Urgent Community Response Nurse/Paramedic | Central and North West London NHS Foundation Trust
| Posting date: | 14 November 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £56,276 - £63,176 pro rata per annum incl. HCAS |
| Hours: | Part time |
| Closing date: | 14 December 2025 |
| Location: | London, W87NX |
| Company: | CNWL NHS Foundation Trust |
| Job type: | Permanent |
| Job reference: | 7604544/333-G-CIS-0205 |
Summary
Community Independence Service Urgent Community Response and adjunct pathways for admission avoidance.
CNWLandWest Londonare working together in a Tri-Borough Capacity and this recruitment is a joint campaign to mobilise new service pathways and the development of a hospital at home adjunct to our current UCR services. We work together across the Inner London Borough and our teams work closely together to provide intermediate care services to our populations.
The staff employed to work in H&F team will be employed by West London Trust – please refer to the West London Candidate pack.
Are you a Band 7 Nurse or Paramedic seeking a new challenging role in the community?
Community Independence Service (incorporating Urgent Community Response (UCR); Hospital at Home and D2A pathways) are currently seeking to employ Band 7 Registered Nurse's or Paramedic's with substantial experience in Acute care (e.g. A&E; Paramedic; ITU; CCU; HDU).
This role is a senior practitioner role who will be clinically competent to lead the team on a daily basis providing visible leadership, as well as working as an autonomous practitioner providing initial assessment and follow care to those in our unoptimized and or optimised patient pathways.
Potential post holders must possess current, valid NMC (UK) or HCPC (UK) registration.
An informal discussion is strongly advised. Please contact Alasdair Tootle to arrange this via email on alasdair.tootle@nhs.net
Urgent Community Response
Nursing / Paramedic
The main duty of an Urgent Community Response (UCR) nurse/paramedic is to provide, high-quality care to patients in the community who are experiencing an acute deterioration in their health, that could otherwise lead to a hospital admission. UCR nurses/paramedics assess, manage, and treat patients in their own homes or care settings, aiming to review patients within two hours of referral. UCR nurses/paramedics play a crucial role in ensuring patients receive timely medical support, enabling them to recover safely at home and reducing the strain on emergency services
Shifts
The UCR service is a 7 day a week service working hours from 8 am until 10pm and shift patterns are expected and we currently have an 8-8 and 10-10 shift.
All gender identities, sexual orientations and/or BAME professionals are welcomed and encouraged to apply.
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
CNWL strives to support provision of a healthy work-life balance which in this role includes:
• Providing you with an opportunity to earn extra pay as CNWL automatically enrols new recruits onto the bank at a competitive pay rate.
• An individual training package of £300 per person, per year
• Creating an inclusive and supportive working environment and team dynamic who are receptive to the culture of change.
• Working closely with the multidisciplinary team, specialist services and the wider integrated care system
CNWL is recognized locally and nationally for providing high quality and innovative healthcare, frequently contributing to national health strategy and policy development.
Our nurses and paramedics enjoy their experience of visiting patients in their own home. They report feeling ‘honoured to build such close professional relationships with their team and patients alike.’ There is no typical day in RAS. Every visit requires a different set of skills and approach, the variety keeps the job interesting and the learning never stops.
*Please note: This advertisement is for a joint recruitment campaign with West London Trust based inHammersmith and Fulham and CNWL Trust Kensington and Chelsea CIS teams. This will be discussed at interview with successful candidates.
Some of relevant skills:
• Physical Assessment (Health Assessment course essential for RGNs)
• Venepuncture (with ability to identify the required blood tests)
• Cannulation
• Medication Administration (PO; PR; IV; IM; SC etc)
• Triage
• Autonomous Practice
• Confidence in knowledge and skills
• Awareness of the Mental Capacity Act and Mental Capacity Assessment
• Proficient at taking on a Nurse/Paramedic in Charge role and Clinician of the Day role
• Non-Medical Prescriber (Desirable)
• Teaching skills
• Mentor / Practice Assessor
Within the team, we have Registered Registered Nurses; Paramedics; Occupational Therapists and Physiotherapists and support roles . We work together closely with our OT/PT colleagues, at times undertaking joint patient visits to meet all of their needs.
Successful candidates will have completed a Physical Assessment Module (or a suitable alternative such as the A&E; ITU or DN Course). Paramedics are exempt from this as it's part of the basic curriculum for student paramedics.
Working in this role you will be autonomous but supported by an experienced clinical team, our GP with Special interest and the patients own GP you will be providing care to patients in their own homes who are needing an urgent response to avoid an admission as appropriate, your clinical assessment and decisions will inform the onward care and or escalation of a patient. Confidence in your clinical knowledge is essential. You should be forward thinking and able to prioritise based on clinical need. As a Senior Practitioner, you may be the person others are coming to for advice around decision making too.
Ideally you will possess a Full UK Driving licence as we cover the entirety of the Tri-Borough which includes Westminster/Kensington and Chelsea and Hammersmith and Fulham travel cost within working hours will be reimbursed if a suitable candidate does not have a licence. A car is provided for use onsomeshifts (automatic gears) but this is for our urgent response so other modes of transport or walking is strongly supported.
To ensure you 'market' yourself as best you can, we highly recommend having an informal discussion with the services and this can be arranged via email with Alasdair Tootle - alasdair.tootle.nhs.net as well ensuring you include the elements of the person specification that are outlined as being assessed in your application.
We would like to wish any potential candidates the best of luck in the process.
These roles will be based in Hammersmith and Fulham and Kensington and Chelsea
This advert closes on Tuesday 25 Nov 2025
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A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. It is important to note that in certain recruitment situations such as high-volume, seasonal and high-peak times, the employer may wish to limit the overall numbers of interviews offered to both disabled people and non-disabled people. For more details please go to Disability Confident.