Job summary
The overall aim of the Advanced Paramedic Practitioner - Urgent Care (APP-UC) is to assess, treat and safely discharge patients, or utilise appropriate care pathways to reduce unnecessary hospital admissions.
Their main objective is to take a detailed history from patients and provide a targeted advanced assessment. To do this they may utilise additional skills such as a detailed neurological assessment, otoscopy and ophthalmology, pregnancy tests and urinalysis and point of care blood testing. As well as this the APP-UC has an extended medicines formulary and other interventions such as wound closure.
The role combines the APP-UC working autonomously as solo responders to 999 and 111 calls, with rotational placements across different clinical settings outside of the ambulance service. Rotating through general practice, Urgent Care Centres, minor injury units and other community settings supports the development of this alternative model of urgent care, and maintains the ongoing competence of the APP-UC skills in these areas.
Please note that interviews will be held on 3rdand 4thApril 2023 (Uxbridge) . Assessment day will be 5thApril (Uxbridge)
Be advised that only face to face interviews will be offered - NO online
Main duties of the job
Responding to a range of 999 and 111 calls the APP-UC will utilise advanced clinical skills to assess, treat and/or refer or discharge patients utilising advanced assessment techniques, accomplished clinical decision making and diagnosis. Aiming to keep the patient at home or within the community the APP-UC work closely with other healthcare providers in the capital, rotating across different clinical settings such as General Practice, Urgent Care Centres and Minor Injury Units.
About us
The London Ambulance Service is building a world-class ambulance service for a world-class city, integrating access to urgent and emergency care on scene, on phone and online. We are now looking to expand our successful Advanced Paramedic Practitioner Urgent Care (APP-UC) programme further, with additional posts established to support further expansion across London.
This is an exciting opportunity for clinicians who wish to develop as advanced paramedics and aspire to provide advanced care to patients presenting with undifferentiated urgent care needs.
Job description
Job responsibilities
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.
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 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.
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.
- Commitment to rotational working through other practice settings and inter- professional working
- Significant experience of clinical practice, including supervision, mentorship and leadership (equivalent to at least five years post-registration experience)
Desirable
- Demonstrable experience of providing clinical assessment and advice within Clinical Hub/ Clinical Support Desk / Telephone triage
- 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
- Demonstrable knowledge of the management of pain in the community
- Evidence of ability to provide remote and direct clinical advice and supervision
- 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
Desirable
- Utilise additional diagnostic adjuncts
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with urgent care needs
- Use software to support and/ or document clinical advice and support decisions
- Evidence of ability to develop training packages in response to identified clinical needs
- 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
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
- Recent experience working as a solo practitioner.
- Commitment to rotational working through other practice settings and inter- professional working
- Significant experience of clinical practice, including supervision, mentorship and leadership (equivalent to at least five years post-registration experience)
Desirable
- Demonstrable experience of providing clinical assessment and advice within Clinical Hub/ Clinical Support Desk / Telephone triage
- 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
- Demonstrable knowledge of the management of pain in the community
- Evidence of ability to provide remote and direct clinical advice and supervision
- 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
Desirable
- Utilise additional diagnostic adjuncts
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with urgent care needs
- Use software to support and/ or document clinical advice and support decisions
- Evidence of ability to develop training packages in response to identified clinical needs
- 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
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).
