Bank CEMS Practitioner (Nurse/Paramedic)

Integrated Care System; Horncastle; On-site; GBP 30,000 - 40,000; Full time

Job summary

A community medical organization in Horncastle seeks CEMS Practitioners (Paramedics/Nurses) to provide advanced pre-hospital care and manage diverse patient needs. The role includes driving emergency vehicles, conducting comprehensive assessments, administering treatments, and working collaboratively with healthcare professionals. Ideal candidates should be NMC registered or HCPC paramedics with five years of clinical experience. This role offers opportunities for mentorship and skill development.

Benefits

Access to clinical mentorship

In-house and external training

Qualifications

• 5 years post-registration clinical experience required.
• Recent experience in a front-line patient facing role is essential.
• Enhanced DBS clearance needed.

Responsibilities

• Deliver advanced clinical assessment and emergency care.
• Manage patients across all levels of acuity in pre-hospital settings.
• Collaborate with multidisciplinary teams for effective patient care.

Skills

Clinical assessment

Emergency driving

Resuscitation techniques

IV cannulation

Communication skills

Education

NMC Registered Nurse or HCPC Registered Paramedic

Evidence of professional study at level 6

Tools

Office 365

SystmOne

Job description

Asone of our CEMS Practitioners (Paramedics/Nurses), you will provide valuable clinical anddriving skills to primarily support the Doctor or ACP across a range oftaskings. Driving our modern fleet of blue-light response vehicles and workingclosely as part of a two person team, you will become a valued and respectedmember of the CEMS medical team. You will independently, and collaborativelyassist in the delivery of advanced clinical assessment and enhanced medicalcare in the pre-hospital setting. CEMS Paramedics and Nurses will undertake themanagement of patients across all ages and all levels of acuity, ofteninvolving complex presentations, either independently or more commonly as partof a two person team. A large percentage of these patients will be managed inthe community by delivering care beyond the scope of a typical ambulance orprimary care response. CEMS Paramedics and Nurses will be empowered toundertake referrals to hospital and community services, acquire additionalclinical skills and extend their scope of practice. Working closely alongsidecolleagues, CEMS Paramedics and Nurses will have the opportunity to expandtheir clinical skills and medical knowledge whilst delivering first classpatient care. All CEMS Paramedics and Nurses will have already acquired a broadexperience of pre-hospital care and emergency driving, both essential insupporting Doctor and ACP colleagues who may come from a diverse primary andemergency care background.

Main duties of the job

Deliver a full range of clinical skills and competencies within NMC or HCPC scope of practice, working independently or collaboratively as part of the enhanced pre-hospital emergency care team. Conduct comprehensive clinical assessments, investigations, and treatments for patients of all ages and acuity, in line with LIVES and CEMS SOPs and clinical guidelines. Respond by road to cases allocated by senior clinicians or dispatchers, providing skilled pre-hospital care, scene management, and liaison with emergency services as needed. Support healthcare professionals via telephone or video consultation, ensuring holistic, patient-centred care and enabling informed health choices. Manage patients with varying complexity, delivering emergency interventions, advanced resuscitation, manual defibrillation, ALS drug therapies, and clinical procedures such as IV cannulation, venepuncture, catheterisation, and bladder scanning. Administer medicines, including controlled drugs, within scope and policy, and assist in enhanced diagnostics and advanced treatments in pre-hospital environments according to organisational standards.

About us

The LIVES Community Emergency Medicine Service (CEMS) is an innovative, independently governed pre-hospital care model designed to reduce pressure on ambulance services and emergency departments by delivering advanced care directly in the community. Established in 2020 following Lincolnshire CCGs commission, CEMS provides enhanced assessment, treatment, and interventions for patients who have accessed the NHS via 999. Expert triage and clinical risk management are carried out by senior CEMS clinicians based in ambulance control, who identify cases suitable for a CEMS response. These are attended by one of three multi-disciplinary emergency care teams or three dedicated falls response teams, each operating purpose-built blue-light vehicles equipped with advanced medical technology and specialist moving and handling aids. The service delivers hospital-level care on scene, aiming to prevent avoidable ED attendances and admissions while improving patient experience. Since launch, CEMS has responded to over 52,000 incidents, with approximately 75% resulting in discharge at the scene, avoiding the need for ambulance transport or hospital admission. By combining advanced clinical skills, rapid response capability, and patient-centred decision-making, CEMS enables people to receive safe, effective, and responsive healthcare where they are, supporting both system resilience and patient empowerment

Job responsibilities

Responsibilitiesof the role

Asone of our CEMS Paramedics or Nurses, you will provide valuable clinical anddriving skills to primarily support the Doctor or ACP across a range oftaskings. Driving our modern fleet of blue-light response vehicles and workingclosely as part of a two person team, you will become a valued and respectedmember of the CEMS medical team. You will independently, and collaborativelyassist in the delivery of advanced clinical assessment and enhanced medicalcare in the pre-hospital setting. CEMS Paramedics and Nurses will undertake themanagement of patients across all ages and all levels of acuity, ofteninvolving complex presentations, either independently or more commonly as partof a two person team. A large percentage of these patients will be managed inthe community by delivering care beyond the scope of a typical ambulance orprimary care response. CEMS Paramedics and Nurses will be empowered toundertake referrals to hospital and community services, acquire additionalclinical skills and extend their scope of practice. Working closely alongsidecolleagues, CEMS Paramedics and Nurses will have the opportunity to expandtheir clinical skills and medical knowledge whilst delivering first classpatient care. All CEMS Paramedics and Nurses will have already acquired a broadexperience of pre-hospital care and emergency driving, both essential insupporting Doctor and ACP colleagues who may come from a diverse primary andemergency care background.

