Job summary
Surrey Downs Health & Care
Working across organisational boundaries and as an integral part of the Surrey Downs Health and Care System, the integrated health and care team will be responsible for providing Urgent community Response, enhanced, short term health and care support for people who would otherwise need emergency hospital admission as well for as those medically stable to return home from an acute hospital but requiring enhanced short term support as one stage in their on-going care pathway. The Home First Service operates as a 7 day service.
The post-holder is an experienced nurse who, acting within their professional boundaries will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, clinical decision-making and expert care including assessment and diagnostic skills, for patients within the Home First Service. The post-holder will demonstrate critical thinking in the clinical decision-making process. They will work collaboratively with the Clinical Lead and ACPs and the whole team to meet the needs of patients, supporting the delivery of policy and procedures, providing nursing leadership.
Main duties of the job
To deliver expert, specialist service for adults with complex health and social needs who may be benefit from, or who are under the care of, the Home First Service.
To coordinate a seamless service through the development of enhanced interdisciplinary team processes and communication, within the Home First Service and across the wider Surrey Downs Health and Care whole system.
To empower patients and carers to make informed decisions regarding their goals and outcomes and the care they will receive to support them to meet these.
To support the development and evaluation of clinical protocols and systems of inter-agency documentation to enhance both continuity and the standards of care.
To understand and apply the Mental Capacity Act in regard of mental capacity in decision making and appropriate application of Deprivation of Liberty requirements and working with other agencies within the Safeguarding framework.
To attend meetings as required including deputising for the Lead Nurse and Clinical Manager as requested.
To develop close links with the wider community to enhance both care for individual patients and the wider development of Epson Health and Care.
To attend meetings as required including deputising for the Lead Nurse and Clinical Manager as requested.
About us
Surrey Downs Health and Care deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations.
Surrey Downs Health and Care has a track record of providing person centered care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:
* The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area
* Epsom and St Helier's University Hospitals NHS Trust
* Surrey Council County
Historically, there have been boundary lines between the organisations that provide care to people in their homes, in GP surgeries and in hospitals, but we have always been united in our mission to provide great care to the people who need us.
It's on those grounds that the Surrey Downs Health and Care was formed - we want local people to receive the care that they need in the right environment. By bringing together our expertise, we can improve patient care and enable local people to access the right support, care and treatment more easily than ever before.
In bringing this partnership together, we are working to the same set of values that will translate into better care for our residents.
Details
Date posted
16 February 2026
Pay scheme
Agenda for change
Band
Band 6
Salary
£44,485 to £52,521 a year Pro Rata Per Annum inc Outer HCAS
Contract
Permanent
Working pattern
Full-time
Reference number
343-SDH&C
Job locations
Epsom General hospital and Community
Epsom
KT187EG
Job description
Job responsibilities
For a detailed understanding of the role, its responsibilities, and the required qualifications, please refer to the attached Job Description and Person Specification. These documents provide comprehensive information about the key duties, expectations, and essential criteria for the position. We encourage you to review them carefully to ensure you meet the necessary qualifications and experience required for this role. If you have any questions or require further clarification after reviewing the documents, please do not hesitate to reach out. We appreciate your interest in this opportunity and look forward to receiving your application.
Job description
Job responsibilities
For a detailed understanding of the role, its responsibilities, and the required qualifications, please refer to the attached Job Description and Person Specification. These documents provide comprehensive information about the key duties, expectations, and essential criteria for the position. We encourage you to review them carefully to ensure you meet the necessary qualifications and experience required for this role. If you have any questions or require further clarification after reviewing the documents, please do not hesitate to reach out. We appreciate your interest in this opportunity and look forward to receiving your application.
Person Specification
Qualifications
Essential
* Nursing qualification
* Evidence of continued professional development post registration
* Professional registration
* NMC Adult Nursing Registration
Experience
Essential
* Post registration experience
* Evidence of experience of multi-disciplinary working
* Clinical Examination skills
Skills
Essential
* Specialist skills and experience in medical nursing and Clinical examination skills
* IT Skills
Other
Essential
* Car owner/driver insured for business use
Person Specification
Qualifications
Essential
* Nursing qualification
* Evidence of continued professional development post registration
* Professional registration
* NMC Adult Nursing Registration
Experience
Essential
* Post registration experience
* Evidence of experience of multi-disciplinary working
* Clinical Examination skills
Skills
Essential
* Specialist skills and experience in medical nursing and Clinical examination skills
* IT Skills
Other
Essential
* Car owner/driver insured for business use
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom General hospital and Community
Epsom
KT187EG
Employer's website
(Opens in a new tab)
Employer details
Employer name
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom General hospital and Community
Epsom
KT187EG
Employer's website
(Opens in a new tab)