Job summary Central and North West London NHS Foundation Trust is a Top Employer Award Winner and works in partnership to provide responsive and dependable primary care, mental health, intellectual disability and substance misuse services to the diverse and culturally rich communities we serve. In our quest to deliver patient-focused quality care we are looking to recruit a highly motivated, innovative and enthusiastic Senior Paramedic to join our forward thinking, friendly and expanding Health & Justice team at HMP/YOI Bronzefield. By joining our Prisons Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments, but who also have the opportunity to have a real impact on promoting health and well-being. Our healthcare services work to a 7 day week working model, to ensure our patient's healthcare is managed and maintained to the highest of standards at all times. Our motto is "Caring NOT Judging" so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable and high-quality primary care and mental health services to those who may have offended and those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion. Why not see what our staff say about working within our award winning teams: https://www.cnwl.nhs.uk/health-and-justice/find-out-what-its-work-health-and-justice Main duties of the job To provide high quality emergency care and minor injury treatment to patients with both primary care and acute care needs in a prison setting by playing an active part in the assessment, planning, implementation and evaluation of the patients care. This role requires a Registered Paramedic to work as part of a team delivering care to patients both within the Healthcare Centres and on the House blocks within the prison environment. The Registered Paramedic will work as part of a team of Primary Care Nurses within a HMP/YOI site. The role requires you to function autonomously and within your sphere of competency, whilst being a support and resource to less experienced members of staff. You must be able to assess patients, plan their care, administer treatment and discharge them or refer them as appropriate to other healthcare professionals / external agencies. The HMP/YOI sites are clinical facilities which require an individual to have the ability to work effectively as part of a multi professional team within a fast pace environment, in line with the protocols and policies of the local Service and CNWL, and professional bodies. About us CNWL offers its staff ongoing career progression through: Monthly supervision Annual personal development plans/appraisals Access to exciting internal and external training opportunities. Excellent progression through various career pathway opportunities such as but not limited to: Preceptorship Programme Support and guidance with Revalidation Hidden Gem and annual award ceremonies Excellent staff benefits, our benefit packages are amongst the best in London & include: Health and wellbeing services Season ticket loans Cycle to work scheme Relocation package The trust also values its staff and you are entitled to become a member of MyTrustBenefits. MyTrustBenefits is an online portal for all CNWL staff, as well as their family & friends. It offers over 1400 discounts at hundreds of retailers nationwide. Save money on your weekly food shops, toiletries, cosmetics, cinema, meals out, holidays, travel & entertainment. You can also access free online courses on a variety of topics, professional & personal, ranging from business management, languages, law and teaching. All of our sites in Surrey offer free use of the onsite leisure facilities & free parking for staff. As an NHS Trust we strongly encourage & support vaccination as this remains the best way to protect yourself, your family, your colleagues & of course patients & service users when working on our healthcare settings. Date posted 20 February 2025 Pay scheme Agenda for change Band Band 6 Salary £39,205 to £47,084 a year per annum inc. Fringe HCAS Contract Permanent Working pattern Full-time Reference number 333-D-HJ-1778 Job locations HMP/YOI Bronzefield Woodthorpe Road Ashford, Middlesex TW15 3JZ Job description Job responsibilities Clinical Professional Responsibilities: Act as a positive role model to staff and patients. Conduct invasive procedures where appropriately trained and competent To respond to all emergency codes in accordance with agreed protocols. This will include being the emergency responder. Procedures where appropriately trained and competent i.e. suturing, IV access, haemorrhage control, wound care. Vital observations and diagnostics eg blood pressure, pulse, SATs, blood glucose monitoring. Cardiac & CVA intervention / competent in the monitoring of physiological observations by undertaking a full assessment using a structured and prioritised approach and the recognition of the acutely ill patient e.g. ABCDE approach, ECG recognition, pathways for CVA and the diagnosis and referral of a range of cardiac conditions To determine the appropriate destination for the patient to include the initiation of treatment linked to an agreed and regulated care pathway in association with other health, mental and social care professionals in cases where transport to hospital is not required. Assess individuals health needs. To undertake first and secondary reception screens. Provision of holistic care. Administer treatment within local guidelines / protocols within ones own scope of practice. To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice. Administer medication, within areas of competence (as prescribed on SystmOne and homely remedies). Assisting with health promotion, screening and treatment clinics. Provide patient