Job requirements
Essential
13 listedRequirements the employer expects applicants to meet.
- Knowledge
Knowledge across a range of patient conditions, including frailty, medical/surgical/cardiac – acute on chronic illness
- Knowledge
Knowledge of current NHS organisational structures and policy initiatives
- Knowledge
Knowledge of clinical governance processes, risk assessment and personal accountability
- Skills/ Aptitude
Basic IT skills including use of Microsoft Office package and email
- Skills/ Aptitude
Ability to communicate highly complex information both verbally and in writing
- Skills/ Aptitude
Ability to adapt to changing needs of service
- Skills/ Aptitude
Able to manage difficult situations
- Previous Experience
Post-registration clinical experience in an acute setting – including medication management, complex care and end of life management
- Previous Experience
Proven ability to prioritise and manage own workload with minimal supervision
- Previous Experience
Experience of participating in Clinical supervision
- Previous Experience
Evidence of innovation in practice
- Education and Qualifications
Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
- Education and Qualifications
Evidence of continued professional development
Desirable
12 listedAdditional qualities the employer would prefer.
- Knowledge
NHS Leadership Programme – or leadership development
- Knowledge
Knowledge of safeguarding and safeguarding concerns
- Knowledge
Able to articulate clinical care and clinical systems providing clinical leadership to a team.
- Skills/ Aptitude
Advanced patient assessment skills or working on and developing these skills
- Skills/ Aptitude
Full Driving Licence or willingness to learn to drive – ability to access and take alternative modes of transport such as bike ride/bus/underground.
- Previous Experience
Experience of undertaking complex assessments and providing care to people with long-term conditions
- Previous Experience
Working in community and MDT – Rapid Response experience
- Previous Experience
Experience in managing, auditing and evaluating clinical nursing services
- Previous Experience
Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries
- Education and Qualifications
Accredited post-registration qualification in long-term condition management and/or physical assessment skills
- Education and Qualifications
Qualification in teaching or practice-based learning
- Education and Qualifications
Non-Medical Prescriber
Job overview
Community Independence Service Urgent Community Response
Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community?
Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurse's or Paramedic's with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).
This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways.
Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.
Main duties of the job
Urgent Community Response
Nursing / Paramedic
The main duty of an Urgent Community Response (UCR) nurse/paramedic is to provide, high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services
Shifts
The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.
Detailed job description and main responsibilities
Some of relevant skills:
- Physical Assessment (Health Assessment course essential for RGNs)
- Venepuncture (with ability to identify the required blood tests)
- Cannulation
- Medication Administration (PO; PR; IV; IM; SC etc)
- Triage
- Autonomous Practice
- Confidence in knowledge and skills
- Awareness of the Mental Capacity Act and Mental Capacity Assessment
- Proficient at taking on a Nurse/Paramedic in Charge role and Clinician of the Day role
- Non-Medical Prescriber (Desirable)
- Teaching skills
- Mentor / Practice Assessor
Within the team, we have Registered Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles . We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.
Successful candidates will have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics.
Working in this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. Confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.
Ideally you will possess a Full UK Driving licence as we cover the entirety of the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.
We would like to wish any potential candidates the best of luck in the process.
These roles will be based in Kensington and Chelsea
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 Urgent Community Response Nurse/Paramedic with Central and North West London NHS Foundation Trust in Ashford, England. It is listed as a Band 7 Paramedic role. The advertised salary is £58,133 - £65,261 per annum incl. HCAS (pro rata if P/T). The contract type is Permanent: Service runs 7 days per week and 365 days a year, From 8am to 10pm. Shift pattern, 8-8, 10-10, weekend working and Public Holiday working are expectations of the role. The application deadline is 23 Nov 2026.
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