Home First Nurse Team Lead

About the role

The Home First Nurse Team Lead will provide senior clinical leadership for the Home First service, delivering short‑term reablement and rehabilitation to patients in their own homes across the Scottish Borders. This role works closely with Hospital at Home, district nursing, allied health professionals and social care partners to ensure a seamless, community‑focused care pathway.

Key responsibilities

• Lead and support Home First Nurse Coordinators and Health Care Support Workers.
• Develop, implement and evaluate reablement and nursing programmes.
• Make autonomous clinical decisions and manage patient care without direct supervision.
• Line‑manage registered and unregistered staff, ensuring high‑quality care delivery.
• Travel across multiple localities (Berwickshire, Central, Cheviot, Teviot & Tweeddale) to meet service needs.
• Work flexibly on weekdays and weekends on a rotational basis.

Required profile

• Registered Nurse with substantial experience in community or acute settings.
• Demonstrated leadership and line‑management capability.
• Confidence in decision‑making and service development.
• Full UK driving licence and willingness to travel widely.
• Interest in quality improvement and service innovation.

Required skills

What we offer

• Permanent Band 7 position (36 hrs/week, 1 WTE).
• Supportive NHS environment with opportunities for professional growth.
• Exposure to integrated community health services.