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Job overview
CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!
The purpose of the EIV pathway is to deliver crisis management to patients living in Herts Valleys and to prevent a hospital admission, providing a clinical assessment by a nurse or paramedic jointly with a HCA. The operational hours of this pathway are currently 08:00 - 20.00 - 7 days a week (subject to change once fully established).
The EIV pathway is closely aligned to the Unplanned Care service, which delivers high-quality clinical care to patients in their own home at times of crisis. The purpose of the Rapid Response (RR) pathway is to prevent hospital attendance/admission, and the Discharge to Assess (DTA) pathway is to facilitate early discharge from the hospital. The Unplanned Care team operates from 08:00 to 22:00, 7 days a week. The newly established EIV will supplement and support the delivery of Rapid Response and Discharge to Assess in the Unplanned care service.
Main duties of the job
- Provide skilled, effective and evidence-based clinical care to patients in a variety of community settings.
- Enable emergency provision of equipment through effective prescribing and ordering.
- Make risk assessments, establish the safety or otherwise of patients ability to stay at home, and arrange necessary nursing and supportive packages.
- Identify safeguarding concerns and effectively manage concerns or refers appropriately for safeguarding investigation. Apply knowledge of safeguarding processes and policy.
- Provide autonomous clinical care to a range of patients presenting with undifferentiated, undiagnosed and/ or complex health needs and long-term conditions.
- Assess and manage risk, knowing how to intervene proportionately and ensuring people are protected from harm, while protecting their human rights. Apply knowledge of the Mental Capacity Act and Care Act.
- Provide evidence-based clinical/therapeutic interventions based on 'best practice', in order to improve health outcomes and promote choice.
- Work in close collaboration with all other community agencies, including Locality planned care teams, In-Patient services and GPs.
- Deliver agreed clinical quality and performance standards within the Unplanned Care team.
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.
Person specification
Experience
Essential
- Evidence of recent substantial post-registration professional clinical experience
- Extensive range of clinical skills and experience including, e.g. IV therapy, venepuncture, cannulation, rehabilitation
- Experience of working within a multi-disciplinary team
- Experience of working with people with complex health needs
- Experience of supervising junior staff and co-ordinating daily activities on a regular basis
- Experience of undertaking comprehensive health needs assessment and writing care plans
Desirable
- Experience of implementing evidence-based care in practice
Skills and Knowledge
Essential
- Has high level of competence in a range of clinical skills
- Ability to work in a team
- Able to work without direct supervision, planning and prioritising own workload and that of others
- Able to delegate work effectively and safely
- Ability to work under pressure
- Ability to risk assess a situation and act appropriately
- Ability to communicate effectively both verbally and in writing
- Ability to identify own and others learning and development needs and actively seek ways to meet those needs
- Basic IT skills including use of Microsoft Office package and email
- Knowledge of Principles of care for patients with long term conditions, relevant NSFs and other national standards
- Knowledge of NMC/HCPC Codes of Professional Conduct and application
- The principles of clinical governance and application to practice
Desirable
- Able to lead and motivate a team
- Hold a full, valid, UK driving license and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
Education/Qualification
Essential
- Registered Nurse with current NMC registration OR Paramedic with HCPC registration
- Evidence of recent and continuing post-registration professional education and training
Desirable
- Experience of working in Primary Care/ Accident & Emergency.
- Experience of assessing and providing quality care to people with Long Term Conditions
- Qualifications in Community and/ or Accident and Emergency health care
- Qualification in teaching or practice based learning.
- Physical Clinical Assessment Skills Course or willingness to undertake the course
- Independent prescribing qualification
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Applying for this NHS job
This advert is for EIV specialist Nurse/Paramedic with Central London Community Healthcare NHS Trust in London, London, England. It is listed as a Band 6 Paramedic role. The advertised salary is £41,957 - £50,387 Per Annum, inclusive of HCAS. The contract type is Permanent. The application deadline is 05 Aug 2026.
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