Job summary
An exciting opportunity has arisen for an experienced and dynamic leader to join Lancashire Teaching Hospitals NHS Foundation Trust as a Virtual Ward / Hospital at Home Manager.

This is a leadership role within an innovative and expanding service that delivers acute-level care to patients in their own homes, supported by digital technology, remote monitoring, and multidisciplinary working.

As the Ward Manager, you will hold overall responsibility for the safe, effective, and compassionate delivery of care across a non-traditional "ward without walls." You will lead a geographically dispersed workforce, ensuring patients receive care that is equivalent to--or exceeds--that delivered within the hospital setting.

You will play a critical role in:

• Admission avoidance and early discharge pathways
• Delivering care closer to home
• Supporting system flow and reducing pressure on acute services
• Driving innovation and transformation in healthcare delivery

Main duties of the job
Clinical & Operational Leadership
Provide visible, compassionate leadership to a multidisciplinary team. Oversee day-to-day operational delivery.

Delivering Excellent Care at Home
Ensure all patients receive comprehensive assessments. Maintain safe, effective escalation pathways for patient deterioration. Promote patient and carer involvement

Leadership, Workforce & Culture
Manage workforce planning, rostering, and deployment across a dispersed service model. Ensure staff receive: Induction and training in virtual ward care and digital systems. Regular appraisals, supervision, and professional development. Foster a positive, inclusive team culture aligned to Trust values.

Quality, Safety & Governance
Act as a patient safety champion. Ensure compliance with clinical governance frameworks, safeguarding, and risk management. Lead on incident reporting, investigation, and learning. Drive audit, quality improvement, and service evaluation. Maintain high standards of documentation and digital record keeping

Service Development & Innovation
Support the ongoing development and expansion of the Virtual Ward model. Lead and contribute to service quality improvement initiatives.

Partnership & System Working
Build strong relationships with: Acute hospital teams, Primary care, Community services, social care partners. Represent the service at meetings.

About us
We have 10000 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 and enhancing their experience which means your role is pivotal and something really to be proud of.

Job responsibilities
Is responsible for the delivery of excellent care and compassion in the Virtual Ward and Hospital at Home Setting.
All patients admitted to the virtual ward receive a comprehensive assessment, including clinical risk, frailty, and social needs
Individualised care plans are developed, agreed, and regularly reviewed using remote monitoring and clinical assessment
Patients and carers are actively involved in care decisions and understand treatment plans
Risk assessments (e.g. deterioration, falls, safeguarding, medicines) are completed and acted upon
Clear escalation pathways are in place for deterioration, including rapid access to acute care if required
Patients receive education on self-management, equipment use, and digital platforms
Care is delivered with dignity, respect, and cultural sensitivity in the home setting
Patients have a clear expected pathway, including admission criteria and discharge plans
Discharge processes are proactive, coordinated, and timely
MDT collaboration (GPs, acute teams, AHPs, social care) is embedded into all care planning
Patient feedback is actively sought and used to improve services
With the agreement of the patient; their family, carers, advocates or significant others are involved and updated about the patients progress.
Bearing in mind confidentiality, relatives and family are regularly asked if they have any concerns about the care being provided are.

Is responsible for workforce planning and resource management
Develop and maintain flexible staffing models to meet fluctuating demand in the virtual ward
Ensure safe staffing levels for:

• Remote monitoring
• Home visits
• Clinical decision-making

Oversee E-Rostering and workforce deployment across a geographically dispersed team
Monitor demand, caseload acuity, and service capacity
Escalate risks related to staffing or service delivery in line with governance processes
Ensure timely recruitment and retention of staff
Minimise agency use and promote a sustainable workforce model
The staff on duty and whole team work flexibly and willingly not only in their own area but across the organisation as required to meet the needs of patients in accordance with roster policy and chain of command protocol
They actively engage in the 6 monthly nursing and midwifery staffing and skill mix review process
That any changes to service or casemix (e.g. development of a new ward-based clinic, significant increase in acuity over a period of time) are highlighted to the Matron and Nursing directorate so that proactive management of staffing and skill mix can occur
The recruitment process for any impending vacancies/secondments/maternity leave is commenced without delay: i.e. impending vacancy submitted within 2 days of receipt of notice, Impending secondment submitted within 2 days of notice of secondment (NB 4 weeks notice must be worked), impending maternity leave intention to commence recruitment to be submitted at least 8 weeks before expected date of maternity leave commencement.
The whole ward team is engaged in reducing sickness and maintaining a sickness level below 3%
Staff sickness and absence is managed in accordance with Trust policy
That any predicted future shortfalls or other concerns about the number of staff available to work are raised with the Divisional management team (Matron HON and GM) and the Nursing Directorate (AND or DN)
The electronic rostering system analysis tools are accessed regularly to support monitoring of the delivery of efficient rosters.

