need in the right environment. By bringing together our expertise, we can improve patient care and enable local people to access the right support, care and treatment more easily than ever before. In bringing this partnership together, we are working to the same set of values that will translate into better care for our residents. Date posted 28 March 2025 Pay scheme Agenda for change Band Band 8a Salary £59,490 to £66,239 a year Per annum pro rata inc Outer London HCAS Contract Permanent Working pattern Full-time Reference number 343-SDH&C-7087271 Job locations Epsom General Hospital Dorking Road Epsom KT18 7EG Job description Job responsibilities Please see JD document for full details. The post holder will be the clinical lead for the UCR function of the Home Firt Service for SDHC. Job description Job responsibilities Please see JD document for full details. The post holder will be the clinical lead for the UCR function of the Home Firt Service for SDHC. Person Specification Qualifications Essential Registered first level nurse/practitioner with relevent health degree Completed Master's Degree in Advanced Practice or working towards Non- medical independent prescribing for healthcare professionals or working towards Advanced clinical practice skills/ competencies Management of patients with acute medical illness Clinical examination skills In-depth knowledge in their specialist clinical field Desirable Demonstration of Leadership or management experience Experience Essential Significant post registration experience Leadership in quality initiatives such as clinical benchmarking, service development Significant experience in audit and research Healthcare professional prescribing Skills Essential Clinical leadership skills Communication skills, both written and verbal Negotiation and conflict management skills Change management Car driver with current UK driving license and access to car for work Person Specification Qualifications Essential Registered first level nurse/practitioner with relevent health degree Completed Master's Degree in Advanced Practice or working towards Non- medical independent prescribing for healthcare professionals or working towards Advanced clinical practice skills/ competencies Management of patients with acute medical illness Clinical examination skills In-depth knowledge in their specialist clinical field Desirable Demonstration of Leadership or management experience Experience Essential Significant post registration experience Leadership in quality initiatives such as clinical benchmarking, service development Significant experience in audit and research Healthcare professional prescribing Skills Essential Clinical leadership skills Communication skills, both written and verbal Negotiation and conflict management skills Change management Car driver with current UK driving license and access to car for work 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. Certificate of Sponsorship 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. Certificate of Sponsorship 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). Employer details Employer name Epsom and St Helier University Hospitals NHS Trust Address Epsom General Hospital Dorking Road Epsom KT18 7EG Employer's website https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)