Clinical Advisor - Paramedic (Permanent)

Job summary

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.

Details

• Date posted: 07 October 2026
• Pay scheme: Agenda for change
• Band: Band 6
• Salary: £47,951 to £56,863 a year per annum pro rata inclusive of Inner HCAS
• Contract: Permanent
• Working pattern: Full-time, Part-time
• Reference number: 308-OL-999-126
• Job locations: EOC Newham, Newham, LONDON, Greater London, E16 2QU, United Kingdom, Trust HQ, 220 Waterloo Road, LONDON, Greater London, SE1 8SD, United Kingdom

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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 (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).