Senior Rapid Access Services Nurse or Paramedic in London

Become part of our team. We care for you as much as you care for others. There’s a place for you at CNWL. We’re passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient’s own home. Patients are at the heart of everything we do.

Providing top quality care depends on our ability to employ the best people. We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we’re hoping to find our future leaders and we’ll support our staff by providing opportunities to develop your career.

With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more – whatever stage of your career you're at, there's always a place for you at CNWL.

Camden Rapid Access Services are an Adult physical health service. Are you a Nurse or Paramedic seeking a new challenging role in the community? Camden Rapid Access Services (incorporating Urgent Community Response; Hospital at Home; and D2A pathways) are currently seeking to employ a Band 7 Registered Nurse or Paramedic with experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU). Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.

Main duties of the job:

• Urgent Community Response Nursing / Paramedic Led Caseload

The main duty of an Urgent Community Response nurse/paramedic is to provide high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services.

Within this new service non-medically optimised patients are admitted to the Hospital at Home ward as a form of early discharge from the local acute trusts or escalated from the Urgent Community Response. A Consultant Geriatrician oversees these patients' care. This service focuses on elderly care with a mix of conditions but will include patients requiring IV medication; Remote monitoring using high spec technology; Management of acute and/or chronic medical conditions.

Shifts:

The team currently works a variety of shift patterns, including 08:00–21:00 (long day), 09:00–22:00 (long day), 09:00–19:00 (early), and 12:00–22:00 (late). The successful candidate will be expected to work two out of four weekends per month. We allow team members to request up to 4 shifts or specific days off per roster.

Working for our organisation:

All gender identities, sexual orientations and/or BAME professionals are welcomed and encouraged to apply. The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

CNWL strives to support provision of a healthy work-life balance which in this role includes:

• Providing you with an opportunity to earn extra pay as CNWL automatically enrols new recruits onto the bank at a competitive pay rate.
• An individual training package of £300 per person, per year.
• Creating an inclusive and supportive working environment and team dynamic who are receptive to the culture of change.

Working closely with the multidisciplinary team, specialist services and the wider integrated care system. CNWL is recognized locally and nationally for providing high quality and innovative healthcare, frequently contributing to national health strategy and policy development.

Our nurses and paramedics enjoy their experience of visiting patients in their own home. They report feeling ‘honoured to build such close professional relationships with their team and patients alike.’ There is no typical day in RAS. Every visit requires a different set of skills and approach, the variety keeps the job interesting and the learning never stops.

Detailed job description and main responsibilities:

Some of relevant skills:

• Completion of Physical Assessment/A&E/ITU Course (Essential)
• Venepuncture (with ability to identify the required blood tests)
• Interpretation of blood results
• Cannulation
• Triage
• Autonomous Practice
• Confidence in knowledge and skills
• Awareness of the Mental Capacity Act and Mental Capacity Assessment
• Proficient at taking on a Nurse/Paramedic in Charge role
• Non-Medical Prescriber (Desirable)
• Teaching skills

Within the team, we have Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists. We work together closely with our OT/PT colleagues, sometimes undertaking joint patient visits to meet all of their needs. We have good working relationships with District Nursing teams, Respiratory Nurses; Heart Failure Nurses; and have access to bridging Packages of care (Carelink). It’s a big team of clinicians, all striving for the best outcomes for our service users and their families.

Unless you're a Paramedic, you will need to have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics. Working in a Nurse / Paramedic led service, in the community, will sometimes bring you into situations where you're making the decisions that, typically, are made by our medical colleagues. So confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.

Ideally you will possess a Full UK Driving licence as we cover the entirety of Camden but bus/tube passes can be provided if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) though sometimes walking or public transport are essential. Camden Rapid Access Services (Camden RAS) covers the entire borough of Camden, which is home to over 200,000 residents. Camden is historic, diverse and culturally rich. We're proud to be part of this community.

More information on Camden RAS can be found on our CNWL webpage. We would like to wish any potential candidates the best of luck in the process.

Person specification:

• Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
• Bachelor’s Degree (BSc) in Nursing/Paramedic Science
• Evidence of continued professional development
• Mentorship (Post Grad Module) or Practice Assessor / Supervisor Training
• Advanced Clinical Assessment Course
• Master’s or working towards

Previous Experience:

• Extensive post registration experience in Acute care including ITU, A&E, Acute assessment units and/or Rapid Response
• Evidence of working within the MDT
• Understanding of the role of Primary care in admission prevention and supporting a timely discharge
• Community working

Skills & Knowledge:

• Phlebotomy, IV Cannulation and IV therapy skills and knowledge (Including PICC and Central line) or willing to achieve on appointment
• Excellent clinical reasoning skills & decision making skills
• Able to work confidently in an independent and autonomous role whilst being aware of own limitations
• Understanding of evidenced based practice
• Broad range of knowledge relating to multiple specialities
• Ability to interpret blood results
• Demonstrates CNWL core values
• Awareness of team work and able to perform to a high standard within a team framework
• Motivated to own personal development
• Appraise, interpret and apply suggestions, recommendations and directives to improve services

Other:

• Awareness of NHS policies in respect to primary care and reducing hospital admissions
• Good IT skills and Knowledge of Microsoft applications

Use of Artificial Intelligence (AI): AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success. We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible. Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications.

Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system. Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period. If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

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.