Rapid Response Practitioner
Closing date: 20 August 2026

Job summary
Are you ready to become one of our senior Rapid Practitioners? Are you an experienced band 6 or 7 Nurse or Paramedic aspiring to be working at an advanced level? Join us and be part of a committed and caring team on the next part of our journey to make Hammersmith & Fulham a great place to grow old!

You will be key in developing the service within the Community Independence Service (CIS) to deliver effective pathways of care through hospital to community and in building relationships with our hospital and community partners.

We are achieving excellent results in admission avoidance and reducing length of hospital stay for the people of Hammersmith and Fulham and are part of a wider three borough CIS offered in Westminster and the Royal Borough of Kensington & Chelsea. Check out our twitter hashtag #3BCIS for up to date news and views.

You will be working closely with our acute partners, such as Imperial College Healthcare NHS Trust and Chelsea & Westminster Hospital NHS Foundation Trust.

The post holder is expected to work within the service operation hours Monday to Sunday on an 8-10pm shift pattern that includes weekend working.

Main duties of the job
The post holder will be an experienced Registered Nurse in Adult Nursing or a HCPC registered paramedic who will work across the Rapid Response Team (RRT) and Home First Team (H1st).

The post holder will provide community based responsive input to patients who are referred with undifferentiated, varied and complex needs ensuring holistic assessment and community care pathway planning is undertaken to directly prevent unnecessary acute hospital admission.

The post holder will work in conjunction with community services and acute setting, and when appropriate facilitate effective and safe discharge to home from emergency departments and acute non admission areas.

The post holder will be a vital clinical resource and a first responder to 0-2 hour Assessments facilitating high quality evidence based practise and ensuring patients from variety of acute and community settings appropriately access out of hospital community health and social care services.

The post holder will be part of a MDT where you have proven ability to make safe clinical decisions that will support patient acuity plans. This will include having a direct link to the patient's discharging medical team for liaison and support where necessary and with the patients GP or other health care professional to prevent hospital admission.

The post holder will provide interventions and will make clinical decisions that support patient choice and wishes.

About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.

Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ 4,500 staff, of whom 56% are BME. Our turnover for 2023-24 is £426m.

The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.

The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.

Details
Date posted: 03 August 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £58,133 to £65,261 a year per annum pro rata inclusive of 20% HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 222-H&F-128
Job locations: Community Indepence Service, Hammersmith London, W6 9XY, United Kingdom

Job responsibilities
The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification
Qualifications and Training
Essential

• Appropriate professional registration e.g. NMC, Adult Nursing/ HCPC Paramedic

Desirable

• Mental Capacity Act (MCA) Assessment
• Wound care, catheter management, pressure area care, IV/Subcut administration
• Preceptorship training
• Physical Assessment Skills course I.e. use of stethoscope, percussion, and palpation techniques on examination.
• Non - Medical Prescribing

Experience
Essential

• Experience of teaching and mentoring students
• Experience of working in MDT
• Medication management: experience in subcutaneous, IV, IM lines, with administration of medicines in a diverse range of patients.
• Minimum of 3 years experience working at Band 6 level
• Experience of managing acute episodes of care, cellulitis, urinary tract infection (UTI), falls, functional, mobility, cognitive impairment.
• Significant experience of working in an acute setting with high acuity patients i.e. London Ambulance Service, A&E, Intensive Therapy Unit
• Experience of delivering short term episodes of care i.e. from 3 - 7 days
• Experience of contributing to audit or research projects.
• Experience of prioritising and manage own workload with minimal supervision
• Evidence of Clinical Supervision/ Reflective Practice
• Experience of safe patient handling

Desirable

• Experience of venepuncture
• Experience of leading audit or project
• Experience of advance care planning and End of Life care, identifying and managing clinical situations working within Coordinate My Care requirements
• Community and rapid response experience
• Contributing to a quality improvement projects

Knowledge and skills
Essential

• Across a range of patient conditions, including common elderly complaints e.g. frailty, falls, COPD, Hypertension, heart failure, UTI - acute on chronic illness.
• Knowledge and understanding and awareness of memory impairment, cognition and the effects on health and well being.
• Knowledge and ability to identify sensory impairment, the impact it has on activities of daily living and the health and wellbeing of their patients
• Ability to know when to discharge and who to refer on to
• Ability to prioritise and manage own workload with minimal supervision.
• Knowledge on how and why to raise safeguarding concerns.
• Knowledge of incident reporting and reviews.
• Ability to use IT packages incl. Microsoft Office and Patient Records Systems
• Ability to respond appropriately to a complex scenario, using a combination of intuition, assertiveness and clinical reasoning to achieve the best patient outcome
• Ability to manage complaints in a sensitive and appropriate manner, on the phone and in person, providing excellent customer service

Desirable

• NEWS2/SBAR Deteriorating Patients training.
• Knowledge and understanding of why venepuncture is used to test patients.
• NHS Leadership Programme - Edward Jenner.
• Knowledge of current NHS policy initiatives

Personal Qualities and Other Requirements
Essential

• Self awareness - knows own strengths and weaknesses. Empowers others to achieve goals, adopts a "can do" approach.
• Contributes towards improving quality in own work area and encourage others to do so.
• Self Management - demonstrates personal resilience, recognises the anxieties of others and helps them manage appropriately.
• Deals with criticism constructively and recognises how issues relate to the "greater good of patient care"
• Personal Integrity - Has a strong commitment to openness, honesty, inclusiveness and high standards
• Promotes partnership and collaboration and demonstrates respect to manager and team colleagues.
• Has the ability to harness the views and contributions of others.
• High level communication skills, confident and open style of communication; routinely tests for understanding of own message.
• Able to provide evidence of where you have demonstrated the Trust's Values and behaviours.
• Used to working in a busy environment, ready and willing to work long days and weekends.

Desirable

• Hold a Driving Licence, and be a car user.

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.

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.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: West London NHS Trust
Address: Community Indepence Service, Hammersmith London, W6 9XY, United Kingdom

Employer contact details
For questions about the job, contact:
Advanced Nurse Practitioner
Kuldip Kaur
kuldip.kaur2@nhs.net