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Clinical Advisor Paramedic (Dual Role)

Band 6

Main area
Dual Role - Clinical Advisor / Paramedic
Band 6
Permanent and 12 Month Secondment available
Full time - 37.5 hours per week (Unsocial hours payable, as applicable, under Agenda for Change (AfC) Section 2.)
Job ref
Multiple Sites
£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

Dual Role - Clinical Advisor / Paramedic

Clinical Advisor: Emergency Operations Centres – Waterloo and Newham. Remote site working may be available (Croydon, Barking & Pinner).

Paramedic: Operational Ambulance Stations – currently lines available at Homerton and Waterloo. Other bases can be considered on an individual basis.

Band 6, HCAS depending on location.

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

We are recruiting for 12 month secondments or permanent positions.

An exciting new opportunity to apply for a Clinical Advisor/Paramedic (Dual Role) is now open. We are looking for experienced paramedics who are enthusiastic about using their skills in a variety of ways. If this is you, we welcome you to apply for our dual role, equally dividing your time between the Clinical Hub/Emergency Clinical Assessment Service undertaking telephone clinical assessments and Ambulance Services providing face to face care.

This is a great opportunity to showcase your flexibility and adaptability and to evidence your continuing professional development (CPD).

Whilst providing telephone clinical assessments as part of the multi-disciplinary team you will ensure our patients are safely 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.

As a paramedic you will have excellent knowledge of pre-hospital care, be confident to work autonomously and be able to demonstrate compassionate care in your daily patient interactions.

Main duties of the job

You will need to be a UK registered Band 6 Paramedic with significant post qualification experience including recent demonstrable experience in emergency care/acute illness with face-to-face patient contact.


Clinical Advisor

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. It is essential that you have excellent clinical and communication skills and the ability to work autonomously as well as part of a team.



As a paramedic you will be part of part of an operational team. The key skills and experience required are:

  • Carry out paramedic duties as part of an operational crew, working within the scope of practice and adhering to protocols, procedures, SOPs and clinical guidelines, seeking appropriate clinical advice and/or support as required.
  • Reduce inappropriate demand for emergency services by referring patients to appropriate health and social care agencies in response to emergency/urgent calls not requiring hospital attendance, seeking appropriate clinical advice and /or support as required.
  • Ensures a continuous duty of care to patients to the required HCPC Standards of Proficiency and within the scope of practice and competency of this role, ensuring an appropriate level of monitoring and treatment are maintained until the patient is either discharged, referred or transferred on the advice of an experienced paramedic or handed over to the care of another healthcare professional and agency. 
  • Follow and adhere to Trust clinical policies, protocols, procedures and SOPs Treat and Release, or refer patients who access the health service through the 999 system, but who do not need hospital admission seeking appropriate clinical advice and/or support as required.

Following Trust clinical policies, protocols, procedures and SOPs administer drugs in accordance with national and local guidelines and relevant Patient Group Directives issued by the Trust and seek appropriate clinical advice and/or support as required.

Working for our organisation

Successful candidates at shortlisting will be invited to attend an interview, provisionally planned for the week of 13th February 2023. The Clinical Advisor training is planned for week commencing 20th March or alternative dates from April onwards. Full course attendance is mandatory unless already trained as Clinical Advisor. 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.


Please note this role will involve 24/7 shift work. When in Clinical Hub/Emergency Clinical Assessment Service (ECAS), applicants will ideally work the full ECAS rota, however applications will be accepted for a minimum of 23 hours per week, providing cover over the 24/7 period. Please note that these hours and operational paramedic hours will be required to match the demand of the ECAS and Ambulance Services.


For further information regarding this role, including roster queries, and the recruitment process, please email


Detailed job description and main responsibilities

Hear & Treat - Clinical Assessment Service

  • 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.
  • To 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 50% of shifts in the Clinical Hub and 50% patient facing
  • 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 including adhering to Display Screen Equipment requirements.
  • To maintain a working knowledge of emergency procedures and escalate issues affecting service delivery as necessary, including working on paper.
  • To inform Clinical Hub Navigators (CTNs) 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 when carrying out hear and treat, 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 follow the instructions of the CTN.


See and Treat – Ambulance Services

  • Undertake the full range of paramedic duties in line with the Trust’s operational instructions.
  • Assess, treat, manage or refer, and where appropriate, convey patients according to the nature and severity of their condition to alternative care pathways. As appropriate, provide packages of care to patients at home.
  • Carry out paramedic duties commensurate with national clinical practice guidelines and
  • Trust specific PGD’s and guidelines.
  • Responsible as an autonomous practitioner using local care pathways associated with local initiatives promoting see and treat, where clinically safe to do so, reducing inappropriate conveyance and subsequent ED admission.
  • Ability to organise and manage the scene of a complex incident during initial stages until a
  • Manager/Commander arrives. This could involve organising or managing patients, bystanders or other responding services.
  • Undertake duties in relation to major incidents including exercises which may require call out when off duty in accordance with the Trust’s Major Incident Procedure.
  • Modify and adapt working practices to meet the clinical needs of the patient in an emergency and urgent care setting.
  • As appropriate, treat refer or discharge patients who access the health service but who do not need hospital admission where clinically safe to do so
  • Participate in the development of an integrated approach to the delivery of emergency and urgent care involving all relevant stakeholders including health and social care organisations.
  • Utilise appropriate and relevant information to assist patients, patient advocates or carers to make informed health choices in line with national guidance and the health promotion and prevention agenda.
  • Make reasoned decisions regarding initiating, modifying or ceasing treatment or procedures and ensuring accurate documentation of decisions. Being accountable and responsible for clinical decisions made during the course of duty, and seek senior clinical advice where appropriate.
  • Ensure compliance with medicines management. Ensures drugs are stored securely and where appropriate stocked according to both national legal frameworks and local policy.

Make appropriate use of equipment which you are trained on, which may include various types of vehicles, diagnostic, invasive and therapeutic equipment.

Person specification

Qualifications, Accreditations, Education

Essential criteria
  • HCPC registered Band 6 Paramedic
  • Evidence of Continuing Professional Development
  • Hold a licence that entitles you to drive in the UK including vehicle categories C1 & B, not B Auto
  • Trust approved emergency driving qualification
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 e.g. ALS, PHTLS, PHEC
  • Mentorship 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
  • Undertaking of 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
  • Good evidence of reliability (Manager’s recommendation or reference)
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 Emergency Clinical Assessment Service has towards these measures
  • Demonstrable evidence of an in depth body of knowledge and the ability to analyse and 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
  • Adhere to the Trust values and behaviours
  • 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
  • Ability to work flexibly within rotating shift patterns

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

Naomi Greenaway
Job title
General Manager – Clinical Assessment Services (999 & 111)
Email address