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Trainee Emergency Ambulance Crew

Band 5 (Annex 21)

Main area
Emergency Services
Band 5 (Annex 21)
Full time - 37.5 hours per week
Job ref
Various sites across London
Starting salary of £25,386 per annum inclusive of HCAS
26/09/2021 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

We are recruiting to Trainee Emergency Ambulance Crews!

**Please be advised that this advert may close once sufficient applications have been received. Therefore, please submit your application as soon as possible to avoid disappointment. This may be the last TEAC advert of this year**

As an Emergency Ambulance Crew you will deliver emergency and urgent care to a wide range of patient groups, working as an independent practitioner alongside either an HCPC registered Paramedic or other suitably qualified member of staff in the provision of high quality effective clinical care. 

Main duties of the job

Driving requirements: All applicants need to have minimum 1 year driving experience, a current manual driving licence, valid in the UK, with a maximum of 3 penalty points and at least a C1 provisional licence at the time of application. A driving licence summary check will be requested from all applicants at pre-screening stage to evidence this entitlement. Please be advised that your application will be rejected if you do not hold a C1 provisional licence. 

Education requirements: All applicants require original GCSE Maths and English A*-C or 4-9 grades  or Functional skills level 2 (or equivalent)* from an awarding body or NARIC Certificate for international qualifications – *For the full list of acceptable equivalent qualifications please see the document attached to this advert. Please ensure your qualifications are clearly listed on your application, evidence of these qualifications will be requested at pre-screening stage. The original certificates will be requested at assessment centre.

Working for our organisation

Training: As a TEAC you will complete an 18 month apprenticeship programme which includes an initial training course during the first 5 months and then 13 months on the job training (supported by course tutors) including recording experiences and collecting evidence to demonstrate growing knowledge and skills. Please be advised you cannot take any annual leave during the first 6-7 months of training. 

Training salary:  70% of the top of Band 5 for the first 6 months; £22,074. 75% of top of Band 5 from month 7 to month 18; £23,651. High Cost Allowance (HCAS) will be in addition to this. Outer London; minimum of £3,898 and Inner London; minimum of £4,608 pro rata per annum. HCAS will depend on where the training location is based.  

Detailed job description and main responsibilities


Once you qualify: As an EAC you will deliver emergency and urgent care to a wide range of patient groups. Where appropriate patients will be assessed and treated at the point of contact or referred on to another healthcare provider. When necessary convey patients to treatment centres, hospitals and emergency departments according to their needs. An EAC will work as an independent practitioner; alongside either an HCPC registered Paramedic or other suitably qualified member of staff in the provision of high quality effective clinical care, including the transportation of patients in line with UK Ambulance Services Clinical Practice Guidelines and service policy.

Salary after training: After 18 months of training and when you qualify as an Emergency Ambulance Crew (EAC) you will move to the bottom of  Band 5; £25,655. High Cost Allowance (HCAS) will be in addition to this. Outer London; £3,898 and Inner London; £5,131 pro rata per annum. HCAS will depend on where the posting location is based.  If you work unsocial hours, they are in line with AfC Section 2.

Clinical education and learning: The London Ambulance Service NHS Trust adopts a blended approach to clinical education and learning. This means applicants for clinical positions will complete learning and study in a variety of settings, ranging from the classroom to online whilst at home. By accepting an offer of employment with the LAS, you agree to having ongoing access to facilities and internet for digital learning programs.

C1 incentive agreement: LAS funding will be available to complete the C1 Theory and Hazard Perception Test and C1 Practical Test via the C1 incentive agreement for successful candidates with our driving school providerCandidates will be responsible to cover any re-tests for the Theory and Practical Test.

Start date and location: The start date for this role is January 2022. Once your application has been submitted, we will be in touch to request a driving licence summary check and your qualification certificates. Should you be successful at pre-screening and shortlisting, you will be invited to an Assessment Centre (given one weeks notice). If successful after assessment you will be invited to attend an interview. The initial training location is at Hammersmith, the driving element of the course (4 weeks) will be based at our West or East training venue. After successful completion of the training our current posting sectors are: North East, North West and North Central.

Please clearly state your motivation for applying for the role in the motivation question.

Job Description:

Clinical: As directed by control services, respond as a crew to emergency calls and convey patients to treatment centres, hospitals or emergency departments as and when appropriate. This will involve using blue light driving skills as appropriate.

Manage own duties within clinical scope of practice including advanced assessment and delivery of emergency and medical treatment within UK Ambulance Services Clinical Practice Guidelines, operational requirements, Trust policies, protocols and procedures commensurate with this role.

Act at all times in the best interest of the patient. When working with a paramedic, in accordance with existing practice and HCPC requirements, the paramedic will maintain overall clinical responsibility for the patient. When working independently support and guidance will be available either on scene by a Paramedic, Clinical Team Manager, other LAS registered healthcare professional or remotely through the clinical hub or Clinical Assessment Centre.

Complete and maintain full, accurate, legible and contemporaneous clinical records for all patients, including patient observations, medical history, treatment provided, drug administration, the context or situation and eventual patient destination.

