Central and North West London NHS Foundation Trust
Senior Community Nurse Hospital at Home- Urgent Care Response
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Band 6 Nurse / Paramedic – Hospital at Home (H@H) Service
Urgent Community Response (UCR) Team – Hillingdon Borough
About the Role
This exciting position offers a unique opportunity to join Clarke Nottinghamshire and Leeds Partnership NHS Foundation Trust (CNWL) as a Band 6 Nurse or Paramedic, delivering hospital-level care in the patient’s own home. As part of our innovative Hospital at Home (H@H) service, you will collaborate with a multidisciplinary team (MDT) to prevent unnecessary emergency admissions and support early discharge—enhancing patient well-being, safety, and dignity.
Our service is grounded in CNWL’s core values of excellence, compassion, respect, and inclusivity, with a focus on "Wellbeing for Life". You’ll work flexibly within Hillingdon Borough, making key decisions, escalating where necessary, and ensuring timely, patient-centred interventions.
This role is ideal for motivated clinicians seeking to expand their practice in a forward-thinking, dynamic environment that values clinical autonomy, teamwork, and a person-centred approach.
Key Responsibilities
Clinical Care Delivery
- Conduct comprehensive clinical assessments in the patient’s home environment for those at risk of hospital admission.
- Deliver evidence-based, patient-specific interventions aligned with NICE guidelines and CNWL protocols.
- Manage a defined caseload of complex, acute, and frail patients, making judgement-based clinical decisions while escalating to senior clinicians when required.
- Contribute to daily MDT reviews, advocating for optimal patient care pathways.
- Monitor and evaluate care plans, ensuring safe and timely discharge to either primary care, specialist services, or further care pathways.
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Technical Competencies
Demonstrate proficiency in:
- Independent home-based assessments, including frailty screening and stabilisation.
- Use of digital monitoring tools (e.g., remote vital signs, alert systems).
- Point-of-care testing (e.g., blood glucose, ECG, wound assessment).
- Cannulation, IV therapy administration, catheter care (decanting, emptying, and management).
- Following selective de-escalation protocols to ensure appropriate upscaling pathways.
Collaboration & Care Coordination
- Partner closely with GPs, acute hospital teams, pharmacy, social care, and community nursing to ensure a seamless, collaborative approach.
- Maintain open communication with achieves, nurses, physicians, and allied health professionals.
- Work flexibly to relieve colleagues and rotate across boroughs as required by the service demand.
Mentorship & Professional Development
- Provide informal and formal line management support to colleagues.
- Stay current with primary and secondary healthcare developments, incorporating best practices into patient care.
- Uphold CNWL’s governance standards, quality assurance frameworks, and SCARF principles (Safe, Accountable, Reflective, Flexible).
- Uphold NMC standards for nursing conduct, performance, and ethics.
Patient & Carer Support
- Offer health education, guidance, and emotional support to patients and carers.
- Foster strong rapport and interpersonal skills in a diverse, multi-cultural setting.
Qualifications & Experience
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Essential Criteria
✅ Current registration with the Nursing and Midwifery Council (NMC). ✅ Bachelor’s degree (or equivalent) or expected completion date. ✅ Experience in case management and coordinating acute care plans—preferably in Paramedic, Urgent Care Centres (UCC), ITU, AMU, MAU, CCU, or A&E settings. ✅ Proven acute disease management, crisis care, and the ability to direct/provide patient care independently and collaboratively. ✅ Familiarity with community-based nursing.
Desirable Criteria
🔹 Teaching or mentorship qualifications (e.g., ENB 998 or an equivalent workplace assessor qualification). 🔹 Experience supporting frail patients with complex care needs. 🔹 Demonstrated ability to educate multi-disciplinary teams in disparities courses.
Why Join CNWL?
✔ Impactful Work – Confront hospital admissions, improve patient outcomes, and foster community resilience. ✔ Diverse Opportunities – Grow within across NHS services including mental health, addictions, learning disabilities, or eating disorders. ✔ Leadership Support – We nurture excellence and invest in your career through continuous professional development. ✔ Career Growth – From junior staff to future leaders; progression opportunities are abundant. ✔ Our Values – You’ll be part of a dynamic, multi-cultural, and progressive organisation committed to compassionate, top-tier healthcare.
Join us and be the difference to patients illing the halfway between independent living and hospital care. Apply now and become part of the future of patient-centred hospital-level care in the community.
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