Bi-Borough Home First Pathway Lead

Central and North West London NHS Foundation Trust; City Of London; On-site; GBP 30,000 - 45,000; Full time

Job summary

A healthcare organization in London seeks an experienced clinician to lead the bi-borough Home First clinical pathway. This role involves providing leadership, managing a clinical team, and delivering direct patient care in a collaborative environment. The ideal candidate should have a current NMC/HCPC registration and demonstrate strong clinical and managerial skills. The organization offers full NHS benefits and emphasizes professional development and work-life balance.

Benefits

Full NHS benefits package

Lease car option

Regular training opportunities

Emphasis on work-life balance

Qualifications

• Experience as a nurse, paramedic, or therapist required.
• Ability to manage clinical risk in a fast-paced environment.
• Leadership skills to guide a multi-disciplinary team.

Responsibilities

• Lead the bi-borough Home First clinical pathway.
• Manage clinical staff and ensure quality patient care.
• Direct clinical work for a complex caseload.

Skills

Clinical leadership

Excellent communication

Clinical knowledge

Assessment skills

Reliability

Strong work ethic

Education

Current NMC/HCPC registration

Job description

Overview

The Community Independence Service (CIS) is a developing intermediate care service. Our Home First pathway enables timely discharge from hospital to home, supported by a diverse multi-professional team, with the aim of delivering high-quality care in patients' own homes. We are seeking an experienced nurse, paramedic, or therapist who is passionate about patient care and thrives in a collaborative environment. This bi-borough role supports the Home First pathway across Westminster and Kensington & Chelsea. The role is suited to someone who works creatively beyond traditional practice boundaries, with strong leadership skills to contribute to service delivery and support the wider multi-disciplinary team. The successful candidate will work across both bases with support from the Borough Leads, Head of Service, and Clinical Lead. The post holder will be jointly accountable to two managers and benefit from their guidance. We are committed to professional development, offering regular supervision, Personal Development Reviews, and opportunities to engage in service and quality improvement projects.

This is a highly skilled clinical role requiring the post holder to manage clinical risk within a fast-paced community environment. The post holder will provide leadership of the bi-borough Home First clinical pathway, with direct line management responsibility for clinicians (therapists and healthcare assistants) within the pathway, as well as professional responsibility for senior clinicians of their own discipline across the wider service where required. They will ensure that all staff within the pathway deliver safe and effective assessment, planning, implementation, and evaluation of care in line with professional and organisational quality standards. The post holder will be responsible for ensuring that the team has adequate therapy and care staff rostered on duty with the appropriate skills to safely meet the needs of patients. They will undertake direct clinical work for an agreed proportion of their time, undertaking a complex clinical caseload and act as a role model for excellence in clinical care provision while providing clear professional clinical leadership. The service operates 08:00 - 20:00, seven days per week, and the post holder will contribute to maintaining high standards of patient care throughout these hours.

Responsibilities

• High level of clinical and managerial leadership
• Excellent communication, clinical knowledge, and assessment skills
• Current NMC/HCPC registration
• Reliability and strong work ethic

Benefits and Culture

• The bi-borough Home First Pathway prides itself on experienced clinicians and strong teamwork, supported by a positive culture of shared lunches, celebrations, and staff recognition. This is reinforced by the many compliments we receive from service users and partner organisations.
• A supportive environment to learn and develop new skills
• Opportunities to work with a Consultant Geriatrician and extend knowledge beyond standard practice
• Regular statutory and mandatory training
• Emphasis on work-life balance
• Opportunities to deliver training sessions
• Full NHS benefits package, plus lease car option

Notes

This is a demanding, specialist post. We recommend contacting us for an informal discussion or visiting one of our teams before applying. As this role may involve direct contact with patients, as an NHS Trust we strongly encourage vaccination to protect yourself, your colleagues, and the people we care for.