Nurse / Paramedic Clinical Advisor - Nhs 111

Huc (Herts Urgent Care); Bedford; On-site; GBP 27,000 - 39,000; Full time

Benefits offered by this job

NHS Pension Scheme

Wellbeing Support

Recognition and Rewards

Career Growth

Job summary

HUC provides Urgent and Unscheduled Care services to over 4.5 million patients across Hertfordshire, Cambridgeshire, Bedfordshire, West Essex and the South West of England. HUC is an exciting and supportive place to work.

No two shifts are the same and we have a wealth of knowledge across the organisation, ensuring we get the most appropriate outcome for every caller. As an NHS 111 Clinical Advisor, you will provide safe, timely and compassionate clinical assessment, triage and advice to people

Qualifications

• Registered nurse or paramedic with post‑registration healthcare experience.
• Current UK professional registration and DBS considerations as per policy.
• Experience in primary care or emergency care settings is essential.

Responsibilities

• Conduct structured telephone assessments and evaluate clinical risk and communication needs.
• Use NHS Pathways and local pathways to determine urgency and disposition.
• Identify red flags and safeguard concerns, escalating when required.
• Provide clear, evidence-based advice and safety-netting.
• Arrange safe referrals and handovers to ambulance, primary and urgent care services.
• Support Health Advisors with clinical guidance and participate in audits and training.
• Maintain accurate records and uphold confidentiality.

Skills

Telephone triage

Clinical assessment

Education

Registered nurse or paramedic

Tools

NHS Pathways

Job description

Job summary

HUC provides Urgent and Unscheduled Care services to over 4.5 million patients across Hertfordshire, Cambridgeshire, Bedfordshire, West Essex and the South West of England. HUC is an exciting and supportive place to work. No two shifts are the same and we have a wealth of knowledge across the organisation, ensuring we get the most appropriate outcome for every caller.

As an NHS 111 Clinical Advisor, you will provide safe, timely and compassionate clinical assessment, triage and advice to people contacting NHS 111 and HUC's Clinical Assessment Service. Using your professional knowledge, effective telephone consultation skills, NHS Pathways and approved local pathways, you will assess urgent and undifferentiated presentations, identify clinical risk and determine the most appropriate care.

You will recognise deterioration, time‑critical illness and safeguarding concerns, provide self‑care advice and safety‑netting, and arrange referrals or escalation to emergency, urgent, primary, community or specialist services.

Working within a supportive multidisciplinary team and established clinical governance framework, you will also provide clinical guidance to Health Advisors and colleagues. This is an opportunity to make a meaningful difference to patient safety and experience across a dynamic 24/7 service, while developing your clinical assessment, decision‑making and remote consultation skills.

Main duties of the job

• Conduct structured telephone assessments, gathering relevant information and evaluating symptoms, clinical risk, vulnerability, capacity and communication needs.
• Use NHS Pathways, approved clinical decision‑support tools and local pathways to determine clinical urgency, disposition and appropriate onward care.
• Recognise red flags, deterioration, time‑critical illness and safeguarding concerns, escalating promptly and facilitating emergency or urgent intervention where required.
• Provide clear, evidence‑based advice, safety‑netting and agreed care plans, checking patient understanding.
• Arrange safe referrals and handovers to appropriate services, including ambulance, emergency, primary care, urgent care, mental health, pharmacy and community services.
• Support Health Advisors and the wider multidisciplinary team with clinical advice, case reviews and clinical floor support where trained and allocated.
• Maintain accurate records, protect confidentiality, report risks and incidents, and participate in audit, supervision, training and continuous improvement.

About us

• Exclusive Discounts: Unlock amazing savings on shopping, travel, and entertainment through Blue Light Card, Tickets for Good, and more. From everyday essentials to special experiences, we've got your wallet covered!
• NHS Pension Scheme: Secure your future with the NHS Pension, offering peace of mind and valuable long‑term financial benefits for all our staff.
• Wellbeing Support: Your health matters! Enjoy access to counselling services, personalised health plans, calming meditation guides, energising fitness routines, and delicious recipes to keep you thriving every day.
• Recognition and Rewards: Your hard work won't go unnoticed! Celebrate your achievements with peer shout‑outs, special awards, and exclusive event vouchers that show how much we appreciate you.
• Financial Perks: Take the stress out of money matters with free financial advice, a healthcare cash plan to cover everyday expenses, and smart savings options through our Credit Union.
• Career Growth: Build the future you deserve with our My Academy training programs, exciting internal vacancies, and regular updates to keep you in the loop with HUC news and opportunities.

Job responsibilities

This role involves an 8‑weeks of paid, full‑time Pathways training. Following the completion of the training, you will work according to an agreed rota. Current rota patterns are attached to this vacancy - please review them prior to application and select a suitable pattern. We can also offer Relief rotas with varied schedule.

The recruitment process for this role involves 30‑45 min online assessment. Following successful assessment, you will be invited to a clinical interview.

Person Specification

Experience and Qualifications

Essential

• Registered nurse or paramedic
• Post registration training / consolidation and experience in healthcare settings or specialties relevant to profession
• Healthcare experience in a primary care or A&E setting (in addition to your placements)

Desirable

• Pathways trained
• Previous experience of delivery of IT based care packages
• Experience of telephone triage or consultation

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name: HUC

Address: Technology House Bedford, Bedford, MK42 9QG, United Kingdom

Employer's website: https://hucweb.co.uk/

For questions about the job, contact:

Clinical Recruitment, HUC, [e-mail]

Job information

• Date posted: 26 October 2026
• Closing date: 08 November 2026
• Salary: £19.28 to £27.99 an hour
• Contract: Permanent
• Working pattern: Full-time, Part-time
• Reference number: 4265-8395333
• Job locations: Bedford, Technology House Bedford, Bedford, MK42 9QG, United Kingdom