Job summary CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!We have an exciting opportunity for a Band 7 Advance Nurse/Paramedic to join our Unplanned Care service. This opportunity is on a 9 month fixed term basis.The service provides high-quality care to patients in their own homes, with a focus on preventing unnecessary hospital attendance or admission and supporting early discharge from hospital where appropriate. The service operates 7 days a week, from 8am to 10pm.In this role, you will work both independently and collaboratively with Acute Trusts, Adult Community Nursing Teams, and a range of health, statutory, and voluntary agencies to deliver excellent standards of patient care.Key responsibilities include:o Working a rotational shift pattern within the Herts Unplanned Care Team (service hours: 8am-10pm, 7 days a week)o Acting as the clinical lead during designated shifts, supporting the day-to-day coordination of the serviceo Taking responsibility for specific areas of operational management, clinical practice, and team supporto Effectively prioritising and managing your own workload with a high degree of autonomy Main duties of the job o Use advanced clinical assessment and diagnostic skills, along with specialist knowledge, to assess patients' physical and psychosocial needs. You will develop short-term, person-centred care plans that aim to optimise health and wellbeing, prevent unnecessary hospital attendance or admission, and support early discharge home where appropriate. o Demonstrate competence in clinical triage, as this forms a core component of the role. Including the ability to assess patient presentations safely and effectively, prioritise clinical need, identify red flag symptoms, and make appropriate decisions regarding onward management, escalation, or referral. Triage competence is essential to ensure timely patient care, support service efficiency, and maintain patient safety within urgent and routine clinical pathways o Deliver specialist clinical care and treatments based on the best available evidence to improve patient outcomes. This may include cannulation, administration of intravenous infusions and antibiotics, anticoagulation monitoring, palliative care interventions, and catheter and bowel management. o Contribute to the delivery of agreed clinical quality and performance standards within your practice, supporting continuous improvement in patient care. o Review and assess referrals to the team in a timely way, aiming to respond within two hours to ensure patients and carers receive appropriate care and support as quickly as possible. About us We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us. What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments. Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide. We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care. Job description Job responsibilities Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trusts values of Accountability, Inclusion, Compassion, and Empowerment. Job description Job responsibilities Applicants are expected to present clear and relevant evidence of the competencies and responsibilities detailed in the attached Job Description and Person Specification, together with a demonstrated commitment to the Trusts values of Accountability, Inclusion, Compassion, and Empowerment. Person Specification Education/Qualification Essential Registered Nurse/Paramedic with current NMC/HCPC registration Desirable Evidence of other post registration education and training post registration experience in community setting Experience Essential Extensive experience in Primary/Acute care/Emergency Department experience of utilising diagnostic and clinical skills to provide autonomous, unscheduled medical are. effectively working in collaboration, negotiating and lisiasing across organisational boundaries experience of assessing and providing quality care to people with long term conditions previous management experience Desirable experience of implementing evidence based care and supporting others to do so Skills & Knowledge Essential evidence of comprehensive range of clinical skills and expertise relevant to the role confident triaging skills specialist knowledge in clinical reasoning, physical examination and history taking able to delegate work effectively and safely able to manage difficult situations and address poor practice able to identify own and others learning and development needs bastic IT skills ic microsoft work and Teams. able to work autonomously. Desirable able to negotiate around Systm one knowledge of primary health care and collaborative working Key Attributes Essential Able to carry out the duties for the post able to work flexible shifts and long days Requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless the candidate has a disability as defined by the Equality Act 2010). Person Specification Education/Qualification Essential Registered Nurse/Paramedic with current NMC/HCPC registration Desirable Evidence of other post registration education and training post registration experience in community setting Experience Essential Extensive experience in Primary/Acute care/Emergency Department experience of utilising diagnostic and clinical skills to provide autonomous, unscheduled medical are. effectively working in collaboration, negotiating and lisiasing across organisational boundaries experience of assessing and providing quality care to people with long term conditions previous management experience Desirable experience of implementing evidence based care and supporting others to do so Skills & Knowledge Essential evidence of comprehensive range of clinical skills and expertise relevant to the role confident triaging skills specialist knowledge in clinical reasoning, physical examination and history taking able to delegate work effectively and safely able to manage difficult situations and address poor practice able to identify own and others learning and development needs bastic IT skills ic microsoft work and Teams. able to work autonomously. Desirable able to negotiate around Systm one knowledge of primary health care and collaborative working Key Attributes Essential Able to carry out the duties for the post able to work flexible shifts and long days Requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless the candidate has a disability as defined by the Equality Act 2010). 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. Certificate of Sponsorship 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. 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.. UK Registration Applicants must have current UK professional registration. For further information please see 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. Certificate of Sponsorship 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. 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.. UK Registration Applicants must have current UK professional registration. For further information please see Employer details Employer name Central London Community Health Trust Address BRE - Building 16 Watford WD23 9XX United Kingdom Employer's website