Emergency Care Practitioner

We have an exciting 12-month fixed-term opportunity for an Emergency Care Practitioner to join our integrated Urgent Community Response (UCR) and Hospital at Home (H@H) services, providing high-quality clinical care to people with acute, complex and undifferentiated health needs in community settings.

You will use advanced assessment, diagnostic reasoning and decision-making skills to assess, diagnose, treat and manage acutely unwell patients, helping to prevent avoidable hospital admissions and support early discharge. You will work autonomously while collaborating with multidisciplinary colleagues across primary, community, acute and social care.

As a senior clinician, you will provide clinical leadership, support safe caseload management and contribute to service development and quality improvement.

The role is across 7 days and includes rotational shifts between 08:00 and 23:00.

You must be a Registered Nurse with current NMC registration or a Paramedic with current HCPC registration.

As this is a community-based role, there is a requirement to 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).

Main duties of the job

As an Emergency Care Practitioner, you will:

• Provide skilled, effective and evidence-based care to patients in their homes and other community settings.
• Assess referrals, prioritise patients according to clinical need and urgency, and respond within agreed timescales.
• Use advanced clinical assessment, diagnostic skills and expert knowledge to identify physical and psychosocial needs and develop short-term care plans that optimise health and wellbeing and help prevent avoidable hospital attendance or admission.
• Deliver advanced, autonomous clinical care to patients with acute, undiagnosed or complex health needs, long-term conditions and red-flag presentations.
• Undertake face-to-face assessments and interventions in patients' homes, including transporting and handling clinical equipment safely.
• Provide clinical leadership, support caseload prioritisation and risk management, and offer supervision and guidance to junior colleagues.
• Work collaboratively with multidisciplinary teams to support safe, joined-up patient pathways and continuity of care.

Benefits

We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Person Specification

Education/Qualification

Essential

• 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

• 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

• 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

• 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

• 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.