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Home First Jobs across Bristol, North Somerset and South Gloucestershire

Thank you for taking a look at some very special roles helping the NHS do what it does best – help people recover and enjoy a better quality of life out of hospital, in the place they call home.

We’ve got a range of roles – and we’d love to talk to you about how you can develop your career, and provide outstanding care and support to people.

What is Home First?

We know people recover better in familiar surroundings following a stay in hospital and where possible we want to support individuals to be cared for at home or in the community.

Our vision is for all who are medically well to leave hospital to receive the care, remote monitoring and treatment they need and to be supported to recover and rehabilitate at home.

Research has shown that immobility in a hospital bed can lead to not only a longer stay but a loss of independence, so we are expanding the innovative ways to ensure people remain in the place they call home in Bristol, North Somerset and South Gloucestershire.

This will mean tailored support will be available and will be based on a person’s needs: this may include appropriate community or voluntary support at home or transfer to a community rehabilitation or assessment unit bed. You may hear this referred to as Discharge to Assess. People may also have support from technology to allow remote monitoring of their condition, enabling them to feel safe when they are at home through our HealthierTogether@Home Service.

Discharge to Assess or D2A

Discharge to Assess pathways are well established in Bristol, North Somerset and South Gloucestershire and currently support a large number of people to leave the hospital as soon as they are able to do so, with support from community services. We work together with our colleagues across partner organisations to ensure a ‘safe and timely’ discharge for our service users to their usual place of residence.

How do we deliver Home First?

Our teams work with individuals to deliver shared person-centred goals, improving their quality of life and independence.

We are looking for people to help us deliver this ambition to make a real difference to people and their families.

You’ll be an excellent communicator, comfortable working on your own and able to take initiative to ensure everyone receives the best experience possible while being supported by us. Could this be you?

Click the images below to learn more about us:

Community Support Worker

Are you a Healthcare Assistant or Support Worker who is looking to for a role that makes a real difference to people’s lives?

Our teams improve hospital discharge pathways, reducing the length of time people spend in hospital, away from their home and providing greater opportunities for people to recover in the community.

As a Community Support Worker, you’ll be a vital part of our team. You will work closely with Physiotherapists and Occupational Therapists to support functional assessments as well as providing the ongoing rehabilitation, activities of daily living and personal care support to people in their home.

You will also be assisting with clinical assessments and monitoring of people to enable them to remain safely at home, supported by our highly skilled multi-disciplinary team.

If you have experience working as a support worker, especially within a care setting, we would like to hear from you. You will be comfortable working on your own in the community, have excellent verbal communication skills and use initiative to ensure service users and their families have the best experience while being supported by us. We can offer you a fulfilling and rewarding career within our teams with opportunities for development.

We have full and part-time hours available and can support flexible working patterns - currently this service runs from 8am - 10pm, 7 days a week.

Senior Community Physiotherapist

Our multi-disciplinary teams will support and empower people to stay and age well, reduce the demand for emergency hospital services and long-term care placements. Integrated multi-disciplinary teams offer both planned and unplanned interventions to improve outcomes for service users and support more people to self-care.

Our therapists support hospital discharges and admission avoidance, enabling people to live better lives in their home environment. We provide active rehabilitation to service users in their homes to maximise their functional potential and support them to remain independent. We are committed to enabling service users to self manage their conditions and rehabilitation as much as possible and to provide strong rehab-focused interventions from a skilled clinical team.

Integrated Network Teams (INTs) will offer a consistent service from 8am to 8pm, 7 days a week but offer flexible working arrangements to support work life balance - positions available throughout South Gloucestershire.

Senior Occupational Therapist

If you are passionate about delivering exceptional community-based therapy, improving quality of life for service users and committed to rehabilitation in a home environment, we would love to hear from you!

In return, we will be fully committed to supporting your continued development. We will give you the opportunity to develop specialist community skills and enhance your multi-disciplinary working as well as your ability to support/supervise other team members and develop key leadership skills.

