Senior Rapid Access Services Nurse or Paramedic

Central and North West London NHS Foundation Trust; Camden Town; On-site; GBP 56,000 - 64,000; Full time

Job summary

A leading healthcare provider in Camden is seeking a Senior Rapid Access Services Nurse or Paramedic. The role involves providing high-quality care to patients experiencing acute health deterioration in community settings. Applicants should be registered nurses or paramedics with substantial experience in acute care. A competitive salary package is offered, and successful candidates can enjoy flexible shift patterns, as well as opportunities for professional development.

Benefits

Opportunity to earn extra pay

Individual training package of £300 per year

Supportive working environment

Qualifications

• Registered Nurse with current NMC registration or Paramedic with HCPC registration.
• Extensive post registration experience in Acute care.
• Ability to work autonomously and manage patients in the community.

Responsibilities

• Provide high-quality care to patients experiencing acute health deterioration.
• Assess, manage, and treat patients within their homes.
• Work collaboratively with multidisciplinary teams in community settings.

Skills

Completion of Physical Assessment

Venepuncture

Medication Administration

Cannulation

Confidence in knowledge and skills

Triage

Non-Medical Prescriber

Teaching skills

Education

Bachelor's Degree in Nursing/Paramedic Science

Registered Nurse with current NMC registration

Registered Paramedic with current HCPC registration

Advanced Clinical Assessment Course

Mentorship or Practice Assessor Training

Job description

Senior Rapid Access Services Nurse or Paramedic

Closing date: 22 December 2025

Camden Rapid Access Services are an Adult physical health service.

Are you a Nurse or Paramedic seeking a new challenging role in the community? Camden Rapid Access Services (incorporating Urgent Community Response (UCR); Virtual Ward; and D2A pathways) are currently seeking to employ a Band 7 Registered Nurse or Paramedic with experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).

Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.

Main duties of the job

Urgent Community Response

Nursing / Paramedic Led Caseload

The main duty of an Urgent Community Response nurse/paramedic is to provide high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services.

Virtual Ward

Consultant Led Pathway

Within this new service non-medically optimised patients are admitted to the Virtual Ward as a form of early discharge from the local acute trusts or escalated from the Rapid Response Team. A Consultant Geriatrician oversees these patients’ care. This service focuses on elderly care with a mix of conditions but will include patients requiring IV medication; Remote monitoring using high spec technology; Management of acute and/or chronic medical conditions.

Shift pattern

The team currently works a variety of shift patterns, including 08:00-21:00 (long day), 09:00-22:00 (long day), 09:00-19:00 (early), and 12:00-22:00 (late). The successful candidate will be expected to work two out of four weekends per month. We allow team members to request up to 4 shifts or specific days off per roster (that's over a quarter of your roster).

About us

All gender identities, sexual orientations and/or BAME professionals are welcomed and encouraged to apply.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and patients when working in our healthcare settings.

CNWL strives to support provision of a healthy work-life balance, which in this role includes:

• Providing an opportunity to earn extra pay as CNWL automatically enrols new recruits onto the bank at a competitive pay rate.
• An individual training package of £300 per person, per year.
• Creating an inclusive and supportive working environment and team dynamic receptive to the culture of change.
• Working closely with the multidisciplinary team, specialist services and the wider integrated care system.

CNWL is recognized locally and nationally for providing high quality and innovative healthcare, frequently contributing to national health strategy and policy development.

Our nurses and paramedics enjoy their experience of visiting patients in their own home. They report feeling ‘honoured to build such close professional relationships with their team and patients alike.’ There is no typical day in RAS. Every visit requires a different set of skills and approach, the variety keeps the job interesting and the learning never stops.

Job responsibilities

Some of relevant skills:

• Completion of Physical Assessment (Essential)
• Venepuncture (with ability to identify the required blood tests)
• Cannulation
• Medication Administration (PO; PR; IV; IM; SC etc)
• Triage
• Autonomous Practice
• Confidence in knowledge and skills
• Awareness of the Mental Capacity Act and Mental Capacity Assessment
• Proficient at taking on a Nurse/Paramedic in Charge role
• Non-Medical Prescriber (Desirable)
• Teaching skills
• Mentor / Practice Assessor

Within the team, we have Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists. We work together closely with our OT/PT colleagues, sometimes undertaking joint patient visits to meet all of their needs.

Nearby, we have District Nursing teams; We work in the same office as Respiratory Nurses; Heart Failure Nurses; and have access to bridging Packages of care (Carelink). It’s a big team of clinicians, all striving for the best outcomes for our service users and their families.

Unless you’re a Paramedic, you will need to have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it’s part of the basic curriculum for student paramedics.

Working in a Nurse / Paramedic led service, in the community, will sometimes bring you into situations where you’re making the decisions that, typically, are made by our medical colleagues. So confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.

Ideally you will possess a Full UK Driving licence as we cover the entirety of Camden but bus/tube passes can be provided if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears), though sometimes walking or public transport are essential.

Camden Rapid Access Services (Camden RAS) covers the entire borough of Camden, which is home to over 200,000 residents. Camden is historic, diverse and culturally rich. We’re proud to be part of this community.

More information on Camden RAS can be found on our CNWL webpage.

We would like to wish any potential candidates the best of luck in the process.

Person Specification

Education and Qualifications – Essential

• Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
• Bachelor's Degree (BSc) in Nursing/Paramedic Science.
• Evidence of continued professional development.
• Mentorship (Post Grad Module) or Practice Assessor / Supervisor Training.
• Advanced Clinical Assessment Course.

Education and Qualifications – Desirable

• Master's or working towards.
• Independent Nurse Prescriber.

Previous Experience – Essential

• Extensive post registration experience in Acute care including ITU, A&E, Acute assessment units and/or Rapid Response.
• Evidence of working within the MDT.
• Understanding of the role of Primary care in admission prevention and supporting a timely discharge.

Previous Experience – Desirable

• Community working.

Skills & Knowledge – Essential

• Phlebotomy, IV Cannulation and IV therapy skills and knowledge (Including PICC and Central line) or willing to achieve on appointment.
• Excellent clinical reasoning skills & decision making skills.
• Able to work confidently in an independent and autonomous role whilst being aware of own limitations.
• Understanding of evidence based practice.
• Broad range of knowledge relating to multiple specialities.
• Ability to interpret blood results.

Attitudes, aptitudes, personal characteristics – Essential

• Demonstrates CNWL core values.
• Awareness of team work and able to perform to a high standard within a team framework.
• Motivated to own personal development.
• Appraise, interpret and apply suggestions, recommendations and directives to improve services.

Other – Essential

• Awareness of NHS policies in respect to primary care and reducing hospital admissions.
• Good IT skills and Knowledge of Microsoft applications.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

UK Registration

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

Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

St Pancras Hospital

4 Saint Pancras Way Inpatient Unit

Camden

NW1 0PE

Employer's website

https://www.cnwl.nhs.uk/work

£56,276 to £63,176 a year per annum incl. HCAS (pro rata if P/T)