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 responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.

Additional information
Part-time and/or flexible working can be considered up to a minimum of 0.8wte during the training period for this role which normally lasts for up to three years. If you are considering requesting part-time and/or flexible working, please feel free to contact the recruiting manager beforehand for an informal discussion.

Vacancies exist across current APP-UC sites, but priority for this recruitment is Brent Ambulance Station.

Assessment centre and interviews will be held at Dockside Education Centre on Saturday 14th November 2026

Qualifications, Accreditations, Education
Essential

• A minimum of BSc (Hons) in Paramedic Science or equivalent clinical academic qualifications or experience.
• HCPC registered Paramedic.

Desirable

• Masters degree or Post Graduate qualification in a relevant field.
• 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

• Recent experience working as a solo practitioner.
• Significant experience of clinical practice, including supervision, mentorship and leadership (equivalent to at least five years post-registration experience).

Desirable

• Demonstrable experience of providing clinical assessment and advice within Clinical Hub/ Clinical Support Desk.
• Experience of working in other clinical settings

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).

Employer details
Employer name: London Ambulance Service NHS Trust
Address: Trust HQ, 220 Waterloo Road, LONDON, Greater London, SE1 8SD, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: Clinical Practice Development Manager, Andrew Hichisson, andrew.hichisson@nhs.net

Details
Date posted: 24 September 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £55,524 to £62,652 a year
Plus unsociable hours payment
Contract: Permanent
Working pattern: Full-time
Reference number: 308-OL-SPECIALIST-92
Job locations: Trust HQ, 220 Waterloo Road, LONDON, Greater London, SE1 8SD, United Kingdom

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.