Based on the assessed needs of the patient where necessary administer prescription only medicines (POMS - Restricted Drugs) in line with the level of training received and Patient Group Directives (PGDs) available. Responsible for the use, movement and security of drug stocks required to fulfil the role. Where appropriate prepare and check drugs to be given by Paramedics, Doctors and other clinicians.

Ensure that at all times you make informed reasonable decisions about care delivery and/or options for alternative treatment/ appropriate care pathways including the referral of patients to other healthcare professionals for ongoing treatment and/or follow up. Only leaving patients on scene when indicated to do so by the Patient Referral Tool.

Communication: Maintain regular and appropriate communications with Control Services regarding updates and changes to personal and/or vehicle availability and movements.

Communicate effectively with patients, colleagues, the public and others in order to elicit information about the patient and their health problem/needs. Gain informed consent before a treatment or intervention is undertaken. Ensure that the communication of information between self, the patient and colleagues, including other health care professionals is accurate, timely, handled sensitively, clearly, pro-actively and in a manner mindful of safeguarding issues and patient confidentiality. Using ipad to
access appropriate systems, for example, pathfinder, CMC and Datix, input, extract and evaluate information obtained.

To communicate highly sensitive and confidential health related information in distressing circumstances to the Patient and relatives where appropriate whilst promoting understanding of the presenting condition and providing advice and reassurance with empathy, professionalism, assertiveness and tact.

Adopt and adapt communications styles to meet the needs of the patient and/or carers, accessing interpreters in a timely manner where the patients’ needs require this. This should include situations where the first language is not English or sign language is required.

Operate all types of communications equipment provided in accordance with service procedures. 

Professionalism and Standards: Act at all times as an ambassador for the LAS by maintaining high standards of personal conduct reflecting service values.

Comply with the LAS Uniform and Work Wear policy. When in uniform whether on or off duty act in a manner which upholds the values of the LAS and maintains public confidence.

Act only within the limits of the knowledge, skills and experience of the role where necessary referring to others in order to ensure the patient receives optimum care.

Behave at all times with honesty and integrity making sure that public confidence is maintained.

Identify issues of confidence and/or competence to a member of the complex management team, in order to address issues which may affect performance and delivery of patient care in the workplace.

Report all issues which may be affecting personal capability and/or performance as soon as practicable in order that these can be managed and addressed.

Please refer to Job Description & TEAC Job Pack attached to this advert for further information on the role.

Person specification


Essential criteria
  • GCSE Maths and English A*-C or 4-9 grades or Functional skills level 2 (or equivalent)* or NARIC Certificate for international qualifications


Essential criteria
  • Demonstrable interpersonal communication and social skills (including non-verbal)
  • Adaptability and flexibility when dealing with others
  • Potential and willingness for organisational change
  • Demonstrable ability to handle stressful/sensitive situations with tact, diplomacy and assertiveness
  • Demonstrable ability to work on own initiative
  • Potential and willingness for personal change with the ability and commitment to learn new skills
  • Ability to interact effectively with people from diverse backgrounds
  • Good verbal and written communication skills
  • Basic Computer skills
Desirable criteria
  • Knowledge of Health and Safety issues

Knowledge and Skills

Essential criteria
  • Ability to undertake manual handling, including lifting and manoeuvring of patients and heavy equipment as required
  • Medical clearance DVLA Group 2 Standards
  • Must have held full manual driving licence for a minimum of 1 year
  • Full current manual driving licence, valid in the UK, with a maximum of 3 penalty points, these will then be assessed based on the conviction codes to decide if acceptable
  • Minimum of 1 year’s driving experience
  • No previous convictions for driving under the influence of alcohol
  • Enhanced DBS check
  • Evidence of reliability
Desirable criteria
  • Experience of driving large vehicles of C1 category or above
  • Driving experience in London or other large cities

Personal Abilities

Essential criteria
  • Understanding of the nature of the work involved and the London Ambulance Service NHS Trust (LAS)
  • Must be able to undertake rotating shifts covering 24 hours a day, including shift changes at short notice in line with the current arrangements
  • Understand the need for service policies and procedures
  • Flexibility in relation to job demands
  • Emotional Maturity including self-discipline

Motivation Question

Essential criteria
  • Please detail your motivation for applying for the role in the motivation question.
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Applicant requirements

Applications from job seekers who require sponsorship to work in the United Kingdom (UK) are welcome and will be considered alongside all other applications. Please note that from January 2021, to work in the UK all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship unless you have permission to work via another route. Non UK / RoI candidates wishing to apply can self-assess the likelihood of obtaining a Certificate of Sponsorship here. It is vital that you provide full and accurate details of your current immigration status on the application form. Overseas applicants applying for entry clearance into the UK must present a criminal record certificate from each country they have resided in continuously or cumulatively for 12 months or more in the past 10 years. Guidance can be found here. Not everyone needs a ‘Skilled Worker’ visa. If you are applying for a vacancy in health or adult social care, check if you’re eligible to apply for the Health and Care Worker visa instead. It’s cheaper to apply for and you do not need to pay the annual immigration health surcharge

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.

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