About this role
Job summary
This is a dual role working across two complementary services, a GP home visiting service and the Hospital at Home (H@H) Frailty Virtual Ward. The post holder will provide timely, high-quality care to patients in their own homes or care homes, supporting both short-term acute needs and longer-term interventions that help patients remain safely out of hospital.
Working independently and autonomously, you will deliver face-to-face assessments, make safe and effective clinical decisions, and provide expert care within your professional boundaries and scope of practice.
Within the Hospital at Home Frailty Virtual Ward, you will support patients who would otherwise require hospital admission, delivering acute treatment and monitoring in their usual place of residence. This model of care helps reduce deterioration and avoids unnecessary hospital stays.
The Hospital at Home team also provides an Urgent Community Response (UCR) function, offering rapid assessment, diagnostics, and treatment for people with complex health needs, frailty, or exacerbations of long-term conditions. Patients referred to the service are triaged to be seen within 2 hours, or same day for urgent assessment.
Main duties of the job Clinical Assessment & Diagnosis
Act as an autonomous clinician, performing comprehensive history-taking, physical examinations, and clinical assessments in patients' own homes or care homes.Diagnose and manage undifferentiated, acute, and complex conditions within scope of practice.Undertake and interpret diagnostic tests (e.g., ECG, urinalysis, blood tests, point-of-care testing) to inform clinical decision-making.
Treatment & Care PlanningProvide both urgent and routine care, including prescribing (if qualified) or recommending appropriate treatment plans in collaboration with the GP or clinical team.Develop and implement management and treatment plans for patients with acute illness, exacerbations of long-term conditions, or frailty-related deterioration.
Home Visiting, Hospital at Home & UCRRespond to same day visit requests for acute illness, minor injuries, or worsening of chronic conditions, ensuring safe and effective care delivery in the patient's usual place of residence.Conduct home visits for patients unable to attend the practice, including those with frailty, complex needs, or acute deterioration.Deliver care as part of the Hospital at Home (H@H) Frailty Virtual Ward, providing treatment to include IV therapy, monitoring, and review at home for patients who would otherwise require admission.
About us
Hampshire and Isle of Wight Healthcare NHS Foundation Trust provides joined-up mental and physical healthcare for around two million people across our communities. With over 13,000 staff working in the community and local hospitals, we deliver care at every stage of life, helping people live their best and healthiest lives.
Our mental health services include community-based support and early intervention in psychosis (EIP) for both adults and young people, alongside a network of specialist inpatient wards covering forensic, learning disability, eating disorder and older person's care.
We deliver extensive physical health services too, from urgent community response teams helping frail and older patients remain safely at home, to hospitals at home teams providing acute-level care in familiar surroundings. Our neurological services offer rehabilitation and treatment for conditions including Multiple Sclerosis, Parkinson's Disease, Motor Neurone Disease, Head Injury, Cerebral Palsy and Stroke. Across Hampshire, our community hospitals provide inpatient rehabilitation as a step down from acute care, and our dedicated teams also staff Treetops Sexual Assault Referral Centre in Portsmouth, offering expert, compassionate support.
Everything we do is underpinned by our CARE values of compassion, accountability, respect and excellence
Job description Job responsibilities
Are you ready for a role that truly transforms patient care, bringing hospital-level treatment directly into peoples homes?
We are looking for an experienced and motivated Nurse or Paramedic to join our dynamic, forward-thinking team, working across an innovative GP Home Visiting Service and Hospital at Home (Frailty Virtual Ward) model.
This is not your typical clinical role; it offers the opportunity to work autonomously, make real-time clinical decisions, and deliver impactful care where it matters most, helping patients remain safely at home and avoiding unnecessary hospital admissions. You will be at the forefront of modern healthcare delivery. Every day brings variety, from same-day urgent visits to ongoing frailty management, all while working collaboratively with GPs and a multidisciplinary team to ensure safe, seamless, and person-centred care.
This role offers an exceptional opportunity to develop advanced clinical skills, including autonomous decision-making, diagnostics, and complex care management, within a supportive and flexible working environment. You will gain valuable experience across two complementary services, broadening your scope of practice and building a highly sought-after skill set in community urgent care and frailty.
We are seeking clinicians with strong assessment and decision-making abilities, a passion for patient-focused care, and the confidence to work both independently and as part of a team in a fast-paced environment. In return, you will play a key role in shaping an innovative and evolving service that is redefining how care is delivered. If you are looking for a role that offers challenge, variety, professional growth, and the chance to genuinely improve patient outcomes every day, we would love to hear from you
Further information about the Trust and this role can be found on the Job Description and Person Specification document attached. We are happy to talk Flexible Working, all requests for flexible working options can be discussed as part of the interview process.
Person Specification
Qualifications Essential
Appropriate professional qualification RGN, or Paramedic Professional UK registration e.g. NMC / HCPC Evidence of Continued Professional Level 7 advanced history taking and physical examination
Desirable
Level 7 diagnostics and decision making or evidence of autonomous decision making in practice
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.
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 Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Address 1 Bullspen
Manor Court, Herriard
Basingstoke
Hampshire
RG25 2PH
United Kingdom
Employer's website https://hiowhealthcare.nhs.uk/ (Opens in a new tab)