Central and North West London NHS Foundation Trust
Urgent Community Response Nurse / Paramedic Practitioner
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Urgent Community Response Nurse / Paramedic Practitioner
Job Overview
Are you looking for a dynamic and rewarding role where you can make a real difference? An exciting opportunity has arisen to join the Home 1st Urgent Community Response (UCR) team as a Band 6 Nurse/Paramedic.
The UCR service provides a rapid 2-hour response to patients experiencing acute illness or deterioration, delivering high-quality care in patients’ homes or care settings. The aim is to avoid unnecessary hospital admissions, support early discharge, and improve patient outcomes through timely intervention.
As a Band 6 practitioner, you will work within a multidisciplinary team, using advanced assessment, decision-making and treatment skills to deliver urgent community care. You will triage referrals, complete holistic assessments, and implement safe, effective care plans tailored to individual needs.
You will work both autonomously and collaboratively with system partners including GP practices, ambulance services, and community teams. The role includes responding to urgent referrals, managing falls, supporting virtual ward patients, and contributing to seamless care pathways.
This is an exciting time to join a developing service, with opportunities to be involved in innovative practice and service improvement.
The service operates 24/7, requiring participation in a rotational shift pattern including days, nights, weekends and bank holidays.
Main duties of the job
The Band 6 UCR Nurse/Paramedic will:
Respond to urgent referrals within a 2-hour timeframe, delivering rapid assessment and treatment to patients in their own homes or care settings. Undertake telephone triage, making clinical decisions on suitability for the service and escalating concerns, including identification of red flag symptoms. Perform holistic assessments and physical examinations, developing and implementing evidence-based care plans for short-term acute management. Deliver advanced clinical interventions, including use of PGDs and non-medical prescribing (where qualified), to support diagnosis and treatment. Work within a multidisciplinary team to prevent hospital admissions and support early discharge, including care of virtual ward and Home 1st patients. Respond to urgent situations such as falls, working with system partners to ensure safe management and avoid hospital conveyance where appropriate. Liaise with GPs, ambulance services, and health and social care professionals to provide coordinated, patient-centred care. Provide clinical advice and education to colleagues, care home staff, patients, and carers to support early recognition of deterioration and promote independence. Maintain accurate documentation and contribute to audit, quality improvement, and service development. Work flexibly as part of a 24/7 service, including lone working, ensuring safety and adherence to professional standards.
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Working for our organisation
The NHS in Milton Keynes is committed to providing quality health & social care services, tailored to the needs of individuals, public & private organizations, delivered close to home.
Our commitment as an employer & in accordance with the NHS constitution is to provide you with:
Clear roles and responsibilities and a rewarding job so that you can make a difference to patients, their families and those who care for them and communities. Personal development, access to appropriate training for your job and line management support to succeed. Support and opportunities to maintain your health, well-being and safety and an environment free from harassment, bullying or violence. A good working environment with flexible working opportunities, consistent with the needs of patients and with the way that people live their lives. Opportunities to engage in decisions that affect you and the services you provide, individually, through representative organisations and through local partnership working arrangements.
Detailed Job Description And Main Responsibilities
The Band 6 UCR Nurse/Paramedic will be a key member of the Home 1st multidisciplinary team, delivering rapid, high-quality care to patients in their own homes and care settings. This role is central to preventing unnecessary hospital admissions and supporting patients to remain safely at home through timely, expert intervention.
What You’ll Be Doing
Responding to urgent referrals within a 2-hour timeframe, providing rapid clinical assessment and treatment in the community. Triaging referrals and making confident clinical decisions, including recognising when escalation is required. Undertaking holistic assessments and delivering person-centred, evidence-based care plans for patients with acute illness or deterioration. Using advanced clinical skills, including PGDs and non-medical prescribing (where appropriate), to support safe and effective treatment. Working closely with a wide range of partners including GPs, ambulance services, and community teams to ensure seamless, coordinated care. Supporting admission avoidance, early discharge, and care of patients on virtual ward and Home 1st pathways. Providing advice, guidance, and education to patients, carers, care home staff, and colleagues to promote independence and improve outcomes. Maintaining high standards of documentation and contributing to audit, quality improvement, and ongoing service development. Working autonomously in a fast-paced environment, including lone working, as part of a 24/7 service.
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Person specification
Qualifications
Essential criteria
NMC Registered/HCPC Registered Evidence of other professional training, CPD and PDP Advanced Assessment Skills or willingness to work towards
Desirable criteria
Independent Nurse Prescribing or willingness to complete required training
Knowledge
Essential criteria
Knowledge of local and national agendas for transformational change affecting care of older people. Knowledge of current UCR agenda Broad Knowledge of primary care provision Sound clinical knowledge Working knowledge of Government initiatives regarding preventative care to promote patient’s health
Key Skills/Abilities
Essential criteria
Awareness of NHS polices in respect to primary care and reducing hospital admissions Assessment skills Clinical skills Ability to work autonomously as well as be part of a team Able to carry out regular home visits and deliver care in the community Ability to work under pressure Ability to work under pressure Time management skills Time management skills Ability to prioritise a changing workload Ability to implement policy and guidelines Ability to work a shift pattern Ability to work a shift pattern Full UK driving license Car driver and use of car
Experience
Essential criteria
Evidence of post qualification professional experience Involvement in practice development activities
Desirable criteria
Understanding and experience of current community/hospital nursing issues Experience relevant to Intermediate Care Involvement in discharge planning processes
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