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Assistant Ambulance Practitioner

Band 4

Main area
Emergency Services
Band 4
Full time - 37.5 hours per week
Job ref
Various locations across London
£26,447 - £28,780 per annum inclusive of HCAS
Salary period
26/06/2022 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

We are recruiting to Assistant Ambulance Practitioners!

The London Ambulance Service are seeking Assistant Ambulance Practitioners (AAP) to further enhance the patient care we provide to Londoners! As an AAP you will deliver emergency and urgent care to a wide range of patient groups. Where appropriate you will assess and treat patients at the point of contact or refer them onto another healthcare provider. When necessary you will also convey patients to treatment centres, hospitals and emergency departments according to their needs. 

You will need to demonstrate your ability to work and communicate effectively with people from diverse backgrounds, handle stressful situations, be flexible in your approach and have basic computer skills. In addition you be required to demonstrate in your application and at interview how you meet the Trust values and behaviours.

Main duties of the job

Driving requirements: All applicants need to have a current manual B class 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 (or a full C1 licence if this is already held). A driving licence summary check will be requested from all applicants at pre-screening stage to evidence this entitlement.

Training: New AAPs will undertake a 12-week programme provided by our Clinical Education and Standards team, which will result in a level 3 diploma in Ambulance Emergency and Urgent Care Support. This also includes the blue light driving course. After successful completion of the 12-week induction, the AAP will work under the direct supervision of a mentor/Practice Placement Educator (PPEd) in clinical practice for 26 weeks. This will preferentially commence with 4 weeks in an Operational Placement Centre (OPC). Please be advised you will not be able to take any annual leave during the 12 weeks of classroom education and when in supervised practice for 6 months access to annual leave may also be limited.

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. 

Working for our organisation

Starting salary: £26,447 inclusive of Outer High Cost Allowance (HCAS). Our Education Centres are based in Outer London. After training salary will be £26,447 if posted Outer London.  £27,157 if posted Inner London. 

What we can offer: As an AAP you will be working with very established and experienced team, you will receive hands on experience across the spectrum in the service, protected training and continued professional development through individual learning accounts.

The London Ambulance Service can offer funding to support C1 theory tests and the C1 practical training and test via the C1 incentive agreement with our driving school provider, Wallace. We can only offer funding to cover the first test, the candidate will be responsible to cover any re-tests.

Detailed job description and main responsibilities

Start date and location: The start date for this course is 17-Oct-2022. Training location will be at one of our Education Centres - East London (Dockside) / West London (Brentford). After successful completion of the training most of our current posting sector locations are: North East, North West and North Central.

Closing date for applications: Sunday 26th June 2022

Assessment dates:  Thursday 7th of July 2022

Interview date: Saturday 16th July 2022

FAQ Page:

Job description

Clinical: As directed by 999 Operations, 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.
- To perform duties within clinical scope of practice including 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 requesting supervision as appropriate.
- To act at all times in the best interest of the patient. When working with a paramedic, or other suitably qualified clinician e.g. Emergency Medical Technician, Emergency Ambulance Crew, in accordance with existing practice and/or HCPC requirements, the paramedic or other
suitably qualified clinician, will maintain overall clinical responsibility for the patient. Support and guidance will always 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 Service.
- 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 including about care delivery and/or options for alternative treatment/ appropriate care pathways. This includes the referral of patients to other healthcare professionals for ongoing treatment and/or follow up via Trust
approved decision trees within the Ambulance Practitioner’s scope of practice.

Communication:  Maintain regular and appropriate communications with 999 Operations 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, and handled sensitively, clearly, pro-actively and in a manner mindful of safeguarding issues and patient confidentiality.
- To communicate confidential health related information to the Patient and relatives where appropriate whilst promoting understanding of the presenting and sometimes distressing 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

Professional 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.
-  At all times adhere to the LAS statement of duties to patients. 

Person specification

Qualifications, Accreditations, Education

Essential criteria
  • Good general level of education
  • Commitment to successfully undertake and complete level 3 LAS accredited Trainee Ambulance Practitioner programme on appointment
Desirable criteria
  • Level 2 numeracy and literacy or equivalent


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
  • 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
Desirable criteria
  • Driving experience in London or other large cities
  • Experience of driving large vehicles of C1 category or above

Employer certification / accreditation badges

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

Applicant requirements

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

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Further details / informal visits contact

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Email address
Telephone number
Additional information

The Recruitment Centre


Telephone: 02030690260