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:
1. 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.
2. Assessment & Care Planning: Undertake comprehensive assessments for patients with acute and complex conditions, co-developing personalised treatment and escalation plans.
3. 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.
4. Early Intervention & Prevention: Work closely with UCR teams to provide timely intervention for patients at risk of admission, supporting safe alternatives to hospital attendance.
5. Integrated Care Coordination: Collaborate with hospital, community, and primary care colleagues to ensure continuity and safe transitions between care settings.
6. Education & Quality Improvement: Support service development, mentorship, and continuous improvement initiatives to strengthen the integrated community care model.
Key Skills & Experience
7. Experience in acute medicine, frailty, respiratory, cardiology, geriatrics, emergency care, or general practice with urgent/community care exposure.
8. Demonstrated ability to assess, treat, and manage patients in community or out-of-hospital settings.
Working for our organisation
We have 10,000 fantastic people working hard to deliver quality services to our patients. Whatever your role, you help look after 370,000 people in our local area & give specialist care to 1.5 million people across Lancashire & Cumbria.
Working with us gives you the knowledge and sense of pride that every activity you do genuinely does make a difference to support our patients & staff, ensuring we keep thriving & delivering outstanding healthcare right across our local towns.
You’ll have access to varied development opportunities, learn new skills, meet fab people & do things you’d never have done. You’ll learn about working in a hospital, interacting with people from all different roles to build skills & enhance your career path.
You’ll make an impact, be challenged to think differently, be bold & help innovate to keep improving things. Everything we do centres around patient care which means your role is pivotal and something really to be proud of.
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
Person specification
Qualifications
Essential criteria
9. Full GMC Registration and Licence to Practice
10. CCT/CESR or Associate Specialist Experience in either Emergency Medicine, Acute Medicine Elderly Care, General Internal Medicine or GP with interests in Acute care.
11. Minimum 1 year NHS experience as GP or Consultant, or at a level equivalent with specialist registration.
12. Clinical experience in acute settings
Desirable criteria
13. Management and leadership qualification
Experience
Essential criteria
14. Experience in leading/ managing clinical services and MDTs
15. Knowledge and Understanding of clinical governance
Desirable criteria
16. Experience of change management/service design
17. Experience in delivering virtual/hybrid/community care