Job summary
The London Ambulance Service (LAS) is the largest ambulance service in the UK and plays a critical role in delivering high-quality urgent and emergency care across London. Through the Integrated Care and Coordination (ICC) Hub, LAS is working collaboratively with North West London (NW London) system partners to ensure patients access the right care at the right time.The NW London ICC Hub brings together senior clinicians, LAS staff, and system partners to deliver improved patient outcomes, reduce unnecessary conveyance to emergency departments, and strengthen coordination with community, primary care, and hospital services.
Main duties of the job
The ICC Hub Senior Clinical Decision Maker (SCDM) will be responsible for leading clinical decision-making within the Hub. This includes assessing referrals, supporting LAS clinicians through clinical handovers, and working as part of a multidisciplinary team (MDT) to ensure patients receive the most appropriate clinical outcomes. At high level the SCDM will be involved in:
999 Stack review and patient assessment
HCP/IFT admission assessment
Care Home intervention
Clinical Advisor decision support
On scene clinical decision support
Facilitating pathway referrals
The post holder will provide direct patient consultations via telephone and video, liaise with healthcare professionals (HCPs) accessing the 999 system, and ensure safe and effective transfer of care across services. They will also contribute to service evaluation, governance, and pathway improvement across urgent and emergency care.This post will be employed through LAS under the London Staff Movement Agreement. LAS will retain clinical responsibility for the patient.
About us
The London Ambulance Service (LAS) is the largest ambulance service in the UK and plays a critical role in delivering high-quality urgent and emergency care across London. Through the Integrated Care and Coordination (ICC) Hub, LAS is working collaboratively with North West London (NW London) system partners to ensure patients access the right care at the right time.The NW London ICC Hub brings together senior clinicians, LAS staff, and system partners to deliver improved patient outcomes, reduce unnecessary conveyance to emergency departments, and strengthen coordination with community, primary care, and hospital services.
Job description
Job responsibilities
The ICC Hub Senior Clinical Decision Maker (SCDM) will be responsible for leading clinical decision-making within the Hub. This includes assessing referrals, supporting LAS clinicians through clinical handovers, and working as part of a multidisciplinary team (MDT) to ensure patients receive the most appropriate clinical outcomes. At high level the SCDM will be involved in:
999 Stack review and patient assessment
HCP/IFT admission assessment
Care Home intervention
Clinical Advisor decision support
On scene clinical decision support
Facilitating pathway referrals
The post holder will provide direct patient consultations via telephone and video, liaise with healthcare professionals (HCPs) accessing the 999 system, and ensure safe and effective transfer of care across services. They will also contribute to service evaluation, governance, and pathway improvement across urgent and emergency care.This post will be employed through LAS under the London Staff Movement Agreement. LAS will retain clinical responsibility for the patient.
Job description
Job responsibilities
The ICC Hub Senior Clinical Decision Maker (SCDM) will be responsible for leading clinical decision-making within the Hub. This includes assessing referrals, supporting LAS clinicians through clinical handovers, and working as part of a multidisciplinary team (MDT) to ensure patients receive the most appropriate clinical outcomes. At high level the SCDM will be involved in:
999 Stack review and patient assessment
HCP/IFT admission assessment
Care Home intervention
Clinical Advisor decision support
On scene clinical decision support
Facilitating pathway referrals
The post holder will provide direct patient consultations via telephone and video, liaise with healthcare professionals (HCPs) accessing the 999 system, and ensure safe and effective transfer of care across services. They will also contribute to service evaluation, governance, and pathway improvement across urgent and emergency care.This post will be employed through LAS under the London Staff Movement Agreement. LAS will retain clinical responsibility for the patient.
Person Specification
Education and Qualifications
Essential
- Full GMC Registration and License to practice
- FCEM or equivalent
- MBBS or equivalent
- Attained CCT or CESR accreditation (or be within 3-6 months) in Emergency Medicine before the start date for this post.
Experience
Essential
- Provider in at least two of ALS, ATLS, APLS, MIMMS
- Instructor in at least one of ALS, ATLS, APLS
- Use of Ultrasound in EM
Desirable
- Research experience with publication record
- Child Protection Awareness
Skills, Knowledge, Personal qualities
Essential
- Sound knowledge of Emergency Medicine
- Organisational skills
- Problem solving skill
- Good inter-personal and communications skills
- Computer skills and IT literacy
- Ability to apply managerial & professional theory
- Leadership and teaching
- Commitment to multidisciplinary team working
- Commitment to continuing medical education
- Ability to conduct teaching and research
- Ability to meet on call requirements
- Commitment to the goals of the Chelsea & Westminster Hospital
Desirable
- Knowledge of NHS plan and priorities including the National Service Frameworks
- Awareness of the financial framework of the NHS
Person Specification
Education and Qualifications
Essential
- Full GMC Registration and License to practice
- FCEM or equivalent
- MBBS or equivalent
- Attained CCT or CESR accreditation (or be within 3-6 months) in Emergency Medicine before the start date for this post.
Experience
Essential
- Provider in at least two of ALS, ATLS, APLS, MIMMS
- Instructor in at least one of ALS, ATLS, APLS
- Use of Ultrasound in EM
Desirable
- Research experience with publication record
- Child Protection Awareness
Skills, Knowledge, Personal qualities
Essential
- Sound knowledge of Emergency Medicine
- Organisational skills
- Problem solving skill
- Good inter-personal and communications skills
- Computer skills and IT literacy
- Ability to apply managerial & professional theory
- Leadership and teaching
- Commitment to multidisciplinary team working
- Commitment to continuing medical education
- Ability to conduct teaching and research
- Ability to meet on call requirements
- Commitment to the goals of the Chelsea & Westminster Hospital
Desirable
- Knowledge of NHS plan and priorities including the National Service Frameworks
- Awareness of the financial framework of the NHS
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.
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 UK Visas and Immigration website (Opens in a new tab).
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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
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 UK Visas and Immigration website (Opens in a new tab).
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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).