Wherepatients need to be referred into other parts of the NHS, we aim to directpatients to the right speciality first time and enhance their pre-hospitalmanagement by the interventions we perform. You will play a key role inensuring clinicians arrive safely at incidents, and provide skilledpre-hospital care to patients across Lincolnshire. To undertake this role, youwill be an experienced registered Paramedic or Nurse, with demonstratable NHSfront-line experience relevant to the role, and enthusiasm for working in newways of healthcare delivery. You will have no restrictions on your practice inthe UK. Additional experience gained from working in primary care, emergencymedicine, palliative care, in leadership roles or instructing/assessing on pre-hospitalcare courses is desirable.

Wefeel recruiting Paramedics and Nurses into the CEMS role is an excitingopportunity for the organisation, as well as providing a career opportunity forexperienced health professionals seeking a new challenge. Your commitment willbe rewarded by access to clinical mentorship, in-house and external training aswell as a comprehensive sign off process.

Asone of our CEMS Paramedics or Nurses, you must be able to demonstrate you arecomfortable working as an equal in the multi-disciplinary team, meet theessential criteria and ensure you understand, and are able to apply theprinciples of effective crew-resource management (CRM).

MAINDUTIES & RESPONSIBILITIES

Operational ClinicalResponse - Patient Care

Undertake the full range of standardclinical skills and competencies within either a NMC Scope of Practice forRegistered Nurses, or HCPC Registered Paramedic, practicing independently andcollaboratively as part of an enhanced pre-hospital emergency care team.

Undertakethe clinical assessment, investigation and treatment of patients experiencingillness and injury across the spectrum of acuity and across all ages, eitherindependently or alongside senior clinicians.

Perform clinical duties in accordance with LIVES and CEMSStandard Operating Procedures and clinical guidelines, recognising ownlimitations and scope of practice.

Respond byroad to patients who have been identified as being suitable for a CEMSresponse by either the senior CEMS Clinician in ambulance control, or dedicatedEMAS LIVES Dispatchers.

Provideskilled pre-hospital knowledge and guidance at complex incidents, demonstrating the ability to organise andmanage the scene until more skilled assistance arrives. This may involveorganising and managing patients, bystanders or liaising with other emergencyservices e.g., Fire and Rescue, Police and Coastguard.

Support otherhealthcare professionals requesting advice from CEMS medical team by providingtelephone, or video consultations according to scope of practice.

Participate inholistic and comprehensive patient assessment, encouraging patients to exercisechoice over their healthcare needs and treatments.

Utiliseappropriate and relevant information to assist patients, carers and advocatesto make informed health choices in line with national guidelines.

Managepatients of all ages, with varying acuity and complexity, where requireddelivering emergency care interventions and resuscitation according to scope ofpractice.

Delivery oradvanced resuscitation, manual defibrillation and ALS drug therapies.

Performclinical procedures, including intravenous cannulation, venepuncture, urinarycatheterisation and bladder scanning in pre-hospital care settings.

Identify,prepare, and administer medicines by all routes correctly in accordance toscope of practice and organisational policy and procedures.

AdministerControlled Drugs, either independently within JRCALC, upon direction of anindependent prescriber, or through a Patient Group Direction.

Assist inenhanced diagnostics and advanced treatments in the pre-hospital environment aspart of the team in line with LIVES policies, procedures and operationalguidelines.

Perform dutiesin often unpredictable pre-hospital care settings where dynamic risk assessmentis needed, and operate in often difficult, remote or challenging conditionswith appropriate support and PPE (Personal Protective Equipment).

Respond tomajor incidents as part of the pre-agreed major incident plans alongside otherpartner agencies.

Liaise withambulance control, relevant hospitals, community services and EMAS colleaguesas required throughout the shift.

Communicateeffectively, demonstrating compassion and re-assurance, particularly whendealing with people who may have difficulty understanding e.g., children,people with learning disabilities, cognitive or mental impairment, anddemonstrate ability to adapt and overcome barriers using interpersonalcommunication skills.

Ensureinformed consent is obtained wherever possible. Where consent cannot be given,CEMS Paramedics and Nurses will be empowered to act in the patients bestinterests according to the Mental Capacity Act and LIVES Standard OperatingProcedures.

Input datainto clinical and administrative databases and systems.

