Specialist Nurse/Paramedic

Royal Devon University Healthcare NHS Foundation Trust Specialist Nurse/Paramedic The closing date is 18 December 2025 The Post Holder will work as part of the Urgent Community Services and in the community working across disciplines to facilitate urgent (same day) hospital discharge and help prevent admission to Hospital. The post holder will fulfil all tasks and work as part of a team. To meet the needs of the service, the post holder may be required to work in other areas as appropriate as directed by the line manager. The post holder will need to work alone at times making autonomous decisions and supporting others in clinical decision-making in order to support patients to ensure positive outcomes. The post holder will need to carry out assessment and management skills outside of their profession including in the areas of Physiotherapy, Occupational Therapy, Nursing and Social Services. A responsibility to provide advice to patients with highly complex and specialist needs as well as carers and other disciplines.Provide support to other registered and non-registered staff regarding holistic assessment, sign posting and care provision. Be able to make acute clinical decisions to ensure patient-safety and to recognise and support others when a patient is rapidly deteriorating and requires secondary care or medical review. Main duties of the job For more detail about the main duties of this role, please see the job description section below. As a key member of the Royal Devon University Healthcare NHS Foundation Trust, you will be joining an exceptional team working together to help our patients to stay healthy, when they need it most. About us Stretching across Northern, Eastern and Mid Devon, we have a workforce of over 15,000 staff, making us the largest employer in Devon. Our core services, which we provide to more than 615,000 people, cover more than 2,000 square miles across Devon, while some of our specialist services cover the whole of the peninsula, extending our reach as far as Cornwall and the Isles of Scilly. We deliver a wide range of emergency, specialist and general medical services through North Devon District Hospital and the Royal Devon and Exeter Hospital (Wonford). Alongside our two acute hospitals, we provide integrated health and social care services across a variety of settings, including community inpatient hospitals, outpatient clinics, and within peoples own homes. We also offer primary care services, a range of specialist community services, and Sexual Assault Referral Centres (SARC). Our state‑of‑the‑art equipment, leading technologies and strong links to local universities put us at the forefront of research and innovations, enabling us to provide world‑class care to our local communities. It's never been a more exciting time to join the Royal Devon, as you’ll help to shape our services as we continue along our integration journey. Job responsibilities For more information on the Job Description and Responsibilities please click the link below. More detail about the role Provide expert clinical assessment, treatment and decision‑making for patients who are experiencing a health crisis at home and are at risk of hospital admission; liaising with Advanced Clinical Specialists for advice and direction if required. Support all patients on the Urgent Community Services caseload in at least a daily review and have plans in place, either by providing the care planning or supporting other clinicians in their decision‑making. Linking with other clinicians across the service and within health and social care and primary care to communicate patient needs and be part of the MDT with patients. Provide clinical support to all aspects of the service and processes within urgent care. Work in a generic manner to provide comprehensive and holistic clinical approaches to ensure patients are able to remain safely at home to avoid a hospital admission. Support unregistered staff in their competencies and offer teaching and advice. Promote collaborative working across all areas of short term services, including social care, community services and voluntary sector. Review requests for urgent placements and night sits to avoid hospital admission and support community teams and liaise with budget managers to approve. Provide line management for junior clinical staff within the service. Deliver clinical training to RRSWs when appropriate. Support project management teams when implementing new systems and strategies. Working Pattern: 37.5 hours per week. 8‑8pm covering 7 days a week Interview Date: To be confirmed For further information please contact: Sam Cox, Clinical Lead - samcox@nhs.net As an inclusive employer, the Royal Devon values diversity and is committed to creating a culture of inclusivity where everyone can be themselves and reach their full potential. We believe in fostering a sense of belonging and actively encourage applications from individuals of all backgrounds, cultures, and abilities. We recognise the advantages of having a diverse workforce that reflects the communities we serve. Preference will be given to staff with Priority and 'At Risk' status including NHS At Risk staff throughout Devon. The Royal Devon University Healthcare NHS Foundation Trust reserves the right to close vacancy when sufficient applications have been received. The Royal Devon University Healthcare NHS Foundation Trust was established in April 2022, bringing together the expertise of both the Royal Devon and Exeter NHS Foundation Trust and Northern Devon Healthcare NHS Trust. We will work together to maintain a culture that develops and supports you and your team. This might include funding for a care certificate, a degree or leadership qualifications. Or it might include days off to study, engage in CPD or rotational placements to help you hone your skills. Wherever you are heading in the NHS, we'll help you get there. Looking after you is important to us. We strive to help our staff create a healthy work‑life balance through flexible working schemes and our family friendly policies. If you're starting out in the NHS, you'll start with 27 days paid annual leave (plus bank holidays), rising to 33 days plus bank holidays. You'll benefit from access to our own comprehensive occupational health services, including counselling, onsite wellbeing activities and groups. Salary is not the only financial benefit You'll have access to an extensive range of staff discounts on shopping, fitness and leisure options and you can spread the cost of technology and home appliance purchases from major retailers. You will also have access to other benefits including: National discount services such as the Blue Light Card and Health Service Discounts. Salary sacrifice options including our OFSTED rated outstanding nursery onsite at Exeter Car lease schemes. The NHS Pension scheme (one of the most generous and comprehensive in the UK). Cycle to work scheme These are just a few of the benefits available if the role is something you are interested in, we'd love to hear from you. Person Specification General Requirements See job description text above, and (where applicable) you can download a copy of the full job description. 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. Employer name Royal Devon University Healthcare NHS Foundation Trust #J-18808-Ljbffr