Team Lead - Hospital at Home Service

Job summary
An exciting opportunity has arisen for an experienced and motivated Registered Nurse or HCPC Registered Paramedic to join Hertfordshire Community NHS Trust as a Band 7 Team Leader within our Hospital at Home Service.

Hospital at Home provides safe, responsive and high-quality care to patients in their usual place of residence. The service supports the prevention of avoidable hospital admissions and facilitates earlier discharge by providing assessment, treatment, monitoring and ongoing clinical review for patients with acute illness, frailty, long-term conditions, palliative care needs and other complex presentations.

The post holder will provide visible clinical and operational leadership across the Hospital at Home, Remote Monitoring and Home Health Monitoring pathways. Working closely with medical colleagues, nursing and paramedic staff, therapists, pharmacists, Integrated Neighbourhood Teams, GP practices and other system partners, the Team Leader will help ensure that patients receive coordinated, evidence-based and person-centred care.

This is a varied role combining advanced clinical practice with operational coordination, staff leadership, workforce management, clinical governance and service development.

The role is based at Abel Smith House in Stevenage and requires flexible working across a seven-day service and weekends.

Proposed interview date: 17th November 2026

Main duties of the job
The Team Leader will provide clinical and operational leadership for the Hospital at Home Service, supporting safe patient flow, effective use of service capacity and the day-to-day deployment of the workforce.
The post holder will:

• Triage complex referrals and undertake clinician-to-clinician discussions to support safe admission to, movement within and discharge from Hospital at Home pathways.
• Undertake and support advanced, holistic patient assessment, using clinical observations, available investigation results and professional judgement to identify deterioration and help formulate appropriate management plans.
• Coordinate the Hospital at Home, Remote Monitoring and Home Health Monitoring caseloads, balancing patient acuity, service capacity, staffing and competing priorities.
• Provide clear clinical and operational direction to staff and escalate risks or concerns appropriately.
• Participate in multidisciplinary meetings, case discussions and virtual or face-to-face ward rounds.
• Provide visible day-to-day leadership and line management to an identified group of staff.
• Support staff supervision, appraisal, wellbeing, competency assessment, performance management and professional development.
• Lead or contribute to clinical audit, quality improvement, service evaluation, incident learning and clinical governance activity.

About us
A big thank you for considering joining us at Hertfordshire Community NHS Trust. You'll find it a great place to work with many benefits offered to you as a member of our staff. We put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities. Our staff are proud to be Caring, Pioneering and Inclusive in their work to help achieve the Trust vision. We welcome diversity in our workforce and are interested in applicants from all backgrounds and ages.

Details
Date posted: 26 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 812-26-JR-H@H-TL-A
Closing date: 06 November 2026

Job responsibilities
Please see the Job Description for main responsibilities. The post holder will be required to:

• Work virtually, from clinical bases and in patients homes.
• Work flexibly across a seven-day service, including evenings and weekends.
• Adapt to an unpredictable and changing working environment.
• Manage competing demands, interruptions and time-critical clinical or operational decisions.
• Respond to emotionally demanding situations, including clinical deterioration, palliative care and end-of-life care.
• Hold a full valid UK driving licence and have access to a vehicle with business insurance, unless a reasonable adjustment applies under the Equality Act 2010.

HCT will prioritise recruitment of workers living in England under the new immigration rules for care workers effective from 9 April 2025. Employers must first prove that they have attempted to recruit a worker from within England who needs new sponsorship. This ensures that those who came to the UK to pursue a career in adult social care can do so.

Person Specification
Essential

• Registered Nurse or HCPC Registered Paramedic with significant post-registration clinical experience in community, urgent, primary or acute care.
• Strong clinical assessment and decision-making skills, with the ability to recognise deterioration, manage complex patients and appropriately escalate concerns.
• Clinical leadership and management experience, including supporting staff, coordinating services and managing changing clinical and operational priorities.
• Excellent communication and multidisciplinary working skills, with the ability to build effective relationships with patients, carers, GPs, Integrated Neighbourhood Teams and wider health and care partners.

Desirable

• Independent Non-Medical Prescriber, or willingness to undertake the qualification where appropriate to the role and profession.
• Experience of audit, quality improvement or service development, ideally within community, urgent care or a Hospital at Home/virtual care environment.
• Experience of working within a Hospital at Home, Virtual Ward, urgent community response or similar integrated care service.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Hertfordshire Community NHS Trust
Address: Abel Smith House, Gunnels Wood Road, Stevenage, SG1 2ST, United Kingdom
Employer's website: https://www.hct.nhs.uk

For questions about the job, contact:
Operational Lead for Hospital at Home, Jessica Rich, jessica.rich3@nhs.net, 07786334470

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