Our Integrated Network Teams (INT) are innovative and dynamic. We provide active rehabilitation to service users in their place of residence to maximise their functional potential and support them to remain independent within their homes. Our therapists support hospital discharges, admission avoidance and long term self-management, enabling people to live better lives in their home environment.

You will be working within a friendly and supportive INT alongside other Therapists, Assistant Practitioners, Nurses and Nurse Associates, Advanced Clinical Practitioners, Rehab Support Workers and Administrators.

We offer a flexible service which covers extended hours operating 7 days a week and work with you to support a work/home life balance.

What is it like to live and work here?

Bristol, North Somerset and South Gloucestershire, in the South West of England, are stunning parts of the country and they have great contrasts.

Countryside walks, the seaside, one of the UKs best cities to live in, vibrant culture, diverse communities – just some of the best bits we love about these areas (even on the rainy days!).

Click the images to find out what we love most about…


We love Bristol because of its energetic and culturally diverse people. And we’re not the only ones because Bristol has been named as one of the UK’s best places in the Sunday Times Best Places to Live Guide in 2022.

Home of the International Balloon Fiesta and infamous street artist, Banksy, you can immerse yourself in the vibrant arts and culture. Renowned for its urban landscape and quirky, Bohemian feel, Gloucester Road has a variety of places to eat as well as authentic independent shops.

With excellent transport links such as bus routes and cycle paths, it’s convenient to get around – we even have environmentally friendly buses! If you love sports and music, or enjoy a foodie festival, Bristol has a lot to offer – learn about our history and be inspired by our heritage.

North Somerset

Portishead is North Somerset’s second largest town after Weston-super-Mare and is filled with charm and character. Surrounded by natural beauty, experience the iconic woodland and coastal views.

With beautiful sandy beaches and countryside to explore – it’s a great way to spend quality time together. Discover the stunning scenery or picture the peaceful scenes in North Somerset’s quaint, rural villages.

We recommend taking a daytrip to the seaside resort of Weston-super-Mare, famous for its donkey rides on the beach and amuse yourself for hours in the arcades. Or why not take a stroll along Clevedon’s famous pier?

Nearby Nailsea is close to the sea, yet right on the doorstep of Bristol’s bustling city life. If you’re looking to travel abroad, Bristol Airport is conveniently situated in North Somerset, just eight miles south of central Bristol, and is easily accessed by car, coach or bus.

South Gloucestershire

South Gloucestershire is a place of outstanding natural beauty and has much to offer with its characterful market towns and historic buildings, yet modern and contemporary feel. Picture acres of open green spaces – great for picnics in the park. Or explore the countryside by foot or bicycle and stop for a coffee along the way.

Situated near to Bristol and Bath and just a bridge away from beautiful South Wales, there are plenty of places to relax, socialise and meet new people, within just a few miles. You’ll have the best of both worlds with the city and the countryside close to home.

Or if you’re thinking of planning your next trip - why not leave the car at home? Bristol Parkway train station is easily accessible and offers convenience with a variety of trains frequently servicing the UK.

Employee Benefits

As an NHS employer, we offer a range of employee benefits including; NHS Agenda for Change (AfC) pay and conditions, the NHS pension scheme with generous employer contributions, flexible working and a variety of other discounts and benefits.

Click the tiles below to discover more:

NHS Pay and Conditions (AfC)


We mirror NHS Agenda for Change pay scales. In addition there are also pay enhancements to reward those working unsocial hours during evenings and weekends.


Sirona care & health reimburse mileage expenses at 45p per mile by car. Expenses are available for other alternative modes of transport.

Annual leave

We offer 27 days on joining, plus Government agreed Bank Holidays.

For employees on permanent contracts this rises to 29 days after five years service and 33 days after 10 years. Annual Leave entitlement is based on reckonable service allowing you to count up all NHS service, excluding time when you may have been a bank worker. (These entitlements are pro rata for part time staff and all reckonable service will need to validated).

Great Western Credit Union

We have partnered with Great Western Credit Union - one of the UK’s leading credit unions. This scheme provides all the benefits of a credit union membership with the additional benefit of making saving easier as deductions will be taken directly from your monthly pay. In addition you can apply for a low-cost loan.

