# Nurse or Paramedic Urgent Community Response and Hospital at Home > NHS job listing from Job Clerk for Central London Community Healthcare NHS Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/nurse-or-paramedic-urgent-community-response-and-hospital-at-home/24a6b1b5-1830-4c73-9f81-50c05a23a39e - **Markdown:** https://www.jobclerk.com/job/nurse-or-paramedic-urgent-community-response-and-hospital-at-home/24a6b1b5-1830-4c73-9f81-50c05a23a39e.md ## Summary - **Status:** Live - **Employer:** Central London Community Healthcare NHS Trust - **Location:** Emergency/Out of Hours Dental Services - **Workplace type:** onsite - **Profession:** Paramedic - **Grade:** Band 6 - **Salary:** £47,951 - £56,863 per annum, inclusive of HCAS - **Contract type:** 12 months (Fixed term - 12 month from start date) - **Employment type:** Full time - 37.5 hours per week (Monday to Sunday, between 8am to 11pm) - **Closing date:** 2026-10-12T22:59:00.000Z - **Posted:** 2026-09-28T14:10:53.587Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Central_London_Community_Healthcare_NHS_Trust/Nurse_Paramedic_Urgent_Community_Response_Hospital_at_Home/Nurse_Paramedic_Urgent_Community_Response_Hospital_at_Home-v8305184 - **Application URL:** https://apps.trac.jobs/job-advert/8305184?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.clch.nhs.uk ## Job Content ### 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. ## Person Specification ### Skills **Essential** - Has high level of competence in a range of clinical skills relevant to the role and patient group - Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management. - Able to work autonomously, planning and prioritising own workload and that of others - Ability to work in a team - Knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment. - Clinical knowledge across a range of long term and enduring conditions. - Knowledge of current NHS organizational structures and policy initiatives. - 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. - Principles of care for patients with long term conditions, relevant NSFs and other national standards - NMC Code of Professional Conduct and application to practice. - Personal Development Planning - The audit processes. - Applying evidence-based care into practice - The principles of clinical governance and application to practice. - Clinical supervision – purpose and application - Managing difficult situations and conflict resolution - How equal opportunities can be implemented in practice. **Desirable** - Able to lead and motivate a team ### Experience **Essential** - Evidence of recent substantial post-registration nursing 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 of assessing and providing quality care to people with Long Term Conditions - Extensive range of clinical skills and experience including Vene-puncture, cannulation, catheter and bowel care, EOL - 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 - Experience of conducting research projects and audit. - Experience of change management and implementing change in practice. - Evidence of innovation in practice. ### Key Attributes **Essential** - Able to carry out the duties of the post with or without adaptations. - 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) - Able to work flexible shifts. - Able to provide evidence of where you have demonstrated the Trust’s Values and Behaviours - Able to demonstrate excellence in Customer Service - Able to meet the required IT Skills for the post. - Able to work from more than one work base. ### Qualifications **Essential** - Registered Nurse or Paramedic with current NMC or 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 Nursing. - Qualification in teaching or practice-based learning. - Physical Clinical Assessment Skills Course or willingness to undertake the course. - Nurse prescribing qualification ## Documents - [functional requirements form (pdf, 439.8kb)](https://www.healthjobsuk.com/documents?vdoc=10625404) - [band 6 nurse or paramedic jd/ps (pdf, 584.3kb)](https://www.healthjobsuk.com/documents?vdoc=10624957) ## 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.