Home First Practitioner

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

Job summary

Epsom and St Helier University Hospitals NHS Trust seeks an experienced clinician for the Home First Service. The post-holder will assess, diagnose, treat and evaluate care for older adults, leading a multidisciplinary team to prevent admission and support discharge.

You will work within a dynamic, policy-driven environment and provide expert clinical decision-making with emphasis on independence and wellbeing.

Qualifications

• Current UK professional registration (HCPC/NMC).
• Advanced physical assessment skills required.
• Desirable: Independent prescriber or working towards.
• Desirable: Extended clinical skills or working towards.

Responsibilities

• Assess and plan treatment for adults referred from community and in ED/AMU.
• Carry out holistic assessments to create care plans and reduce hospital admissions.
• Act as a professional role model; lead and develop services within the Home First Service.
• Coordinate seamless service through interdisciplinary team processes in Home First Service.

Skills

Under pressure

Prioritisation

Clinical reasoning

Education

Current HCPC/NMC registration

Advanced physical assessment

Independent prescriber (Desirable)

Extended clinical skills (Desirable)

Job description

Job summary

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 First Service and across the wider Surrey Downs Health and Care whole system.

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.

• 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
• 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.

Details

Date posted: 27 October 2026

Pay scheme: Agenda for change

Band: Band 7

Salary: £55,524 to £62,652 a year per annum inc outer hcas

Contract: Fixed term

Duration: 12 months

Working pattern: Full-time

Reference number: 343-SDH&C-8353784

Job description

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

Education/Qualification

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

Experience

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

Skills and Knowledge

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

Employer details

Employer name: Epsom and St Helier University Hospitals NHS Trust

Address: Epsom General Hospital, Epsom, KT18 7EG, United Kingdom

Employer's website: https://www.epsom-sthelier.nhs.uk/work-for-us

Contact

Home First Clinical Lead: Lauren Boyle, [e-mail], 01372175126

Privacy notice: Epsom and St Helier University Hospitals NHS Trust's privacy notice