South Tyneside and Sunderland NHS Foundation Trust

Hospital at Home Coordinator / Practitioner

The closing date is 26 January 2026

Job summary

Applications for this vacancy are restricted to current Trust employees only.

We are glad to share an exciting opportunity to join our Virtual ward (Hospital at Home team) as a coordinator/practitioner. This posts key responsibilities are care coordination and discharge planning, providing clinical leadership, supporting the service development, supporting patients and families in digital and remote monitoring and supporting development of junior staff.

The post holder will be able to work autonomously and be able to provide a high level of expert clinical management and care to patients within the speciality, supporting the referral process from both in and out of hospital.

Virtual wards (Hospital at Home) work in partnership with our Recovery at Home teams are defined as a safe alternative to NHS bedded care, we are looking to expand our virtual ward team in line with the introduction of new clinical and community step up pathways in addition to the established hospital step down pathways. Hospital at home delivers care closer to home for patients, offering personalised care with technology enabled remote monitoring, providing medical and nursing, therapy and pharmacy optimisation and onward discharge referrals.

The post holder will work collaboratively with the multi-disciplinary team. The post holder will be expected to cover days and weekend shifts. There will be also dedicated allocated time for management and continuous professional development.

Main duties of the job

We are looking for a forward thinking, well organised and motivated individual with a positive attitude, and a strong interest in community delivered care. The applicant will need to act as a role model delivering excellent clinical practice and promoting clinical effectiveness in care.

As Hospital at Home Coordinator/Practitioner you will be able to assess, diagnose, and manage a variety of conditions, within a multidisciplinary and collaborative environment.

  • Identify Patients suitable for the Hospital at home pathways ensuring timely access to the hospital at home team, either discharged from Acute hospitals or step up from community.
  • Act as a single point of contact for patients and health professionals to facilitate rapid access to Hospital at home services.
  • Work closely with other healthcare professionals in a collaborative, team-based approach to discharge to assess.
  • Strong clinical background with advanced assessment skills.
  • Contribute to improving patient outcomes and service delivery within the community services.

About us

Please add your telephone number to your application form so we can contact you quickly if required.

One Team One Trust - There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment.

We welcome all applications irrespective of peoples race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups. Looking after our workforces health and wellbeing is a priority for us. We also provide access to high quality education, training, career progression and support. Flexible working is supported via our Flexible Working Policy.

The Trust employs around 8,746 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area. We offer our staff outstanding benefits - Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Care Co-ordinator to help staff with childcare arrangements.If you use AI, and it poses a risk to the integrity of your individual recruitment process, we may withdraw your application at any stage of the process.

Details

Date posted

12 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9155-CMNM-0126-05

Job locations

Sunderland Royal Hospital

Kayll Road

Sunderland

SR47TP


South Tyneside District Hospital

Harton Lane

South Shields

NE34 0PL


Job description

Job responsibilities

PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.

Lead the development of integrated, patient-centred health and social care pathways across agencies and disciplines.

Act as a clinical leader and patient advocate, promoting risk management, self-care, and strategic planning.

Support and train junior staff to deliver high-quality care within the Hospital at Home service.

Work collaboratively across multi-professional teams to ensure safe, effective, and efficient practice.

Maintain and share up-to-date clinical expertise to continually enhance service quality and patient outcomes.

Job description

Job responsibilities

PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.

Lead the development of integrated, patient-centred health and social care pathways across agencies and disciplines.

Act as a clinical leader and patient advocate, promoting risk management, self-care, and strategic planning.

Support and train junior staff to deliver high-quality care within the Hospital at Home service.

Work collaboratively across multi-professional teams to ensure safe, effective, and efficient practice.

Maintain and share up-to-date clinical expertise to continually enhance service quality and patient outcomes.

Person Specification

Qualifications

Essential

  • Degree in a health-related subject and current professional registration (NMC or HCPC).
  • Mentorship/ Practice Assessor/ Educator qualification or equivalent.
  • Advanced physical assessment and history taking course (accredited).

Desirable

  • Masters in health / leadership related subject.
  • Management and leadership training.
  • Independent NMP Prescribing Qualification.

Physical Skills

Essential

  • Ability to assist patients to move as per Trust Moving and Handling Policy.
  • Car Driver (full license) and access to car for work purposes.

