Package Description
* Band 7 AfC Salary with NHS Pension and full Agenda for Change terms and conditions
* Membership of My Reward Hub, giving you access to discounts on everyday purchases such as grocery shopping, cashback and voucher offers for yourself and those you care about
* Access to your wages as you earn them to help cover life’s emergencies and avoid overdraft fees or high interest rates
* Online and face‑to‑face support for mental and physical wellbeing – from healthy recipes and activity challenges to post‑trauma support, legal, debt and life management assistance, as well as career coaching and counselling
* Access to eLearning, bespoke career pathways and opportunities for continuing professional development through our ‘Outstanding’ learning and development team, The Learning Enterprise
* An open, just culture where you’re encouraged to have and implement ideas that help deliver our purpose: changing lives through transforming health and care – backed up by at least £100,000 of ringfenced innovation funding each year
* The pride of working for an organisation committed to the highest clinical and quality standards: with the majority of our rated services holding “good” or “outstanding” ratings from the Care Quality Commission
Job Introduction
We have an exciting opportunity for a Band 7 Enhanced Clinical Practitioner (ECP) who will join our Hospital at Home team based at Swindon Integrated Care Centre (SwICC). The role involves delivering care within patients’ homes across Swindon, with the possibility of working across the broader BaNES, Swindon and Wiltshire footprint as part of the integrated approach.
As an ECP you will be a key member of the Step‑up Clinical Team, primarily focused on preventing avoidable hospital admissions and supporting early discharge from acute settings. You will work collaboratively with multidisciplinary teams, helping patients who would traditionally require inpatient care to receive acute, multidisciplinary treatment in the comfort of their own homes.
Main Responsibilities
Work closely within a multidisciplinary Hospital at Home team, building strong relationships with colleagues across Care Coordination, Therapies, Nursing, and partner teams throughout the BaNES, Swindon and Wiltshire locality.
Contribute to the ongoing development of patient pathways, ensuring care is well coordinated from referral through to discharge.
Provide clinical leadership and hands‑on support for the assessment, management, and treatment of patients in community settings, with a particular focus on Urgent Community Response (UCR) referrals.
Coordinate the Hospital at Home clinical caseload, coordinating specialist, person‑centred care across primary, secondary, acute, and social care.
Support colleagues through supervision, development, and collaborative working, acting as a positive role model for safe and effective practice.
Contribute to service development through audit, learning, and reflective practice, supporting continuous improvement and a positive learning environment for colleagues and students.
The Ideal Candidate
Essential
* Current registration with the NMC or HCPC
* Recognised teaching or mentorship qualification
* Significant proven experience in elderly care, frailty, community services or relevant acute care speciality
* Significant proven assessment experience in urgent/acute care/accredited advanced clinical assessment qualification
* Clinical and technical skills in managing a range of clinical conditions
* Proven skills in managing complex patient/service user caseloads
* Experience of working as part of a multidisciplinary team
* Excellent written and verbal communication skills
* Self‑motivated and flexible with ability to work autonomously with minimal supervision
* Strong judgement and analytical skills, with the ability to interpret complex situations and make appropriate decisions
* Ability to adapt to the demands of a constantly changing environment
* Good IT skills and knowledge of clinical systems
* Significant proven experience of leading and supporting a multidisciplinary community team
* Training in clinical supervision and/or leadership skills
* Experience in implementing change
* Educated to degree level or equivalent in experience/knowledge
* Current Independent prescribing qualification (or working towards) with proven experience in supporting prescribing/treating frail older adults
* Clean driving licence, car driver, access to a vehicle for daily use
Desirable
* Involvement in relevant clinical interest groups
* Experience of clinical audit, research and understanding quality
We’re committed to equal opportunities and welcome applications from a broad, diverse range of people who want to join our team.
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