Job summary
Clinical Advisor (Nurse or Paramedic), Clinical Hub
Emergency Operations Centre currently based at Waterloo & Bow. Remote site working may be available (Croydon, Barking & Pinner).
Band 6, plus HCAS depending on location (HCAS currently under review for remote site working).
Its an exciting time to join our multi-professional team of Clinical Advisors working within the ECAS (Emergency Clinical Assessment Service) in the Clinical Hub for the London Ambulance Service NHS Trust. Using your experience as a nurse or paramedic, you will be able to provide a telephone based clinical assessment and ensure our patients are signposted to the most appropriate level of care. This is a rewarding challenge affording you the opportunity to learn new skills and further utilise your clinical expertise.
For further details please contact londamb.chubrecruitment@nhs.net
Main duties of the job
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 judgement, 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. This requires excellent clinical and communication skills and the ability to work autonomously as well as part of a team.
You will need to be a registered adult nurse or paramedic with significant post qualification experience including recent demonstrable experience in emergency care/acute illness with face to face patient contact.
About us
For further information then join us on one of the following virtual drop-in sessions:
4th June 1100-1200
9th June 1400-1500
14th June 0900-1000
Please email londamb.chubrecruitment@nhs.net for a link
Or to organise one-to-one informal chat on Teams or phone please email on londamb.chubrecruitment@nhs.net
Successful candidates at shortlisting will be invited to attend an interview. If appointed training course dates will be offered throughout the year. Full course attendance is mandatory (4 day course).
Post course you will be required to complete a minimum of seven mentored consolidation shifts in either Waterloo or Bow Emergency Operations Centre (please note parking is restricted at both sites). These shifts must be successfully completed within 4 weeks of the course. Applicants must work a minimum of 23 hours per week. Training will be full time hours.
Job description
Job responsibilities
It is our expectation that you will maintain face to face patient assessment skills whilst working on the Clinical Hub and we are actively working to support this.
- 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.
- Provide skilled and effective assessment of a patients 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 a full range of patient facing duties appropriate to your clinical grade and background.
- 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.
- To maintain a working knowledge of emergency procedures and escalate issues affecting service delivery as necessary.
- To inform Clinical Hub Navigators 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, 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 undertake alternative roles (with appropriate training and support) within the wider Trust.
- Ability to carry out regular face to face patient contact to maintain HCPC / NMC registration and safely identify patients who can be treated and discharged or referred to alternative services and contribute to reducing unnecessary Emergency Department attendances.
Applicants are advised to read all the information enclosed in the advert and the supporting information before completing and submitting an application. As you complete your application please ensure you clearly demonstrate how you meet the criteria in the person specification for this post by adequately completing the supporting information section of the application form.
Priority will be given to staff at risk candidates.
We reserve the right to close the application window early if we receive a high volume of suitable applications.
Job description
Job responsibilities
It is our expectation that you will maintain face to face patient assessment skills whilst working on the Clinical Hub and we are actively working to support this.
- 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.
- Provide skilled and effective assessment of a patients 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 a full range of patient facing duties appropriate to your clinical grade and background.
- 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.
- To maintain a working knowledge of emergency procedures and escalate issues affecting service delivery as necessary.
- To inform Clinical Hub Navigators 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, 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 undertake alternative roles (with appropriate training and support) within the wider Trust.
- Ability to carry out regular face to face patient contact to maintain HCPC / NMC registration and safely identify patients who can be treated and discharged or referred to alternative services and contribute to reducing unnecessary Emergency Department attendances.
Applicants are advised to read all the information enclosed in the advert and the supporting information before completing and submitting an application. As you complete your application please ensure you clearly demonstrate how you meet the criteria in the person specification for this post by adequately completing the supporting information section of the application form.
Priority will be given to staff at risk candidates.
We reserve the right to close the application window early if we receive a high volume of suitable applications.
Person Specification
Qualifications, Accreditations, Education
Essential
- HCPC registered Paramedic or NMC registered nurse (adult) with 2 years post qualification experience
- Evidence of Continuing Professional Development
- Hold a licence that entitles you to drive in the UK including vehicle categories C1 & B, not B Auto - applicable to Paramedic candidates only
Desirable
- 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
Experience
Essential
- 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
- Undertake 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
Desirable
- Experience or an understanding of Call Handling and Telephone Triage
Knowledge and Skills
Essential
- 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 Clinical Hub has towards these measures
- Demonstrable evidence of an in depth body of knowledge and the ability to analyse and critique
Personal Abilities
Essential
- 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
Person Specification
Qualifications, Accreditations, Education
Essential
- HCPC registered Paramedic or NMC registered nurse (adult) with 2 years post qualification experience
- Evidence of Continuing Professional Development
- Hold a licence that entitles you to drive in the UK including vehicle categories C1 & B, not B Auto - applicable to Paramedic candidates only
Desirable
- 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
Experience
Essential
- 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
- Undertake 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
Desirable
- Experience or an understanding of Call Handling and Telephone Triage
Knowledge and Skills
Essential
- 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 Clinical Hub has towards these measures
- Demonstrable evidence of an in depth body of knowledge and the ability to analyse and critique
Personal Abilities
Essential
- 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
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
