Join to apply for the Rapid Response Nurse/Paramedic role at Royal Free London NHS Foundation Trust
Job Summary
Rapid Response Nurse/Paramedic
Exciting opportunity! We are looking for a Nurse/Paramedic with a passion for patient care, a drive to develop their skills and push themselves outside the normal boundaries of practice. Excellent communication skills and a strong work ethic are essential. In return we offer development opportunities and a better work‑life balance than many traditional nursing and paramedic roles.
You will be part of a community team where your ability to make clinical decisions will aid patient recovery. This will include having a direct link to the patient’s discharging medical and therapy team for liaison and support where necessary. The virtual ward facilitates early discharge.
External referrals mainly come from GPs and the London Ambulance Service. The Rapid Response service provides an initial holistic assessment at home within two hours, offers blood and urine sampling and initiates treatment plans.
You will provide assessments, interventions and make clinical decisions, working autonomously while drawing assistance from colleagues.
We encourage any Nurses and Paramedics with an acute background to apply as we value experience as much as academic achievement.
You must possess a full UK driving licence and access to a car.
Main duties of the job
* Deliver nursing care to patients within their home, that is technically excellent, personally focused and ensures dignity is enhanced.
* Undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care.
* Make skilled clinical decisions and communicate rationale clearly.
* Manage complex patient care, ensuring risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation.
* Ensure each patient has a comprehensive assessment of need, including risk assessment and culturally sensitive care.
* Provide health information and promotion for patients and families, including formal pulmonary rehabilitation for COPD.
* Work closely with acute trust, GP, nursing and therapy colleagues to prevent inappropriate hospital admissions.
* Attend regular MDT meetings with acute services, therapists, social services, care homes and GP practices.
* Evaluate practice through audit and outcome measures with support of senior colleagues, and participate in Quality Improvement work.
* Work with acute hospitals to prevent admission to hospital such as in‑reach.
* Maintain and develop specific departmental duties as designated by service lead.
About Us
North Mid is part of North Central London Integrated Care System, consisting of NHS and local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. We work closely with partners. We are proud of our staff and say their training allows them to provide excellent clinical care. We are also a training unit for medical, nursing and midwifery students from UCL, St George’s University, Middlesex, and City Universities.
Details
* Date posted: 02 December 2025
* Pay scheme: Agenda for Change
* Band: 6
* Salary: £44,485 to £52,521 a year inclusive of HCAS
* Contract: Permanent
* Working pattern: Full‑time
* Reference number: 391‑NMUH‑7526084
* Job location: St Michaels Primary Care Centre, Gater Drive, Enfield, EN2 0JB
Job responsibilities
* Attend to patients to do a Rapid Response initial assessment and for follow‑up visits.
* Develop clinical skills into a more well‑rounded holistic approach to patient care.
* Develop new skills outside of normal scope of practice including Paramedicine, Nursing, Physiotherapy and Occupational therapy tasks.
* Gain experience in day‑to‑day management of the team, taking handovers and helping to make treatment plans.
* Supervise junior staff and students.
* Attend in‑service training and continue professional development opportunities.
Enfield Rapid Access Service works 7 days a week from 8am until 10pm. Expected to work weekends and bank holidays. Shift patterns: 08:00‑20:00, 10:00‑22:00. Currently reviewing a 7.5‑hour pattern, five days a week.
Benefits
* Supportive environment to learn and develop new skills.
* Working with an MDT to push knowledge beyond normal clinical practice.
* Regular training above and beyond statutory and mandatory training.
* Emphasis on a good work‑life balance including meal breaks.
* Experienced and supportive management team that listens and acts on feedback.
* Opportunity to deliver training sessions.
* Full NHS benefits package plus lease car option.
* Agenda for Change pay scale band 6 + outer London weighting and unsocial hours enhancements where appropriate.
Essential requirements
* Excellent communication skills.
* Strong clinical knowledge and assessment skills.
* Current NMC or HCPC registration.
* Strong work ethic.
* Ability to drive; current UK driving licence and access to a car.
Person Specification
Essential
Education and Qualifications
* Registered Nurse with current NMC registration or Paramedic Registered.
* Bachelor’s Degree or working towards.
* Advanced Clinical Assessment Course.
Desirable
* Independent Prescribing (or working towards).
Experience
* Experience of working within community nursing / paramedic environment.
* Extensive post‑registration experience in acute care, ITU, A&E, AMU, acute assessment unit.
Skills
* Physical assessment skills and ability to take and interpret observations, and make sound professional judgement.
* Competence with medication administration, including intravenous antibiotics, venepuncture, cannulation, insertion of urinary catheters.
* Maintain electronic patient records; use Microsoft Word for letter and report writing.
Leadership
* Understanding of the role of primary care in admission prevention and supporting timely discharge.
* Demonstrates trust values, good communication and teamwork.
* Demonstrates knowledge of the role applied for; willing to learn in new or changing environment.
Other
* Full driving licence and access to a car for work.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and will require a Disclosure and Barring Service check.
Certificate of Sponsorship
Applications from job seekers who require skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.
Employer details
* Employer name: Royal Free London NHS Foundation Trust
* Address: St Michaels Primary Care Centre, Gater Drive, Enfield, EN2 0JB
* Employer's website: https://www.royalfreelondonjobs.co.uk/
#J-18808-Ljbffr