Post 1 - Hospital at Home site Victoria Hospital / Hospital at Home Teams within commuity The Hospital at Home Teams within Fife provide a service for the frail elderly population (predominantly over 65yrs), which prevents acute hospital admission or facilitates early supported discharge where acute hospital admission has taken place. It allows people to have a period of “acute” medical care within their own home, which will in turn allow the person to recover from a period of illness without needing hospital admission. An exciting vacancy has arisen to join our H@H service in Fife. This post is part of the core Hospital at Home Service with the expectation of rotating in to the in-reach work within Victoria Hospital. This will involve being based within the acute hospital working closely with Frailty Team and Medicine of the Elderly Consultants. As part of the wider H@H service the post will include a rotation between in-reach and community H@H teams. This is a relatively new aspect of our Hospital at Home service and continues to evolve with the enthusiasm and initiative of the staff in post. The role focuses on supporting discharges and carrying out clinical assessments and ensuring a smooth transition for patients stepping down to the Hospital at Home Service as well as educating colleagues as to the role of the service. The successful Nurse Practitioner will be required to deliver a high standard of safe and effective acute medical patient care within mainly the acute setting but also supporting the wider Hospital at Home service in the community as required. They must have the ability to work autonomously in this evolving aspect of the service and must have a qualification at degree level in clinical decision making and the desire and ability to work towards an NMP qualification. The additional skills of venepuncture, ECG, IV additives and cannulation will be required also for this role. Excellent communication, confidence and good degree of assertiveness and time management skills are essential in this role. The ability to travel within the area in a timely manner is also required to be able to support the wider Hospital at Home service and be able to respond to deteriorating patients and provide daily routine clinical interventions in the community. This posts involves 7 day working covering 08:00 – 18:30 and is based within the Victoria Hospital. The H@H main service operates from 08:00 – 22:00. On appointment you will spend a minimum period of 3 months based within the community Hospital at Home teams to build knowledge and skills around service provision prior to being based within the acute site. For informal enquiries, please contact Jill Dow ICASS Manager on 01592 729555 or Connie Henderson Lead ANP on 07483148014. Post 2 - Adamson Hospital Cupar (East) An opportunity has arisen within our Hospital at Home service for a highly experienced Nurse Practitioner to join our Glenrothes and North East Fife Team (East) based at Adamson Hospital. This role will support the H@H team to deliver safe, effective and person centred care to patients within the primary care setting. The role will predominantly focus on the Urgent and Unscheduled Care needs of the older adult population and the complex treatment and management of acutely unwell, palliative or frail patients including: nursing and care home residents. It is recognised that as people live longer, services and the way we work together has to change if we are to continue to meet the needs and aspirations of our communities. In Fife Health and Social Care Partnership there is a recognition that having staff with the right knowledge and skills within the community is required to support patients to live long and healthy lives in their own home or in a homely environment. Nurse Practitioners must hold Clinical assessment and Decision Making module and preferably also completed (Level 11) Non-Medical prescribing. Trainee Nurse Practitioner applicants will be on an annex 21 until they have completed as competent as clinical decision making. You should have excellent communication skills and be able to work as a member of the wider Health and Social Care Team with the ability to work autonomously utilising your own initiative, clinical judgement and decision making. As this is a community post you will also be required to travel across Fife in a timely manner to attend to acutely unwell patients. For informal enquiries, please contact Connie Henderson Lead ANP at connie.henderson2@nhs.scot or Carol.galloway@nhs.scot. Please indicate clearly within your supporting information which post you are applying for. NHS Fife is legally obliged to ensure all its employees are legally entitled to work in the United Kingdom. If you are not a United Kingdom (UK) or Irish National, you are required to confirm your right to work in your application. To work in the United Kingdom, there is a legal requirement for an individual to demonstrate that they have the relevant permission to work in the country. This permission is, without exception, granted by the UK Visa and Immigrations Service. As part of the pre-employment checks for a preferred candidate, NHS Scotland Boards will check your entitlement to work in the UK. It can be evidenced through a number of routes including specific types of visa as well as EU settled and pre-settled status. To find out more about these routes of permission, please refer to the GOV.UK website here. For specific types of post, if you do not have the necessary eligibility to work in the UK, it might be possible (though not guaranteed) to secure sponsorship via a UK Skilled Worker/Health & Care Worker Visa. However, this is only possible if the employer is a licenced Sponsor, and if the post does not fall below the current minimum salary threshold or ‘going rate’. Further information on these criteria can be found here. It is ESSENTIAL that you have checked that you either already have an appropriate right to work in the UK or that the post would be eligible to be sponsored BEFORE submitting your application form. Due to legislative changes from 1 April 2025, this post may require a different level of criminal records check done than is currently the case. If the post is assessed as a "regulated role", your appointment will be subject to joining the Protecting Vulnerable Groups (PVG) Scheme. If there is any change to what is currently required, this will be confirmed by either the Hiring Manager or the Recruitment Team. For more details on these changes please visit: Disclosure Scotland Changes. We offer flexible working and family-friendly policies and fully support disabled candidates, and candidates with long-term conditions or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices. NHS Scotland is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best. To this end, NHS Scotland welcomes applications from all sections of society.