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Rapid Response Paramedic

West London NHS Trust
Hammersmith and Fulham
£42,471 to £50,364 Per Annum Inclusive of HCAS
Closing date
3 Jul 2024

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Band 6
Contract Type
Full Time
We are looking for an enthusiastic professional who can help the Community Independence Service (CIS) make Hammersmith & Fulham (H& F) a great place to grow old. Join us and be part of a committed and caring team as we deliver high quality patient care.

Are you ready to become one of our Rapid Practitioners in physical health service? We are looking for an enthusiastic Registered General Nurse or Paramedic who can help the CIS make Hammersmith & Fulham a great place to grow old.

You will be key in developing the service within the CIS to deliver effective pathways of care through hospital to community and in building relationships with our hospital and community partners. We will ensure you are able to follow your clinical and leadership development priorities identified through your personal development and appraisal plan. We are achieving excellent results in admission avoidance and reducing the length of hospital stay for the people of Hammersmith and Fulham and are part of a wider three-borough CIS offered in Westminster and the Royal Borough of Kensington & Chelsea. We will equip you for mobile working and actively support flexible working practice.

Main duties of the job

The post holder will be an experienced Registered Nurse in Adult Nursing or Paramedic who will work across the Rapid Response Team and Home First Team (H1st).

The post holder will provide community-based responsive input to patients who are referred with undifferentiated, varied, and complex needs ensuring holistic assessment and community care pathway planning is undertaken to directly prevent unnecessary acute hospital admission.

The post holder will be a vital clinical resource and a first responder within a 2-hour interval, facilitating high-quality evidence-based practice and ensuring patients from a variety of acute/hospital and community settings appropriately access out of hospital community health and social care services.

The post holder will provide interventions and will make clinical decisions that support patient choice and wishes. They will be expected to work autonomously whilst drawing assistance from other senior colleagues in primary and secondary care.

The post holder is expected to work within the service operation hours Monday to Sunday on an 8 am - 8 pm or 10 am -10 pm shift pattern across the tri-borough sites.

Car driving is essential for this post.

About us

West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.

Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ 4,500 staff, of whom 56% are BME. Our turnover for 2023-24 is �426m.

The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.

The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.

Job description

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached.

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Qualifications and Training


  • Appropriate professional registration e.g. NMC, Adult Nursing/ HCPC Paramedic
  • Wound care, catheter management, pressure area care, IV/Subcut administration.


  • Preceptorship training. Physical Assessment Skills course I.e. use of stethoscope, percussion, and palpation techniques on examination.



  • Experience of teaching and mentoring students.
  • Experience of working in a MDT
  • Medication management: experience in subcutaneous, IV, IM lines, with administration of medicines in a diverse range of patients.
  • Minimum of 3 years' experience working at Band 5 level
  • Experience of managing acute episodes of care, cellulitis, urinary tract infection (UTI), falls, functional, mobility, cognitive impairment.
  • Experience of venepuncture
  • Experience of working in an acute setting with high acuity patients i.e. London Ambulance Service, A& E, Intensive Therapy Unit
  • Experience in delivering short term episodes of care i.e. from 3 - 7 days
  • Experience of prioritising and managing own workload with minimal supervision.
  • Evidence of own Clinical Supervision/ Reflective Practice
  • Experience of safe patient handling


  • Contributing to a quality improvement project.
  • Community and rapid response experience
  • Experience in advance care planning and End of Life care, identifying and managing clinical situations working within Coordinate My Care requirements.
  • Experience of leading audit or project.
  • Experience of using Patient Record System e.g. Systm1, Rio.

Knowledge and skills


  • Across a range of patient conditions, including common elderly complaints e.g. frailty, falls, COPD, Hypertension, heart failure, UTI - acute on chronic illness.
  • Knowledge, understanding and awareness of memory impairment, cognition and the effects on health and well being.
  • Knowledge and ability to use NEWS2/SBAR.
  • Knowledge and ability to identify sensory impairment, the impact it has on activities of daily living and the health and wellbeing of their patients.
  • Ability to know when to discharge and who to refer on to.
  • Knowledge on how and why to raise safeguarding concerns.
  • Knowledge of incident reporting and reviews.
  • Ability to respond appropriately to a complex scenario, using a combination of intuition, assertiveness and clinical reasoning to achieve the best patient outcome.
  • Ability to manage complaints in a sensitive and appropriate manner, on the phone and in person, providing excellent customer service.


  • Knowledge of current NHS policy initiatives
  • NHS Leadership Programme - Edward Jenner.
  • Knowledge and understanding of why venepuncture is used to test patients
  • Ability to use IT packages incl. Microsoft Office and Patient Records Systems efficiently and effectively as required for the post

Personal Qualities


  • Self-awareness - knows own strengths and weaknesses. Empowers others to achieve goals, adopts a can do approach
  • Contributes towards improving quality in own work area and encourage others to do so.
  • Self Management - demonstrates personal resilience, recognises the anxieties of others and helps them manage appropriately.
  • Deals with criticism constructively and recognises how issues relate to the greater good of patient care
  • Personal Integrity - Has a strong commitment to openness, honesty, inclusiveness and high standards.
  • Promotes partnership and collaboration and demonstrates respect to manager and team colleagues.
  • Has the ability to harness the views and contributions of others.
  • High level communication skills, confident and open style of communication routinely tests for understanding of own message

Other Requirements


  • Able to provide evidence of where you have demonstrated the Trust's Values and behaviors.
  • Used to working in a busy environment, ready and willing to work long days and weekends.
  • Able to drive car across the H& F borough
  • Hold full Driving License, and be a car user.

Employer details

Employer name

West London NHS Trust


Rapid Response CIS

Hammersmith and Fulham

W6 9XY

Any attachments will be accessible after you click to apply.


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