East Suffolk and North Essex NHS Foundation Trust
Paramedic - REACT

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Are you an experienced HCPC-registered Paramedic looking to develop your clinical skills?
An exciting opportunity has arisen to join the REACT (Reactive Emergency Assessment Community Team) service within East Suffolk and North Essex NHS Foundation Trust (ESNEFT).
Working within our Urgent Community Response (UCR) pathway, you will play a vital role in providing rapid assessment, treatment and clinical decision-making for patients experiencing an acute deterioration in their own homes. As part of a multidisciplinary team, you will support people to remain safely at home wherever possible, preventing unnecessary hospital admissions and delivering care closer to home.
This is an exciting alternative to traditional ambulance practice, providing opportunities to manage complex patients, develop advanced assessment skills and work alongside therapists, nurses, advanced practitioners, social care professionals, consultants and GPs across the health and care system.
The post is available for up to 37.5 hours per week as part of a 7-day service operating across weekdays, weekends and bank holidays.
Proposed Interview date: 15th October 2026
Responsibilities
- Undertake comprehensive holistic assessments of patients presenting with acute illness, frailty, injury or deterioration within their own homes and community settings.
- Use advanced clinical reasoning and autonomous decision-making skills to assess, diagnose, treat, refer or safely discharge patients.
- Deliver urgent care interventions in line with the national 2-hour Urgent Community Response standard.
- Work collaboratively with Virtual Ward, Frailty, Community Nursing, Therapy, General Practice, Social Care and Ambulance Service colleagues to ensure seamless patient care.
- Support admission avoidance and facilitate safe alternatives to hospital attendance wherever clinically appropriate.
- Provide expert clinical advice and support to colleagues across the multidisciplinary team.
- Contribute to service development, quality improvement initiatives, audit and clinical governance activities.
- Support education, supervision and development of junior staff and students.
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As healthcare services continue to evolve, REACT is at the forefront of NHS transformation, delivering innovative admission avoidance pathways, Virtual Ward services and integrated community care. You will have the opportunity to contribute to service development while making a meaningful difference to patients and their families every day.
About Us
We are ESNEFT and we provide hospital and community health services to almost one million people across east Suffolk and north Essex. Our dedicated staff deliver care from acute hospitals in Colchester and Ipswich, community hospitals, surgeries, community clinics and in patients’ own homes.


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We are the largest NHS organisation in East Anglia, employing more than 12,000 staff.
We pride ourselves on supporting our staff. We offer a wide range of training and development opportunities, as well as flexible working options.
Along with supporting you to achieve your career goals we offer a generous pension scheme, unsocial hours payments (where applicable), 27 days annual leave on commencement (pro rata) and access to a range of NHS discounts. Our Staff Health and Wellbeing programme offers a variety of services.
Our philosophy is that Time Matters to everyone. Across the Trust, we concentrate on improving the things we do and removing those which cause time delays for our staff and patients.
We are investing in our commitment to Time Matters with a partnership with leading electronic patient record (EPR) supplier Epic. This digital transformation will bring what’s widely regarded as the world’s best EPR system to ESNEFT, transforming life in hospital for staff and patients.
If you are passionate about patient care and want to develop your skills and knowledge, then we want to hear from you.
Find out about living and working here - www.youtube.com/watch?v=GkPu7HphU8A
For further details / informal visits contact:
- Name: Clare Cunnell
- Job title: React REACT Service Lead
- Email address: clare.cunnell@esneft.nhs.uk
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