Children’s Hospital at Home NurseNHS

Job summary

The Band 6 Children's Hospital at Home (HaH) Nurse will provide high-quality, child-centred nursing care to children and young people within their own homes and community settings as an alternative to hospital admission or to facilitate early supported discharge. The post holder will work autonomously and collaboratively within a multidisciplinary team to assess, plan, implement and evaluate care for children with acute and chronic health conditions. They will act as a clinical leader, supporting junior staff and students, promoting evidence-based practice, and ensuring the delivery of safe, effective, and compassionate care. The role requires excellent clinical assessment skills, sound decision-making abilities, and the capacity to work independently while maintaining strong links with acute paediatric services, primary care, and community partners.

Main duties of the job

Deliver specialist nursing care to children and young people in their homes, schools, and community settings. Undertake holistic assessments, formulate care plans, and evaluate outcomes in partnership with children, young people, and families. Provide acute assessment and monitoring of children referred to the Hospital at Home service. Safely administer medications, including intravenous therapies where appropriately trained. Support the management of acute childhood illnesses in accordance with agreed pathways and clinical guidelines. Identify signs of clinical deterioration and escalate concerns appropriately. Facilitate early supported discharge from inpatient wards and the Children's Emergency Department. Support admission avoidance initiatives through enhanced community-based care. Maintain accurate and contemporaneous clinical records in accordance with Trust policies and professional standards. Participate in safeguarding children processes and contribute to child protection assessments where required.

Job description

Job overview

The Band 6 Children's Hospital at Home (HaH) Nurse will provide high-quality, child-centred nursing care to children and young people within their own homes and community settings as an alternative to hospital admission or to facilitate early supported discharge.

The post holder will work autonomously and collaboratively within a multidisciplinary team to assess, plan, implement and evaluate care for children with acute and chronic health conditions. They will act as a clinical leader, supporting junior staff and students, promoting evidence-based practice, and ensuring the delivery of safe, effective, and compassionate care.

The role requires excellent clinical assessment skills, sound decision-making abilities, and the capacity to work independently while maintaining strong links with acute paediatric services, primary care, and community partners.

Main duties of the job

• Deliver specialist nursing care to children and young people in their homes, schools, and community settings.
• Undertake holistic assessments, formulate care plans, and evaluate outcomes in partnership with children, young people, and families.
• Provide acute assessment and monitoring of children referred to the Hospital at Home service.
• Safely administer medications, including intravenous therapies where appropriately trained.
• Support the management of acute childhood illnesses in accordance with agreed pathways and clinical guidelines.
• Identify signs of clinical deterioration and escalate concerns appropriately.
• Facilitate early supported discharge from inpatient wards and the Children's Emergency Department.
• Support admission avoidance initiatives through enhanced community-based care.
• Maintain accurate and contemporaneous clinical records in accordance with Trust policies and professional standards.
• Participate in safeguarding children processes and contribute to child protection assessments where required.

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave—a national programme that’s changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.

This means we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.

We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.

Join us and help shape the future of care in West Essex.

Detailed job description and main responsibilities

• Deliver specialist nursing care to children and young people in their homes, schools, and community settings.
• Undertake holistic assessments, formulate care plans, and evaluate outcomes in partnership with children, young people, and families.
• Provide acute assessment and monitoring of children referred to the Hospital at Home service.
• Safely administer medications, including intravenous therapies where appropriately trained.
• Support the management of acute childhood illnesses in accordance with agreed pathways and clinical guidelines.
• Identify signs of clinical deterioration and escalate concerns appropriately.
• Facilitate early supported discharge from inpatient wards and the Children's Emergency Department.
• Support admission avoidance initiatives through enhanced community-based care.
• Maintain accurate and contemporaneous clinical records in accordance with Trust policies and professional standards.
• Participate in safeguarding children processes and contribute to child protection assessments where required.

About us

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme thats changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector. This means were working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives. Were a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences. Join us and help shape the future of care in West Essex.