Advanced Nurse/Paramedic

Central London Community Healthcare NHS Trust; Watford; On-site; GBP 48,000 - 55,000; Full time

Job summary

A leading community healthcare provider is seeking a Band 7 Team Lead for their Unplanned Care Team. This role demands a registered Nurse or Paramedic with advanced clinical skills to lead patient assessments and interventions aimed at avoiding hospital admissions. The successful candidate will contribute to significant patient outcomes and have a pivotal role in ensuring high-quality care delivery in the community.

Benefits

Comprehensive induction training

Flexible working options

Car lease scheme available for Band 5 and up

Training and support for career development

Qualifications

• Registered Nurse or Paramedic with current NMC/HCPC registration.
• Continuing professional education at Masters Level required.
• Evidence of extensive experience in Primary Care or Accident & Emergency.

Responsibilities

• Lead and manage the unplanned care team.
• Conduct holistic, advanced assessments and provide interventions.
• Ensure seamless delivery of care to diverse patient populations.

Skills

Clinical decision making

Communication skills

Organizational skills

Team Management

Education

Registered Nurse / Paramedic

Masters Level continuing professional education

Qualification in teaching or practice-based learning

Tools

Microsoft Office

Job description

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Site Building 16, BRE Town Watford Salary £48,270 - £54,931 Per Annum, inclusive of HCAS Salary period Yearly Closing 16/06/2025 23:59

Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.

We are rated Good by the Care Quality Commission and are ranked among top NHS employers. Community healthcare is our focus and our passion. We champion the role of community health professionals to make sure our patients get great care closer to home.

Job overview

The Unplanned Care Team is a multi-professional team providing responsive, holistic patient assessments and care, designed to avoid acute hospital admissions and support patients in their usual place of residence 365 days a year and in addition, facilitating discharges from the acute for urgent therapy assessments at home

The service covers 4 pathways – Rapid response (POA), Discharge to Assess (Therapy facilitated discharge), Unscheduled Planned Care and The Early Intervention Vehicle (EIV – crisis management and assessment). You may be required to see patients on all 4 pathways. Interventions will typically last up to 5 days.

Main duties of the job

The successful candidate will be a registered Nurse or Paramedic with advanced clinical skills, significant knowledge and experience in the clinical care of adults and older people in a range of healthcare settings.

As a senior member of the team you will be working in collaboration with other band 7s and will be responsible for leading and managing the unplanned care team and ensuring seamless delivery of care to a diverse population of patients with changing needs.

You will be self-motivated with strong organisational skills and able to make complex clinical decisions autonomously as required. As a senior clinician you will use your advanced clinical expertise, levels of judgement, discretion and decision making to support patients at home, improve patient outcomes and reduce likelihood of unnecessary admissions to hospital. You will be required to complete holistic, advanced assessments, giving appropriate interventions as required and have knowledge of community services to plan the on-going care of patients on the pathway.

Possession of a valid UK driving license and use of a car for work purposes is essential.

Working for our organisation

Just as we care about our patients’ well-being, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role
• Car lease scheme(only available for Band 5 and up)
• Flexible working options
• Training, support and development in your career

Detailed job description and main responsibilities

**Please refer to job description, person specification and trust values, for outline of skills, knowledge and experience required.**

Person specification

Education/Qualifications

• Registered Nurse / Paramedic with current NMC / HCPC registration.
• Evidence of continuing professional education and training at Masters Level.
• Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment.
• Qualification in teaching or practice-based learning.

Experience

• Extensive experience in Primary Care and / or Accident & Emergency.
• Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions.
• Experience of assessing and providing quality care to people with Long Term Conditions.
• Track record of practice excellence.
• Effectively working in collaboration, negotiating, and liaising across organisational boundaries.
• Experience in monitoring clinical standards.
• Proven ability to prioritise and manage own workload with minimal supervision.
• Determining best ongoing care for patient.
• Team / service/ staff management.
• Experience of implementing evidence- based care and developing others to do so.
• Conducting research projects and audit.
• Change management and implementing change in practice.
• Evidence of innovation in practice.

Skills and Knowledge

• Evidence of comprehensive range of clinical skills and expertise relevant to the role.
• Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
• Confident in assessing acute MSK presentations.
• Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
• Ability to communicate effectively both verbally and in writing.
• Basic IT skills including use of Microsoft Office package, and email.
• In depth knowledge of pharmacology.
• Knowledge of clinical governance processes, assessing and managing risk.

Key Attributes

• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification.

Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.

Interview arrangements will be communicated via email so please check your email regularly following the closing date.

At CLCH we appreciate and are proud of the diversity in the communities we serve and the workforce we employ. Applications are open and welcome to anyone, regardless of your age, sexual orientation, gender identity and expression, ethnicity, religion, and disability.

We are proud to say that we follow the workforce race equality standard and 28% of our senior staff (8A and above) are from a BAME background. CLCH also has active BAME and LGBTQI networks:

Disability and Wellbeing Network (DAWN)

Race Equality Network

Rainbow Network which supports LGBTQI staff.

Each network has a champion who is an executive director at the Trust and they hold regular meetings to discuss issues and make plans to improve CLCH.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your applications on time to avoid disappointment.

Name lucy smith Job title band 7 team lead Email address [e-mail] Telephone number 0208 102 5898 Additional information

If I am unable to answer your calls, please call Kate Brannelly (clinical & operational lead for unplanned care)

Mobile: [phone]

Email: [e-mail]