Job summary
Our Advanced Paramedic Practitioners in Critical Care (APP-CC) treat the most seriously ill and injured patients - including patients in cardiac arrest and with serious traumatic injuries.
The APP(CC) programme was launched in 2014 and has recently expanded following the fifth recruitment round. APP(CC)s are generally targeted to the highest acuity patients, with cardiac arrests making up the majority of the workload.
They also attend life-threatening medical problems (e.g. asthma, status epilepticus, ABD, cardiac arrhythmias), major trauma or isolated deformed injuries (requiring relocation and/or early antibiotics), complex maternity calls, or challenging cases where enhanced decision making or crew resource management is required.
They also attend complex maternity calls, or challenging cases where enhanced decision making is required.
Main duties of the job
Recruitment into the specialty is a multi-stage process, designed to be challenging in order to ensure that we recruit the most suitable candidates, and that they are aware of the expectations of the role and scope of practice. The training for newly selected APPs in Critical Care includes an in-house programme taught by internal and external speakers, fully funded Level 7 university modules, and an extended period of mentoring. Training continues thorough weekly case reviews, peer reviews with other APPs or senior clinicians, frequent training days and personal CPD.
An assessment centre will be held over the weekend 17 and 18 June 2023 with interviews being held the week commencing 19th June 2023.
Candidates who are currently enrolled in a programme of study leading to a relevant clinical BSc (Hons) (Paramedic science or similar) and will receive their award by the 1st September 2023 will be considered at shortlisting. Any subsequent offer of employment will be conditional upon achieving the requisite qualification prior to appointment.
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
- 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 and Skills
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
- 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
- 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
- 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 and Skills
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
- 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
- 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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
