Job summary
Are you an experienced, dynamic and compassionate clinical leader looking to shape the future of urgent community care? We are seeking an exceptional Lead Nurse to join our expanding Hospital at Home service -- a pioneering model delivering hospital-level care in the comfort of patients' own homes.
You will provide expert clinical leadership across the Hospital at Home service, ensuring safe, effective and person-centred care for adults with acute and complex needs. Working as part of a triumvirate leadership model, you will collaborate with operational and medical leads to drive quality, innovation and workforce development.
This pivotal senior role will influence our strategic direction, champion clinical excellence, and support the continued transformation of community-based urgent and acute care.
You will be:
* A registered nurse with substantial post-registration experience, including managing complex clinical caseloads
* An inspiring leader with experience supporting diverse multidisciplinary teams
* Confident in high-acuity decision-making and risk management in community or acute settings
* Passionate about transforming care and enabling people to receive safe, effective treatment at home
* Able to influence, motivate and shape a positive culture across a growing workforce
If you are passionate about delivering outstanding care, driving innovation, and leading the future of Hospital at Home in Hertfordshire, we would love to hear from you. **In line with the Trust's Organisational Change Management Policy, priority consideration will be given to employees who have been identified as at-risk**
Main duties of the job
* Provide visible clinical leadership to nursing teams across all localities
* Ensure high standards of assessment, clinical decision-making and personalised care planning
* Lead on quality improvement, governance and patient safety across the service
* Work collaboratively with GPs, ACPs, therapists, paramedics and system partners
* Support delivery of pathways including frailty, respiratory, heart failure, infection management and 2-hour UCR response
* Drive clinical supervision, competency frameworks and professional development
* Contribute to service strategy, workforce planning and innovation
* Represent the service at Trust-level governance and system-wide meetings
* Promote a culture of empowerment, accountability and continuous improvement
About us
A big thank you for considering joining us at Hertfordshire Community NHS Trust
You'll find it a great place to work with many benefits offered to you as a member of our staff
We put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities
Our staff are proud to be Innovative, Caring and Agile in their work to help achieve the Trust vision
We welcome diversity in our workforce and are interested in applicants from all backgrounds and ages
We don't want you to miss out so we'd like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible - Apply now
You've made a great decision to apply to join to HCT - we're looking forward to taking the next steps of the journey with you.
You can apply to Access to Work to get money for communication support at a job interview - please use this link for more information: need to apply before the interview takes place.
Details
Date posted
10 February 2026
Pay scheme
Agenda for change
Band
Band 8a
Salary
£55,690 to £62,682 a year per annum, pro rata
Contract
Permanent
Working pattern
Full-time
Reference number
812-26-CR-NLHH
Job locations
Abel Smith House
Gunnels Wood Road
Stevenage
SG1 2ST
Job description
Job responsibilities
You will be working in close partnership with the Clinical and Operational Lead as part of the Hospital @Home Triumvirate to ensure resources are utilised effectively while delivering high-quality, safe, and efficient care to patients in their homes across East and North Hertfordshire.
You will lead with proactivity, compassion, and collaboration, providing visible clinical leadership across the system. Your role will ensure that robust systems and processes are in place to meet strategic objectives and drive continuous improvement in service delivery.
Role summary:
- Leading the nursing workforce, including triage and remote monitoring teams
-Collaborating with locality managers to optimize face-to-face care delivery
-Shaping service transformation through proactive care models and integrated pathways
- Overseeing recruitment, retention, and professional development of clinical staff
- Promoting innovation, quality improvement, and best practice in patient care
- Building strong partnerships with stakeholders and representing Hospital @Home at system-level forum
-Ensuring compliance with governance, policy updates, and continuous performance improvement
Role Accountabilities:
- Provide visible, proactive nursing leadership within the Hospital @Home Triumvirate, ensuring safe, high-quality care and contributing to the strategic direction of the service
-Line manage the nursing triage team and remote monitoring lead, supporting recruitment, retention, induction, job planning, appraisals, and professional development
- Collaborate with locality managers to optimize nursing workforce deployment for face-to-face care within the Hospital @Home pathway
- Maintain accountability for clinical governance in partnership with the Clinical Director, ensuring compliance with policies, pathways, and quality standards
- Drive innovation and integration across urgent and emergency care services, implementing proactive care models and supporting continuous improvement
- Build strong partnerships with internal and external stakeholders, represent Hospital @Home at system-level forums, and share best practice to influence service development
- Promote quality improvement using the Trusts Quality Wheel process, oversee audit planning, and ensure clinicians actively participate in performance reviews
- Foster a positive working environment that prioritizes health, wellbeing, and safety for all staff
- Act promptly when professional standards fall short, managing employee relations matters in line with Trust policies and supporting staff through coaching and mentoring
- Maintain personal and professional development, encourage staff training, and embed a culture of learning and improvement
Job description
Job responsibilities
You will be working in close partnership with the Clinical and Operational Lead as part of the Hospital @Home Triumvirate to ensure resources are utilised effectively while delivering high-quality, safe, and efficient care to patients in their homes across East and North Hertfordshire.