Utiliseappropriate experience, knowledge and skills as part of a two person team inorder to provide high quality patient focused care in the pre-hospital setting.

Dynamicallyassess incident scenes and identify environmental and clinical risks topatients, self and colleagues, taking into appropriate action to minimise thesewherever possible.

Identifysafeguarding concerns and ensure these are reported and documented accuratelyaccording to LIVES and CEMS clinical guidelines and Standard OperatingProcedures.

Completetimely, accurate, contemporaneous clinical records and documentation inaccordance with Caldicott principles, current legislation, informationgovernance and regulatory frameworks.

Ensure anynear misses, operational incidents (actual or potential) are recorded andreported in accordance with LIVES CEMS Standard Operating Procedures.

Liaise withother agencies and participate in, and if required, lead a hot debrief.

Carry outmanual handling of patients in emergency situations following a dynamic riskassessment, and utilising ambulance moving and handling equipment as necessary.

Identify andtake action when other peoples behaviour undermines equality and diversity.

Takeresponsibility for own health and wellbeing, to ensure you are able to performyour clinical role in a safe, effective and professional manner, whilstrecognising any ongoing care of physical and mental wellbeing needs.

Maintain highstandards of care and service, treating everyone with dignity and respectwhilst promoting patient choice and non-discriminatory practice.

Takereasonable care and attention when handling and using expensive medicalequipment and medicines, reporting defects or damage in accordance withStandard Operating Procedures.

Maintenance ofaccurate stock records, consumables and drugs.

Clinical Support Activities

Handoverinformation from shift to shift using CEMS internal systems.

Maintainappropriate standards of cleanliness of vehicles, medical, monitoring andcommunications equipment.

General careand cleaning of personal protective equipment used during clinical operations.

Daily, weeklyand monthly checks of equipment, drugs and monitoring equipment in accordancewith agreed team checklists and standard operating procedures.

Maintenance ofaccurate stock records of consumables and drugs.

Shareknowledge, skills and experience as part of the a close-knit team.

Providesupport and mentorship to internal and external learners, new starters, andstudents on placement.

Controlleddrug documentation in line with LIVES controlled drug procedures.

Undergotraining and induction to undertake shifts within the EOC (Emergency OperationsCentre) at ambulance control, facilitating appropriate allocation and dispatchof LIVES assets and provide remote advice to LIVES, EMAS and other partneragencies and colleagues.

Person Specification

Qualifications

• Registration and Eligibility
• NMC Registered Nurse (Part 1/12) or HCPC Registered Paramedic with no restriction to practice within UK
• Enhanced DBS clearance
• Eligible to work in the UK
• Full UK driving license and level of health to DVLA standards (maximum 6 points)
• Qualifications
• Evidence of professional study at level 6 (degree level)
• Successful completion of resuscitation training at Basic/Intermediate standard across adults, paediatrics and neonates
• Emergency driving qualification e.g., Level 3 CERAD, IHCD Emergency Response Driving D1/D2 or equivalent award
• Experience, Knowledge and Skills
• 5 years post-registration clinical experience
• Recent experience in a front-line patient facing role
• Experience in delivering care to patients of all ages
• Evidence of career progression and continuous professional development
• Experience working as part of a multi-disciplinary team in the pre-hospital care environment
• Knowledge of clinical governance systems
• Good IT skills, including use of Office 365
• Understands importance of clinical governance
• Ability to communicate effectively, using verbal and written methods to collect, convey or record highly complex, contentious and sensitive information
• Understands and maintains confidentiality
• Physical Requirements
• Occupational health clearance, including general health, eyesight and hearing checks
• Fit to perform pre-hospital care work (e.g., carrying medical backpack and monitoring equipment short distances, emergency response driving, and manual handling of patients in emergency situations)
• Personal Attributes
• Excellent written and verbal interpersonal communication skills
• Ability to work as part of a team
• Ability to work in unpredictable pre-hospital settings
• Ability to remain calm under pressure and during emotive situations
• Demonstrates tact and diplomacy
• Ability to develop effective working relationships with colleagues, patients and the public
• Adaptable and flexible approach to work
• Punctuality
• Acts with honesty, integrity and professionalism
• Caring attitude
• Ability to self-motivate and motivate others
• Promotes anti-discriminatory practice and equality and diversity
• Qualifications
• Successful completion of resuscitation training at Advanced standard across adults, paediatrics and neonates
• Degree in Nursing or Paramedic Practice
• Higher qualification in pre-hospital emergency medicine (e.g., Diploma in Urgent Medical Care)
• Experience, Knowledge and Skills
• Interest/skills in palliative care
• Interest/skills in paediatrics
• Venepuncture and cannulation
• Urinary catheterisation
• Experience of wound closure (e.g., suturing, stapling, steri-strips)
• Experience of complex case management
• SystmOne user
• Experience of teaching/instructing on resuscitation, trauma care or emergency care courses
• Evidence of previous team leadership roles
• Local knowledge of healthcare systems and geographical area
• Personal Attributes
• Desire for career progression towards ACP

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.