Rapid Response Nurse/Paramedic

Transformationunitgm; Enfield; On-site; GBP 44,000 - 53,000; Full time

Job summary

A health provider in the UK is seeking a Rapid Response Nurse/Paramedic to provide excellent care to patients in their homes. The role involves making clinical decisions autonomously, coordinating with a multidisciplinary team, and requires full UK driving license and registration. Ideal candidates should have strong clinical and assessment skills, and the role offers a permanent, full-time position with diverse training opportunities.

Benefits

Full NHS benefits package

Development opportunities

Better work-life balance

Qualifications

• Must possess a full UK driving license and car.
• Experience of working within Community Nursing/Paramedic environment is essential.
• Competent with medication administration, including intravenous antibiotics.

Responsibilities

• Deliver nursing care within patients' homes.
• Make skilled clinical decisions and communicate effectively.
• Attend regular MDT meetings and provide holistic patient assessments.

Skills

Strong clinical knowledge

Assessment skills

Communication skills

Work ethic

Education

Registered Nurse with current NMC registration or Paramedic Registered

Bachelor’s Degree (or working towards)

Advanced Clinical Assessment Course

Independent Prescribing (or working towards)

Tools

Microsoft Word

Job description

Main area Enfield Community Services Grade NHS AfC: Band 6 Contract Permanent Hours Full time - 37.5 hours per week (Shifts 8-8 and 10-10 (pending consultation for Early & Late shifts)) Job ref 391-NMUH-7526084

Employer Royal Free London NHS Foundation Trust Employer type NHS Site St Michaels Primary Care Centre Town Enfield Salary £44,485 - £52,521 per annum inclusive of HCAS Salary period Yearly Closing 14/12/2025 23:59

Rapid Response Nurse/Paramedic

NHS AfC: Band 6

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

We are looking for a Nurse/Paramedic with a passion for patient care, who want to develop their skills and push themselves outside the normal boundaries of their practice and who have a real drive to make sure their patients receives best treatment possible. Excellent communication skills and a strong work ethic are essential and 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 and with the patients GP or other health care professional to prevent hospital re-admission. Virtual ward facilitates early discharge.

External referrals mainly come from GPs and the London Ambulance Service. Rapid Response service to provides a initial holistic assessment at home within two hours, offer tests such as blood and urine sampling and developing and initialising treatment plans.

You will provide assessments, interventions and will make clinical decisions. You will be expected to work autonomously whilst drawing assistance from other 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 license and car

Main duties of the job

• To deliver nursing care to patients within their home, that is technically excellent, expressly personal and ensures patients and carers dignity is enhanced.
• To undertake highly skilled and complex nursing activities directly related to the assessment, planning and evaluation of patient care.
• To make skilled clinical decisions and communicate the rationale clearly.
• Management of complex patient care ensuring that risks are adequately assessed, minimised, translated into appropriate care plans and reported across the organisation as appropriate.
• To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity.
• To provide health information and health promotion for patients and their families on the caseload including formal pulmonary rehabilitation for patients with chronic obstructive airways disease.
• To work closely with the 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.
• To evaluate your practice through audit and outcome measures with support of senior colleagues when required. To participate in Quality Improvement work.
• To work with the acute hospitals to prevent admission to hospital such as in-reaching.
• To maintain and develop specific departmental duties as designated by service lead.

Working for our organisation

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Detailed job description and main responsibilities

As a Band 6 Rapid Response you will:

• Attend to patients to do a Rapid Response initial assessment and for follow up visits.
• Develop your clinical skills into a more well-rounded holistic approach to patient care.
• Develop new skills outside of your normal scope of practice including skills from Paramedicine, Nursing, Physiotherapy and Occupational therapy tasks.
• Gain experience in day to day management of the team including taking handovers and helping to make treatment plans.
• Supervise junior staff and students
• Attend in-service training and have Continued Professional Development opportunities

Enfield Rapid Access Service works 7 days a week from 8am until 10pm. You will be expected to work weekends and bank holidays although these will be distributed throughout the team. Shift patterns are made up of:

08:00 – 20:00

10:00 – 22:00

Currently in review for potential introduction for 7.5 hr shift pattern - 5 days per week.

In return for your skills and dedication to the team and our patients we endeavour to provide:

• A supportive environment to learn and develop your new skills.
• Working with a MDT to push your knowledge beyond normal clinical practice.
• Regular training above and beyond statutory and mandatory training.
• An emphasis on a good work life balance including meal breaks to enable staff to perform at their best.
• An experienced and supportive management team who listen and act on your feedback, and who all have a clinical background with community experience
• The opportunity to deliver training sessions.
• A full NHS benefits package plus a lease car option.
• Agenda for change pay scale band 6 + outer London weighting and unsocial hours enhancements where appropriate.

For this post, the following are essential:

• Strong clinical knowledge and assessment skills
• Current NMC or HCPC registration
• Strong work ethic
• Ability to drive, a current UK driving license and access to a car for work

This post is a specialist community role and may not be suitable for everyone. We would strongly encourage potential applicants to call for an informal discussion about the role and to consider arranging to visit the service.

Person specification

Education and Qualifications

• Registered Nurse with current NMC registration/ or Paramedic Registered
• Bachelor’s Degree – or working towards
• Advanced Clinical Assessment Course
• Independent Prescribing (or working towards)

Experience

• Experience of working within Community Nursing/Paramedic environment

Skills

• Physical assessment skills and ability to take and interpret observations, and make a sound professional judgement
• Competent with medication administration, including intravenous antibiotics, venepuncture, cannulation, insertion of urinary catheters.
• Able to 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 a timely discharge
• Demonstrates Trust values, good communication and being a good team player
• Demonstrates knowledge of the role applied for. Willing to learn in a new or change of environment

Other

• Full Driving Licence and Access of car for work

Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.

Please note:

• Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification
• Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
• Interview arrangements will be communicated via email so please check your email regularly following the closing date.

Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.