Emergency Care Practitioner

Job description

Detailed job description and main 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 Trust's 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 criteria

• 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 criteria

• 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 criteria

• 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 criteria

• 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 criteria

• 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 criteria

• Able to lead and motivate a team

Key Attributes

Essential criteria

• 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.

We review all applications carefully to ensure fairness and verify references. At interview, you will be asked about your experience, so be honest and ensure all information is accurate. The use of AI during interviews is not permitted.

If you use AI or other tools to support your application, it must reflect your own skills, knowledge, and experience. Supporting information should be in your own words and include your personal insights. AI can assist with drafting but may produce generic or inaccurate content. Applications that rely heavily on AI may lack authenticity and reduce your chances of success.

Due to high application volumes, this vacancy may close early. Please apply promptly if you meet the Person Specification. Only candidates who clearly demonstrate how they meet the criteria will be shortlisted. Interview details will be emailed after the closing date - please check your inbox regularly.

CLCH Trust does not recommend relying solely on AI when completing your application.

CLCH Commitment to Equality, Diversity, and Inclusion

CLCH is proud to be a Disability Confident Committed employer. We believe that a diverse and inclusive workforce is essential for providing exceptional patient care. We are dedicated to attracting and retaining talent from all backgrounds, including ethnic minorities, the LGBTQ+ community, and people with disabilities.

As a Disability Confident employer, we pledge to:
• Guarantee an interview to all disabled applicants who meet the essential criteria for a role.
• Provide reasonable adjustments to support diverse needs throughout the recruitment and employment process.
• Challenge misconceptions about disability and foster an inclusive culture for everyone.

We are committed to building a workplace where all staff feel valued and have the opportunity to thrive. Simply let us know how we can support you.

Learn more about our equal opportunities policy on our website: Equal opportunities: Central London Community Healthcare NHS Trust