Job summary
The overall aim of the Advanced Paramedic Practitioner - Urgent Care (APP-UC) is to assess, treat and safely discharge patients, or utilise appropriate care pathways to reduce unnecessary hospital admissions.
Their main objective is to take a detailed history from patients and provide a targeted advanced assessment. To do this they may utilise additional skills such as a detailed neurological assessment, otoscopy and ophthalmology, pregnancy tests and urinalysis and point of care blood testing. As well as this the APP-UC has an extended medicines formulary and other interventions such as wound closure.
The role combines the APP-UC working autonomously as solo responders to 999 and 111 calls, with rotational placements across different clinical settings outside of the ambulance service. Rotating through general practice, Urgent Care Centres, minor injury units and other community settings supports the development of this alternative model of urgent care, and maintains the ongoing competence of the APP-UC skills in these areas.
Main duties of the job
Responding to a range of 999 and 111 calls the APP-UC will utilise advanced clinical skills to assess, treat and/or refer or discharge patients utilising advanced assessment techniques, accomplished clinical decision making and diagnosis. Aiming to keep the patient at home or within the community the APP-UC work closely with other healthcare providers in the capital, rotating across different clinical settings such as General Practice, Urgent Care Centres and Minor Injury Units.
About us
The London Ambulance Service is building a world-class ambulance service for a world-class city, integrating access to urgent and emergency care on scene, on phone and online. We are now looking to expand our successful Advanced Paramedic Practitioner Urgent Care (APP-UC) programme further, with additional posts established to support further expansion across London.
This is an exciting opportunity for clinicians who wish to develop as advanced paramedics and aspire to provide advanced care to patients presenting with undifferentiated urgent care needs.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
Person Specification
Qualifications, Accreditations, Education
Essential
- A minimum of BSc (Hons) in Paramedic Science or equivalent clinical academic qualifications or experience.
- Commitment to achieve relevant Post Graduate advanced practice qualification as determined by the employer.
- HCPC registered Paramedic.
- Commitment to undertake further development to become a Paramedic prescriber.
- Master's degree or Post Graduate qualification in a relevant field.
Desirable
- A recognised teaching qualification or equivalent demonstrable ability with evidence of teaching in practice and/ or classroom situations.
- Mentoring and coaching; minimum of PPEd level 3 (certificate) or significant demonstrable development of mentoring and coaching skills through formal learning and application.
- Qualification incorporating extended clinical practice skills (e.g. Paramedic/Emergency Care Practitioner, Critical Care Paramedic).
Experience
Essential
- Up to date portfolio including significant demonstrable relevant and recent CPD activity.
- Recent experience working as a solo practitioner.
- Commitment to rotational working through other practice settings and inter-professional working.
- Significant experience of clinical practice, including supervision, mentorship and leadership (equivalent to at least five years post-registration experience).
- Demonstrable experience of providing clinical assessment and advice within Clinical Hub/ Clinical Support Desk.
Desirable
- Experience of working in other clinical settings
Knowledge and Skills
Essential
- Assess and examine patients presenting with both acute and chronic conditions.
- Be expert in recording and evaluating a medical, social and family history supported by extensive underpinning knowledge as detailed in the College of Paramedics (CoP) framework.
- Formulate a plausible differential diagnosis supported by extensive underpinning knowledge.
- Extended knowledge of 12 lead ECG interpretation.
Desirable
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with urgent care needs.
- Use software to support and/ or document clinical advice and support decisions.
Personal Abilities
Essential
- Adhere to the Trust values and behaviours.
- Commitment to contribute to ongoing evaluation of the role
- Ability to manage both self and others and use initiative to problem solve based on sound rationale.
- Evidence of having provided mentoring and support to other staff.
- Understanding of and demonstrable commitment to diversity as an employee and as a provider of services to the public.
Person Specification
Qualifications, Accreditations, Education
Essential
- A minimum of BSc (Hons) in Paramedic Science or equivalent clinical academic qualifications or experience.
- Commitment to achieve relevant Post Graduate advanced practice qualification as determined by the employer.
- HCPC registered Paramedic.
- Commitment to undertake further development to become a Paramedic prescriber.
- Master's degree or Post Graduate qualification in a relevant field.
Desirable
- A recognised teaching qualification or equivalent demonstrable ability with evidence of teaching in practice and/ or classroom situations.
- Mentoring and coaching; minimum of PPEd level 3 (certificate) or significant demonstrable development of mentoring and coaching skills through formal learning and application.
- Qualification incorporating extended clinical practice skills (e.g. Paramedic/Emergency Care Practitioner, Critical Care Paramedic).
Experience
Essential
- Up to date portfolio including significant demonstrable relevant and recent CPD activity.
- Recent experience working as a solo practitioner.
- Commitment to rotational working through other practice settings and inter-professional working.
- Significant experience of clinical practice, including supervision, mentorship and leadership (equivalent to at least five years post-registration experience).
- Demonstrable experience of providing clinical assessment and advice within Clinical Hub/ Clinical Support Desk.
Desirable
- Experience of working in other clinical settings
Knowledge and Skills
Essential
- Assess and examine patients presenting with both acute and chronic conditions.
- Be expert in recording and evaluating a medical, social and family history supported by extensive underpinning knowledge as detailed in the College of Paramedics (CoP) framework.
- Formulate a plausible differential diagnosis supported by extensive underpinning knowledge.
- Extended knowledge of 12 lead ECG interpretation.
Desirable
- Evidence of ability to provide additional support and therapeutic intervention where required for patients with urgent care needs.
- Use software to support and/ or document clinical advice and support decisions.
Personal Abilities
Essential
- Adhere to the Trust values and behaviours.
- Commitment to contribute to ongoing evaluation of the role
- Ability to manage both self and others and use initiative to problem solve based on sound rationale.
- Evidence of having provided mentoring and support to other staff.
- Understanding of and demonstrable commitment to diversity as an employee and as a provider of services to the public.
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).
