Nurse or Paramedic Urgent Community Response and Hospital at Home

Putting community at the heart of everything we do.

Proud to be a prospective advanced foundation trust, CLCH is one of the largest community healthcare providers in the country, employing more than 4,500 staff and caring for more than four million people across London and Hertfordshire. We believe in working together to give children a better start and adults greater independence. Our diverse team of professionals supports patients at every stage of their lives, from health visiting for newborn babies to community nursing, stroke rehabilitation, and palliative care.

By joining CLCH, you will be part of a dynamic and supportive team that values innovation, compassion, and excellence. We offer a range of exciting career opportunities and are committed to your professional development and well-being.

To join us and help make a real difference in the communities we work in, browse our latest jobs and opportunities below.

Nurse or Paramedic Urgent Community Response and Hospital at Home

Band 6

Main area Nurse or Paramedic Urgent Community Response and Hospital at Home Grade Band 6 Contract 12 months (Fixed term - 12 month from start date) Hours Full time - 37.5 hours per week (Monday to Sunday, between 8am to 11pm) Job ref 824-SOUTH-8305184

Site Tooting Works Town London Salary £47,951 - £56,863 per annum, inclusive of HCAS Salary period Yearly Closing 12/10/2026 23:59

Welcome to Central London Community Healthcare (CLCH)

At CLCH, we proudly serve as a beacon of compassionate community healthcare across 14 vibrant London boroughs — Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster, Hillingdon, Sutton, and Kingston — as well as Hertfordshire. We bring care closer to home, embracing the rich diversity of these communities with dedication and heart.

Recognised as a Good provider by the Care Quality Commission and celebrated among the top NHS employers, we are united by a shared passion: empowering our community health professionals to deliver care that truly makes a difference.

We are deeply committed to fostering an environment where every member of our team feels respected, valued, and inspired—a place where fairness, kindness, and inclusion blossom. Our culture is rooted in the principles of the NHS People Plan, Our NHS People Promise, and our own strategic Equality values and objectives, guiding us to create a truly supportive and inclusive workplace.

Together, we build a caring community where the warmth we show one another shines through in every life we touch.

Job overview

An opportunity has arisen for a Band 6 Registered Nurse or Paramedic to join our team, working across an integrated Urgent Neighbourhood Health Service, including the Urgent Community Response and Hospital at Home services. This is on a fixed term contract for 12 months.

As part of a multidisciplinary team, you will deliver high-quality care to patients in their own homes and community settings. Using your clinical and diagnostic expertise, you will assess, manage and support patients with acute health concerns, complex health needs and long-term conditions.

You will work autonomously within your professional scope of practice while collaborating closely with colleagues to provide responsive, holistic care.

A key focus of the role is supporting admission avoidance and enabling timely, supported discharge from hospital where appropriate.

• Take responsibility for managing the caseload and the team, with the support of the Team Leader.
• Support locality-based planned care teams and partner services when acute or intensive nursing care is required.
• Actively contribute to service development initiatives.
• Working Hours: Work on a rotational shift pattern within Urgent Neighbourhood Health Services (service hours: 08:00 to 23:00).

Main duties of the job

Key duties within this role include:

• Provide day-to-day management of the service on a rotational basis in the absence of the Band 8a Clinical Lead.
• Take responsibility for designated areas of clinical practice and operational delivery.
• Prioritise and manage own workload, seeking guidance and support when required.
• To provide skilled, effective and evidence-based nursing care to patients in a variety of community settings.
• To assess referrals made to service, prioritise and respond according to priority, as appropriate both in terms of level and urgency. To respond within agreed timescales as appropriate.
• Utilise advanced clinical and diagnostic skills and expert knowledge to carry out thorough assessments of physical and psycho-social needs in order to develop a comprehensive short term care plan aiming to optimise health and wellbeing that will prevent a hospital attendance / admission.
• Provide direct advanced, autonomous clinical care to a range of patients presenting with differentiated diagnosis or RED flags, undiagnosed and/ or complex health needs and long-term conditions.
• Work within Clinical Guidelines, Policies, Procedures and Patient Group Directions (PGD’s) utilising expert judgment to work outside these frameworks where necessary.

