# Senior Community Nurse Hospital at Home- Urgent Care Response > NHS job listing from Job Clerk for Central and North West London NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/senior-community-nurse-hospital-at-home-urgent-care-response/3474aa2d-4c01-4cc5-97de-903aaef365b6 - **Markdown:** https://www.jobclerk.com/job/senior-community-nurse-hospital-at-home-urgent-care-response/3474aa2d-4c01-4cc5-97de-903aaef365b6.md ## Summary - **Status:** Live - **Employer:** Central and North West London NHS Foundation Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Nurse (community and district) - **Grade:** Band 6 - **Salary:** £45,953 - £54,254 pa pro rata if part time - **Contract type:** 2 Permanent and 1 Fixed Term - **Employment type:** Full time - 37.5 hours per week (shift patterns for a 7 day service) - **Closing date:** 2026-07-16T23:59:00.000Z - **Posted:** 2026-07-02T12:52:18.781Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Uxbridge/Central_North_West_London_NHS_Foundation_Trust/Community_Urgent_Care/Community_Urgent_Care-v8127707 - **Application URL:** https://apps.trac.jobs/job-advert/8127707?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.cnwl.nhs.uk ## Job Content ### Job overview This post offers an excellent opportunity to join our growing Hospital at Home (H@H) service as a Band 6 Nurse / Paramedic, working as part of a skilled and supportive multidisciplinary team delivering hospital-level care to patients within their own homes. At CNWL we are committed to being inclusive, compassionate and respectful in everything we do, and this role reflects those values at every point of patient contact. Operating as an integral part of the Urgent Community Response (UCR) pathway, the post holder will contribute to the safe management of patients who would otherwise require an acute hospital admission, supporting both admission avoidance and early supported discharge for the borough of Hillingdon. This is an excellent opportunity for a motivated clinician to develop your practice within an innovative, forward-thinking service that places Wellbeing for Life at the heart of everything we do. ### Main duties of the job The post holder will carry out comprehensive clinical assessments, deliver evidence-based interventions, and actively contribute to daily MDT reviews for patients admitted to the Hospital at Home pathway. You will manage a defined caseload of patients with complex and acute needs, including those with frailty, and will be expected to make confident clinical decisions, escalating appropriately to senior clinicians and the Senior Clinical Decision Team where required. In keeping with CNWL's SCARF framework, you will demonstrate safe, accountable and reflective practice, adapting to the varied and fast-paced nature of community-based acute care to ensure patients receive timely, effective treatment in the right place at the right time. The role requires you to develop and maintain a broad range of clinical competencies including independent assessment in the home environment, use of digital monitoring tools, point of care testing, cannulation, IV therapy administration, catheter care, and frailty management. You will work in close partnership with GPs, acute hospital teams, pharmacy, social care and community nursing living CNWL's value of partnership to ensure patients experience a seamless episode of care. ### Detailed job description and main responsibilities To assess, plan, implement and provide evaluation of health care needs in conjunction with patients, their carer’s and other appropriate members of the multi professional team. - To have agreed areas of responsibility and work as part of the team. - To provide nursing care to patient in the community - To see patients with potentially undifferentiated diagnosis including; objective assessment, physical assessment, treatment, follow-up and developing care plans. - To ensure all patients on the caseload are managed well and discharged safely either to their GP or for further ongoing assessment, rehabilitation treatment and care. - To be responsible for keeping up to date with current issues and events in Primary and Secondary Health Care - Liaising with community services partners - To be an active member of the team and the teams development. - To provide support and health education for patients and carers through effective interpersonal skills. - To comply with professional codes of conduct. - To be able to work flexibly and relieve colleagues/rotate across the three boroughs as required and requested by the line manager to meet the needs of the service. - To ensure that own mandatory training is kept up to date in line with Trust policies. Post holder will undertake delegated line management of staff, both informal and formal basis ## Job Details This post offers an excellent opportunity to join our growing Hospital at Home (H@H) service as a Band 6 Nurse / Paramedic, working as part of a skilled and supportive multidisciplinary team delivering hospital-level care to patients within their own homes. At CNWL we are