About this role
Job summary
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 escalate 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 - Apply now You've made a great decision to apply to join to HCT - we're looking forward to taking the next steps of the journey with you.
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 description
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.
Person Specification
Skill and abilities
Essential
- 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 escalate 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.
Desirable
- 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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
Hertfordshire Community NHS Trust
Address
Abel Smith House
Gunnels Wood Road
Stevenage
SG1 2ST
United Kingdom
Employer's website
https://www.hct.nhs.uk (Opens in a new tab)