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Clinical Advisor (Paramedic) - Clinical Hub

Band 6

Main area
Clinical Advisor for ECAS - Clinical Hub
Band 6
10 months (We are recruiting for 30 or 45 week secondments or permanent positions.)
  • Full time
  • Part time
37.5 hours per week (We will accepted a minimum of 23 hours per week)
Job ref
999 Clinical Hub Waterloo/Newham
£38,762 - £47,965 per annum inc HCAS (depending on location)
Salary period
Today at 23:59

London Ambulance Service covers an area of 620 sq. miles, serves one of the world’s most dynamic and diverse cities and is the busiest ambulance service in the UK. We handle over 1.9 million emergency calls from across the capital and attend more than 1.2 million incidents every single year as well as delivering a 24 hour NHS 111 Integrated Urgent Care Service in South East and North East London that we estimate will respond to around 1.4million urgent care calls by the end of the year.


We employ over 8,000 people who work or volunteer across London to respond to the health needs of over eight million people who live, work and travel in the capital. We work closely with our NHS partners and are commissioned by 32 clinical commissioning groups spread across 5 sustainability and transformation partnerships (STPs) and NHS England for our specialist services. We work alongside London’s hospital, mental health and specialist trusts, as well as the five STPs across Greater London.


In addition we work in partnership with the other emergency services, London’s Air Ambulance and London’s Resilience Forums to make sure we are ready and prepared to respond to major incidents and ensure we keep Londoners safe. As the only pan-London NHS provider we have a unique opportunity to play a leading role in integrating access to emergency and urgent care right across London.


By 2023 we will improve outcomes and experiences for all our patients by providing the right care to patients at the right time, and in the most cost effective way. This will mean up to 122,000 fewer patients being taken to emergency departments when their needs could be better met in a different way, and we will deliver significant efficiencies in avoided costs to the urgent and emergency care sector.

Job overview

Clinical Advisor (Paramedic), Clinical Hub

Emergency Operations Centre – currently based at Waterloo & Newham. Remote site working may be available (Croydon, Barking & Pinner).

Band 6, plus 20% HCAS (HCAS currently under review for remote site working).

We are recruiting for 30 or 45 week secondments or permanent positions.

This is an exciting time to join us to work in a unique clinical role as part of our continually developing Clinical Assessment Service (CAS).  You will enhance your skills and knowledge in a vital role that makes a difference to the lives of hundreds of patients every day.

You will be part of our multi-disciplinary team of Clinical Advisors working within the ECAS (Emergency Clinical Assessment Service) in the Clinical Hub. Using your experience as a paramedic and the new skills you will learn, you will provide a telephone based clinical assessment to ensure our patients are signposted to the right care at the right time in the right place. This is a rewarding challenge affording you the opportunity to learn new skills and further utilise your clinical expertise.


Main duties of the job

As a Clinical Advisor you will be assigned to various roles when on duty. This will include telephone assessment of different types of calls, where you will be responsible for patient safety and providing effective outcomes.

You will assess the health and clinical needs of patients, utilising your professional clinical judgement, supported by clinical assessment software. This requires generalist and specialist skills to assess and deliver care to patients across all age groups in a call centre environment. You will need excellent clinical and communication skills and the ability to work autonomously as well as part of a team.

You will need to be a registered paramedic with significant post qualification experience including recent demonstrable experience in emergency care/acute illness with face to face patient contact.

For secondments, if you are currently non-patient facing, this must be for less than 6 months at the time of application. For permanent positions you must currently be able to undertake face to face shifts. Should you not meet this part of the criteria please contact us to discuss options on

Working for our organisation

Successful candidates at shortlisting will be invited to attend an interview, provisionally planned for the week of 13th February 2023. Training is planned for week commencing 20th March or alternative dates from April onwards. Full course attendance is mandatory. Training will be full time office hours over four days.

Post course you will be required to complete a minimum of seven mentored consolidation shifts in either Waterloo or Newham Emergency Operations Centre (please note service parking is restricted at both sites but local parking is available). The mentoring shifts must be successfully completed within 4 weeks of the course. Ideally applicants will work one of the full ECAS rotas, however applications will be accepted for a minimum of 23 hours per week, providing cover over the 24/7 period.

Maintaining patient facing clinical duties is important for our staff and we are committed to supporting this by moving to two patient facing shifts every 5 weeks (currently our Clinical Advisors are undertaking one patient facing shift every 5 weeks).

