Clinical Advisor - Paramedic (Permanent)

London Ambulance; Greater London; Hybrid; GBP 48,000 - 57,000; Full time

Job summary

London Ambulance Service seeks a Clinical Advisor - Paramedic (Permanent) to perform telephone-based assessment and triage for urgent health needs.

You will use structured triage and professional judgement to guide patients to the right care, provide safety-netting, and coordinate referrals across NHS and community services.

Qualifications

• Registered nurse or paramedic with current registration.
• Evidence of CPD and revalidation.
• Experience in primary/urgent care settings is desirable.

Responsibilities

• Provide telephone-based clinical assessment and triage for urgent physical and mental health needs.
• Use clinical judgement to identify red flags and direct patients to appropriate care.
• Offer self-care guidance and safety-netting, and coordinate referrals with NHS 111, GPs, and hospitals.
• Communicate compassionately with distressed callers and escalate safeguarding concerns as needed.
• Support clinical governance, quality improvement and colleague development within a 24-hour service.

Skills

Clinical judgement

Communication

Leadership

Education

Professional clinical qualification with active registration

CPD & revalidation evidence

Tools

NHS IT systems

Job description

Clinical Advisor - Paramedic (Permanent)

The Clinical Advisor is a registered nurse or paramedic providing telephone-based assessment, triage and clinical advice within the London Ambulance Service Clinical Hub. Using structured triage systems and professional judgement, the postholder assesses urgent physical and mental health needs, identifies risks and directs patients to the safest care pathway. The role involves offering self-care and safety-netting advice, coordinating referrals, maintaining accurate records and escalating safeguarding concerns. Working collaboratively with healthcare and emergency services, the Clinical Advisor supports safe, efficient patient care while contributing to clinical governance, service improvement

Main duties of the job

Provide telephone-based clinical assessment and triage for patients with urgent physical and mental health needs. Use clinical judgement to identify risks, recognise red flags and direct patients to the most appropriate care. Offer clear advice and safety-netting, maintain accurate records, and coordinate referrals with healthcare and emergency services. Communicate compassionately with distressed or challenging callers, identify safeguarding concerns and escalate complex cases. Support clinical governance, quality improvement and colleague development while working flexibly within a 24-hour emergency service.

About us

Youll work in a fast-paced, supportive Emergency Operations Centre at Waterloo Headquarters and/or Newham Dockside, as part of a skilled multidisciplinary team. Working alongside Clinical Advisors, ambulance crews, NHS 111, GPs, hospitals and community services, youll help deliver safe, coordinated patient care around the clock. The role offers varied and meaningful work, opportunities for clinical supervision, reflective practice, continuing professional development, mentoring and service improvement. Youll strengthen your telephone-triage, leadership and digital skills while contributing to a learning-focused culture built on Caring, Respect and Teamwork, with flexible rotating shifts supporting a 24-hour emergency service and access to ongoing professional learning.

Job responsibilities

The Clinical Advisor is a registered nurse or paramedic who provides telephone-based assessment, triage and clinical advice within the London Ambulance Service Clinical Hub. Supporting the 999 Hear and Treat service, the postholder helps patients receive the right care, in the right place, at the right time.

Using structured triage systems, clinical expertise and professional judgement, the Clinical Advisor assesses patients of all ages with urgent physical and mental health needs. They identify red-flag symptoms, evaluate risk and determine the safest care pathway. This may include providing self-care and safety-netting advice, arranging an emergency response or referring patients to NHS 111, GPs, urgent treatment centres, emergency departments or community services.

The role requires advanced listening, questioning and communication skills, particularly when supporting distressed, anxious or challenging callers. The postholder works autonomously, maintains accurate and confidential clinical records, recognises safeguarding concerns and escalates complex cases appropriately.

Clinical Advisors collaborate with ambulance crews, healthcare professionals and emergency services to ensure safe referrals and effective handovers. They also contribute to clinical governance, incident reporting, audit, service improvement and colleague development.

Applicants must hold current NMC or HCPC registration, have relevant post-registration clinical experience and be able to work rotating shifts within a 24-hour emergency service.

Person Specification

Qualifications, Accreditations, Education

• Professional clinical qualification and active registration with relevant
• Evidence of Continuing Professional Development and revalidation

Experience

• Post registration clinical experience in primary, urgent, emergency care
• or ambulance settings
• Experience of liaising with multi-disciplinary teams, agencies and a
• variety of stakeholders
• Experience of supporting others through preceptorship, mentorship or coaching

Knowledge and Skills

• Ability to confidently use a computer and move quickly between different applications
• Excellent communication skills including the ability to listen and
• question appropriately and deliver continuous and challenging information
• Demonstrate evidence of high standards of personal performance,
• clinical practice and clinical governance
• Demonstrate evidence of taking action in response to errors and ability to learn from errors
• Undertake reflective practice to self-critique and participate in peer review
• Evidence of leadership skills

Personal Abilities

• Ability to work effectively as part of a team in addition to working
• confidently as an autonomous practitioner
• Excellent understanding and commitment to equality, diversity and
• inclusivity
• Good quality application in terms of legibility, spelling and grammar

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.

£47,951 to £56,863 a yearper annum pro rata inclusive of Inner HCAS