Job summary
If you're an experienced paramedic looking to develop your career in one of the busiest ambulance services in the world, read on because we are recruiting Advanced Paramedic Practitioners in Critical Care.
Once in post as a London Ambulance Service Advanced Paramedic Practitioner (Critical Care) you will participate in clinical practice development and evaluation, as well as provide support and mentorship/leadership to clinical staff at a variety of levels. You will also be required to complete a relevant post-graduate qualification.
If you think this is the next step in your career and you have significant experience of operational clinical practice (this would normally be broadly equivalent to approximately five years post registration) we want to hear from you.
Shortlisted candidates will be required to attend practical and theoretical assessment centre and an interview which is TBC, however it will be in London.
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.
For further details contact Mark Faulkner Clinical Practice Development Manager -mark.faulkner4@nhs.net
Main duties of the job
If you're successful, you will quickly gain experience of assessing and managing undifferentiated patients across a number of clinical and operational areas. You will also undertake shifts in the Emergency Operations Centre (EOC).
The Advanced Paramedic Critical Care (APP-CC) will provide 24/7 enhanced clinical support and supervision of staff across a range of clinical settings. Working as an autonomous/lone practitioner the APP will provide advanced clinical management and co-ordination of complex and challenging care to patients in clinically demanding situations and environments. APPs will be selectively targeted and deployed as a primary response, co-responder or additional resource.
Clinicians at this level will exhibit an advanced breadth and depth of knowledge combined with critical thinking and expertise in patient assessment, point of care patient diagnostics and clinical interventions which will be supported by an extended scope of practice beyond that required for paramedic registration. In addition, the Advanced Paramedic Practitioner will be expected to develop knowledge and skills in identified areas of specialist practice and contribute to pan-service education, training, and research and audit activity.
About us
The London Ambulance Service NHS Trust (LAS) is a unique and complex emergency service network serving a diverse population and responding to 2.1 million emergency calls per year. This is an exciting opportunity for clinicians who aspire to provide advanced clinical management and co-ordination of complex and challenging care to critical care patients in clinically demanding situations and environments.
Job description
Job responsibilities
Applicants should familiarise themselves with the new NHS pay progression system introduced from 1 April 2019 as well as the NHS pay deal regarding moves from Annex 5 (previously Annex E) to section 2 unsocial hours provision when considering new posts in the NHS.
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 London Ambulance Service employees who are at risk of redundancy.
We reserve the right to close the application window early if we receive a high volume of suitable applications.
If you are considering applying for a vacancy with London Ambulance Services NHS Trust, please be aware it is a legal requirement to be fully vaccinated against Covid-19, by the 1st April 2022 for all patient facing roles. If successful, you will be required to provide evidence of vaccination or Medical exemption.
Job description
Job responsibilities
Applicants should familiarise themselves with the new NHS pay progression system introduced from 1 April 2019 as well as the NHS pay deal regarding moves from Annex 5 (previously Annex E) to section 2 unsocial hours provision when considering new posts in the NHS.
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 London Ambulance Service employees who are at risk of redundancy.
We reserve the right to close the application window early if we receive a high volume of suitable applications.
If you are considering applying for a vacancy with London Ambulance Services NHS Trust, please be aware it is a legal requirement to be fully vaccinated against Covid-19, by the 1st April 2022 for all patient facing roles. If successful, you will be required to provide evidence of vaccination or Medical exemption.
Person Specification
Qualifications
Essential
- BSc (Hons) in Paramedic Science or equivalent clinical academic qualifications.
- Commitment to achieve the relevant Post Graduate (Level 7) advanced practice qualification as determined by the employer.
- HCPC registered Paramedic
- Willingness to undertake further development to become a non-medical independent prescriber
Desirable
- Master's degree or Post Graduate qualification in a relevant field
- A recognised teaching qualification or equivalent demonstrable ability with evidence of teaching in practice and/ or classroom situations.
- Mentoring and coaching; minimum of PPEd level 3 (certificate) or significant demonstrable development of mentoring and coaching skills through formal learning and application
- Qualification incorporating extended clinical practice skills (e.g. Paramedic/Emergency Care Practitioner, Critical Care Paramedic)
Experience
Essential
- Up to date portfolio including significant demonstrable relevant and recent CPD activity.
- Recent experience working as a solo practitioner.
- Experience of working within an ambulance service operations centre
- Significant experience working managing staff in a clinical setting
- At least five years' post-registration experience
Desirable
- Demonstrable experience of providing clinical assessment by telephone
- Experience in manging one's own work diary and administration time
- Experience of working in other clinical settings
Knowledge
Essential
- Assess and examine patients presenting with both acute and chronic conditions
- Be expert in recording and evaluating a medical, social and family history supported by extensive underpinning knowledge as detailed in the College of Paramedics (CoP) framework.
