Job summary
The Paramedic will be employed under the NHS England Additional Roles Reimbursement Scheme (ARRS) to work as part of the multidisciplinary Primary Care Network team. The post holder will support the delivery of high-quality, accessible care for patients, helping to reduce GP workload and improve patient outcomes.
Hounslow is traditionally considered an underserved area, and several initiatives have been under way to increase the appeal of working in Hounslow through training and development of staff, technology and our partnership with Hounslow Community Healthcare in West London NHS Trust.
We are seeking individuals who are passionate about improving care for patients living in areas of high socioeconomic deprivation, tackling health inequalities and increasing access to high quality multi-disciplinary general practice.
The role will focus on urgent and same-day care, home visits, and management of acute and long-term conditions, working within the paramedics scope of practice and under appropriate clinical supervision
Main duties of the job
Key Responsibilities (ARRS-aligned)
- Assess, diagnose, treat, and manage patients presenting with a range of acute, urgent, and long-term conditions.
- Undertake same-day appointments and home visits across the PCN.
- Work autonomously within agreed clinical protocols, escalating to GPs or senior clinicians where appropriate.
- Identify red flags and refer patients appropriately to secondary care, community services, or emergency services.
- Prescribe medications (where appropriately qualified and authorised) in line with local and national policy.
- Support admission avoidance and proactive patient management.
- Contribute to improved access and continuity of care within the PCN.
- Work as an integral member of the PCN multidisciplinary team (MDT), including GPs, nurses, pharmacists, and allied health professionals.
About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.
Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ 4,500 staff, of whom 56% are BME. Our turnover for 2023-24 is £426m.
The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.
The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.
Job description
Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Job description
Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Person Specification
Qualifications
Essential
- Diploma or Degree in relevant health profession
- Current professional registration
- Master's degree or equivalent level 7 education or training relevant to role
- Supervision / Coaching / Mentoring
- Postgraduate education relevant delivery of acute out of hospital care
Desirable
- Advanced Clinical Practitioner (ACP)
- College of Paramedics Diploma in Primary and Urgent Care (DipPUC)
- Teaching qualification
- Independent Prescriber
Experience
Essential
- Collaborative working with a range of multi-agency and inter professional resources
- Clinical role model/advocate/educator/coach for care delivery and development
- Evaluation of own practice and participation in multi-disciplinary service and team evaluation
- Leading new clinical practice and service redesign solutions
- Continually developing practice in response to changing population health needs and future developments
- Implementing governance systems
- Disseminating best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).
Desirable
- Co-production of service improvements
- Advocating for and contributing to a culture of organisational learning
- Facilitating collaborative links between clinical practice and research
Skills and Abilities
Essential
- Compliance with code of professional conduct
- Working in partnership with individuals, families and carers
- Using expertise and decision-making skills to inform clinical reasoning approaches, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiating, evaluating and modifying a range of interventions
- Risk management especially with complex and unpredictable events
- Managing unfamiliar, complex or unpredictable situations
- Receptiveness to challenge and preparedness to constructively challenge others
- Critical reflection to maximise clinical / leadership skills and knowledge
- Critical approach to identify gaps in evidence base and its application to practice
Knowledge
Essential
- Evidence the underpinning subject specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities
- Complex risk management
- Impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).
- Strategies to act on learning and make improvements.
- Working across boundaries and broadening sphere of influence.
- Selecting and applying valid, reliable audit methods, then acting on the findings.
- Critically appraising and synthesising the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.
- Person-centred approach to service delivery and development.
- Range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).
- Supporting people in making decisions, planning care or seeking to make positive changes
Desirable
- Understanding of local population health needs, agencies and networks.
Person Specification
Qualifications
Essential
- Diploma or Degree in relevant health profession
- Current professional registration
- Master's degree or equivalent level 7 education or training relevant to role
- Supervision / Coaching / Mentoring
- Postgraduate education relevant delivery of acute out of hospital care
Desirable
- Advanced Clinical Practitioner (ACP)
- College of Paramedics Diploma in Primary and Urgent Care (DipPUC)
- Teaching qualification
- Independent Prescriber
Experience
Essential
- Collaborative working with a range of multi-agency and inter professional resources
- Clinical role model/advocate/educator/coach for care delivery and development
- Evaluation of own practice and participation in multi-disciplinary service and team evaluation
- Leading new clinical practice and service redesign solutions
- Continually developing practice in response to changing population health needs and future developments
- Implementing governance systems
- Disseminating best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).
Desirable
- Co-production of service improvements
- Advocating for and contributing to a culture of organisational learning
- Facilitating collaborative links between clinical practice and research
Skills and Abilities
Essential
- Compliance with code of professional conduct
- Working in partnership with individuals, families and carers
- Using expertise and decision-making skills to inform clinical reasoning approaches, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
- Initiating, evaluating and modifying a range of interventions
- Risk management especially with complex and unpredictable events
- Managing unfamiliar, complex or unpredictable situations
- Receptiveness to challenge and preparedness to constructively challenge others
- Critical reflection to maximise clinical / leadership skills and knowledge
- Critical approach to identify gaps in evidence base and its application to practice
Knowledge
Essential
- Evidence the underpinning subject specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities
- Complex risk management
- Impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).
- Strategies to act on learning and make improvements.
- Working across boundaries and broadening sphere of influence.
- Selecting and applying valid, reliable audit methods, then acting on the findings.
- Critically appraising and synthesising the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.
- Person-centred approach to service delivery and development.
- Range of assessment methods as appropriate (e.g. of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; and conducting health needs assessments).
- Supporting people in making decisions, planning care or seeking to make positive changes
Desirable
- Understanding of local population health needs, agencies and networks.
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).
