Job summary
Are you an experienced HCPC-registered Paramedic looking to develop your clinical skills?

An exciting opportunity has arisen to join the REACT (Reactive Emergency Assessment Community Team) service within East Suffolk and North Essex NHS Foundation Trust (ESNEFT).

Working within our Urgent Community Response (UCR) pathway, you will play a vital role in providing rapid assessment, treatment and clinical decision-making for patients experiencing an acute deterioration in their own homes. As part of a multidisciplinary team, you will support people to remain safely at home wherever possible, preventing unnecessary hospital admissions and delivering care closer to home.

This is an exciting alternative to traditional ambulance practice, providing opportunities to manage complex patients, develop advanced assessment skills and work alongside therapists, nurses, advanced practitioners, social care professionals, consultants and GPs across the health and care system.

The post is available for up to 37.5 hours per week as part of a 7-day service operating across weekdays, weekends and bank holidays.

Proposed Interview date: 15th October 2026

Main duties of the job

• Undertake comprehensive holistic assessments of patients presenting with acute illness, frailty, injury or deterioration within their own homes and community settings.
• Use advanced clinical reasoning and autonomous decision-making skills to assess, diagnose, treat, refer or safely discharge patients.
• Deliver urgent care interventions in line with the national 2-hour Urgent Community Response standard.
• Work collaboratively with Virtual Ward, Frailty, Community Nursing, Therapy, General Practice, Social Care and Ambulance Service colleagues to ensure seamless patient care.
• Support admission avoidance and facilitate safe alternatives to hospital attendance wherever clinically appropriate.
• Provide expert clinical advice and support to colleagues across the multidisciplinary team.
• Contribute to service development, quality improvement initiatives, audit and clinical governance activities.
• Support education, supervision and development of junior staff and students.

As healthcare services continue to evolve, REACT is at the forefront of NHS transformation, delivering innovative admission avoidance pathways, Virtual Ward services and integrated community care. You will have the opportunity to contribute to service development while making a meaningful difference to patients and their families every day.

About us
We are ESNEFT and we provide hospital and community health services to almost one million people across east Suffolk and north Essex. Our dedicated staff deliver care from acute hospitals in Colchester and Ipswich, community hospitals, surgeries, community clinics and in patients' own homes.

We are the largest NHS organisation in East Anglia, employing more than 12,000 staff.

We pride ourselves on supporting our staff. We offer a wide range of training and development opportunities, as well as flexible working options.

Along with supporting you to achieve your career goals we offer a generous pension scheme, unsocial hours payments (where applicable), 27 days annual leave on commencement (pro rata) and access to a range of NHS discounts. Our Staff Health and Wellbeing programme offer a variety of services.

Our philosophy is thatTime Mattersto everyone. Across the Trust, we concentrate on improving the things we do and removing those which cause time delays for our staff and patients.

We are investing in our commitment to Time Matters with a partnership with leading electronic patient record (EPR) supplier Epic. This digital transformation will bring what's widely regarded as the world's best EPR system to ESNEFT, transforming life in hospital for staff and patients.

If you are passionate about patient care and want to develop your skills and knowledge, then we want to hear from you.

Find out about living and working here - Apply through our website

Details
Date posted: 24 September 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £39,959 to £48,117 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 432-HR852-26
Job locations: Constantine House, 5 Constantine Road, Ipswich, IP1 2DH, United Kingdom

Job description
Job responsibilities
For full details of the responsibilities and duties of this role please see the attached job description.

Person Specification
Qualifications
Essential

• Registered HCPC Paramedic
• BSc (Hons) or Diploma in Paramedic Science (or equivalent)
• Post-registration clinical experience
• Autonomous assessment and clinical decision-making
• Multidisciplinary working
• Managing acutely unwell adults
• Evidence of continuing professional development

Desirable

• Certificated clinical assessment skills.
• Diploma/Degree or master's level of Education
• Community or Urgent Community Response experience
• Frailty care
• Independent Prescriber qualification (or willingness to undertake)
• Minor illness/injury qualification
• Experience of SystmOne
• Experience of Virtual Wards

Knowledge & Experience
Essential

• Demonstrable knowledge of admission avoidance
• Demonstrates knowledge of the pressure of EEAST, the UCR teams and structures in the Integrated Care System
• Knowledge of national and international guidelines relevant to the role
• Care pathways/whole systems approach to services for emergency medicine and Older People.
• Knowledge of current Frailty Agenda
• Detailed knowledge and application of principles of Clinical Governance and Quality
• High level of clinical reasoning.

Desirable

• Knowledge and application of research methodologies
• Knowledge of strategies for effective change
• Excel/Teams
• Experience of report writing

Skills
Essential

• Excellent verbal & written communication skills
• Ability to manage own workload
• Excellent organisational skills
• Ability to work alone or as team player.
• Commitment to self-development
• Self-motivated with the ability to motivate others
• Able to analyse and solve complex problems.

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: East Suffolk and North Essex NHS Foundation Trust
Address: Constantine House, 5 Constantine Road, Ipswich, IP1 2DH, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: React REACT Service Lead, Clare Cunnell, clare.cunnell@esneft.nhs.uk

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