For further information regarding the Clinical Assessment Service, this role and the recruitment process, please email

Detailed job description and main responsibilities

  • To deliver high quality, safe and clinically effective health care over the telephone.
  • To support patients to manage their own condition at home, where clinically appropriate.
  • To recognise and work within scope of practice seeking support where appropriate.
  • To use professional judgement at all times, with the support of clinical assessment software.
  • Provide skilled and effective assessment of a patient’s presenting complaint through telephone consultation.
  • To bring together, analyse and critically evaluate a range of information during the telephone consultation and to provide accurate advice and health information to patients in order to empower and enable them to act upon the advice given.
  • To maintain an up to date awareness of current policies and utilise acquired skills in mental health, child protection, medication enquiries and all other aspects of general healthcare.
  • To liaise effectively between caller and third parties in critical situations/areas of concern e.g. safeguarding concerns where information is not consistent or may be disputed.
  • To maintain accurate records of all clinical assessments and patient enquiries.
  • To undertake a full range of patient facing duties appropriate to your clinical grade and background.
  • To identify and use information sources to support and underpin clinical decision making.
  • To refer to other clinical colleagues as necessary for advice whilst maintaining accountability and responsibility for all decisions made in relation to your clinical assessment.
  • To demonstrate the ability to remain focused on service delivery whilst dealing with an unpredictable, diverse and challenging workload.
  • To act independently within the constraints of professional and organisational policies and structures.
  • To work independently, taking responsibility and accountability for managing own workload, risk assessment and risk management.
  • To actively participate in clinical supervision to facilitate personal and professional development.
  • To maintain a healthy and safe working environment for self and colleagues.
  • To maintain a working knowledge of emergency procedures and escalate issues affecting service delivery as necessary.
  • To inform Clinical Hub Navigators and EOC Watch managers of any factors affecting service delivery as soon as they arise.
  • To use advanced listening and probing skills across a wide range of calls, some of which will be highly challenging due to emotive circumstances or Caller aggression.
  • To use complex communication skills including the use of language support services as necessary.
  • To provide support to callers who may be non-compliant with recommended outcomes.
  • To take responsibility for own personal development and to meet individual educational and development needs in line with service requirements.
  • To participate in personal development reviews (PDR) and with line manager support, identify areas of professional development in order to meet service and personal objectives.
  • To ensure that every patient contact is conducted appropriately with the best patient outcome as the priority.
  • To support the wider team in the delivery of key performance indicators.
  • To undertake alternative roles (with appropriate training and support) within the wider Trust.
  • Ability to carry out regular face to face patient contact to maintain HCPC registration and safely identify patients who can be treated and discharged or referred to alternative services and contribute to reducing unnecessary Emergency Department attendances.

Applicants are advised to read all the information enclosed in the advert and the supporting information before completing and submitting an application. As you complete your application please ensure you clearly demonstrate how you meet the criteria in the person specification for this post by adequately completing the supporting information section of the application form.

For internal applicants, priority will be given to staff at risk candidates.

We reserve the right to close the application window early if we receive a high volume of suitable applications.

Person specification

Qualifications, Accreditations, Education

Essential criteria
  • HCPC registered Paramedic or NMC registered nurse (adult) with 2 years post qualification experience
  • Evidence of Continuing Professional Development
  • Hold a licence that entitles you to drive in the UK including vehicle categories C1 & B, not B Auto – applicable to Paramedic candidates only
Desirable criteria
  • Certificate in Practice Education
  • Trained in the use of Pathfinder or appropriate clinical pathway training
  • FDeg/DipHE or BSc in Paramedic Science or relevant field of practice or a clinically relevant Advanced Practice qualification


Essential criteria
  • Recent demonstrable experience in emergency care/acute illness (within 1yr)
  • Experience of liaising with multi-disciplinary teams, agencies and a variety of stakeholders
  • Demonstrable evidence of the Trust values
  • Undertake regular face to face contact with patients as an intrinsic part of your role
  • Demonstrable experience of mentoring and supervising
  • Demonstrable evidence of working within guidelines, policies and procedures
Desirable criteria
  • Experience or an understanding of Call Handling and Telephone Triage

Knowledge and Skills

Essential criteria
  • Ability to confidently use a computer and move quickly between different applications
  • Excellent communication skills including the ability to listen and question appropriately and deliver contentious and challenging information
  • Demonstrable evidence of high standards of personal performance, clinical practice and clinical governance
  • Ability to reconcile the clinical needs of patients with service resources and other Appropriate Care Pathways
  • Demonstrable evidence of taking action in response to errors and of learning from errors
  • Undertake reflective practice to self-critique and participate in peer review
  • An understanding of the Trust’s performance measures and the contribution the Clinical Hub has towards these measures
  • Demonstrable evidence of an in depth body of knowledge and the ability to analyse and critique

Personal Abilities

Essential criteria
  • Ability to work effectively as part of a team in addition to working confidently as an autonomous practitioner
  • A commitment to excellence in all areas of work, even at times of considerable pressure, without compromising standards of patient care
  • An assertive yet empathetic manner whilst remaining tactful and diplomatic
  • Understanding of and commitment to diversity
  • Good quality application in terms of legibility, completeness, spelling and grammar

Employer certification / accreditation badges

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Applicant requirements

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.

Documents to download

Apply online now

Further details / informal visits contact

Stephanie Gallacher
Job title
Deputy General Manager - CAS
Email address