Thomas Dowle, Chief Nurse

Thomas Dowle is a Registered Nurse and one of the two Chief Nurses for Pulse Nursing at Home and Thornbury Community Services (TCS), part of Acacium Group. He has over 20 years’ experience working in various healthcare settings, including Community Services, Emergency Care, Critical Care and Ward Leadership and Management.

Thomas has a wealth of nursing experience and previously worked for various NHS hospitals, including; The Royal London Hospital, Guy’s and St Thomas’ Trust, Royal Free LondonCentral and North West London  and Barnet, Enfield and Haringey Mental Health Trust.

Working as the Chief Nurse, Thomas is responsible for:

  • Ensuring our clients receive individualised world-class care
  • Overseeing all clinical elements in the services we deliver
  • Making sure we continue to grow safely and effectively whilst maintaining world-class standards
  • Ensuring our clients’ needs are at the centre of everything we do
  • Building strategies to grow the Clinical Team and enter new markets and revenue streams
  • Ensuring evidenced based best practices and associated legislations are current and implemented to support all clinical activity
  • Continually improve the quality of services we provide to all stakeholders to empower and support our clients


In 2022, TCS received an ‘Outstanding’ care provider rating from the Care Quality Commission (CQC). Chief Nurses Thomas and Clare Metcalfe worked together to prepare for the audit and provide evidence of TCS meeting the five Key Lines of Enquiry (KLOEs). You can view the CQC’s report of TCS here.


  • Masters in Nursing (MSc)
  • Degree in Nursing (BSc Honours)
  • Diploma of Higher Education in Nursing (DipHE)
  • Specialist course in Critical Care
  • Specialist course in High Dependency
  • Leadership in Management Course
  • Senior Leadership Management Course (Rosalind Franklin Programme)
  • Executive Leadership Course (Nye Bevan Programme)

Events and External Appearances

  • Thomas designed an alternative care pathway for the London Ambulance Service for admission avoidance. The model he wrote has been adopted as one of the pillars within the NHS long-term plan. Thomas is a part of the 10-year plan working as an MDT to keep people at home.
  • In a previous role, Thomas’s team working in the community in Camden were shortlisted for a Nursing Times Award
  • Speaker for the Pulse Nursing at Home ‘Reducing hospital bed pressures by supporting patient flow’ webinar
  • Featured Alumni for Middlesex University London
  • Appeared in Barnet, Enfield and Haringey's Year of the Nurse and Midwife ‘Celebrating our Nurses’ article
  • Winner of the Driven by Excellence Acacium Group Award

What attracted you to work in community care?

“Bringing the hospital to someone’s home allows healthcare professionals to have autonomy and build meaningful relationships with clients and their families. I always say, “the best bed is your own bed”, and “receiving care in the community means you get the right care in the right place, first time, every time.”