Adult Hospital At Home Nurse | Royal Free London NHS Foundation Trust


Company:	Royal Free London NHS Foundation Trust
Salary:	£45,953 - £54,254 Per Annum Including HCAS
Hours:	Full-time
Location:	London, N18 1QX
Job type:	Permanent
Posting date:	9 Sept 2026
Closing date:	9 Oct 2026

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Summary

The post holder is employed by Royal Free London NHS Foundation Trust and primarily based at North Middlesex University Hospital. As a member of the Adult Hospital @ Home (AH@H) service, you will be a skilled and adaptable nurse, contributing to both the Community Admission Avoidance and Accelerated Discharge pathways. Your ability to make timely, high‑quality clinical decisions will directly support patient recovery and wellbeing.

The AH@H service aims to deliver early supported discharge, admission avoidance, and ongoing treatment within patients’ own homes, ensuring safe, effective care in the community.

This includes reviews of adults experiencing worsening medical or functional conditions in their usual place of residence and works closely with wider community services to prevent clinical deterioration and avoid acute hospital admission.

As a Band 6 nurse, you will undertake complex, holistic assessments, deliver evidence‑based interventions, and exercise sound clinical judgement within your professional scope. You will provide high‑quality care, advice, and education to patients and carers, promoting independence and optimising quality of life.

You will be responsible for visiting patients requiring complex, time‑critical assessment and intervention to prevent avoidable admissions and support early discharge.

Referrals to the AH@H service may come from Rapid Response, Same Day Emergency Care (SDEC), Accident & Emergency, NMUH wards, Barnet Hospital, the Royal Free Hospital, and community sources including GPs, care homes, community nursing teams, and London Ambulance Service (LAS).

You are expected to demonstrate competence in Advanced Physical Assessment skills, and if not already completed, have a commitment to completing training qualification.

The role requires the ability to work autonomously, while also drawing on the expertise of colleagues across both primary and secondary care. You will contribute to a collaborative, multidisciplinary approach to delivering safe, responsive, and person‑centred care in the community.

Royal Free World Class Values

The post holder will offer World Class Care to service users, staff, colleagues, clients and patients alike so that everyone at the Royal Free can feel:

• Welcome all of the time

• Confident because we are clearly Communicating

• Respected and cared for

• Reassured that they are always in safe hands

1 CLINICAL RESPONSIBILITIES

1.1To undertake highly skilled and complex nursing care for patients suitable for AH@H in collaboration with the multidisciplinary team (MDT) through assessment, planning and evaluation of patient care.

1.2To make skilled clinical decisions and communicate the rationale clearly.

1.3To ensure that clinical practice is contemporary to meet the needs of patients and families.

1.4To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of equality, diversity and inclusion.

2. RESPONSIBILITY FOR PATIENTS

.1To deliver safe, effective, and timely nursing care to patients within their homes, which is individualised and ensures patients' and carers' dignity is maintained.

2.2To address the distressing and emotional needs of patients and carers in an exemplary manner.

2.3To manage complex patient care, ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate.

2.4To safeguard patients by adhering to clinical governance, infection control, and risk management standards

2.5 To advocate for patients’ needs, ensuring they receive appropriate interventions, referrals, and support across community and acute care pathways

3 RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT

3.1To be professionally and legally accountable for all work undertaken to work within the standards and guidelines of the AH@H, the Trust, and the NMC/HCPC Code.

3.2To maintain and update a Continuing Professional Development Portfolio (CPD) and undertake revalidation.

3.3To comply with Trust policies and procedures, and the Health and Safety at Work Act.

3.4 To evaluate your practice through audit and outcome measures with the support of senior colleagues when required. To participate in the AH@H Quality Improvement work

3.5To ensure effective implementation of infection control policies

3.6To participate in resource projects and health promotion programmes within the AH@H as requested

4 RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES

4.1To provide informal day-to-day support to AH@H colleagues and students.

4.2To work closely with the Community, Acute Trust, Doctors, GPs, nursing and therapy colleagues to prevent inappropriate hospital admissions.

4.3To manage the effective coordination and continuity of patient care, working within the AH@H service closely with external agencies and community colleagues, ensuring safe and effective delivery

4.4To ensure efficient use of clinical resources and equipment within the AH@H service.

5 RESPONSIBILITY FOR LEADING AND MANAGING

5.1Attend regular MDT meetings with consultants, Doctors, therapists and nurses.

