Team Lead - Hospital at Home Service

HCT Partnership; Stevenage; On-site; GBP 43,000 - 54,000; 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 practice with operational coordination and staff leadership across Hospital at Home, Remote Monitoring and Home Health Monitoring pathways.

The post holder will provide visible clinical leadership, oversee workforce management, governance and service development, with flexible working across a seven-day

Qualifications

• Registered Nurse or HCPC Registered Paramedic with significant post-registration clinical experience.
• Strong clinical assessment and decision-making skills with ability to recognise deterioration.
• Clinical leadership and management experience, coordinating services and priorities.
• Excellent communication and multidisciplinary working skills.
• Independent Non-Medical Prescriber, or willingness to undertake the qualification where appropriate.
• Experience of audit, quality improvement or service development in community/ Hospital at Home.

Responsibilities

• Triage referrals and discuss with clinicians to support admission, movement and discharge within Hospital at Home pathways.
• Undertake advanced holistic patient assessments and identify deterioration to inform management plans.
• Coordinate Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads balancing acuity, capacity and staffing.
• Provide clinical and operational direction to staff and address risks accordingly.
• Participate in multidisciplinary meetings and ward rounds, virtual or in-person.
• Provide day-to-day leadership and line management to an identified team.
• Support staff supervision, wellbeing, appraisal and development.
• Lead or contribute to clinical audit, quality improvement and governance activity.

Skills

Registered Nurse or HCPC Registered

Clinical leadership

Clinical assessment

Communication skills

Independent Non-Medical Prescriber

Audit & quality improvement

Education

UK professional registration

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 eliminate 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.

Working for our organisation

A big thank you for considering joining us at Hertfordshire Community NHS Trust

Youll 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

Youve made a great decision to apply to join to HCT - we’re looking forward to taking the next steps of the journey with you.

Detailed job description and main 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.

Person specification

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.

We will communicate any interview arrangements with applicants via e-mail so it is advisable that you check the email address you give on your application on a regular basis.

Staff recruited from outside the NHS will usually be appointed at the bottom of the pay band. All new appointments (excluding Medical & Dental roles) are subject to a 26 week probation period.

We are proud to be an armed forces friendly employer and support the employment of the armed forces community, including veterans, spouses and partners. For more information, contact [e-mail]

If applicable to the role, staff are required to hold a full, valid, UK driving licence and have access to a car to use with business insurance (unless the member of staff has a disability as defined by the Equality Act 2010).

In submitting an application form, you authorise Hertfordshire Community NHS Trust to confirm any previous NHS service details via the Electronic Staff Record Inter Authority Transfer process should you be appointed to the post.

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.