Closing date: 18 November 2026

Job summary
We have an exciting 12-month fixed-term opportunity for an Emergency Care Practitioner to join our integrated Urgent Community Response (UCR) and Hospital at Home (H@H) services, providing high-quality clinical care to people with acute, complex and undifferentiated health needs in community settings.

You will use advanced assessment, diagnostic reasoning and decision-making skills to assess, diagnose, treat and manage acutely unwell patients, helping to prevent avoidable hospital admissions and support early discharge. You will work autonomously while collaborating with multidisciplinary colleagues across primary, community, acute and social care.

As a senior clinician, you will provide clinical leadership, support safe caseload management and contribute to service development and quality improvement.

The role is across 7 days and includes rotational shifts between 08:00 and 23:00.

You must be a Registered Nurse with current NMC registration or a Paramedic with current HCPC registration.

As this is a community-based role, 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
As an Emergency Care Practitioner, you will:

• Provide skilled, effective and evidence-based care to patients in their homes and other community settings.
• Assess referrals, prioritise patients according to clinical need and urgency, and respond within agreed timescales.
• Use advanced clinical assessment, diagnostic skills and expert knowledge to identify physical and psychosocial needs and develop short-term care plans that optimise health and wellbeing and help prevent avoidable hospital attendance or admission.
• Deliver advanced, autonomous clinical care to patients with acute, undiagnosed or complex health needs, long-term conditions and red-flag presentations.
• Undertake face-to-face assessments and interventions in patients' homes, including transporting and handling clinical equipment safely.
• Provide clinical leadership, support caseload prioritisation and risk management, and offer supervision and guidance to junior colleagues.
• Work collaboratively with multidisciplinary teams to support safe, joined-up patient pathways and continuity of care.

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
Pay scheme: Agenda for change
Band: Band 7
Salary: £58,133 to £65,261 a year per annum inclusive of HCAS
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time
Reference number: 824-SOUTH-8386469
Job locations: Wandsworth and Merton, Tooting Business Centre, London, SW17 9SH, United Kingdom

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.

Please see attached Job Description and Person Specification for full roles and responsibilities

Person Specification
Education/Qualification
Essential

• Registered Nurse or Paramedic with current NMC or HCPC registration
• Evidence of substantial, recent and continuing post-registration professional development relevant to urgent, acute or community care
• Advanced physical/clinical assessment qualification or demonstrable equivalent assessed competence
• Evidence of substantial independent prescribing within the scope of UCR and H@H

Desirable

• Experience of working in Primary Care/ Accident & Emergency.
• Qualifications in Community and/ or Accident and Emergency Nursing.
• Experience of assessing and providing quality care to people with Long Term Conditions
• Relevant postgraduate study in urgent/emergency care, frailty, advanced practice or leadership.
• Recognised teaching, mentorship or practice educator qualification.

Experience
Essential

• Substantial post-registration experience as a registered nurse or paramedic within UCR, H@H, acute or emergency care, ambulance services, primary care or a closely related clinical setting.
• Extensive experience of autonomous clinical assessment, differential diagnosis and management of acutely unwell patients presenting with undifferentiated, undiagnosed and complex health conditions, including acute exacerbations of long-term conditions
• Advanced clinical assessment and decision-making skills, with proven experience of recognising and managing clinical deterioration, undertaking complex risk assessments, initiating appropriate treatment and making safe escalation decisions.
• Extensive experience of delivering advanced clinical interventions relevant to UCR and H@H pathways, including venepuncture, cannulation, intravenous therapies, interpretation of diagnostic investigations, and management of patients with complex clinical and palliative care needs.
• Proven experience of managing complex clinical caseloads, developing individualised treatment and care plans, and supporting admission avoidance, hospital-level care at home and timely supported discharge.
• Significant experience of multidisciplinary working and coordinating care across community, primary, acute and social care services to ensure safe, effective and integrated patient management.
• Demonstrable experience of providing senior clinical leadership, including supervising and supporting junior clinicians, coordinating clinical activities, providing specialist clinical advice and contributing to the safe and effective operational delivery of services.

Desirable

• Experience of implementing evidence-based care in practice
• Experience of conducting research projects and audit.
• Experience of change management and implementing change in practice.
• Evidence of innovation in practice.

Skills
Essential

• Demonstrate advanced clinical assessment, history-taking, physical examination, clinical reasoning and differential diagnosis skills across relevant body systems, including cardiovascular, respiratory, neurological, gastrointestinal, musculoskeletal, ENT and dermatological presentations.
• Demonstrate a high level of clinical competence in assessing and managing acutely unwell patients with complex, undifferentiated presentations and long-term conditions, using evidence-based interventions and treatment planning within professional scope of practice.
• Ability to exercise autonomous clinical judgement, recognise red flags and clinical deterioration, manage diagnostic uncertainty, undertake complex risk assessments and initiate appropriate treatment or escalation.
• Ability to independently prioritise and coordinate complex clinical caseloads, manage competing demands and respond effectively to changing clinical priorities across UCR and H@H pathways.
• Demonstrate effective clinical leadership, including delegation, supervision, supporting junior clinicians, providing specialist clinical advice and managing challenging situations within a multidisciplinary team.
• Excellent communication, interpersonal and conflict-resolution skills, with the ability to convey complex or sensitive clinical information effectively to patients, carers and multidisciplinary professionals.
• Ability to identify and address individual and team learning needs through clinical supervision, coaching, reflective practice and professional development.
• Competence in advanced clinical procedures and interventions relevant to UCR and H@H, including the ability to interpret diagnostic investigations and implement appropriate treatment within agreed clinical competencies.
• Strong organisational, digital and documentation skills, including proficiency in electronic patient records, clinical information systems and standard IT applications.
• Acute illness, frailty, complex conditions and clinical deterioration within UCR and H@H.
• Principles of care for patients with long term conditions, relevant NSFs and other national standards, e.g. NICE
• NHS policies, NMC/HCPC standards and integrated care pathways.
• Personal Development Planning
• Primary Health Care - structures and roles (overview)
• The audit processes, quality improvement and evidence-based practice.
• Applying evidence-based care into practice
• The principles of clinical governance and application to practice.
• Clinical supervision - purpose and application
• Managing difficult situations and conflict resolution
• How equal opportunities can be implemented in practice.

Desirable

• Able to lead and motivate a team

Key Attributes
Essential

• Able to carry out the duties of the post with or without adaptations.
• Able to undertake community visits to patients in their own homes and other community settings, including travelling between locations throughout the working day.
• Able to meet the physical demands of community-based clinical practice, including carrying and transporting clinical equipment, prolonged standing, bending, kneeling and working in varied home environments, with reasonable adjustments where appropriate.
• 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)
• Able to work flexible shifts across 7 days, across a 08:00 - 23:00
• Able to provide evidence of where you have demonstrated the Trust's Values and Behaviours
• Able to demonstrate excellence in Customer Service
• Able to meet the required IT Skills for the post.
• Able to work from more than one work base.

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.

Certificate of Sponsorship
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).

Employer details
Employer name: Central London Community Health Trust
Address: Wandsworth and Merton, Tooting Business Centre, London, SW17 9SH, United Kingdom
Employer's website: https://clch.nhs.uk/

For questions about the job, contact: Clinical Operations Manager, Vladimira Kalev, v.kalev@nhs.net, 07908450958

Central London Community Health Trust's privacy notice (opens in a new tab)