Working for our organisation

We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.

What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life’s most important moments.

Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Detailed job description and main responsibilities

Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trust’s values of Accountability, Inclusion, Compassion, and Empowerment.

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

Person specification

Qualifications

• Registered Nurse or Paramedic with current NMC or HCPC registration
• Evidence of recent and continuing post-registration professional education and training
• Experience of working in Primary Care/ Accident & Emergency.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Qualifications in Community and/ or Accident and Emergency Nursing.
• Qualification in teaching or practice-based learning.
• Physical Clinical Assessment Skills Course or willingness to undertake the course.

Experience

• Evidence of recent substantial post-registration nursing experience
• 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
• Extensive range of clinical skills and experience including Vene-puncture, cannulation, catheter and bowel care, EOL
• Experience of working within a multi-disciplinary team
• Experience of working with people with complex health needs
• Experience of supervising junior staff and co-ordinating daily activities on a regular basis
• Experience of undertaking comprehensive health needs assessment and writing care plans
• Experience of implementing evidence-based care in practice
• Experience of conducting research projects and audit.
• Experience of change management and implementing change in practice.
• Evidence of innovation in practice.

Skills

• Has high level of competence in a range of clinical skills relevant to the role and patient group
• Competent in physical examination of: ENT, eye, gastrointestinal, respiratory, cardiovascular, neurological, skin, musculoskeletal systems and wound management.
• Able to work autonomously, planning and prioritising own workload and that of others
• Ability to work in a team
• Knowledge in clinical reasoning, history taking, physical examination, diagnostic skills and prescribing/treatment.
• Clinical knowledge across a range of long term and enduring conditions.
• Knowledge of current NHS organizational structures and policy initiatives.
• Able to delegate work effectively and safely.
• Ability to work under pressure.
• Ability to risk assess a situation and act appropriately.
• Ability to communicate effectively both verbally and in writing.
• Ability to identify own and others learning, and development needs and actively seek ways to meet those needs.
• Basic IT skills including use of Microsoft Office package and email.
• Principles of care for patients with long term conditions, relevant NSFs and other national standards
• NMC Code of Professional Conduct and application to practice.
• Personal Development Planning
• The audit processes.
• Applying evidence-based care into practice
• The principles of clinical governance and application to practice.
• Clinical supervision – purpose and application
• Managing difficult situations and conflict resolution
• How equal opportunities can be implemented in practice.
• Able to lead and motivate a team

Key Attributes

• Able to carry out the duties of the post with or without adaptations.
• 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.
• Able to provide evidence of where you have demonstrated the Trust’s Values and Behaviours
• Able to demonstrate excellence in Customer Service
• Able to meet the required IT Skills for the post.
• Able to work from more than one work base.

We review all applications carefully to ensure fairness and verify references. At interview, you will be asked about your experience, so be honest and ensure all information is accurate. The use of AI during interviews is not permitted.

If you use AI or other tools to support your application, it must reflect your own skills, knowledge, and experience. Supporting information should be in your own words and include your personal insights. AI can assist with drafting but may produce generic or inaccurate content. Applications that rely heavily on AI may lack authenticity and reduce your chances of success.

CLCH Trust does not recommend relying solely on AI when completing your application.

CLCH Commitment to Equality, Diversity, and Inclusion

CLCH is proud to be a Disability Confident Committed employer. We believe that a diverse and inclusive workforce is essential for providing exceptional patient care. We are dedicated to attracting and retaining talent from all backgrounds, including ethnic minorities, the LGBTQ+ community, and people with disabilities.

As a Disability Confident employer, we pledge to:

• Guarantee an interview to all disabled applicants who meet the essential criteria for a role.
• Provide reasonable adjustments to support diverse needs throughout the recruitment and employment process.
• Challenge misconceptions about disability and foster an inclusive culture for everyone.

We are committed to building a workplace where all staff feel valued and have the opportunity to thrive. Simply let us know how we can support you.

Learn more about our equal opportunities policy on our website: Equal opportunities: Central London Community Healthcare NHS Trust clch.nhs.uk

Employer certification / accreditation badges

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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