Job summary
Surrey Downs Health & Care
Located in the heart of the Surrey Hills Area of Outstanding Natural Beauty, Dorking offers a unique blend of countryside charm and excellent transport links to London and the South East. With its picturesque landscapes, thriving market town atmosphere, and strong sense of community, Dorking provides an excellent environment for both work and leisure.
Healthcare professionals in Dorking benefit from working in a supportive, close-knit Primary Care Network (PCN) with strong multidisciplinary collaboration. The area is well-served by GP practices, community teams, and local health services, ensuring a holistic and patient-centered approach to care. Whether you enjoy scenic countryside walks, independent cafs, or a strong community spirit, Dorking is a fantastic place to live and work.
Main duties of the job
We are seeking a proactive and experienced clinician to join our integrated community healthcare team. In this role, you will provide same day, community-based care to adults (18+), including care home residents, who are at risk of hospital admission.
As part of a collaborative multidisciplinary team, you will work closely with GP practices, the Urgent Community Response (UCR) team, the Clinical Medical Team (CMT), District Nursing service, and Proactive Care to deliver timely, effective interventions aimed at preventing avoidable admissions and supporting patients in their own homes.
This is a senior clinical position involving same-day home visits, comprehensive assessments, diagnosis, and the development of personalised clinical plans. You will also contribute to triage as part of the "Clinician of the Day" role, applying autonomous decision-making, critical thinking, and advanced clinical judgement to incoming referrals.
The role requires close collaboration with a range of professionals across community services and will involve providing mutual aid to the District Nursing Service, UCR, and the Community Medical Team where needed.
About us
Surrey Downs Health and Care deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations.
Surrey Downs Health and Care has a track record of providing person centered care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:
- The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area
- CSH Surrey
- Epsom and St Helier's University Hospitals NHS Trust
- Surrey Council County
Historically, there have been boundary lines between the organisations that provide care to people in their homes, in GP surgeries and in hospitals, but we have always been united in our mission to provide great care to the people who need us.
It's on those grounds that the Surrey Downs Health and Care was formed - we want local people to receive the care that they need in the right environment. By bringing together our expertise, we can improve patient care and enable local people to access the right support, care and treatment more easily than ever before.
In bringing this partnership together, we are working to the same set of values that will translate into better care for our residents.
Job description
Job responsibilities
Provide same-day home visits to patients at risk of hospital admission.
Conduct comprehensive assessments for patients who require admission prevention support.
Perform clinical assessments, diagnoses, and treatment plans, ensuring safe and effective care.
Work autonomously while collaborating with GP practices, Community Medical Teams (CMT), Urgent Community Response (UCR), and District Nurses to ensure joined-up care.
Identify patients who may benefit from Virtual Ward input or MDT frailty discussions to optimize their care.
Use critical thinking and clinical decision-making to provide safe, evidence-based interventions.
Provide a clinical initial triage/assessment of all inbound referrals and identify the most appropriate disposition/timeframe & to identify the most appropriate MDT clinician.
To prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care.
To work autonomously & demonstrate safe, clinical decision-making
Carry out proactive holistic assessments to create care plans to help reduce risk of future hospital admission.
To assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
Attend Local Multi-Disciplinary meetings and present Patient cases.
Demonstrate clinical expertise and act as a professional role model to all colleagues, both internal and external on behalf of SDHC, working as part of an integrated team taking the lead and developing services in line with the needs of the patient
To ensure that accurate and complete records of care are kept and that your own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care.
To develop close links with the wider community to enhance both care for individual patients and the wider development of Surrey Downs Health and Care.
Treat all patients as individuals, respecting their privacy and dignity at all times
Involving, supporting, informing and educating family/carers.
Promote the health of patients and the provision of support and advice.
Be responsible for ensuring that policies and procedures and standards of care, are adhered to at all times
Have the ability to negotiate and work effectively across all agencies for the maximum effectiveness of care
Contribute to the development of integrated care in the community.
Be aware of and act upon when necessary, procedures that are in place to protect vulnerable individuals
Maintain own professional and clinical integrity in line with NMC/HCPC guidelines
Undertake any other such duties as may be required from time to time as are consistent with the responsibilities of the post.
