
Job overview
Central and North West London NHS Foundation Trust is a Top Employer Award Winner and works in partnership to provide responsive and dependable primary care, mental health, intellectual disability and substance misuse services to the diverse and culturally rich communities we serve.
In our quest to deliver patient-focused quality care we are looking to recruit a highly motivated, innovative and enthusiastic Senior Paramedic/Registered General Nurse-RGN Band 6 to join our forward thinking, friendly and expanding Health & Justice team at HMP Feltham B.
By joining our Prisons Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments, but who also can have a real impact on promoting health and well-being.
Our motto is “Caring NOT Judging” so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable and high-quality primary care and mental health services to those who may have offended and those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion.
We offer a great range of career pathways to support our nurses through their journey, see the list of endless opportunities under the working for your organisation tab.
Main duties of the job
- To work within the scope of the New Model of Care and undertake Early Days In Custody (EDic) assessments. To ensure all new arrivals to receive a brief assessment of individual presentation and need, referring patients on to other services (GP, SMS, chaplaincy, psychology etc) and book further assessment if indicated.
- To participant in Care and Separation (Segregation) Unit (CSRU) rounds with a GP and primary care nurse.
- To provide professional leadership and to facilitate a culture which engenders high standards and reflective learning
- To lead and manage a team of allocated staff and respond to emergency on site: code blue or code red
- Undertake line management responsibility for a team of staff ensuring appropriate deployment and supervision of staff
- To provide skilled general care and advice to patients within the prison
- To work as part of a multi-disciplinary team assessing the health needs of patients; to provide and evaluate care given and implement changes as required
- To be able to work autonomously, as well as part of the wider team delivering health care to the standard equitable to that found within the wider community
- To provide holistic care in a unique environment based on NMOC that
encourages patient engagement to an often socially excluded group
- The postholder is expected to deliver trauma-informed, culturally sensitive care.
Detailed job description and main responsibilities
- Assume responsibility for the Paramedic response with and without the direct supervision of
senior healthcare managers, to include the assessment of care needs and the provision
and evaluation of individual patient programmes of care
- Act as first response to medical emergencies providing first aid / emergency care as
required
- Establish and manage care packages including assessment, planning, monitoring and
evaluation of care
- Support Healthcare Care colleagues in the provision of care within the prison to prisoners with long term conditions e.g. asthma, CHD
- Apply evidenced based knowledge and the New Model of Care in quality care delivery
- To assess prisoners presenting with minor injuries and illnesses as part of a triage process
- To effectively and confidently treat prisoners in line with agreed local policies
- To work autonomously within a nurse lead service, recognising when there is a need to
refer to other members of the team
- Effectively communicate treatment plans with nurses and other members of the multi
disciplinary team
- Provide immunisations and health promotion
- To work with prisoners in order to support concordance with prescribed treatments
- To assist in the development of staff and to commit to ensuring a high standard of care is
provided safely and within all local policies and guidelines in relation to IPC and health and
safety
- To ensure all patient care is recorded accurately (on System One) and clinical decisions
are based on best practice and are evidence based (e.g. NICE, NSF)
- Attend ACCT reviews and other multi-disciplinary meetings as required, including complex case review meeting
- Screening and assessment of patients on reception including the completion of all relevant
documentation
- Maintain clinical competency in a range of extended skills as required to meet the needs of
patients on the caseload
- To act as an advocate to facilitate the views and choices expressed by patients
- Work with other health care colleagues, voluntary and statutory organisations to ensure that the holistic needs of patients are met wherever possible
- Administer medication including controlled drugs in accordance with national guidance and
Local Operational Procedures (LOPs) and Standard Operating Procedures (SOPs)
- To assume responsibility and accountability of a designated unit of the prison in relation to meeting the healthcare needs of patient’s along with making sure care plans are updated regularly.
- Working with the Clinical Team Leader to provide an environment that promotes training and development among the workforce.
- To assess health and social care needs and negotiate care plans with patients and staff teams.
- To ensure that safeguarding procedures are followed.
- The post holder where possible will, under the direction of the team leaders and the MDT, ensure that the service is delivered to patients inclusively and effectively.
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
OTHER
Essential
- The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job
- Ability to promote anti-discriminatory and anti-racist practices
EDUCATION and QUALIFICATIONS
Essential
- Paramedic/Registered General Nurse- RGN
- Evidence of professional development since registration
Desirable
- Post registration qualification that enhances clinical work: Urgent care practice etc
- Mentorship or supervisor qualification
SKILLS, KNOWLEDGE, ABILITIES
Essential
- Expert in engaging with people with physical health problems, assessing their needs, designing and delivering appropriate interventions and evaluating the effectiveness of the process
- Risk assessment and management skills
- Excellent IT skills
- Proven ability to work patients to increase their level of self-determination and resilience
- Knowledge of safeguarding frameworks
- Problem solving, stress management & conflict resolution skills
- Ability to engage in evidence based practice, with an understanding of care quality (clinical governance).
- Excellent communication skills both verbal and written
- Ability to work effectively as part of a team and independently as appropriate.
- To use supervision positively and effectively.
- Proven ability to work patients to increase their level of self-determination and resilience.
- Effective time management.
- Knowledge of the needs and rights of patients.
Desirable
- Knowledge of managing complex care within the prison environment
ATTITUDES, APTITUDES, PERSONAL CHARACTERISTICS
Essential
- Motivated to maintain the highest standards possible in the service.
- Able to accept constructive feedback.
- Able to ask for support where required
- Compassionate & non-judgmental approach
- Flexible
PREVIOUS EXPERIENCE Paid/unpaid relevant to job
Essential
- Experience of working as part of a multi-disciplinary team
- Experience of managing acute physical illness
- Experience of working in hospital or community setting
- Experience of mentoring or supervising students
Desirable
- Experience of working in a Prison or forensic environment
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Applying for this NHS job
This advert is for Senior Paramedic/ RGN - HMP Feltham B with Central and North West London NHS Foundation Trust in HMP Feltham B. It is listed as a Band 6 Paramedic role. The advertised salary is £45,953 - £54,254 per annum inc. Outer HCAS (pro rata if P/T). The contract type is Permanent. The application deadline is 26 Aug 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 (12 Aug 2026) to decide whether this role fits your current NHS job 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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