Job summary
We are recruiting three full-time Band 7 Advanced Practitioners to join our Hospital at Home service, based within the Harrow Integrated Care Team at Stanmore. This innovative service delivers short-term, hospital-level care in patients' homes, supporting earlier discharge and preventing avoidable hospital admissions.
You will work within a multidisciplinary team, including GPs, delivering person-centred care through home visits, assessment, treatment, and monitoring. The team uses home-based monitoring, point-of-care testing, and intravenous therapy, enabling you to practise at an advanced level and make a real difference to patient outcomes.
We welcome applications from motivated and compassionate practitioners keen to be part of a forward-thinking community service.
Main duties of the job
The post holder will work both autonomously and collaboratively with Acute Trusts, the Adult Community Nursing Team, and a wide range of health and care partners, including statutory and voluntary agencies, to deliver high quality, person centred patient care.
In this role, you will:
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Work on a rotational shift basis within the Harrow Hospital at Home service, operating between 8am and 8pm, seven days a week.
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Act as Team Leader for designated shifts on a rotational basis, providing clinical leadership and overseeing the day to day management of the service.
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Hold delegated responsibility for specific areas of operational management and advanced clinical practice, contributing to service development and quality improvement.
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Effectively prioritise and manage your own workload, working with a high level of autonomy while maintaining close collaboration with the wider multidisciplinary team.
About us
We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.
What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.
Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.
We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.
Job description
Job responsibilities
Successful applicants will be required to demonstrate alignment with the Trusts values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.'
Job description
Job responsibilities
Successful applicants will be required to demonstrate alignment with the Trusts values - Accountability, Inclusion, Compassion, and Empowerment, alongside fulfilling the duties detailed in the attached Job Description and Person Specification.'
Person Specification
Education/Qualification
Essential
- Health care professional with current registration ( Nurse, Physiotherapist, Occupational Therapist, Paramedic )
- Independent Nurse Prescriber or currently undertaking the V300 course
Desirable
- Evidence of continuing professional education and training at the master's Level.
- Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment
Experience
Essential
- Extensive experience in Primary/Secondary Care and/ or Accident & Emergency
- Proven experience in utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and manage patients presenting with undifferentiated and undiagnosed conditions
- Experience in assessing and providing quality care to people with Long Term Conditions
- Track record of practice excellence
- Experience in effectively working in collaboration, negotiating, and liaising across organisational boundaries
- Experience in monitoring clinical standards.
- Proven ability to prioritise and manage own workload with minimal supervision
- Experience determining the best ongoing care for the patient
Desirable
- Experience in team/service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice.
- Evidence of innovation in practice.
Skills & Knowledge
Essential
- Evidence of a comprehensive range of clinical skills and expertise relevant to the role
- Competent in physical examination of ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Confident in assessing acute clinical presentations
- Able to work autonomously, planning and prioritising own workload and that of others
- Basic IT skills, including use of Microsoft Office package, EMIS, and email
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
- In depth knowledge of pharmacology.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
- Knowledge of acute clinical presentations and management of acute conditions
- Clinical knowledge across a range of long term and enduring conditions
- Knowledge of current NHS organizational structures and policy initiatives.
- Knowledge of recent developments in NHS
- Knowledge of monitoring service outcome measures.
- Knowledge of adult protection and safeguarding children's issues.
- Knowledge of HCPC/NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services
- Knowledge of the audit process and ability to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of clinical governance processes, assessing and managing risk
- Knowledge of clinical supervision
- Knowledge of how to implement equal opportunities in practice
Desirable
- Able to lead and motivate a team and implement change
- Ability to make formal presentations to a wide range of people
- Knowledge of resource management
Person Specification
Education/Qualification
Essential
- Health care professional with current registration ( Nurse, Physiotherapist, Occupational Therapist, Paramedic )
- Independent Nurse Prescriber or currently undertaking the V300 course
Desirable
- Evidence of continuing professional education and training at the master's Level.
- Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment
Experience
Essential
- Extensive experience in Primary/Secondary Care and/ or Accident & Emergency
- Proven experience in utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and manage patients presenting with undifferentiated and undiagnosed conditions
- Experience in assessing and providing quality care to people with Long Term Conditions
- Track record of practice excellence
- Experience in effectively working in collaboration, negotiating, and liaising across organisational boundaries
- Experience in monitoring clinical standards.
- Proven ability to prioritise and manage own workload with minimal supervision
- Experience determining the best ongoing care for the patient
Desirable
- Experience in team/service/ staff management.
- Experience of implementing evidence-based care and developing others to do so
- Experience of conducting research projects and audit.
- Experience of change management and implementing change in practice.
- Evidence of innovation in practice.
Skills & Knowledge
Essential
- Evidence of a comprehensive range of clinical skills and expertise relevant to the role
- Competent in physical examination of ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems, and wound management.
- Confident in assessing acute clinical presentations
- Able to work autonomously, planning and prioritising own workload and that of others
- Basic IT skills, including use of Microsoft Office package, EMIS, and email
- Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
- In depth knowledge of pharmacology.
- Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
- Knowledge of acute clinical presentations and management of acute conditions
- Clinical knowledge across a range of long term and enduring conditions
- Knowledge of current NHS organizational structures and policy initiatives.
- Knowledge of recent developments in NHS
- Knowledge of monitoring service outcome measures.
- Knowledge of adult protection and safeguarding children's issues.
- Knowledge of HCPC/NMC Code of Professional Conduct.
- Knowledge of Personal Development Planning.
- Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services
- Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services
- Knowledge of the audit process and ability to implement in practice
- Knowledge of evidence-based practice and able to implement in practice
- Knowledge of clinical governance processes, assessing and managing risk
- Knowledge of clinical supervision
- Knowledge of how to implement equal opportunities in practice
Desirable
- Able to lead and motivate a team and implement change
- Ability to make formal presentations to a wide range of people
- Knowledge of resource management
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
