Job summary
CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

We are recruiting for a Band 6 EIV Specialist Nurse/Paramedic on an 8 month secondment.

The purpose of the EIV pathway is to deliver crisis management to patients living in Herts Valleys and to prevent a hospital admission, providing a clinical assessment by a nurse or paramedic jointly with a HCA. The operational hours of this pathway are currently 08:00 - 20.00 - 7 days a week (subject to change once fully established).

The EIV pathway is closely aligned to the Unplanned Care service, which delivers high-quality clinical care to patients in their own home at times of crisis. The purpose of the Rapid Response (RR) pathway is to prevent hospital attendance/admission, and the Discharge to Assess (DTA) pathway is to facilitate early discharge from the hospital. The Unplanned Care team operates from 08:00 to 22:00, 7 days a week. The newly established EIV will supplement and support the delivery of Rapid Response and Discharge to Assess in the Unplanned care service.

As this is a community-based role, with travel between patient homes, there is a requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).

Main duties of the job

• Provide skilled, effective and evidence-based clinical care to patients in a variety of community settings.
• Enable emergency provision of equipment through effective prescribing and ordering.
• Make risk assessments, establish the safety or otherwise of patients ability to stay at home, and arrange necessary nursing and supportive packages.
• Identify safeguarding concerns and effectively manage concerns or refers appropriately for safeguarding investigation. Apply knowledge of safeguarding processes and policy.
• Provide autonomous clinical care to a range of patients presenting with undifferentiated, undiagnosed and/ or complex health needs and long-term conditions.
• Assess and manage risk, knowing how to intervene proportionately and ensuring people are protected from harm, while protecting their human rights. Apply knowledge of the Mental Capacity Act and Care Act.
• Provide evidence-based clinical/therapeutic interventions based on 'best practice', in order to improve health outcomes and promote choice.
• Work in close collaboration with all other community agencies, including Locality planned care teams, In-Patient services and GPs.
• Deliver agreed clinical quality and performance standards within the Unplanned Care team.

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.

Details
Date posted: 12 August 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £41,957 to £50,387 a year
Per Annum, inclusive of HCAS
Contract: Secondment
Working pattern: Full-time
Reference number: 824-HERTS-8193252
Job locations: BRE Watford, BRE unit 16 Bucknells Lane, Watford, WD25 9XX, United Kingdom

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 with current NMC registration OR Paramedic with HCPC registration
• Evidence of recent and continuing post-registration professional education and training

Desirable

• Experience of working in Primary Care/ Accident & Emergency.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Qualifications in Community and/ or Accident and Emergency health care
• Qualification in teaching or practice based learning.
• Physical Clinical Assessment Skills Course or willingness to undertake the course
• Independent prescribing qualification

Experience
Essential

• Evidence of recent substantial post-registration professional clinical experience
• Extensive range of clinical skills and experience including, e.g. IV therapy, venepuncture, cannulation, rehabilitation
• Experience of working within a multi-disciplinary team
• Experience of working with people with complex health needs
• Experience of supervising junior staff and co-ordinating daily activities on a regular basis
• Experience of undertaking comprehensive health needs assessment and writing care plans

Desirable

• Experience of implementing evidence-based care in practice

Skills and Knowledge
Essential

• Has high level of competence in a range of clinical skills
• Ability to work in a team
• Able to work without direct supervision, planning and prioritising own workload and that of others
• Able to delegate work effectively and safely
• Ability to work under pressure
• Ability to risk assess a situation and act appropriately
• Ability to communicate effectively both verbally and in writing
• Ability to identify own and others learning and development needs and actively seek ways to meet those needs
• Basic IT skills including use of Microsoft Office package and email
• Knowledge of Principles of care for patients with long term conditions, relevant NSFs and other national standards
• Knowledge of NMC/HCPC Codes of Professional Conduct and application
• The principles of clinical governance and application to practice

Desirable

• Able to lead and motivate a team

Other
Essential

• As this is a community-based role, with travel between patient homes, there is a requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have 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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.
Applicants must have current UK professional registration.