Job summary We are currently looking for a motivated and committed Practitioner who would like to have experience in managing the team and service. The Frailty Hospital at Home service supports both early discharge home of patients and admission avoidance. Patients are hospital level patients, who would other wise be in a hospital bed and are receiving daily interventions at home for 1-14 days. The Hospital Home ward operates from a base in Watford, but covers all 4 South and West Hertfordshire localities. You will need a full/valid UK driving licence and have the use of your own care daily to visit patients in their own homes. We are a multi-disciplinary team consisting of a Nurse Consultant, GP, Advanced Clinical Practitioners, Enhanced Clinical Practitioners, SeniorNurses, Physiotherapist, and Technical Instructors with administrator support. Main duties of the job The post holder will be an autonomous practitioner, collaborating with colleagues in primary care, community, and hospital settings as appropriate. The post holder will be responsible for: To lead, motivate and support team members in the facilitation of professional and clinical development. Be responsible for undertaking comprehensive health assessments, physical examination and ordering tests for patients on the pathway. Use advanced clinical decision making and assessment skills, coordinate care planning and initiate referrals to diagnostics for appropriate tests. Be involved in establishing delivering and leading a comprehensive service within community services. You will play a leadership role within the team and work with external stakeholders such as London Ambulance Service and Social Services to develop new ways of working and through networking increase the number of referrals from the acute and community. Candidates should be an experienced nurse with sound clinical knowledge and proven experience in acute and community clinical environments You will need to be adaptable to operate in a fast-moving environment and have the clinical skills and ability to function as a lone worker in a larger team. Candidates should have excellent communication skills; and the ability to provide care as determined by the clinical assessments. Candidates will have undertaken professional development and have extended nursing skills, with evidence to support About us Just as we care about our patients' wellbeing, we care about yours We can offer you: A comprehensive induction into the community service followed by a local induction to introduce you to the role Car lease scheme T&C's apply Flexible working options Annual travel card loan Training, support and development in your career To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits Date posted 10 April 2025 Pay scheme Agenda for change Band Band 7 Salary £48,270 to £54,931 a year per annum inclusive of HCAS Contract Permanent Working pattern Full-time Reference number 824-HERTS-7111661 Job locations Building Research establishment - building 16 Bucknalls Lane Watford WD25 9XX Job description Job responsibilities The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team 08:00-20:00 - 13 shifts in a 4 week period with one full weekend in 4. Please refer to Job description and Person Specification for outline of skills, knowledge and experience required. Job description Job responsibilities The clinical leads shift pattern will be over 7 days per week. Current shift pattern in the team 08:00-20:00 - 13 shifts in a 4 week period with one full weekend in 4. Please refer to Job description and Person Specification for outline of skills, knowledge and experience required. Person Specification Education/Qualification Essential Registered Nurse with current NMC registration or Registered Paramedic) with HCPC. Evidence of continued professional development Desirable Qualification in Top to Toe assessment Independent Prescriber with an up to date relevant scope of practice. Qualification in teaching or practice-based learning. University accredited Minor illness Module Qualification in prehospital care or community care Experience Essential Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions. Experience of 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 caring for frail patients Desirable Experience of 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 comprehensive range of clinical skills and expertise relevant to the role Able to work autonomously, planning and prioritising own workload and that of others Able to delegate work effectively and safely Able to deal with conflict and manage appropriately Able to manage difficult situations and address poor practice Ability to assess a situation and act appropriately Ability to communicate effectively both verbally and in writing Able to identify own and other's learning and development needs and actively seek ways to meeting those needs Basic IT skills including use of Microsoft Office package and email Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment. Advanced knowledge and understanding of anatomy and physiology of body systems. Desirable Clinical knowledge across a range of long-term conditions. Knowledge of current NHS organisational structures and policy initiatives. Knowledge of recent developments in managing frail patients Knowledge of monitoring service outcome measures. Knowledge of adult and children's safeguarding procedures. Knowledge of NMC/ HCPC 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 able 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 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 Registered Nurse with current NMC registration or Registered Paramedic) with HCPC. Evidence of continued professional development Desirable Qualification in Top to Toe assessment Independent Prescriber with an up to date relevant scope of practice. Qualification in teaching or practice-based learning. University accredited Minor illness Module Qualification in prehospital care or community care Experience Essential Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions. Experience of 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 caring for frail patients Desirable Experience of 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 comprehensive range of clinical skills and expertise relevant to the role Able to work autonomously, planning and prioritising own workload and that of others Able to delegate work effectively and safely Able to deal with conflict and manage appropriately Able to manage difficult situations and address poor practice Ability to assess a situation and act appropriately Ability to communicate effectively both verbally and in writing Able to identify own and other's learning and development needs and actively seek ways to meeting those needs Basic IT skills including use of Microsoft Office package and email Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment. Advanced knowledge and understanding of anatomy and physiology of body systems. Desirable Clinical knowledge across a range of long-term conditions. Knowledge of current NHS organisational structures and policy initiatives. Knowledge of recent developments in managing frail patients Knowledge of monitoring service outcome measures. Knowledge of adult and children's safeguarding procedures. Knowledge of NMC/ HCPC 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 able 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 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). Employer details Employer name Central London Community Health Trust Address Building Research establishment - building 16 Bucknalls Lane Watford WD25 9XX Employer's website https://clch.nhs.uk/ (Opens in a new tab)