Hospital at Home Coordinator / Practitioner

Haringey GP Federation; South Shields; On-site; GBP 40,000 - 50,000; Full time

Job summary

A healthcare trust in South Shields is seeking a Hospital at Home Coordinator/Practitioner. The role involves care coordination, clinical leadership, and supporting community-delivered care. Candidates must have a health-related degree, professional registration, and strong clinical skills. The trust values innovation and provides excellent training opportunities. This position offers a chance to impact patient care positively through multi-disciplinary collaboration and leadership in a flexible working environment.

Benefits

Flexible working policy

Career progression opportunities

Access to high-quality education and training

Qualifications

• Degree in a health-related subject and current professional registration (NMC or HCPC).
• Advanced physical assessment and history taking course (accredited).
• Masters in health / leadership related subject.

Responsibilities

• Lead the development of integrated health and social care pathways.
• Act as a clinical leader and patient advocate.
• Support and train junior staff within the Hospital at Home service.

Skills

Leadership skills

Communication skills

Advanced assessment skills

Interpersonal skills

Education

Degree in a health-related subject

Advanced physical assessment course

Masters in health/leadership

Job description

South Tyneside and Sunderland NHS Foundation Trust

Hospital at Home Coordinator / Practitioner

The closing date is 26 January 2026

Applications for this vacancy are restricted to current Trust employees only.

We are glad to share an exciting opportunity to join our Virtual Ward (Hospital at Home team) as a coordinator/practitioner. The key responsibilities are care coordination and discharge planning, providing clinical leadership, supporting the service development, supporting patients and families in digital and remote monitoring and supporting development of junior staff.

The post holder will be able to work autonomously and be able to provide a high level of expert clinical management and care to patients within the speciality, supporting the referral process from both in and out of hospital.

Virtual wards (Hospital at Home) work in partnership with our Recovery at Home teams and are defined as a safe alternative to NHS bedded care. We are looking to expand our virtual ward team in line with the introduction of new clinical and community step‑up pathways in addition to the established hospital step‑down pathways. Hospital at home delivers care closer to home for patients, offering personalised care with technology‑enabled remote monitoring, providing medical and nursing, therapy and pharmacy optimisation and onward discharge referrals.

The post holder will work collaboratively with the multi‑disciplinary team. The post holder will be expected to cover days and weekend shifts. There will also be dedicated allocated time for management and continuous professional development.

Main duties of the job

We are looking for a forward‑thinking, well‑organised and motivated individual with a positive attitude, and a strong interest in community‑delivered care. The applicant will need to act as a role model delivering excellent clinical practice and promoting clinical effectiveness in care.

As Hospital at Home Coordinator/Practitioner you will be able to assess, diagnose and manage a variety of conditions within a multidisciplinary and collaborative environment.

• Identify patients suitable for the Hospital at home pathways ensuring timely access to the hospital at home team, either discharged from Acute hospitals or step‑up from community.
• Act as a single point of contact for patients and health professionals to facilitate rapid access to Hospital at home services.
• Work closely with other healthcare professionals in a collaborative, team‑based approach to discharge assessment.
• Strong clinical background with advanced assessment skills.
• Contribute to improving patient outcomes and service delivery within the community services.

About us

Please add your telephone number to your application form so we can contact you quickly if required.

One Team One Trust – There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award‑winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment.

We welcome all applications irrespective of people’s race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and especially those from under‑represented groups. Looking after our workforce’s health and wellbeing is a priority for us. We also provide access to high‑quality education, training, career progression and support. Flexible working is supported via our Flexible Working Policy.

The Trust employs around 8,746 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area. We offer our staff outstanding benefits – Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Care Co‑ordinator to help staff with childcare arrangements. If you use AI, and it poses a risk to the integrity of your individual recruitment process, we may withdraw your application at any stage of the process.

Job responsibilities

PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.

Lead the development of integrated, patient‑centred health and social care pathways across agencies and disciplines.

Act as a clinical leader and patient advocate, promoting risk management, self‑care and strategic planning.

Support and train junior staff to deliver high‑quality care within the Hospital at Home service.

Work collaboratively across multi‑professional teams to ensure safe, effective and efficient practice.

Maintain and share up‑to‑date clinical expertise to continually enhance service quality and patient outcomes.

Person Specification

Qualifications

• Degree in a health‑related subject and current professional registration (NMC or HCPC).
• Advanced physical assessment and history taking course (accredited).
• Masters in health / leadership related subject.
• Management and leadership training.

Physical Skills

• Ability to assist patients to move as per Trust Moving and Handling Policy.
• Car Driver (full licence) and access to car for work purposes.

Experience

• Extensive post‑registration experience, some of which will be at a senior level within the relevant speciality.
• Portfolio of evidence of continuous professional development.
• Experience of practice development, clinical education or leading change.
• Experience of leading clinical Audits.
• Experience of working in Community/ Acute Setting with experience of managing frailty and/or patients with long‑term conditions.
• Previous experience of multi‑agency collaboration working across professional boundaries.
• Experience of practice development, clinical education or leading change in practice to upskill and support staff.
• Clinically credible, with significant experience at Senior Nurse level.
• Caseload management.
• Involvement in service review and development.
• Knowledge of digital health monitoring systems.

Skills and Knowledge

• Demonstrable leadership skills and an understanding of own leadership style.
• Excellent interpersonal and communication skills.
• Evidence of ongoing professional development.
• Expert assessment, analytical skills, interpretation and clinical decision making.
• Ability to work autonomously within role in a complex/ changing environment.
• Significant knowledge of community service provision, including social care and charity‑delivered services.
• Knowledge and understanding of relevant national policies and guidelines relevant to admission avoidance and early supported discharge services.
• In‑depth knowledge of frailty and long‑term conditions.
• Ability to effectively challenge stakeholders while maintaining professional relationships.
• Excellent written and verbal communication skills.
• Effective team working.
• Effective planning and organisational skills – ability to prioritise workload.
• Caseload management.
• Understanding of budget and financial control systems.

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.

South Tyneside and Sunderland NHS Foundation Trust