Team Lead - Hospital at Home Service

Hertfordshire Community NHS Trust; Stevenage; On-site; GBP 43,000 - 59,000; Full time

Job summary

Hertfordshire Community NHS Trust is seeking an experienced Registered Nurse or HCPC Registered Paramedic to lead the Hospital at Home Service in Stevenage. The role combines advanced clinical leadership with operational coordination across Hospital at Home, Remote Monitoring and Home Health Monitoring pathways.

You will provide visible day-to-day leadership, support staff development, and contribute to governance, audits and service improvement while ensuring safe patient flow and appropriate

Qualifications

• Registered Nurse or HCPC Registered Paramedic with significant post-registration clinical experience in community, urgent, primary or acute care.
• Independent Non-Medical Prescriber qualification or willingness to undertake.
• Experience of audit, quality improvement or service development.
• Experience in Hospital at Home, Virtual Ward or integrated care environment.

Responsibilities

• Provide clinical and operational leadership for Hospital at Home Service.
• Triage referrals and support safe admission, movement and discharge.
• Coordinate Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads.
• Lead staff supervision, appraisal and development.
• Participate in MDT meetings and ward rounds.
• Lead clinical governance and quality improvement activities.

Skills

Nurse/Paramedic

Clinical leadership

Team coordination

Independent Non-Medical Prescriber

Audit & quality improvement

Job description

An exciting opportunity has arisen for an experienced and motivated Registered Nurse or HCPC Registered Paramedic to join Hertfordshire Community NHS Trust as a Band 7 Team Leader within our Hospital at Home Service.

Hospital at Home provides safe, responsive and high-quality care to patients in their usual place of residence. The service supports the prevention of avoidable hospital admissions and facilitates earlier discharge by providing assessment, treatment, monitoring and ongoing clinical review for patients with acute illness, frailty, long-term conditions, palliative care needs and other complex presentations.

The post holder will provide visible clinical and operational leadership across the Hospital at Home, Remote Monitoring and Home Health Monitoring pathways. Working closely with medical colleagues, nursing and paramedic staff, therapists, pharmacists, Integrated Neighbourhood Teams, GP practices and other system partners, the Team Leader will help ensure that patients receive coordinated, evidence-based and person-centred care.

This is a varied role combining advanced clinical practice with operational coordination, staff leadership, workforce management, clinical governance and service development.

The role is based at Abel Smith House in Stevenage and requires flexible working across a seven-day service and weekends

*Proposed interview date: 17th November 2026*

Main duties of the job

The Team Leader will provide clinical and operational leadership for the Hospital at Home Service, supporting safe patient flow, effective use of service capacity and the day-to-day deployment of the workforce.

The post holder will:

• Triage complex referrals and undertake clinician-to-clinician discussions to support safe admission to, movement within and discharge from Hospital at Home pathways.
• Undertake and support advanced, holistic patient assessment, using clinical observations, available investigation results and professional judgement to identify deterioration and help formulate appropriate management plans.
• Coordinate the Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads, balancing patient acuity, service capacity, staffing and competing priorities.
• Provide clear clinical and operational direction to staff and elevate risks or concerns appropriately.
• Participate 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 staff 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 activity.

About us

A big thank you for considering joining us at Hertfordshire Community NHS Trust You'll find it a great place to work with many benefits offered to you as a member of our staff We put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities Our staff are proud to be Caring, Pioneering and Inclusive in their work to help achieve the Trust vision. We welcome diversity in our workforce and are interested in applicants from all backgrounds and ages We don't want you to miss out so we'd like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible.

You can apply to Access to Work to get money for communication support at a job interview - please use this link for more information: https://www.gov.uk/guidance/apply-for-communication-support-at-a-job-interview-if-you-have-a-disability-or-health-condition-access-to-workYou need to apply before the interview takes place.

Job responsibilities

Please see the Job Description for main responsibilities

The post holder will be required to:

• Work virtually, from clinical bases and in patients homes.
• Work flexibly across a seven-day service, including evenings and weekends.
• Adapt to an unpredictable and changing working environment.
• 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.
• Hold a full valid UK driving licence and have access to a vehicle with business insurance, unless a reasonable adjustment applies under the Equality Act 2010.

HCT will prioritise recruitment of workers living in England under the new immigration rules for care workers effective from 9 April 2025. Employers must first prove that they have attempted to recruit a worker from within England who needs new sponsorship. This ensures that those who came to the UK to pursue a career in adult social care can do so.

Skill and abilities

• Registered Nurse or HCPC Registered Paramedic with significant post-registration clinical experience in community, urgent, primary or acute care.
• Strong clinical assessment and decision-making skills, with the ability to recognise deterioration, manage complex patients and appropriately escalating concerns
• Clinical leadership and management experience, including supporting staff, coordinating services and managing changing clinical and operational priorities
• Excellent communication and multidisciplinary working skills, with the ability to build effective relationships with patients, carers, GPs, Integrated Neighbourhood Teams and wider health and care partners.
• Independent Non-Medical Prescriber, or willingness to undertake the qualification where appropriate to the role and profession.
• Experience of audit, quality improvement or service development, ideally within community, urgent care or a Hospital at Home/virtual care environment
• Experience of working within a Hospital at Home, Virtual Ward, urgent community response or similar integrated care service.

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.