5.2 To participate in the annual appraisal review.

5.3To comply with all mandatory training: fire, violence awareness, CPR, manual handling, child protection and safeguarding of vulnerable adults.

5.4To provide supervision, annual appraisal and monitoring of the work of junior colleagues and students with support from senior staff.

5.5To participate in gathering real-time feedback, contribute to audits, and evaluate service effectiveness to enhance patient outcomes.

6 RESPONSIBILITY FOR INFORMATION RESOURCES

6.1To ensure that accurate and evaluative records of patient care and statistics are maintained in accordance with the AH@H policy

6.2To be responsible for the safe use of all equipment

6.3To ensure that all equipment damaged, malfunctioning, accidents and complaints are reported to the team leader promptly.

7 RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT

7.1To participate in the in-service training, lectures and education programmes to other nurses, other disciplines and to visitors to the department.

7.2 To utilise opportunities to develop skills and knowledge, apply critical appraisal and keep up to date with current practice in the field and attend accredited courses and participate in education programmes for client groups

7.3 To actively participate in health promotion and health education initiatives within the Trust and in the community directorate.

GENERAL RESPONSIBILITIES

Infection Control

Infection control is everyone’s responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trust’s Infection Prevention and Control policies and procedures and the Health Act (2006) Code of Practice for the prevention and control of healthcare-associated infections and make every effort to maintain high standards of infection control at all times, thereby reducing the risk of Healthcare-Associated infections.

It is the duty of every member of staff to take personal responsibility for the prevention and control of infection, as laid down in the Trust’s polices and procedures, which reflect the statutory requirements of the Hygiene Code.

· To work in close collaboration with the Infection Control Team.

· To ensure that monitoring of clinical practice is undertaken at the agreed frequency.

· To ensure that the work environments are cleaned and maintained to the highest standards, ensuring that shortfalls are rectified or escalated as necessary.

· To ensure that all relevant monitoring data and issues are provided to the Directorate’s Governance structures.

· To ensure that all staff are released to attend infection control-related educational sessions and staff with specialist roles, e.g. link practitioners, are released to undertake their duties.

Health and Safety at Work

The post holder is required to:

· Take reasonable care for the health and safety of himself/herself and other persons who may be affected by their actions or omissions at work.

· Co-operate with the employer in ensuring that all statutory and other requirements are complied with.

Confidentiality & Data Protection

The post holder has a responsibility to comply with the Data Protection Act and General Data Protection Regulation 2018 and maintain confidentiality of staff, patients and Trust business.

If you are required to process information, you should do so in a fair and lawful way, ensuring accuracy is maintained. You should hold information only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose.

You should disclose information only to authorised persons or organisations as instructed. Breaches of confidentiality in relation to information will result in disciplinary action, which may include dismissal. Employees are expected to comply with all Trust policies and procedures and to work in accordance with the Data Protection Act and General Data Protection Regulation 2018. For those posts where there is management or supervision of other staff it is the responsibility of that employee to ensure that their staff receive appropriate training (e.g. HISS induction, organising refresher sessions for staff when necessary.)

Conflict of Interest

The Trust is responsible for ensuring that the services for patients in its care meet the highest standards. Equally, it is responsible for ensuring that staff do not abuse their official position, to gain or benefit themselves, their family or friends.

Equality and Diversity

The Trust values equality and diversity in employment and in the services we provide. It is committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job related needs of all staff working in the Trust are recognised. The Trust aims to ensure that all job applicants, employees or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race,colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be on the basis of the individual’s ability to meet the requirements for the job.

You are responsible for ensuring that the Trust’s policies, procedures and obligation in respect of promoting equality and diversity are adhered to in relation to both staff and services.

Vulnerable Groups

· To carry out responsibilities in such a away as to minimise risk of harm to children, young people and vulnerable adults and to promote their welfare in accordance with the Children Act 2004, Working Together to Safeguard Children (2006) and No Secrets guidance (DH 2000).

· To demonstrate an understanding of and adhere to the trust’s child protection policies.

Smoke Free

The Trust implements a Smoke Free policy that applies to all staff. Staff are not allowed to smoke while wearing a recognisable Trust uniform or visible trust identification badge, and not allowed to smoke anywhere on hospital grounds. Staff are not allowed to take additional breaks in order to smoke. They may smoke during designated breaks but only out of uniform and off site. Staff contravening this policy may be subject to disciplinary procedures.

Standards of dress

All staff are expected to abide by the Trust’s guidance on standards of dress.

This advert closes on Wednesday 23 Sep 2026

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