Paramedic

The post-holder is a Paramedic who acts within their professional boundaries. Paramedics work independently within their scope of practice in the community, using their enhanced clinical assessment and treatment skills to assess and manage patients presenting with acute presentations which include minor illness or injury, abdominal pains, chest pains and headaches. The post-holder will be an integral part of the general practice team. The supervision and mentorship network will be provided to support the Paramedic.

Main duties of the job

• Work as part of a multidisciplinary team delivering high quality primary care services.
• Assess and manage patients including same day presentations providing appropriate treatment prescribing within policy and local and national clinical guidance or referring to other members of the primary care team.
• Advise patients on general health and promote self-management including signposting to social prescribing and community services.
• Undertake specialist health checks, reviews and investigations within scope including specimen collection.
• Support anticipatory care planning and provide an alternative model to urgent home visiting.
• Communicate effectively with patients, carers and colleagues ensuring a person-centred approach.
• Maintain accurate contemporaneous clinical records in line with legislation.
• Receive and manage referrals from triage services and clinicians.
• Actively signpost patients to appropriate healthcare professionals.
• Review and apply current guidance including NICE and CQC requirements.
• Adhere to safeguarding policies and organisational procedures.
• Support enhanced services, clinical governance and public health initiatives.
• Participate in training, supervision, appraisal and service development.
• Contribute to complaint management, learning from incidents and continuous improvement.
• Maintain a safe, clean and effective working environment and undertake additional duties as required to meet service needs.

About us

Our organisation is guided by a strong set of core values that shape everything we do: Growth, Innovation, Fun, Compassion, and Accountability. These values are at the heart of our culture and underpin our commitment to delivering high-quality, patient-centred care. We believe in empowering our team to continuously learn and evolve, to enjoy their work, to care deeply about the communities we serve, and to take ownership in delivering excellence across all aspects of our services.

The organisation operates across seven GP practice sites, supporting a registered patient population of over 70,000 patients. Six practices are based in Walthamstow, with one additional site located in Rainham (RM13 8RQ). Together, our practices work collaboratively to provide accessible, safe, and responsive care to our local populations. We employ over 150 staff members and place a strong emphasis on career development and staff wellbeing. The organisation is committed to supporting education, training, and professional development opportunities for all staff, ensuring a sustainable and skilled local workforce for the future.

Job responsibilities

All staff employed by the organisation are required to work in a manner that supports and promotes the organisation's values, policies, and objectives. All roles contribute to the delivery of safe, high-quality, patient-centred care.

Equality, Diversity and Inclusion

The organisation is committed to creating and maintaining an inclusive environment where equality, diversity, and inclusion are actively promoted. A positive approach to Equality, Diversity and Inclusion enables individuals to achieve their full potential, improves organisational effectiveness, fulfils moral obligations, and ensures compliance with legal requirements.

Patients and their families have the right to be treated fairly, with dignity and respect, and to be involved in decisions about their treatment and care. Discrimination will not be tolerated on any grounds, including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, or sexual orientation. Patients also have a responsibility to treat staff and other patients with dignity and respect.

Staff have the right to fair treatment in recruitment, development, and career progression. The organisation promotes equality of opportunity and values diversity within the workforce. All staff are expected to treat patients, colleagues, and visitors with dignity and respect and to challenge inappropriate behaviour in line with organisational policy.

Safety, Health, Environment and Fire

The organisation is committed to supporting the health, safety, and wellbeing of staff, patients, and visitors. The post-holder is required to identify, assess, and manage risks within their area of responsibility and to ensure that appropriate measures are in place to maintain a safe working environment.

All staff have a duty to take reasonable care of their own health and safety and that of others, to cooperate with the organisation to ensure compliance with health and safety legislation, and to adhere to all relevant policies, procedures, and guidelines.

Confidentiality and Information Governance

The organisation is committed to maintaining strict confidentiality and information governance standards. Patients entrust sensitive personal and clinical information to the organisation and have the right to expect that this information is handled lawfully, securely, and confidentially.

All staff are responsible for protecting patient information, ensuring confidentiality is maintained at all times, and complying with relevant data protection legislation, policies, and procedures. Breaches of confidentiality may result in disciplinary action.

Quality and Continuous Improvement

All staff are expected to contribute to maintaining and improving the quality of services delivered by the organisation. This includes reflecting on practice, identifying opportunities for improvement, sharing learning, and participating in quality improvement initiatives.

The organisation promotes a culture of continuous improvement, encouraging staff to contribute ideas, participate in audits and reviews, and engage in investigations, including serious incident reviews and root cause analyses.

Induction, Learning and Development

The organisation provides a comprehensive induction programme, with ongoing management support to ensure staff are effectively integrated into their role. All staff are required to complete mandatory training and are encouraged to take responsibility for identifying and meeting their own learning and development needs.

The post-holder is expected to participate in training, supervision, mentorship, and service development activities and to share learning with colleagues.

Collaborative Working and Communication

Effective teamwork and collaboration are essential within a multidisciplinary healthcare environment. All staff are expected to work collaboratively, understand their role within the wider team, and support new and evolving models of care.

Clear, timely, and appropriate communication is essential to ensure safe and effective service delivery. Staff must communicate effectively with colleagues, patients, and partner organisations, delegate appropriately, and contribute to planning and evaluation processes.

