Consultant – Hospital at Home Service

Job overview

Lancashire Teaching Hospitals NHS Foundation Trust (LTHTR), in partnership with Lancashire & South Cumbria NHS Foundation Trust (LSCFT), is expanding our innovative Hospital at Home (H@H) model as part of our system-wide Community Urgent Care offer.

This service delivers hospital-level care directly to patients in their own homes, integrating with our Urgent Community Response (UCR) teams, Frailty, Respiratory, and Acute Medicine Virtual Wards (VW), and other community-based multidisciplinary teams. Our shared goal is to provide patients with safe, high-quality, person-centred care in the right place at the right time — avoiding unnecessary hospital admissions and supporting faster recovery.

The H@H and VW services bring together doctors, Advanced Clinical Practitioners (ACPs), Allied Health Professionals (AHPs), community nurses, pharmacists, and social care colleagues in a truly integrated team approach. Working collaboratively across organisational boundaries, we aim to ensure each patient receives coordinated, holistic care that meets their physical, psychological, and social needs.

We are seeking proactive and dynamic Consultants, GPs, or Specialty Doctors to lead and deliver clinical care within our expanding Hospital at Home service across Central Lancashire.

Main duties of the job

Some of the duties of the job include:

• Clinical Leadership: Provide senior medical leadership and decision-making within the Hospital at Home, Virtual Ward, and UCR services, ensuring safe, high-quality, person-centred care.

• Assessment & Care Planning: Undertake comprehensive assessments for patients with acute and complex conditions, co-developing personalised treatment and escalation plans.

• Clinical Triage & Treatment: Manage medical treatment and decision-making for patients at home, including those requiring IV therapy, oxygen therapy, or close monitoring for deterioration.

• Early Intervention & Prevention: Work closely with UCR teams to provide timely intervention for patients at risk of admission, supporting safe alternatives to hospital attendance.

• Integrated Care Coordination: Collaborate with hospital, community, and primary care colleagues to ensure continuity and safe transitions between care settings.

• Education & Quality Improvement: Support service development, mentorship, and continuous improvement initiatives to strengthen the integrated community care model.

Key Skills & Experience

• Experience in acute medicine, frailty, respiratory, cardiology, geriatrics, emergency care, or general practice with urgent/community care exposure.

• Demonstrated ability to assess, treat, and manage patients in community or out-of-hospital settings.

Detailed job description and main responsibilities

Please refer to the attached Job description, Person specification and Specialty/ Trust Brochure for further details on:

• What we can offer
• Job Plan/On-call Requirements
• The Team

Informal enquiries and requests to visit the Hospitals are welcome and should be made, following shortlisting, with Mr. Steve Canty, Medical Director and Silas Nicholls, Chief Executive (01772) 522692