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Advanced Nurse/Paramedic

Central London Community Health Trust
£45,753 to £52,067 Per Annum, inclusive of HCAS
Closing date
6 Jun 2024

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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

o 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 pathwayso 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. o 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

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
  • Car lease scheme *T& C's apply
  • Flexible working options
  • Annual travel card loan
  • Training, support and development in your career

To have a full look at our benefits and what it's like working for us please go here:

Job description

Job responsibilities

Main duties of the job (further details in attached job description) Providing advanced 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.Candidates should have leadership experience and managing junior members of the team. Candidates should have excellent communication skills and the ability to provide care as determined by clinical assessments is essential. Commitment to undergo non-medical prescribing, physical assessment and additional leadership courses expected. The role requires you to be able to keep accurate clinical records and have good clerical/ administrative skills.The organisation is supportive of training needs and there is an excellent mandatory training and education programme. You will also receive regular clinical and safeguarding supervision.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.

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)

Please see attached Job Description and Person Specification for full roles and responsibilities.

Person Specification



  • Registered Nurse / Paramedic with current NMC / HCPC 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.

Employer details

Employer name

Central London Community Health Trust


Hemel One



Any attachments will be accessible after you click to apply.


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