- Formulate a plausible differential diagnosis supported by extensive underpinning knowledge
- Extended knowledge of 12 lead ECG interpretation
- Apply expert professional judgement and specialist clinical knowledge and experience to make appropriate, safe and reasoned decisions
- Demonstrate understanding and application of shared decision making, cognitive bias, risk management and human factors in operational and clinical environments
- Negotiate alternative treatment and/ or referral strategies, utilising a range of care pathways and treat and leave approaches based on sound assessment and decision making skills
- Minimise clinical risk through reasoned and justifiable clinical decisions. (C, I, P)
- Demonstrable knowledge of pharmacology to inform practice
- Undertake paramedic prescribing when determined by the trust
- Demonstrable knowledge of the management of pain in the pre-hospital environment
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with critical care needs
- Evidence of ability to provide remote and direct clinical advice and supervision
- Use software to support and/ or document clinical advice and support decisions
- Evidence of ability to participate in clinical audit on a local and/ or service wide basis
- Evidence of ability to participate in primary research and demonstrate knowledge of assessing and evaluating research based evidence
- Evidence of ability to contribute to training events/ courses where specialist clinical knowledge is required
- Evidence of ability to develop training packages in response to identified clinical needs
- Evidence of ability to provide clinical support or operational command at large scale planned events and serious, protracted, complicated or major incidents as appropriate
- Evidence of ability to provide expert opinion in relation to complaints, serious untoward incidents, and frequent caller issues
- Evidence of ability to provide clinical support or operational command at large scale planned events and serious, protracted, complicated or major incidents as appropriate
Desirable
- Evidence of ability to perform chemical tranquilisation to manage agitated patients where indicated
Other Requirements
Essential
- Ability to manage both self and others and use initiative to problem solve based on sound rationale
- Commitment to contribute to ongoing evaluation of the role
- Evidence of having provided mentoring and support to other staff
- Demonstrable commitment to personal and career development with maintenance of a personal career development portfolio, including up to date personal development plans
- Evidence of Reliability (Reference)
- Understanding of and demonstrable commitment to diversity as an employee and as a provider of services to the public
Person Specification
Qualifications
Essential
- BSc (Hons) in Paramedic Science or equivalent clinical academic qualifications.
- Commitment to achieve the relevant Post Graduate (Level 7) advanced practice qualification as determined by the employer.
- HCPC registered Paramedic
- Willingness to undertake further development to become a non-medical independent prescriber
Desirable
- Master's degree or Post Graduate qualification in a relevant field
- A recognised teaching qualification or equivalent demonstrable ability with evidence of teaching in practice and/ or classroom situations.
- Mentoring and coaching; minimum of PPEd level 3 (certificate) or significant demonstrable development of mentoring and coaching skills through formal learning and application
- Qualification incorporating extended clinical practice skills (e.g. Paramedic/Emergency Care Practitioner, Critical Care Paramedic)
Experience
Essential
- Up to date portfolio including significant demonstrable relevant and recent CPD activity.
- Recent experience working as a solo practitioner.
- Experience of working within an ambulance service operations centre
- Significant experience working managing staff in a clinical setting
- At least five years' post-registration experience
Desirable
- Demonstrable experience of providing clinical assessment by telephone
- Experience in manging one's own work diary and administration time
- Experience of working in other clinical settings
Knowledge
Essential
- Assess and examine patients presenting with both acute and chronic conditions
- Be expert in recording and evaluating a medical, social and family history supported by extensive underpinning knowledge as detailed in the College of Paramedics (CoP) framework.
- Formulate a plausible differential diagnosis supported by extensive underpinning knowledge
- Extended knowledge of 12 lead ECG interpretation
- Apply expert professional judgement and specialist clinical knowledge and experience to make appropriate, safe and reasoned decisions
- Demonstrate understanding and application of shared decision making, cognitive bias, risk management and human factors in operational and clinical environments
- Negotiate alternative treatment and/ or referral strategies, utilising a range of care pathways and treat and leave approaches based on sound assessment and decision making skills
- Minimise clinical risk through reasoned and justifiable clinical decisions. (C, I, P)
- Demonstrable knowledge of pharmacology to inform practice
- Undertake paramedic prescribing when determined by the trust
- Demonstrable knowledge of the management of pain in the pre-hospital environment
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with critical care needs
- Evidence of ability to provide remote and direct clinical advice and supervision
- Use software to support and/ or document clinical advice and support decisions
- Evidence of ability to participate in clinical audit on a local and/ or service wide basis
- Evidence of ability to participate in primary research and demonstrate knowledge of assessing and evaluating research based evidence
- Evidence of ability to contribute to training events/ courses where specialist clinical knowledge is required
- Evidence of ability to develop training packages in response to identified clinical needs
- Evidence of ability to provide clinical support or operational command at large scale planned events and serious, protracted, complicated or major incidents as appropriate
- Evidence of ability to provide expert opinion in relation to complaints, serious untoward incidents, and frequent caller issues
- Evidence of ability to provide clinical support or operational command at large scale planned events and serious, protracted, complicated or major incidents as appropriate
Desirable
- Evidence of ability to perform chemical tranquilisation to manage agitated patients where indicated
Other Requirements
Essential
- Ability to manage both self and others and use initiative to problem solve based on sound rationale
- Commitment to contribute to ongoing evaluation of the role
- Evidence of having provided mentoring and support to other staff
- Demonstrable commitment to personal and career development with maintenance of a personal career development portfolio, including up to date personal development plans
- Evidence of Reliability (Reference)
- Understanding of and demonstrable commitment to diversity as an employee and as a provider of services to the public
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).
