Team Lead - Hospital at Home Service

Hertfordshire Community NHS Trust; East Ham; On-site; GBP 42,000 - 56,000; Full time

Job summary

Hertfordshire Community NHS Trust seeks a Band 7 Team Leader for the Hospital at Home Service, covering Hospital at Home, Remote Monitoring and Home Health Monitoring pathways. You will triage referrals, oversee advanced patient assessment and coordinate caseloads against capacity and staffing across a seven‑day service, including evenings and weekends, with line management of staff.

Applicants must be a Registered Nurse (NMC) or Paramedic (HCPC) with significant post-registration experience.

Qualifications

• NMC registration as a Registered Nurse or HCPC registration as a Paramedic.
• Significant post‑registration clinical experience in community, urgent, primary or acute care.
• Clinical leadership and management experience, including supporting staff and coordinating services.
• Full valid UK driving licence and access to a vehicle with business insurance.

Responsibilities

• Triage complex referrals and support safe admission, movement and discharge.
• Undertake advanced holistic patient assessment and formulate management plans.
• Coordinate Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads.
• Provide clinical and operational direction to staff and escalate risks as needed.
• Lead or participate in multidisciplinary meetings and ward rounds (virtual or face‑to‑face).
• Deliver day‑to‑day leadership and line management to staff groups; support supervision and development.
• Contribute to audits, quality improvement, service evaluation and governance.

Skills

Clinical assessment

Decision-making

Communication

Multidisciplinary working

Education

NMC registration as a Registered Nurse

HCPC registration as a Paramedic

Job description

Band 7 Team Leader post in the Hospital at Home Service at Hertfordshire Community NHS Trust, covering the Hospital at Home, Remote Monitoring and Home Health Monitoring pathways. The core work is triaging complex referrals, advanced patient assessment and coordinating caseloads against capacity and staffing. The role combines clinical bases and patients' homes across a seven-day service, with evenings and weekends, and line management of a staff group. Applicants must be a Registered Nurse or HCPC Registered Paramedic with significant post-registration experience.

What the job involves

• Triage complex referrals and hold clinician-to-clinician discussions to support safe admission, movement and discharge
• Undertake and support advanced, holistic patient assessment, identifying deterioration and formulating management plans
• Coordinate the Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads against acuity, capacity, staffing and competing priorities
• Provide clear clinical and operational direction to staff and **escalate** risks or concerns appropriately
• Take part in multidisciplinary meetings, case discussions and virtual or face-to-face ward rounds
• Provide visible day-to-day leadership and line management to an identified group of staff
• Support supervision, appraisal, wellbeing, competency assessment, performance management and professional development
• Lead or contribute to clinical audit, quality improvement, service evaluation, incident learning and clinical governance
• Manage competing demands, interruptions and time-critical clinical or operational decisions
• Respond to emotionally demanding situations, including clinical deterioration, palliative care and end-of-life care

What’s required

Registration & licences

• NMC registration as a Registered Nurse, or HCPC registration as a Paramedic

Experience

• Significant post-registration clinical experience in community, urgent, primary or acute care
• Clinical leadership and management experience, including supporting staff and coordinating services

Skills & knowledge

• Strong clinical assessment and decision-making, recognising deterioration and managing complex patients
• Escalating concerns appropriately
• Excellent communication and multidisciplinary working, including with patients, carers, GPs and Integrated Neighbourhood Teams

Checks & eligibility

• Full valid UK driving licence and access to a vehicle with business insurance, unless a reasonable adjustment applies

Nice to have

• Independent Non-Medical Prescriber, or willingness to undertake the qualification where appropriate
• Experience of audit, quality improvement or service development, ideally in community, urgent care or Hospital at Home or virtual care
• Experience of a Hospital at Home, Virtual Ward, urgent community response or similar integrated care service