committed to being inclusive, compassionate and respectful in everything we do, and this role reflects those values at every point of patient contact. Operating as an integral part of the Urgent Community Response (UCR) pathway, the post holder will contribute to the safe management of patients who would otherwise require an acute hospital admission, supporting both admission avoidance and early supported discharge for the borough of Hillingdon. This is an excellent opportunity for a motivated clinician to develop your practice within an innovative, forward-thinking service that places Wellbeing for Life at the heart of everything we do. ## Job Description The post holder will carry out comprehensive clinical assessments, deliver evidence-based interventions, and actively contribute to daily MDT reviews for patients admitted to the Hospital at Home pathway. You will manage a defined caseload of patients with complex and acute needs, including those with frailty, and will be expected to make confident clinical decisions, escalating appropriately to senior clinicians and the Senior Clinical Decision Team where required. In keeping with CNWL's SCARF framework, you will demonstrate safe, accountable and reflective practice, adapting to the varied and fast-paced nature of community-based acute care to ensure patients receive timely, effective treatment in the right place at the right time. The role requires you to develop and maintain a broad range of clinical competencies including independent assessment in the home environment, use of digital monitoring tools, point of care testing, cannulation, IV therapy administration, catheter care, and frailty management. You will work in close partnership with GPs, acute hospital teams, pharmacy, social care and community nursing living CNWL's value of partnership to ensure patients experience a seamless episode of care. ## Responsibilities To assess, plan, implement and provide evaluation of health care needs in conjunction with patients, their carer’s and other appropriate members of the multi professional team. To have agreed areas of responsibility and work as part of the team. To provide nursing care to patient in the community To see patients with potentially undifferentiated diagnosis including; objective assessment, physical assessment, treatment, follow-up and developing care plans. To ensure all patients on the caseload are managed well and discharged safely either to their GP or for further ongoing assessment, rehabilitation treatment and care. To be responsible for keeping up to date with current issues and events in Primary and Secondary Health Care Liaising with community services partners To be an active member of the team and the teams development. To provide support and health education for patients and carers through effective interpersonal skills. To comply with professional codes of conduct. To be able to work flexibly and relieve colleagues/rotate across the three boroughs as required and requested by the line manager to meet the needs of the service. To ensure that own mandatory training is kept up to date in line with Trust policies. Post holder will undertake delegated line management of staff, both informal and formal basis ## Person Specification ### clinical **Essential** - Evidence of acute disease management and crisis care - Evidence of ability to direct and coordinate programmes of care working autonomously and collaboratively **Desirable** - Evidence of ability to communicate both verbally and in writing at all levels in a multidisciplinary forum and with patients and carers ### role requirement **Essential** - Current registration with NMC, - Experience of case management and care co-ordination **Desirable** - Mentorship or teaching qualification equivalent to ENB 998 / work place assessor ### essential to role **Essential** - Registered Nurse Level 1 with current registration with the NMC - Experience in Community **Desirable** - Substantial post registration experience (Preferably in Paramedic care, UCC, ITU, AMU, MAU, CCU or A&E) ### essential to role questions **Essential** - Bachelor’s Degree (or working towards) - Substantial post registration experience (Preferably in Paramedic care, UCC, ITU, AMU, MAU, CCU or A&E) **Desirable** - Mentorship or teaching qualification equivalent to ENB 998 / work place assessor ## Documents - [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162) - [cnwl staff charter (pdf, 684.7kb)](https://www.healthjobsuk.com/documents?edoc=2868) - [cnwl staff networks (pdf, 320.0kb)](https://www.healthjobsuk.com/documents?edoc=1160) - [jd band 6 hospital at home (pdf, 224.4kb)](https://www.healthjobsuk.com/documents?vdoc=10424616) - [cnwl reward and wellbeing handbook 2020 (pdf, 1.1mb)](https://www.healthjobsuk.com/documents?edoc=1773) - [cnwl culture scarf behaviour framework (pdf, 710.2kb)](https://www.healthjobsuk.com/documents?edoc=2869) - [accommodation information for new starters (pdf, 120.6kb)](https://www.healthjobsuk.com/documents?ddoc=2438) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.