Skip to main content

Employer heading

London Ambulance Service NHS Trust logo
Please wait, loading

Clinical Advisor (Paramedic/Nurse) - Clinical Hub

Band 6

Main area
Clinical Advisor Paramedic
Grade
Band 6
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
308-LAS111-0255
Site
Waterloo HQ / Newham.
Town
London
Salary
£38,768 - £46,124 per annum plus HCAS
Salary period
Yearly
Closing
17/07/2022 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

It’s an exciting time to join our multi-professional team of clinical advisors working within the ECAS (Emergency Clinical Assessment Service) in the Clinical Hub for the London Ambulance Service NHS Trust. Using your experience as a nurse or paramedic, you will be able to provide a telephone-based clinical assessment and ensure our patients are signposted to the most appropriate level of care. This is a rewarding challenge allowing you to learn new skills and further utilise your clinical expertise.

For further details please contact londamb.CASRecruitment@nhs.net.

Successful candidates at shortlisting will be invited to attend an interview. If appointed training courses are currently planned for 16-19th August, 19th-22nd September and 25th-28th October 2022. Further dates will be available after this. Full course attendance is mandatory (4-day course).

Please note this role will involve 24/7 shift work. Ideally, applicants will work the full Emergency Operations Centre rota, however, applications will be accepted for a minimum of 23 hours per week.

Maintaining patient-facing clinical duties is important for our staff and we are committed to supporting this. The relief element of the Clinical Hub rota is now patient-facing and pro-actively booked by our staff and Scheduling Department colleagues. During periods of high demand, the number of shifts may be reduced but we have been successful in protecting a minimum level.

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 judgment, 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. This requires 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 adult nurse or paramedic with significant post qualification experience including recent demonstrable experience in emergency care/acute illness with face-to-face patient contact. 

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 parking is restricted at both sites). These shifts must be completed within 4 weeks of the course. Applicants must work a minimum of 23 hours per week. Training will be full-time hours.

Working for our organisation

London Ambulance Service serves one of the worlds 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 every 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 8 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 STPs and NHS England for our specialist services.

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.

Detailed job description and main responsibilities

We expect that you will maintain face-to-face patient assessment skills whilst working on the Clinical Hub and we are actively working to support this.

  • To deliver high-quality, safe, and clinically effective health care over the telephone.
  • To support patients to manage their condition at home, where clinically appropriate.
  • To recognise and work within the scope of practice seeking support where appropriate.
  • To use professional judgment 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 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 inquiries, and all other aspects of general healthcare.
  • To liaise effectively between the 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 inquiries.
  • 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 about 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 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 / NMC registration and safely identify patients who can be treated and discharged or referred to alternative services and contribute to reducing unnecessary Emergency Department attendances.
  •  

Person specification

Qualifications, Accreditations, Education

Essential criteria
  • 1. HCPC registered Paramedic or NMC registered nurse, 2 years post qualification
  • Evidence of Continuing Professional Development
  • Hold a licence that entitles you to drive in the UK including vehicle categories C1 & B, not B Auto
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

Experience

Essential criteria
  • Recent demonstrable experience in emergency care, and ability to undertake regular face to face contact with patients
  • 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 evidence 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 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/governance and learning from errors
  • 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
  • Understanding of trust values and performance measures. Understanding of how the Clinical Hub contributes to these.
  • Undertake reflective practice and participate in peer review, evidence of the ability to analyze and self-critique
  • Ability to accurately identify red flags and evaluate the clinical risk in both acute and chronic conditions
  • Ability to make reasoned and justifiable clinical decisions

Personal Abilities

Essential criteria
  • Ability to work effectively as a part of a team in addition to working 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

Apprenticeships logoNo smoking policyCare quality commission - GoodDisability confident committedStep into health

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

Name
Daniel Rossell
Job title
BSM -Clinical Assessment Service
Email address
londamb.CASRecruitment@nhs.net