Home First Practitioner

Epsom and St Helier University Hospitals; Epsom; On-site; GBP 56,000 - 63,000; Full time

Job summary

Epsom General Hospital, part of Epsom and St Helier University Hospitals NHS Trust, is seeking an experienced clinician for a 12-month fixed-term Band 7 post. The role involves care from initial assessment through to treatment and evaluation of care for older adults within the Home First Service.

The post emphasizes leadership, safe clinical decision-making, and collaboration with the Home First MDT to prevent admissions and support patient independence in the community.

Qualifications

• HCPC or NMC registration is required.
• Advanced physical assessment skills are required.
• Independent prescriber or working towards.
• Extended clinical skills or working towards.
• Experience in assessing and managing complex patients in community or unscheduled care.
• Multidisciplinary team work.
• Urgent care experience with telephone triage.

Responsibilities

• Clinical assessment and treatment planning for adults from community, ED and AMU.
• Collaborate with the Surrey Downs Health and Care team to deliver safe care.
• Coordinate seamless service through enhanced interdisciplinary processes.
• Lead and develop services to meet patient needs and support policy delivery.

Skills

Clinical assessment

Multidisciplinary teamwork

Urgent care/ triage experience

Ability to work under pressure

Education

HCPC/NMC registration

Advanced physical assessment

Independent prescriber (or working towards)

Extended clinical skills (or working towards)

Job description

Main area AtHome Grade NHS AfC: Band 7 Contract 12 months (12 month fixed term contract) Hours Full time - 37.5 hours per week (The service operations 8am-8pm 7 days a week) Job ref 343-SDH&C-8353784

Site Epsom General Hospital Town Epsom Salary £55,524 - £62,652 per annum inc outer hcas Salary period Yearly Closing 03/11/2026 23:59

Job overview

The post-holder is an experienced Clinician who, acting within their professional boundaries will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care including assessment and diagnostic skills, for patients within the Home First Service. The post-holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Leads and the whole team to meet the needs of patients, supporting the delivery of policy and procedures, providing leadership. Our Home First MDT have a key role within both supported discharge and prevention of admission to support individuals to optimise their independence and wellbeing.

Main duties of the job

· Clinical responsibility for assessment and treatment planning for adults referred from community as well as active case finding within the Emergency Department and Acute Medical Unit as required; working autonomously and in collaboration with all members of the Surrey Downs Health and Care team to deliver a safe, comprehensive and effective service including assessment, care planning, implementation of required care and review of care provision and deliver expert, specialist service for older people with complex health and social needs who may be benefit from, or who are under the care of, the Home First Service for both new and patients already on the caseload.

Carry out proactive holistic assessments to create care plans to help reduce risk of future hospital admission.

Demonstrate clinical expertise and act as a professional role model to all colleagues, both internal and external on behalf of SDHC, working as part of an integrated team taking the lead and developing services in line with the needs of the patient

· To coordinate a seamless service through the development of enhanced interdisciplinary team processes and communication, within the Home FirstService and across the wider Surrey Downs Health and Care whole system .

Working for our organisation

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
• Epsom and St Helier’s University Hospitals NHS Trust

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.

Detailed job description and main responsibilities

See Attached job description for details of the role to include clinical, research and development and leadership roles and responsibilities

Other

• Hold a UK driving Licence and have access to a car for work purposes

Education/Qualification

• Current Registration with HCPC/ NMC
• Advanced physical assessment
• Independent prescriber or working towards
• Extended clinical Skills or working towards

Experience

• Experience in assessing and managing the needs of complex patients in relevant care setting, i.e. community or unscheduled care
• Multidisciplinary team work
• Experience in urgent care undertaking telephone triage

Skills and Knowledge

• Ability to work under pressure, balance multiple priorities and meet deadlines
• Understand current trends in health and social care
• Effective Clinical and reasoning skills

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.