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Clinical Advisor (Paramedic) - Clinical Hub

Band 6

Main area
Clinical Advisor Paramedic
Band 6
Secondment: 6 months (Also available 9/12 months)
Full time - 37.5 hours per week
Job ref
Waterloo HQ / Bow
£32,306 - £39,027 per annum plus HCAS(depending on location)
Salary period
04/07/2022 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

Clinical Advisor (Paramedic) - Clinical Hub

Emergency Operations Centre – currently based at Waterloo & Bow (Bow will be moving to Newham from June 2022). Remote site working may be available (Croydon, Barking & Pinner).

Band 6, HCAS depending on location (currently under review for remote site working).

Unsocial hours payable, as applicable, under Agenda for Change (AfC) Section 2.

Secondment Position

We are recruiting for 6, 9 or 12 month secondments, you must have the support of your line manager to apply for this secondment and be in a position to be released from your substantive role within three months of applying.

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. Using your experience as a 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 affording you the opportunity to learn new skills and further utilise your clinical expertise.

For further details please contact

Main duties of the job

As a Clinical Advisor, you will be assigned to various roles when on duty. These will include 111 ambulance validations, patient safety, hear and treat and Category 5 assessments.

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. It is essential that you have excellent communication skills and the ability to work 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 with face to face patient contact.

Working for our organisation

Successful candidates at shortlisting will be invited to attend a remote interview via Microsoft Teams which are currently planned for 20th May, 23rd May and 24th May 2022.

The training courses are currently planned for 14-17th June, 26-29th July and 16-19th August 2022.

Full course attendance is mandatory. Training will be full-time office hours over four days based at our Barking Education Centre. Post-course you will be required to complete a minimum of seven mentored consolidation shifts in either Waterloo or Bow/Newham Emergency Operations Centre (please note parking is restricted at both sites). These shifts must be successfully completed within 4 weeks of the course.

Please note this role will involve 24/7 shift work. Ideally, applicants will work the full EOC rota, however, applications will be accepted for a minimum of 23 hours per week. Please note that these hours will be required to match the demand of the Clinical Hub.

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.

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 the 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 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 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 (where permitted and with appropriate training and support) within the wider Trust.
  • 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.
  • Accurately triage, treat, diagnose, discharge and refer patients safely, based on assessment findings and taking service users own beliefs and expectations into consideration.
  • Drives ambulance or accompanies driver to respond to calls for assistance at accidents, emergencies and other incidents;
  • Assesses the nature of injuries, provides first aid treatment and ascertains appropriate method of conveying patient;
  • Resuscitates and/or stabilises patient using relevant techniques, equipment and drugs;
  • Transports and accompanies patients who either require or potentially require skilled treatment whilst travelling;
  • Briefs other medical staff when handing over the patient, and completes patient report forms describing the patient’s condition and any treatment provided.

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.

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.

This advert is strictly for LAS internal employees.

For further details / informal visits contact:


 Daniel Rossell

Job title

Business Support Manager – Clinical Assessment Service

Email address


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


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

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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

Daniel Rossell
Job title
BSM -Clinical Assessment Service
Email address