This job has expired

Advanced Nurse or Paramedic

Central London Community Healthcare NHS Trust
Hemel Hempstead
£45,753 to £52,067 per annum, inclusive of HCAS
Closing date
2 Oct 2023

View more

Band 7
Contract Type
Full Time
CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

** Due to internal promotions, we have vacancies for Senior Nurses/Paramedics within the West Hertfordshire UCR service **

We are looking for forward thinking, passionate staff who can take a positive risk management approach to support people at risk of a hospital admission to remain at home when acutely unwell, within our UCR service West Hertfordshire.

The aim of the service is to avoid unnecessary admissions into secondary care and provide a timely discharge from hospital and community bedded units for patients requiring urgent therapy input in their homes. The team provides care across three pathways delivered over 7-days a week 8am to 10pm - Rapid Response (RR), Early Intervention Vehicle (EIV) and Discharge to Assess (DTA). All pathways are delivered in a patient's usual home environment.

We are looking for proactive and enthusiastic Advanced Clinicians (Nurse or Paramedic) to join our innovative Unplanned Care team and enable the delivery of care to patients in their own homes across Herts Valleys.

Main duties of the job

  • RR focusses on preventing avoidable hospital admissions for patients with acute ill-health conditions by providing holistic assessment and treatments up to 5 days. This pathway also delivers face to face assessments and treatment for patients under virtual hospital pathways
  • DTA pathway aims to support the discharge of patients from acute or community hospital wards to assess and manage rehabilitation/therapy needs, at the point that the patient is medically well enough to go home.
  • EIV is a joint pathway, delivered with Herts County Council delivering crisis management to patients offering them a holistic assessment - physical, functional, and social all in one assessment.

We are a strong multi-disciplinary team and work in an integrated way with partner organisations to ensure holistic support is provided. We also have very strong connections with other community services within CLCH delivering care over shared pathways.

About us

Central London Community Healthcare (CLCH) is one of the largest community healthcare organisations in London and Hertfordshire, providing our services to diverse communities/boroughs in 11 London Boroughs - Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster - and Hertfordshire.

Just as we care about our patients' wellbeing, we care about yours!

We can offer you:
  • A comprehensive induction into the community service followed by a local induction to introduce you to the role
  • Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
  • Car lease scheme *T& C's apply
  • Flexible working options
  • Annual travel card loan
  • Training, support and development in your career

As an NHS trust,we are committed to equal opportunities and ensuring equality and diversity in the workplace.

We have a number of staff networks: Disability and Wellbeing Network (DAWN), Race Equality Network and the Rainbow Network which supports LGBT+ staff. Each network has a champion who is an executive director at the Trust and they hold regular meetingsto discuss issues andmake plans to improve CLCH .

Job description

Job responsibilities

  • Providingadvanced skilled, professional assessment of health needs, especially for those with complex needs and high risk of unplanned admission to hospital.
  • Educating and supporting members of the multi-disciplinary team to intensively case manage these patients.
  • Working with a range of professionals across the system to ensure care is appropriate and delivered in a timely manner with the aim of preventing hospital admission, supporting early discharge (therapy only), and reducing GP contact.
  • Demonstrating your professional skills and competence in leadership, care planning / co-ordination, and care and treatment delivery.
  • Engaging with Clinical Lead to offer and find ways for continuous service development and deputise for the Clinical Lead as needed.

This is an exciting post in a dynamic and innovative team, with the opportunity to help develop the service and make a real difference to patients and a chance to develop both clinical and strategic skills.n.

**Possession of a valid and clean UK driving license and use of a car for work purposes is essential. **

Please refer to the attached Job Description for full list of responsibilities.

Person Specification



  • Registered Nurse / Health care professional with current registration


  • Evidence of continuing professional education and training at Masters Level.
  • Further desirable qualifications in Primary Care/ Accident & Emergency/ acute clinical assessment.
  • Qualification in teaching or practice based learning.



  • Extensive experience in Primary Care and/ or Accident & Emergency.
  • 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
  • Experience of effectively working in collaboration, negotiating and liaising across organisational boundaries
  • Experience in monitoring clinical standards
  • Proven ability to prioritise and manage own workload with minimal supervision.
  • Experience determining best ongoing care for patient


  • Experience of team / service/ staff management.
  • Experience of implementing evidence based care and developing others to do so
  • Experience of conducting research projects and audit.
  • Experience of change management and implementing change in practice.
  • Evidence of innovation in practice.

Skills and Knowledge


  • Evidence of comprehensive range of clinical skills and expertise relevant to the role
  • Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
  • Confident in assessing acute MSK presentations
  • Able to work autonomously, planning and prioritising own workload and that of others
  • Able to delegate work effectively and safely
  • Able to deal with conflict and manage appropriately
  • Able to manage difficult situations and address poor practice
  • Ability to assess a situation and act appropriately
  • Ability to communicate effectively both verbally and in writing
  • Able to identify own and other's learning and development needs and actively seek ways to meeting those needs
  • Basic IT skills including use of Microsoft Office package, EMIS, and email
  • Specialist knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment
  • In depth knowledge of pharmacology.
  • Advanced knowledge and in depth understanding of anatomy and physiology of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
  • Knowledge of acute MSK presentations and management of acute conditions
  • Clinical knowledge across a range of long term and enduring conditions
  • Knowledge of current NHS organizational structures and policy initiatives
  • Knowledge of recent developments in Primary Care.
  • Knowledge of recent developments in Primary Care.
  • Knowledge of monitoring service outcome measures
  • Knowledge of adult protection and safeguarding children issues.
  • Knowledge of NMC Code of Professional Conduct.
  • Knowledge of Personal Development Planning.
  • Knowledge of current health care policy and legislation and relevance to the delivery of healthcare services
  • Detailed knowledge of Primary Health Care and collaborative working with other care providers, e.g. social care and voluntary services
  • Knowledge of the audit process and able to implement in practice
  • Knowledge of evidence based practice and able to implement in practice
  • Knowledge of clinical governance processes, assessing and managing risk
  • Knowledge of clinical supervision
  • Knowledge of how to implement equal opportunities in practice


  • Able to lead and motivate a team and implement change
  • Ability to make formal presentations to a wide range of people
  • Knowledge of resource management.



  • Able to carry out the duties of the post
  • Health cleared by occupational health for the role specified
  • 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 and long days.
  • Able to work from more than one work base.

Employer details

Employer name

Central London Community Health Trust


Hemel One (HQ)

Hemel Hempstead


Any attachments will be accessible after you click to apply.


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