Experience

Essential

  • Extensive post registration experience, some of which will be at a senior level within the relevant speciality.
  • Portfolio of evidence of continuous professional development.
  • Experience of practice development, clinical education or leading change.
  • Experience of leading clinical Audits.
  • Experience of working in Community/ Acute Setting. with experience of managing frailty and or patients with long term conditions.
  • Previous experience of multiagency collaboration working across professional boundaries.
  • Experience of practice development, clinical education or leading change in practice to upskill and support staff.
  • Clinically credible, with significant experience at Senior Nurse level.

Desirable

  • Caseload management.
  • Involvement in service review and development.
  • Knowledge of digital health monitoring systems.

Skills and Knowledge

Essential

  • Demonstrable leadership skills and an understanding of own leadership style.
  • Excellent interpersonal and communication skills.
  • Evidence of ongoing professional development.
  • Expert assessment, analytical skills, interpretation and clinical decision making.
  • Ability to work autonomously within role in a complex/ changing environment.
  • Significant knowledge of community service provision, including social care and charity delivered services.
  • Knowledge and understanding of relevant national polices and guidelines relevant to admission avoidance and early supported discharge services.
  • In depth knowledge of frailty and long-term Conditions.
  • Ability to effectively challenge stakeholders while maintain professional relationships.
  • Excellent written and verbal communication skills.
  • Effective time management skills.
  • Effective team working.
  • Effective planning and organisational skills - ability to prioritise workload.
  • Competent in IT skills.

Desirable

  • Caseload management.
  • Understanding of budget and financial control systems.
  • Research skills.
Person Specification

Qualifications

Essential

  • Degree in a health-related subject and current professional registration (NMC or HCPC).
  • Mentorship/ Practice Assessor/ Educator qualification or equivalent.
  • Advanced physical assessment and history taking course (accredited).

Desirable

  • Masters in health / leadership related subject.
  • Management and leadership training.
  • Independent NMP Prescribing Qualification.

Physical Skills

Essential

  • Ability to assist patients to move as per Trust Moving and Handling Policy.
  • Car Driver (full license) and access to car for work purposes.

Experience

Essential

  • Extensive post registration experience, some of which will be at a senior level within the relevant speciality.
  • Portfolio of evidence of continuous professional development.
  • Experience of practice development, clinical education or leading change.
  • Experience of leading clinical Audits.
  • Experience of working in Community/ Acute Setting. with experience of managing frailty and or patients with long term conditions.
  • Previous experience of multiagency collaboration working across professional boundaries.
  • Experience of practice development, clinical education or leading change in practice to upskill and support staff.
  • Clinically credible, with significant experience at Senior Nurse level.

Desirable

  • Caseload management.
  • Involvement in service review and development.
  • Knowledge of digital health monitoring systems.

Skills and Knowledge

Essential

  • Demonstrable leadership skills and an understanding of own leadership style.
  • Excellent interpersonal and communication skills.
  • Evidence of ongoing professional development.
  • Expert assessment, analytical skills, interpretation and clinical decision making.
  • Ability to work autonomously within role in a complex/ changing environment.
  • Significant knowledge of community service provision, including social care and charity delivered services.
  • Knowledge and understanding of relevant national polices and guidelines relevant to admission avoidance and early supported discharge services.
  • In depth knowledge of frailty and long-term Conditions.
  • Ability to effectively challenge stakeholders while maintain professional relationships.
  • Excellent written and verbal communication skills.
  • Effective time management skills.
  • Effective team working.
  • Effective planning and organisational skills - ability to prioritise workload.
  • Competent in IT skills.

Desirable

  • Caseload management.
  • Understanding of budget and financial control systems.
  • Research skills.

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).

Additional information

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

South Tyneside and Sunderland NHS Foundation Trust

Address

Sunderland Royal Hospital

Kayll Road

Sunderland

SR47TP


Employer's website

https://www.stsft.nhs.uk (Opens in a new tab)


Employer details

Employer name

South Tyneside and Sunderland NHS Foundation Trust

Address

Sunderland Royal Hospital

Kayll Road

Sunderland

SR47TP


Employer's website

https://www.stsft.nhs.uk (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Matron

Jane Middleton

jane.middleton5@nhs.net

Details

Date posted

12 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9155-CMNM-0126-05

Job locations

Sunderland Royal Hospital

Kayll Road

Sunderland

SR47TP


South Tyneside District Hospital

Harton Lane

South Shields

NE34 0PL


Supporting documents

Privacy notice

South Tyneside and Sunderland NHS Foundation Trust's privacy notice (opens in a new tab)