# Advanced Nurse/Paramedic, Unplanned Care > NHS job listing from Job Clerk for Central London Community Healthcare NHS Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/advanced-nurseparamedic-unplanned-care/020782c5-0df9-43f5-a08e-afa2aaaaf5aa - **Markdown:** https://www.jobclerk.com/job/advanced-nurseparamedic-unplanned-care/020782c5-0df9-43f5-a08e-afa2aaaaf5aa.md ## Summary - **Status:** Live - **Employer:** Central London Community Healthcare NHS Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Paramedic - **Grade:** Band 7 - **Salary:** £51,657 - £58,785 Per Annum, inclusive of HCAS - **Contract type:** Fixed term: 9 months (Band 7 cover) - **Employment type:** Full time - 37.5 hours per week (fixed term for 9 months) - **Closing date:** 2026-06-10T23:59:00.000Z - **Posted:** 2026-05-27T07:41:12.974Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Watford/Central_London_Community_Healthcare_NHS_Trust/Advanced_NurseParamedic/Advanced_NurseParamedic-v7985491 - **Application URL:** https://apps.trac.jobs/job-advert/7985491?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.clch.nhs.uk ## Job Content ### Job overview CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!    We have an exciting opportunity for a Band 7 Advance Nurse/Paramedic to join our Unplanned Care service.  This opportunity is on a 9 month fixed term basis.   The service provides high-quality care to patients in their own homes, with a focus on preventing unnecessary hospital attendance or admission and supporting early discharge from hospital where appropriate. The service operates 7 days a week, from 8am to 10pm.   In this role, you will work both independently and collaboratively with Acute Trusts, Adult Community Nursing Teams, and a range of health, statutory, and voluntary agencies to deliver excellent standards of patient care.   Key responsibilities include: - Working a rotational shift pattern within the Herts Unplanned Care Team (service hours: 8am–10pm, 7 days a week) - Acting as the clinical lead during designated shifts, supporting the day-to-day coordination of the service - Taking responsibility for specific areas of operational management, clinical practice, and team support - Effectively prioritising and managing your own workload with a high degree of autonomy ### Main duties of the job - Use advanced clinical assessment and diagnostic skills, along with specialist knowledge, to assess patients’ physical and psychosocial needs. You will develop short-term, person-centred care plans that aim to optimise health and wellbeing, prevent unnecessary hospital attendance or admission, and support early discharge home where appropriate. - Demonstrate competence in clinical triage, as this forms a core component of the role. Including the ability to assess patient presentations safely and effectively, prioritise clinical need, identify red flag symptoms, and make appropriate decisions regarding onward management, escalation, or referral. Triage competence is essential to ensure timely patient care, support service efficiency, and maintain patient safety within urgent and routine clinical pathways - Deliver specialist clinical care and treatments based on the best available evidence to improve patient outcomes. This may include cannulation, administration of intravenous infusions and antibiotics, anticoagulation monitoring, palliative care interventions, and catheter and bowel management. - Contribute to the delivery of agreed clinical quality and performance standards within your practice, supporting continuous improvement in patient care. - Review and assess referrals to the team in a timely way, aiming to respond within two hours to ensure patients and carers receive appropriate care and support as quickly as possible. ### Detailed job description and main responsibilities Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trust’s values of Accountability, Inclusion, Compassion, and Empowerment. ## Job Details CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting! We have an exciting opportunity for a Band 7 Advance Nurse/Paramedic to join our Unplanned Care service. This opportunity is on a 9 month fixed term basis. The service provides high-quality care to patients in their own homes, with a focus on preventing unnecessary hospital attendance or admission and supporting early discharge from hospital where appropriate. The service operates 7 days a week, from 8am to 10pm. In this role, you will work both independently and collaboratively with Acute Trusts, Adult Community Nursing Teams, and a range of health, statutory, and voluntary agencies to deliver excellent standards of patient care. Key responsibilities include: - Working a rotational shift pattern within the Herts Unplanned Care Team (service hours: 8am–10pm, 7 days a week) - Acting as the clinical lead during designated shifts, supporting the day-to-day coordination of the service - Taking responsibility for specific areas of operational management, clinical practice, and team support - Effectively prioritising and managing your own workload with a high degree of autonomy ## Job Description Use advanced clinical assessment and diagnostic skills, along with specialist knowledge, to assess patients’ physical and psychosocial needs. You will develop short-term, person-centred care plans that aim to optimise health and wellbeing, prevent unnecessary hospital attendance or admission, and support early discharge home where appropriate. Demonstrate competence in clinical triage, as this forms a core component of the role. Including the ability to assess patient presentations safely and effectively, prioritise clinical need, identify red flag symptoms, and make appropriate decisions regarding onward management, escalation, or referral. Triage competence is essential to ensure timely patient care, support service efficiency, and maintain patient safety within urgent and routine clinical pathways Deliver specialist clinical care and treatments based on the best available evidence to improve patient outcomes. This may include cannulation, administration of intravenous infusions and antibiotics, anticoagulation monitoring, palliative care interventions, and catheter and bowel management. Contribute to the delivery of agreed clinical quality and performance standards within your practice, supporting continuous improvement in patient care. Review and assess referrals to the team in a timely way, aiming to respond within two hours to ensure patients and carers receive appropriate care and support as quickly as possible. ## Responsibilities Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trust’s values of Accountability, Inclusion, Compassion, and Empowerment. ## Person Specification ### Experience **Essential** - Extensive experience in Primary/Acute care/Emergency Department - experience of utilising diagnostic and clinical skills to provide autonomous, unscheduled medical are. - effectively working in collaboration, negotiating and lisiasing across organisational boundaries - experience of assessing and providing quality care to people with long term conditions - previous management experience **Desirable** - experience of implementing evidence based care and supporting others to do so ### Key Attributes **Essential** - Able to carry out the duties for the post - able to work flexible shifts and long days - Requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless the candidate has a disability as defined by the Equality Act 2010). ### Skills & Knowledge **Essential** - evidence of comprehensive range of clinical skills and expertise relevant to the role - confident triaging skills - specialist knowledge in clinical reasoning, physical examination and history taking - able to delegate work effectively and safely - able to manage difficult situations and address poor practice - able to identify own and others learning and development needs - bastic IT skills ic microsoft work and Teams. - able to work autonomously. **Desirable** - able to negotiate around Systm one - knowledge of primary health care and collaborative working ### Education/Qualification **Essential** - Registered Nurse/Paramedic with current NMC/HCPC registration **Desirable** - Evidence of other post registration education and training - post registration experience in community setting ## Documents - [clch trust values (pdf, 893.7kb)](https://www.healthjobsuk.com/documents?vdoc=10276980) - [advanced clinician jd (pdf, 624.3kb)](https://www.healthjobsuk.com/documents?vdoc=10315957) - [functional requirements (pdf, 439.8kb)](https://www.healthjobsuk.com/documents?vdoc=10276979) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.