Community Response Nurse/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.

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run. Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries. We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Job overview

Community Independence Service Urgent Community Response

Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community? Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurses or Paramedics with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU). This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways. Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.

Main duties of the job

• The main duty of an Urgent Community Response (UCR) 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.

Shifts

The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.

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:

• Physical Assessment (Health Assessment course essential for RGNs)
• Venepuncture (with ability to identify the required blood tests)
• 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 and Clinician of the Day role
• Non-Medical Prescriber (Desirable)
• Teaching skills

Within the team, we have Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles. We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.

Successful candidates will 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 this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. 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 the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use on some shifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.

We would like to wish any potential candidates the best of luck in the process. These roles will be based in Kensington and Chelsea.

Person specification

Education and Qualifications

• Registered Nurse with current NMC registration / Registered Paramedic with current HCPC registration.
• Evidence of continued professional development.
• Accredited post-registration qualification in long-term condition management and/or physical assessment skills.
• Qualification in teaching or practice-based learning.
• Non-Medical Prescriber.

Previous Experience

• Post-registration clinical experience in an acute setting – including medication management, complex care and end of life management.
• Proven ability to prioritise and manage own workload with minimal supervision.
• Experience of participating in Clinical supervision.
• Evidence of innovation in practice.
• Experience of undertaking complex assessments and providing care to people with long-term conditions.
• Working in community and MDT – Rapid Response experience.
• Experience in managing, auditing and evaluating clinical nursing services.
• Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries.

Knowledge

• Knowledge across a range of patient conditions, including frailty, medical/surgical/cardiac – acute on chronic illness.
• Knowledge of current NHS organisational structures and policy initiatives.
• Knowledge of clinical governance processes, risk assessment and personal accountability.
• Knowledge of safeguarding and safeguarding concerns.
• Able to articulate clinical care and clinical systems providing clinical leadership to a team.
• Basic IT skills including use of Microsoft Office package and email.
• Ability to communicate highly complex information both verbally and in writing.
• Ability to adapt to changing needs of service.
• Able to manage difficult situations.
• Advanced patient assessment skills or working on and developing these skills.
• Full Driving Licence or willingness to learn to drive – ability to access and take alternative modes of transport such as bike ride/bus/underground.

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.

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.

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.