Specialist Nurse

Job Summary CLCH Hertfordshire Adult Community Services – CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting Are you an experienced Paramedic tired of the queue at A&E? Are you looking for a role where you have the time, resources, and autonomy to effectively see and treat patients in their own homes? Do you want to bring your nursing expertise to the front line of crisis care? Use your advanced skills in long‑term condition management to assess patients at home, prevent hospital admissions and deliver true holistic care when it is needed most. We are seeking enthusiastic Paramedics or Specialist Nurses to lead our established Early Intervention Vehicle (EIV) Service. Working within the Unplanned Care Team, your primary goal is crisis management and admission avoidance. You will be the clinical lead on the ground, responding to non‑life‑threatening priority calls across the Herts valleys. You will work side‑by‑side with a Therapist, Social Worker or Community Care Officer (CCO). Together, you will perform holistic physical and functional assessments, issue urgent equipment and put immediate care plans in place to keep the patient safe at home. Main Duties of the Job True multidisciplinary working: You aren't working solo. You will assess jointly with therapists to tackle both the medical and functional crisis. Advanced clinical decision making: You will use your advanced skills to make complex clinical decisions quickly and autonomously. You will have the discretion to manage risk and support patients in crisis. Direct impact: You will directly reduce unnecessary hospital admissions and facilitate early discharges (discharge to assess). Key Qualifications Registered Paramedic with HCPC registration or UK NMC registered Specialist Nurse. Advanced clinical assessment skills. Confidence to make autonomous decisions in a community setting. Experience in urgent care, community care or the management of long‑term conditions. A driving ambition to develop the service and strategic skills. Experience Recent substantial post‑registration professional clinical experience. Extensive range of clinical skills and experience including IV therapy, venepuncture, cannulation and rehabilitation. Experience of working within a multi‑disciplinary team. Experience of supervising junior staff and coordinating a team on a day‑to‑day basis. Experience of undertaking comprehensive health needs assessment and writing care plans. Skills and Knowledge High level of competence in a range of clinical skills. Ability to work in a team. Ability to work without direct supervision, planning and prioritising own workload and that of others. Ability to delegate work effectively and safely. Ability to work under pressure. Ability to risk assess a situation and act appropriately. Ability to communicate clearly and effectively, in both verbal and written formats. Ability to identify own and others learning and development needs and actively seek ways to meet those needs. Basic IT skills including use of Microsoft Office packages and email. Knowledge of principles of care for patients with long term conditions, relevant national health standards. Understanding of NMC / HCPC Codes of Professional Conduct and application to practice. Personal development planning. Primary health care structures and roles (overview). The audit process. Applying evidence‑based care into practice. Principles of clinical governance and application to practice. Clinical supervision – purpose and application. Managing difficult situations and conflict resolution. Implementing equal opportunities in practice. Ability to lead and motivate a team. Other Essential 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). Ability to carry out the duties of the post with or without adaptations. Ability to travel around the division. Ability to work flexible shifts. Ability to provide evidence of where you have demonstrated the Trust's values and behaviours. Ability to meet the required IT skills for the post. Benefits A comprehensive induction into the community service followed by a local induction to introduce you to the role. Support in sourcing accommodation across the geographical areas the Trust covers. Car lease scheme (T&C's apply, Band 5 and upwards). Flexible working options. Annual travel card loan. Training, support and development in your career. As an NHS trust, we are committed to equal opportunities and ensuring equality and diversity in the workplace. We have a number of staff networks: Disability and Wellbeing Network (DAWN), Race Equality Network and the Rainbow Network which supports LGBT+ staff. Each network has a champion who is an executive director at the Trust and they hold regular meetings to discuss issues and make plans to improve CLCH. To have a full look at our benefits and what it's like working for us please visit https://www.clch.nhs.uk/job/pay-and-benefits. Employer Details Central London Community Health Trust Watford BRE – Unplanned Care, Watford, WD25 9XX Website: https://clch.nhs.uk/ Job Details Date posted: 01 December 2025 Band: 6 | Salary: £40,617 to £48,778 a year (per annum, inclusive of HCAS, pro rata) Contract: Permanent | Working pattern: Part‑time Reference number: 824-HERTS-7621595 Location: Watford BRE – Unplanned Care Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration: Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). #J-18808-Ljbffr