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Job requirements
Essential
39 listedRequirements the employer expects applicants to meet.
- Skills
Has high level of competence in a range of clinical skills relevant to the role and patient group
- Skills
Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
- Skills
Able to work autonomously, planning and prioritising own workload and that of others
- Skills
Ability to work in a team
- Skills
Knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
- Skills
Clinical knowledge across a range of long term and enduring conditions.
- Skills
Knowledge of current NHS organizational structures and policy initiatives.
- Skills
Able to delegate work effectively and safely.
- Skills
Ability to work under pressure.
- Skills
Ability to risk assess a situation and act appropriately.
- Skills
Ability to communicate effectively both verbally and in writing.
- Skills
Ability to identify own and others learning, and development needs and actively seek ways to meet those needs.
- Skills
Basic IT skills including use of Microsoft Office package and email.
- Skills
Principles of care for patients with long term conditions, relevant NSFs and other national standards
- Skills
NMC Code of Professional Conduct and application to practice.
- Skills
Personal Development Planning
- Skills
The audit processes.
- Skills
Applying evidence-based care into practice
- Skills
The principles of clinical governance and application to practice.
- Skills
Clinical supervision – purpose and application
- Skills
Managing difficult situations and conflict resolution
- Skills
How equal opportunities can be implemented in practice.
- Experience
Evidence of recent substantial post-registration nursing experience
- Experience
Proven experience of utilising expert diagnostic and clinical skills to provide autonomous, unscheduled medical care and management of patients presenting with undifferentiated and undiagnosed conditions.
- Experience
Experience of assessing and providing quality care to people with Long Term Conditions
- Experience
Extensive range of clinical skills and experience including Vene-puncture, cannulation, catheter and bowel care, EOL
- Experience
Experience of working within a multi-disciplinary team
- Experience
Experience of working with people with complex health needs
- Experience
Experience of supervising junior staff and co-ordinating daily activities on a regular basis
- Experience
Experience of undertaking comprehensive health needs assessment and writing care plans
- Key Attributes
Able to carry out the duties of the post with or without adaptations.
- Key Attributes
Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)
- Key Attributes
Able to work flexible shifts.
- Key Attributes
Able to provide evidence of where you have demonstrated the Trust’s Values and Behaviours
- Key Attributes
Able to demonstrate excellence in Customer Service
- Key Attributes
Able to meet the required IT Skills for the post.
- Key Attributes
Able to work from more than one work base.
- Qualifications
Registered Nurse or Paramedic with current NMC or HCPC registration
- Qualifications
Evidence of recent and continuing post-registration professional education and training
Desirable
11 listedAdditional qualities the employer would prefer.
- Skills
Able to lead and motivate a team
- Experience
Experience of implementing evidence-based care in practice
- Experience
Experience of conducting research projects and audit.
- Experience
Experience of change management and implementing change in practice.
- Experience
Evidence of innovation in practice.
- Qualifications
Experience of working in Primary Care/ Accident & Emergency.
- Qualifications
Experience of assessing and providing quality care to people with Long Term Conditions
- Qualifications
Qualifications in Community and/ or Accident and Emergency Nursing.
- Qualifications
Qualification in teaching or practice-based learning.
- Qualifications
Physical Clinical Assessment Skills Course or willingness to undertake the course.
- Qualifications
Nurse prescribing qualification
Job overview
An opportunity has arisen for a Band 6 Registered Nurse or Paramedic to join our team, working across an integrated Urgent Neighbourhood Health Service, including the Urgent Community Response and Hospital at Home services. This is on a fixed term contract for 12 months.
As part of a multidisciplinary team, you will deliver high-quality care to patients in their own homes and community settings. Using your clinical and diagnostic expertise, you will assess, manage and support patients with acute health concerns, complex health needs and long-term conditions.
You will work autonomously within your professional scope of practice while collaborating closely with colleagues to provide responsive, holistic care.
A key focus of the role is supporting admission avoidance and enabling timely, supported discharge from hospital where appropriate.
You will:
- Take responsibility for managing the caseload and the team, with the support of the Team Leader.
- Support locality-based planned care teams and partner services when acute or intensive nursing care is required.
- Actively contribute to service development initiatives. Working Hours:
- Work on a rotational shift pattern within Urgent Neighbourhood Health Services (service hours: 08:00 to 23:00).
Main duties of the job
Key duties within this role include:
- Provide day-to-day management of the service on a rotational basis in the absence of the Band 8a Clinical Lead.
- Take responsibility for designated areas of clinical practice and operational delivery.
- Prioritise and manage own workload, seeking guidance and support when required.
- To provide skilled, effective and evidence-based nursing care to patients in a variety of community settings.
- To assess referrals made to service, prioritise and respond according to priority, as appropriate both in terms of level and urgency. To respond within agreed timescales as appropriate.
- Utilise advanced clinical and diagnostic skills and expert knowledge to carry out thorough assessments of physical and psycho-social needs in order to develop a comprehensive short term care plan aiming to optimise health and wellbeing that will prevent a hospital attendance / admission.
- Provide direct advanced, autonomous clinical care to a range of patients presenting with differentiated diagnosis or RED flags, undiagnosed and/ or complex health needs and long-term conditions.
- Work within Clinical Guidelines, Policies, Procedures and Patient Group Directions (PGD’s) utilising expert judgment to work outside these frameworks where necessary.
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.
**Please see attached Job Description and Person Specification for full roles and responsibilities.**
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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Applying for this NHS job
This advert is for Nurse or Paramedic Urgent Community Response and Hospital at Home with Central London Community Healthcare NHS Trust in London, England. It is listed as a Band 6 Paramedic role. The advertised salary is £47,951 - £56,863 per annum, inclusive of HCAS. The contract type is 12 months (Fixed term - 12 month from start date). The application deadline is 12 Oct 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (28 Sep 2026) to decide whether this role fits your current NHSjob search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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