Job summary
We are looking for a proactive nurse, who wishes to work part-time, to join our "Hospital at Home Case Finders team".

The post holder will be responsible for assessing patient suitability for referral into community services such as Hospital at Home services and intermediate care services. Patients may be medically optimised or pre optimised at the point of referral but at a stage where ongoing needs can be met in the community and no longer require an acute admission.

The post holder will work closely between all wards and community providers to ensure smooth discharge for suitable patients.

They will identify, assess and refer patients keeping a full log and managing all communications between teams - Working closely with the Integrated Discharge team to ensure all care and other services are in place upon discharge.

They will be be responsible for the delivery of a high-quality service to patients which is adapting to meet changing needs.

The post holder will be requested to join a roster system, to support service cover for 7 days a week, implying working bank holidays and weekend.

Main duties of the job

• 1.1 To identify/casefind and pull potential intermediate care service and/or Hospital at home patients in partnership with acute colleagues, ensuring that as soon as patients are medically stable they are discharged with the most appropriate community service.
• 1.2 To independently undertake activities directly related to the clinical, physical, functional, social and psychological assessment of potential patients, specifically in the evaluation and planning of ongoing service requirements.
• 1.3 Make judgements involving highly complex facts requiring interpretation and analysis. Communicate highly complex, sensitive information to team members, e.g. vulnerable adults and older people.
• 1.4 To prevent premature admission to long-term care by creative problem solving to find appropriate alternatives, using highly developed skills and knowledge of assessment and communication.
• 1.5 To proactively promote a seamless and multidisciplinary approach to health and social care provision.
• 1.6 To proactively develop close working relationships with primary, secondary, voluntary and social care colleagues which promotes and supports effectively, utilising resources, ensuring patients receive the right service at the right time and in the right environment.

About us
The Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6 million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17 million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top.

For more information please follow link https://www.royalfreelondonjobs.co.uk

Salary: £58,133 to £65,261 a year, per annum inclusive of HCAS, pro rata
Band: Band 7
Working pattern: Part-time
Contract: Permanent
Closing date: 01 November 2026

Essential experience

• Experience of negotiating and liaising within a multidisciplinary team
• Experience of working with patients with complex needs
• Experience of managing and coordinating own caseload
• Experience in presenting and service development
• Experience of working in collaboration with and across organisational boundaries
• Experience in nursing assessments, care plans and referrals
• Relevant experience in discharge planning and knowledge of discharge pathways/processes
• Experience of board rounds and working with multiple professions

Essential qualifications

• Registered Nurse
• Further professional studies
• Mentorship course or equivalent
• Able to evidence recent and continuing professional development

Desirable

• Experience of teaching others

Essential skills and attributes

• Expert specialist skills for the post
• Knowledge of current practices and pathways relevant to specialty
• Excellent communication skills and ability to negotiate and influence
• Skilled in use of computer/keyboard
• Knowledge of Excel and ability to manage own data
• Ability to problem solve, prioritise and work to a deadline
• Able to manage stressful situations and challenge decisions to ensure that patients' needs are met
• Be a positive role model with the ability to demonstrate credible and professional approach
• Ability to work under pressure and work as a team, forming professional relationships with colleagues
• Diplomatic and calm approach, flexible and approachable

Other essentials

• Weekend and bank holiday working required
• Flexible start/finish times to meet service needs

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.

UK registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Contact
Complex Discharge Matron, Caroline Cahill, carolinecahill@nhs.net, 02073177741