Skip to main content

Employer heading

London Ambulance Service NHS Trust logo
Please wait, loading

Clinical Team Navigator (Nurse or Paramedic) - 111/IUC

Band 7

Main area
Clinical Assessment Service
Band 7
Full time - 37.5 hours per week
Job ref
Croydon or Barking
£46,836 - £55,049 per annum including 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

This is an exciting time to join the LAS to work in a unique clinical and management 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.

Our Health Advisors answer calls received via 111 and undertake a non-clinical assessing using NHS Pathways. A number of patients will then need to have a follow up telephone consultation with a clinician. These cases present into the 111 clinical queue, whilst awaiting clinical input.

As a CTN you will provide clinical oversight of calls within the clinical queue, ensuring that patients are managed safely and effectively, within agreed timescales.

You will provide real-time clinical support to a team of multi-disciplinary clinicians as well as non-clinical staff within the contact centre.

Each day you will work alongside your colleagues in 111, as well as liaising with the 999 Clinical Team Navigators and wider Clinical Assessment Service team.

Along with real time clinical shift management, you will be the first-line manager for clinicians within the 111 CAS.

This is a rewarding challenge allowing you to learn new skills and further utilise your clinical expertise.

We are very keen to hear from clinicians from emergency and urgent care backgrounds, including those with significant streaming experience or roles where autonomous clinical decision-making skills are used.

Main duties of the job

As a Clinical Team Navigator, you will be responsible for various tasks when on duty:

  • CTN Single Point of Contact
  • Queue management
  • Clinical advice
  • Quality assurance and auditing
  • Management of your tea

This role requires excellent communication skills and the ability to work as part of a team, as well as being able to make autonomous decisions.

There are a range of exciting benefits with this role, including bespoke clinical, managerial and leadership skills training and the opportunity for further career progression.

You will need to be a registered nurse or paramedic with significant post qualification experience.

Working for our organisation

For further information regarding the Clinical Assessment Service, this role and the recruitment process join us for our virtual drop-in sessions:

26th January 2023 1000-1100

1st February 2023 1330-1430

Join on the day by clicking below on your computer or mobile app:

Click here to join the meeting

Or for further information via email please contact us on

Successful candidates at shortlisting will be invited to attend assessment centres and interview, provisionally planned for the weeks of 20th February and 27th February 2023. If successful, NHS Pathways training will be provided (if not already trained) and the CTN clinical and leadership training will follow. Full course attendance is mandatory and will run full time for 3 weeks, followed by a consolidation period which will be shift based. On completion of this there will be a further week's training and then a clinical consolidation period.

This is a 24/7 role and there is a requirement to work a variety of shifts including evenings, nights, weekends and bank holidays. Unsocial hours are payable in addition to the salary quoted dependent upon the working pattern. Part-time hours will be considered – minimum 15 hours per week across the 24/7 period.

Detailed job description and main responsibilities

The Post Holder will be based in the 111 Clinical Assessment Service supporting the multidisciplinary team by providing remote clinical assessment and maintaining safety of patients by:

  • Using specialist knowledge and skills to support delivery of a safe and effective service
  • Managing the clinical call-back queue in order to optimise patient safety, experience and outcomes, through appropriate prioritisation of calls and utilisation of clinician resource
  • Providing clinical support and advice to patients and the multi-disciplinary CAS team following the initial enquiries as part of a 24/7 rota
  • Identifying appropriate calls based on clinical knowledge and experience to be assessed by clinicians.
  • Reviewing and maintaining clinical oversight of all calls waiting in the CAS queues.
  • Using professional clinical judgment, supported by a robust clinical triage system and the additional responsibility of clinical supervision, coaching and quality review of front-line staff
  • Supporting the team in achieving exceptional standards of patient safety and ultimate use of alternative care pathways and avoidance of unnecessary conveyances to Emergency Departments
  • To seek continuous improvement across all elements of the CAS
  • Maintaining the highest standards of professionalism in line with the Trusts Vision and Values.

Person specification


Essential criteria
  • Able to manage and develop staff performance / own or team performance)
  • Experience of training / coaching staff
  • Ability to make effective decisions
  • Effective communication, listening and interpersonal skills
  • Ability to work to deadlines & prioritise own workload
  • Ability to negotiate with staff of all levels and disciplines

Knowledge and Skills

Essential criteria
  • Understanding of tele-health consultation and an understanding of associated clinical risk
  • Ability to work effectively in a team, providing support and leadership as appropriate, to achieve

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

Kam Khunkhune
Job title
Deputy General Manager – CAS
Email address
Telephone number
07721 758 234