You will lead with proactivity, compassion, and collaboration, providing visible clinical leadership across the system. Your role will ensure that robust systems and processes are in place to meet strategic objectives and drive continuous improvement in service delivery.
Role summary:
- Leading the nursing workforce, including triage and remote monitoring teams
-Collaborating with locality managers to optimize face-to-face care delivery
-Shaping service transformation through proactive care models and integrated pathways
- Overseeing recruitment, retention, and professional development of clinical staff
- Promoting innovation, quality improvement, and best practice in patient care
- Building strong partnerships with stakeholders and representing Hospital @Home at system-level forum
-Ensuring compliance with governance, policy updates, and continuous performance improvement
Role Accountabilities:
- Provide visible, proactive nursing leadership within the Hospital @Home Triumvirate, ensuring safe, high-quality care and contributing to the strategic direction of the service
-Line manage the nursing triage team and remote monitoring lead, supporting recruitment, retention, induction, job planning, appraisals, and professional development
- Collaborate with locality managers to optimize nursing workforce deployment for face-to-face care within the Hospital @Home pathway
- Maintain accountability for clinical governance in partnership with the Clinical Director, ensuring compliance with policies, pathways, and quality standards
- Drive innovation and integration across urgent and emergency care services, implementing proactive care models and supporting continuous improvement
- Build strong partnerships with internal and external stakeholders, represent Hospital @Home at system-level forums, and share best practice to influence service development
- Promote quality improvement using the Trusts Quality Wheel process, oversee audit planning, and ensure clinicians actively participate in performance reviews
- Foster a positive working environment that prioritizes health, wellbeing, and safety for all staff
- Act promptly when professional standards fall short, managing employee relations matters in line with Trust policies and supporting staff through coaching and mentoring
- Maintain personal and professional development, encourage staff training, and embed a culture of learning and improvement
Person Specification
NMC Registration and Experience
Essential
* NMC Registered
* Experience in Community Setting
* 2 yrs experince in a senior clinical role
Desirable
* Previouse experience in and emergency care setting or virtual ward
Qualifications
Essential
* Degree or Equivalent Experience
Leadership and Management
Essential
* Evidence of leadership experience
* Evidence of leading a team including recruitment and staff development
Desirable
* Leadership Qualification
Clinical Quality
Essential
* Evidence of delivering a quality improvement project
* Experince of audit, pathway and policy develeopment
Person Specification
NMC Registration and Experience
Essential
* NMC Registered
* Experience in Community Setting
* 2 yrs experince in a senior clinical role
Desirable
* Previouse experience in and emergency care setting or virtual ward
Qualifications
Essential
* Degree or Equivalent Experience
Leadership and Management
Essential
* Evidence of leadership experience
* Evidence of leading a team including recruitment and staff development
Desirable
* Leadership Qualification
Clinical Quality
Essential
* Evidence of delivering a quality improvement project
* Experince of audit, pathway and policy develeopment
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
Hertfordshire Community NHS Trust
Address
Abel Smith House
Gunnels Wood Road
Stevenage
SG1 2ST
Employer's website
(Opens in a new tab)
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Employer details
Employer name
Hertfordshire Community NHS Trust
Address
Abel Smith House
Gunnels Wood Road
Stevenage
SG1 2ST
Employer's website
(Opens in a new tab)
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