clinical Paramedic

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We are looking for paramedics who are keen to develop their skills, to join the Nexus team at one of our 9 practice sites in north Southwark. Paramedics will work in one of our multidisciplinary primary care teams running clinics in the surgery and home visits to our housebound patients. Our patient population is varied reflecting the diverse communities of Southwark and inner London with a mix of students, young families, different ethnic groups, asylum seekers and professionals. All our practices are training practices with experience in training a wide mix of practitioners.


Whether newly qualified or highly experienced, you will be exposed to the broad scope of general practice via assessment of patients in the surgery and in their own homes. Our paramedics triage patients over the phone, provide face to face assessment in the practice or patient’s home, and use their diagnostic skills on a daily basis to help put together management plans under the supervision of our experienced GP team.

You should be a registered paramedic who has the ability and confidence to safely and comprehensively perform full systems assessments and, with senior colleague input, agree and implement a plan of care.

Your working week

Morning clinic in surgery with GP supervision seeing patients with acute medical problems
Afternoon home visits for housebound patients with acute medical problems for assessment or follow up. Review of those with long term conditions unable to get to the surgery.
Liaison and referral to other primary health care services
Weekly site based clinical meeting to discuss clinical cases, learning events and organisational developments.
Tutorial with supervisor


Monday to Friday working
Mixed caseload of face-to-face clinics and home visiting
Monthly protected learning session with whole Nexus team and monthly educational meeting with Nexus clinical team
A supportive working environment where our staff are encouraged to express their views on how we can improve our services and ways of working
Practice based multidisciplinary clinical teams with Practice Manager and GP partner on site
Link with other paramedics working in local practices
Annual Leave 27 days plus Bank Holiday rising to 30 days after 5 years’ service with Nexus
Funded Indemnity with Nexus Group Indemnity scheme
NHS Pension
Cycle to work scheme with dedicated provider
Employee support scheme providing confidential counselling service

If you are interested in working with us but would like to speak further or visit us for an informal chat please email


Home visits – assess and treat acutely unwell patients in their home, making any necessary referrals to other acute community services and/or multidisciplinary teams of the Organisation

 In the surgery- assess and treat patients presenting with acute illness undertaking face to face or telephone consultations as required.

 Undertake telephone triage as required

 Liaise with and refer to community and secondary care providers as needed

 Arrange urgent admission for acutely unwell patients

 Ensure clinical practice is safe and effective and remains within boundaries of competence, and to acknowledge limitations.

 Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary.

 Works from the Nexus site and within communities as an autonomous practitioner caring for patients and families.

 Works as an autonomous practitioner, in accordance with the Health Professions Council. Ensure that personal and professional clinical standards are maintained.


Participate in the administrative and professional responsibilities of the practice team.

 Ensure accurate and legible notes of all consultations and treatments are recorded in the patient’s notes.

 Ensure the clinical computer system is kept up to date, with accurate details recorded and amended

 Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.

 Ensure collection and maintenance of statistical information required for regular and ad hoc reports and audit.

 Attend and participate in practice meetings as required.

 Restocking and maintenance of clinical home visit bag.

Person Specification:

Qualified Advanced Paramedic
Registered with the HCPC
Evidence of appropriate continuing professional development to maintain up to date knowledge and on- going competencies in all aspects of the role.
A minimum of 2 years experience
Self- directed practitioner
Commitment to provide effective and high quality service.
Ability to work within a multidisciplinary team and across boundaries.
Maintaining good medical practice and further developing competence and performance
Ability to work flexibly to meet service needs.
Commitment to working in the NHS and improving care given to patients.
Working within Nexus values.
Ability to work with a high patient turnover and a pressurised environment on a daily basis
Knowledge of issues surrounding accountability, Patient Group Directives and clinical policies.
Understanding of evidence based practice.
Understanding of clinical governance.
Ability to work both autonomously and as part of a multidisciplinary team.
Effective time management skills
IT and Administration skills
Excellent communication skills.
Excellent written and verbal communication
Excellent interpersonal skills.
Ability to remain calm and professional in an emergency situation.
Management of patients with complex needs.
Expert clinical knowledge in minor illness and injury.
Ability to assess and manage patients risk effectively and safety.

Proven ability to evaluate the safety and effectiveness of own clinical practice.
To be an independent prescriber or to be open to training to obtain this qualification
Experience in working within a Primary Care setting.
Experience in Telephone Triage
Good working knowledge of EMIS clinical system