Be responsible for individual timely data entry and responsible for the corporate teams data entry
Employees are employed to work within SDHC localities and may be reasonably requested to move base temporarily or on a more permanent basis, as requested by service needs.
Ensure all Statuary and mandatory training is kept up to date.
This job description is subject to review and development from time to time in liaison with the post holder. As an employee of SDH&C you will be required to adhere to all the organisations policies and procedures
Job description
Job responsibilities
Provide same-day home visits to patients at risk of hospital admission.
Conduct comprehensive assessments for patients who require admission prevention support.
Perform clinical assessments, diagnoses, and treatment plans, ensuring safe and effective care.
Work autonomously while collaborating with GP practices, Community Medical Teams (CMT), Urgent Community Response (UCR), and District Nurses to ensure joined-up care.
Identify patients who may benefit from Virtual Ward input or MDT frailty discussions to optimize their care.
Use critical thinking and clinical decision-making to provide safe, evidence-based interventions.
Provide a clinical initial triage/assessment of all inbound referrals and identify the most appropriate disposition/timeframe & to identify the most appropriate MDT clinician.
To prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care.
To work autonomously & demonstrate safe, clinical decision-making
Carry out proactive holistic assessments to create care plans to help reduce risk of future hospital admission.
To assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
Attend Local Multi-Disciplinary meetings and present Patient cases.
Demonstrate clinical expertise and act as a professional role model to all colleagues, both internal and external on behalf of SDHC, working as part of an integrated team taking the lead and developing services in line with the needs of the patient
To ensure that accurate and complete records of care are kept and that your own practice and practice of other team members is compliant with agreed policies, procedures, guidance and legislation in order to deliver effective patient care.
To develop close links with the wider community to enhance both care for individual patients and the wider development of Surrey Downs Health and Care.
Treat all patients as individuals, respecting their privacy and dignity at all times
Involving, supporting, informing and educating family/carers.
Promote the health of patients and the provision of support and advice.
Be responsible for ensuring that policies and procedures and standards of care, are adhered to at all times
Have the ability to negotiate and work effectively across all agencies for the maximum effectiveness of care
Contribute to the development of integrated care in the community.
Be aware of and act upon when necessary, procedures that are in place to protect vulnerable individuals
Maintain own professional and clinical integrity in line with NMC/HCPC guidelines
Undertake any other such duties as may be required from time to time as are consistent with the responsibilities of the post.
Be responsible for individual timely data entry and responsible for the corporate teams data entry
Employees are employed to work within SDHC localities and may be reasonably requested to move base temporarily or on a more permanent basis, as requested by service needs.
Ensure all Statuary and mandatory training is kept up to date.
This job description is subject to review and development from time to time in liaison with the post holder. As an employee of SDH&C you will be required to adhere to all the organisations policies and procedures
Person Specification
Qualifications
Essential
- Professional registration NMC Adult Nursing or HCPC Paramedic
- At least degree level education of equivalent
Desirable
- Non - Medical Prescribing course
- Physical Health Assessment course or equivalent
Other
Essential
- Car owner with Full UK Licence
Experience
Essential
- Previous experience in community setting
- Experience of working with a fast moving clinical caseload that involves triage & prioritisation
- Experience of working within a MDT settings
Desirable
- Experience of working with patients with non engagement issues
- Experience of maintaining relationships with a wide variety of relevant community partners
Skills
Essential
- Excellent oral & written communication skills
- Excellent organisational skills and good time keeping
- Confident to problem solve and make independent decisions
- Work Autonomously in a clinical environment & make safe clinical decisions.
Person Specification
Qualifications
Essential
- Professional registration NMC Adult Nursing or HCPC Paramedic
- At least degree level education of equivalent
Desirable
- Non - Medical Prescribing course
- Physical Health Assessment course or equivalent
Other
Essential
- Car owner with Full UK Licence
Experience
Essential
- Previous experience in community setting
- Experience of working with a fast moving clinical caseload that involves triage & prioritisation
- Experience of working within a MDT settings
Desirable
- Experience of working with patients with non engagement issues
- Experience of maintaining relationships with a wide variety of relevant community partners
Skills
Essential
- Excellent oral & written communication skills
- Excellent organisational skills and good time keeping
- Confident to problem solve and make independent decisions
- Work Autonomously in a clinical environment & make safe clinical decisions.
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.
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.
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).