Information Management and Service Delivery

Staff are required to use technology and clinical systems appropriately to support the planning, delivery, monitoring, and evaluation of care. Accurate clinical coding and record keeping are essential to support patient safety, audit, and service monitoring.

All staff must adhere to organisational policies, procedures, and regional directives and ensure that services are delivered in line with agreed protocols.

Security, Professional Conduct and Appearance

All staff share responsibility for maintaining the security of organisational premises and systems and must report any concerns promptly. Confidential access codes and passwords must not be shared.

Staff are required to maintain professional conduct at all times and dress appropriately in line with organisational dress and appearance policies.

Leave

All staff are entitled to annual leave in line with contractual arrangements. Managers are responsible for supporting staff to take their leave entitlement to promote wellbeing and work-life balance.

Primary Responsibilities of the Paramedic

The Paramedic will work as an integral member of the multidisciplinary primary care team, delivering safe, effective, and person-centred healthcare services. The role includes assessing and managing patients presenting through a range of pathways, including same day triage, providing appropriate clinical treatment within scope of practice, and prescribing in accordance with organisational policy, patient group directives, and national and local clinical guidelines. Where appropriate, the post-holder will refer patients to other members of the primary care team or external services.

The Paramedic will provide health advice, promote self-management, and signpost patients to social prescribing, community, and voluntary services as appropriate. The role includes undertaking specialist health checks, reviews, and investigations, including specimen collection, within scope of practice and relevant guidance.

The post-holder will support anticipatory care planning, contribute to proactive services, and provide an alternative model to urgent and same day GP home visiting. Effective communication with patients, carers, colleagues, and partner organisations is essential to ensure coordinated, person-centred care.

Accurate and timely clinical record keeping is a core responsibility, ensuring documentation complies with legal and professional standards. The Paramedic will receive and manage referrals, participate in clinical supervision and service redesign, adhere to safeguarding responsibilities, support enhanced services, contribute to clinical governance, participate in complaint management and incident learning, attend appraisals, and contribute to public health initiatives. The post-holder is expected to maintain a safe, clean, and effective working environment and undertake additional duties as required to meet service needs.

Wider Responsibilities

In addition to core duties, the Paramedic will support the delivery of quality and performance initiatives, including incentive schemes and cost effectiveness programmes. The role includes providing training, mentoring, and guidance to colleagues, supporting medical emergency preparedness, and contributing to a range of consultation models, including virtual, remote, and home visiting services. The post-holder may be required to undertake additional tasks consistent with the level and scope of the role. Duties may vary in response to service demands without altering the overall nature or responsibility of the post.

Person Specification

Experience

• Completed their two-year Consolidation of Learning period when a newly qualified paramedic.
• Completed a further three years experience as a band 6 (or equivalent) paramedic.
• Attained Level 7 capability in paramedic areas of practice.
• An appreciation of the new NHS landscape, including the relationships between individual practices, PCNs and the commissioners.
• Experience of working autonomously.
• Clinical knowledge and skills.
• Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face.
• Excellent interpersonal, influencing, negotiation and organisational skills with the ability to constructively challenge the views and practices of managers and clinicians.
• Good clinical system IT knowledge.
• Understanding of safeguarding adults and children.
• Commitment to reducing health inequalities and proactively working to reach people from all communities.
• Ability to work within own scope of practice and understanding when to refer to another healthcare professional.
• Ability to record accurate clinical notes.
• Broad knowledge of clinical governance.

Other Requirements

• Occupational Health clearance.
• Evidence of continuing professional development.
• Access to own transport and ability to travel across the locality.
• Flexibility to work outside core office hours.

Qualifications

• Educated to degree level in paramedicine or equivalent experience.
• Working towards developing Level 7 capability in paramedic areas of practice and, within six months of the commencement of reimbursement for that individual (or a longer time period as agreed with the commissioner).
• Registered with the Health and Care Professions Council (HCPC) as a Paramedic.
• Is working towards developing Masters level or equivalent capability in paramedic areas of practice and has completed and been signed off formally within the clinical pillar competencies of the NHS E Paramedic FCP/AP Roadmap to practice.
• Completed and been signed off formally within the clinical pillar competencies of the Advanced Clinical Practice Framework.

Personal Qualities

• Effective time management (planning and organising).
• Ability to listen, empathise with people and provide person centred support in a non-judgemental way.
• Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct.
• Ability to use own initiative, discretion and sensitivity.
• Ability to identify risk and assess/manage risk.
• Ability to deal with non-routine and unpredictable nature of the workload and individual patient contact.
• Demonstrate personal accountability, emotional resilience and work well under pressure.
• Knowledge of IT systems including the ability to use word processing skills, emails and the internet.
• Problem solving and analytical skills.
• Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
• High level of written and oral communication skills.
• Knowledge of and ability to work to key policies and procedures.
• Ability to work as a team member and autonomously.
• High levels of integrity and loyalty.
• Ability to take part in reflective practice and clinical supervision activities.
• Ability to maintain effective working relationships and to promote collaborative practice with all colleagues.
• Commitment to ongoing professional development.
• Good interpersonal and organisational skills.
• Sensitive and empathetic in distressing situations.
• Clear, polite telephone manner.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.