Home First Practitionernhs Afc: Band 7

Epsom And St Helier University Hospitals Nhs Trust; England; On-site; GBP 46,000 - 60,000; Full time

Job summary

Epsom and St Helier’s University Hospitals NHS Trust is seeking an experienced Clinician to join the Home First Service in Surrey Downs. You will provide care from initial history taking to evaluation, using safe clinical decision-making and advanced assessment for older people with complex health and social needs.

You will lead and collaborate with the MDT to support discharge and prevent admission, promoting independence and wellbeing.

Qualifications

• Current registration with HCPC/NMC.
• Advanced physical assessment skills.
• UK driving licence and access to a car.

Responsibilities

• Clinical assessment, treatment planning and autonomous decision‑making for adults referred from community.
• Coordinate care with the Home First MDT to support discharge and prevent admission.
• Lead and model professional practice within the Surrey Downs Health and Care team.
• Develop integrated processes and communications across Home First Service and the wider system.

Skills

Work under pressure

Multidisciplinary teamwork

Clinical decision making

Education

HCPC/NMC registration

Advanced physical assessment

Job description

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
• 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.

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

Person specification

Other

Essential criteria

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

Education/Qualification

Essential criteria

• Current Registration with HCPC/ NMC
• Advanced physical assessment

Desirable criteria

• Independent prescriber or working towards
• Extended clinical Skills or working towards

Experience

Essential criteria

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

Desirable criteria

• Experience in urgent care undertaking telephone triage

Skills and Knowledge

Essential criteria

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

Your recruitment team

The SDH&C Recruitment and HR team are here to support you at every stage of the process. If you have a query, please contact us:
E: -

Your application

Please ensure your supporting statement clearly reflects the job description and person specification, as shortlisting will be based on these criteria.

Use of Artificial Intelligence

We kindly ask that you avoid using AI tools to draft your application. We value authentic, individual responses that reflect your own experience and communication style.

References

Please provide a minimum of 3 years’ employment and/or education history, including professional email addresses (not personal accounts such as Hotmail or Gmail). If you cannot provide these, please inform the interview panel to avoid delays in pre-employment checks.

Closing date

To help us manage recruitment efficiently, some vacancies may close early once we have received a sufficient number of applications.

Shortlisting

If you are successfully shortlisted, you will be contacted by email or SMS. Please check your registered TRAC email regularly.

Application feedback

If you do not hear from us within four weeks of the closing date, please assume your application has not been successful on this occasion.

Safeguarding and DBS Checks

We are committed to safeguarding children and vulnerable adults. For roles with direct access to these groups, an Enhanced Disclosure and Barring Service (DBS) check will be required. All staff are expected to understand and uphold their safeguarding responsibilities as part of their role.

Applicant requirements

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.

Further details / informal visits contact

NameLauren BoyleJob titleHome First Clinical LeadEmail addressTelephone number01372175126