NHS Pension Scheme (AfC)

On joining us you will be eligible to continue with your NHS pension membership or as a new employee you will be auto enrolled into this scheme. For further details about contributions and more, visit the NHS Pensions website:

Flexible working and family-friendly benefits

Flexible working

We recognise your need for flexibility to balance home and work commitments. That’s why we offer flexible working to fit around you. We’ll support you every step of the way to make juggling the demands of work and life that little bit easier.

Maternity, adoption and paternity leave

We offer generous provisions for maternity, adoption and paternity leave subject to qualifying service, for further information please refer to our policy when you join us but a summary is below:-

Maternity occupational maternity entitlement of eight weeks full pay, 18 weeks half pay then 13 weeks statutory and 13 weeks unpaid.

Parental leave up to 18 weeks unpaid leave for each child up until their 18th birthday.

Paternity leave up to two weeks paid time off when a child is born.

Shared parental leave you can share maternity leave up to 50 weeks (37 weeks paid).

Adoption leave 39 weeks of paid leave (90% of average earnings for the first six weeks.


Cycle to Work

We’re pleased to offer a tax-free cycle scheme in support of the Government’s Cycle to Work initiative. It’s a great programme where everyone wins, you make big savings on new bikes and we get a healthier workforce. Repayments are made over 12 months through a salary sacrifice scheme.

The Corporate Travel Club

The Corporate Travel Club is a club that First bus has developed so that you can save on the cost of traveling to work by bus.

The key benefits:

• Significant discounts when compared to weekly travel costs
• Price of monthly ticket is set for 12 months
• Ticket automatically sent to you.
• Hassle free boarding
• Cashless system
• Helpline for staff-ordering tickets and general queries

Health and Well-being

We are committed to supporting your health and wellbeing and encouraging you to utilise the assistance available.

Employee Assistance Programme (EAP)

You can access free telephone or face to face counselling 24 hours a day, all year round from our EAP provider, Validium. This may take the form of counselling over the telephone, referral to face to face counselling, eCounselling, online resources or signposting to other agencies, as appropriate.

In-house Physiotherapy Team

The Staff Physiotherapy Service is a free service for all Sirona staff.
Services include: Musculoskeletal problems, including:

• Joint aches and pains, including arthritis
• Neck and back pain
• Sport related injuries.

Colleagues can access the service if any of these are affecting their day-to-day activities, within work or outside of work.

Occupational Health

Referrals can be made to obtain an independent assessment on a range of medical conditions to help you feel supported within the workplace.


Training sessions are available for you which provide practical to support mental health and wellbeing in and out of work.

Learning and Development

We want to invest in you and can offer a broad range of training and development opportunities throughout your career via our dedicated in-house team.

Induction Programme

On joining us you will undertake a comprehensive Induction Programme, giving you the opportunity to meet our Senior Leadership Team. Both the organisational and local induction programmes provide you with the knowledge, skills and information to help fulfil your role.

Continuous Professional Development

We offer a wide variety of clinical and non-clinical training to all staff throughout their career. In addition, we regularly support colleagues to undertake a range of internal and external courses and qualifications. Clinicians will benefit from a complete programme of clinical skills training with support and guidance to achieve competencies.

The Learning and Development team is available to support with student mentor support, staff management, CPD, Statutory and Mandatory compliance via our Learning Management System (LMS).

Our partnership working with organisations such as Avon and Wiltshire Mental Health Partnership NHS Trust (AWP), University West of England (UWE), and the NHS Leadership Academy will widen your opportunities even further.

Talk to us and apply today

If you have any questions or would like any further information before submitting your application, you can talk to our Recruitment Team:

Click the roles below to find out more and apply:

Roles in each area

Bristol, North Somerset and South Gloucestershire

Community Support Worker

Senior Occupational Therapist

Senior Physiotherapist

Apprentice Community Support Worker

Community Nurse

Senior Nurse

Community Occupational Therapist

Assistant Practitioner

Community Physiotherapist

Nurse Associate