Advanced Nurse/Paramedic, Unplanned Care | Central London Community Healthcare NHS Trust

CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

We have an exciting opportunity for a Band 7 Advance Nurse/Paramedic to join our Unplanned Care service. This opportunity is on a 9 month fixed term basis.

The service provides high-quality care to patients in their own homes, with a focus on preventing unnecessary hospital attendance or admission and supporting early discharge from hospital where appropriate. The service operates 7 days a week, from 8am to 10pm.

In this role, you will work both independently and collaboratively with Acute Trusts, Adult Community Nursing Teams, and a range of health, statutory, and voluntary agencies to deliver excellent standards of patient care.

Key responsibilities include

• Working a rotational shift pattern within the Herts

Unplanned Care Team (service hours

8am–10pm, 7 days a week)

• Acting as the clinical lead during designated shifts, supporting the day-to-day coordination of the service
• Taking responsibility for specific areas of operational management, clinical practice, and team support
• Effectively prioritising and managing your own workload with a high degree of autonomy
• Use advanced clinical assessment and diagnostic skills, along with specialist knowledge, to assess patients’ physical and psychosocial needs. You will develop short-term, person-centred care plans that aim to optimise health and wellbeing, prevent unnecessary hospital attendance or admission, and support early discharge home where appropriate.
• Demonstrate competence in clinical triage, as this forms a core component of the role. Including the ability to assess patient presentations safely and effectively, prioritise clinical need, identify red flag symptoms, and make appropriate decisions regarding onward management, escalation, or referral. Triage competence is essential to ensure timely patient care, support service efficiency, and maintain patient safety within urgent and routine clinical pathways
• Deliver specialist clinical care and treatments based on the best available evidence to improve patient outcomes. This may include cannulation, administration of intravenous infusions and antibiotics, anticoagulation monitoring, palliative care interventions, and catheter and bowel management.
• Contribute to the delivery of agreed clinical quality and performance standards within your practice, supporting continuous improvement in patient care.
• Review and assess referrals to the team in a timely way, aiming to respond within two hours to ensure patients and carers receive appropriate care and support as quickly as possible.

We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.

What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life’s most important moments.

Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trust’s values of Accountability, Inclusion, Compassion, and Empowerment.

This advert closes on Wednesday 10 Jun 2026