Is responsible for staff support, development and leadership
Provide visible and accessible leadership to a non-ward-based workforce
Ensure all staff receive:
Induction to virtual ward pathways and technology. Including the allocation of preceptor/buddy or mentor
Appraisals and personal development plans
Clinical supervision and support
Promote competencies in:

• Remote assessment and monitoring
• Digital systems
• Acute care delivered in the home

Foster a learning culture, supporting innovation, research, and service improvement
Ensure compliance with mandatory training and professional standards
Support staff wellbeing and resilience in a community-based environment
Any performance issues including attitude, approach, attendance, professional conduct, capability etc. are effectively managed in a timely fashion and in accordance with relevant policies and procedures.
All members of the team have been trained have the skills and feel confident to support bereaved and distressed patients/relatives in a kind and compassionate manner and to breaks bad news in an appropriate and empathic manner
A climate exists where ideas for improvement, research and innovation are encouraged and welcomed from others and acted on.
They participate and lead innovations and improvements in services including the productive programme, seeking patients and others views as appropriate and taking into account wider trust programmes for improvement and nursing development.
the team works together to meet and exceed required standards to provide student placements
All eligible qualified staff (i.e. all RGNs following completion of preceptorship) achieve mentorship status and mentorship update standards and are then actively involved in mentorship of students and preceptorship of junior staff.
All staff are supported to achieve revalidation and professional registration requirements
The team are involved in appraising best evidence for application to practice and in contributing to new evidence through research and evaluation projects in line with the nursing, midwifery and AHP research strategy.
The ward team are a cohesive and supportive group who understand the importance of and know how to work as a team and support each other as a team.

Is responsible for operational management & service delivery
Ensure effective daily coordination of the virtual ward, including patient flow and caseload oversight
Lead daily huddles / board rounds to review patient status and risks
Monitor and improve key performance indicators including:

• Admission avoidance
• Length of stay
• Readmission rates

Ensure safe and effective use of digital technology and remote monitoring systems
Maintain oversight of clinical quality and documentation standards
Lead on incident reporting, investigation, and learning
Ensure compliance with all Trust policies and governance frameworks

Quality, safety and governance
Act as a patient safety champion within the virtual ward model
Ensure safeguarding processes are followed for vulnerable adults
Monitor and manage clinical risks associated with home-based care
Ensure infection prevention and control standards are upheld in community settings
Lead audits, quality improvement initiatives, and service evaluations
Ensure accurate and timely documentation within digital systems
Promote a culture of openness, learning, and continuous improvement
Exercise their authority as guardians of patient care to ensure that support services provide appropriate and timely responses to any issues that might adversely affect the provision of excellent care.
As a patient safety champion proactively manage risk and maintain patient safety, conforming to health, safety and security legislation, policies, procedures and guidelines.
Ensure the whole team complies with all policies and procedures related to infection prevention and control.
Ensure the environment of care is safe, well equipped and compliant with standards for hygiene and cleanliness.
Reports/ensures all accidents, incidents, near misses, faulty equipment or environmental issues immediately and exercise their authority as guardians of patient care to ensure that support services provide appropriate and timely responses to any issues that might adversely affect the provision of excellent care.

Safeguards people and promotes equality in care and practice by recognising, respecting and meeting the needs and choices of individuals
Safeguards children, young people and adults, escalating concerns in line with trust policy and regulatory frameworks.
Ensure the whole team is aware of their responsibilities and acts in accordance with current legislation, policies, procedures and good practice relating to equality & diversity.

• Take action to address behaviour that undermines equality and diversity

Communication and Partnership Working

• Lead effective communication across:
  • Acute services
  • Primary care
  • Community services
  • Social care partners
• Ensure patients and carers receive clear, consistent information
• Manage complex and sensitive conversations with patients and families
• Represent the service in meetings, network groups, and service development forums

Digital and Innovation Leadership

• Support implementation and optimisation of:
  • Remote monitoring technologies
  • Digital patient records
  • Virtual consultation platforms
• Promote digital inclusion and ensure equitable access for patients
• Identify opportunities to improve care pathways using innovation and technology

Person Specification
Qualifications & Education
Essential

• Appropriate NMC Registration
• Mentorship qualification
• Post Registration Qualifications relevant to the role
• Diploma or Degree in Nursing
• Evidence of Education to Degree Level.
• Successful completion of a leadership and development programme equivalent to the Internal Band 6 Leadership and Development programme

Desirable

• Level 4 ILM (Institute of Leadership and Management) or equivalent
• Clinical skills course

Knowledge & Experience
Essential

• Able to perform clinical duties commensurate to that of the role e.g. IV medications, Cannulation
• Experience in acute, community, or integrated care settings
• Experience managing teams and services
• Ability to Implement changes within nursing practice
• Knowledge of Clinical Governance and Safeguarding and the relevance of these to practice
• Knowledge of relevant policies and procedures
• Knowledge of ethical issues
• Evidence of clinical competence in area of speciality eg surgery

Desirable

• Experience of managing a clinical area
• Knowledge of the PDPR Process
• Evidence of working at Band 7
• Experience of budgetary management

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.

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).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).