information and education. Develop / maintain advanced clinical skills. Referral / sign posting to appropriate health professionals / services. Assist with the activities of daily living and development of care plans for prisoners with physical and mental health needs. Ensure CNWL clinical protocols are adhered to at all times. Work at all times within the relevant code of professional conduct. Maintain own personal and professional development plan, in line with CNWLs Trust and service objectives. Appraise own performance and discuss development needs of the individual and the team with mentors, supervisors and line manager. Appraise more junior staff members as applicable to the role / structure. Participate in regular clinical supervision. Be conversant and comply with the services fire precautions and procedures for evacuation and emergency resuscitation. Assist with the triage role as appropriate To maintain standards of infection control within the unit and during clinical care and to assist patients to maintain their own infection control needs. Managerial: Prioritise patient care throughout the units, assuming shift leader responsibility allocating staff and resources effectively, as and when rostered to this function. Assist in orientation and support to new staff to the units. Support junior staff with supervision and development. Communication: Ensure that identified lines of communication are maintained with patients, colleagues and external agencies to demonstrate politeness and courtesy and sensitivity promoting the corporate image of Central and North West London NHS Foundation Trust. Communicate and liaise with all healthcare staff. Play an integral role in ensuring that junior team members are aware of local and general Health & Safety matters, Clinical Governance and other on-going issues, which arise including patient safety issues. Provide and organise support through the means of clinical supervision in accordance with Central and North West London NHS Foundation Trust company policy. Demonstrate the ability to be able to motivate and persuade others through advanced communication skills. Effectively communicate with line managers. Clinical Governance To participate and assist in the systematic monitoring, review and evaluation of paramedic practice through clinical audit. To participate and assist in the setting of standards of patient care based on sound research findings. Work within CNWLs Clinical Governance framework. Take a personal responsibility to maintain HCPC registration and professional development in line with the expectations of the role. Promote clinical excellence and best evidence based practice reflecting CNWLs nursing philosophy and HCPC Guidelines. Maintain confidentiality of information regarding patients, families and friends at all times. Ensure full and accurate records are maintained and confidentially policy adhered to. Participates in the reporting of clinical and non-clinical risk assessments and incidents. Be conversant and comply with CNWLs Health and Safety Policy. Education and Training: To have a proactive approach to self-development, working within the appropriate professional bodies code of conduct (HCPC). Be involved in healthcare initiatives and health promotion within the units. To participate and assist in the systematic monitoring, review and evaluation of paramedic practice through clinical audit. Providing feedback results to line managers and staff to improve patient care in the units. To research, develop, introduce and apply up to date research-based findings to paramedic practice, thus ensuring best evidence based practice is followed. Show commitment to lifelong learning and a learning environment through personal example and dissemination of skills, attitude and knowledge to others. Maintain registration with the appropriate professional body (HCPC) and professional development in line with the expectations of the role. Comply with the Care CNWL appraisal system and attend appraisal annually. To participate in and deliver training for junior staff Ensure updated mandatory training requirements are met and equipment training records are maintained. Quality Issues: Promote clinical excellence and best evidence practice reflecting CNWLs clinical philosophy. Participate in annual review of protocols and evidence based documentation. Participate in Primary Care clinical audit strategy. Act responsibly as an employee to maintain a safe and healthy environment for service users, visitors and staff. Reporting any incidents as per local guidelines. Advocate for patients where feedback has been received. Responsibilities Specific to the Prison Environment: Comply with all relevant security procedures pertaining to keys and the passing on of relevant information which might pose a risk to staff, other patients or third parties. Be familiar with Prison Service Standards, Standing Orders, Circular Instructions, and Notices to Staff, Prison Rules, Health & Safety and any other relevant material in order to function as an informed practitioner with the prison setting. Working Conditions: Staff may be exposed to distressing or emotional circumstances such as information regarding patients criminal behaviour or occasionally exposed to distressing episodes of self-harm. Staff will be required to concentrate for periods of time where the work is unpredictable. Job description Job responsibilities Clinical Professional Responsibilities: Act as a positive role model to staff and patients. Conduct invasive procedures where appropriately trained and competent To respond to all emergency codes in accordance with agreed protocols. This will include being the emergency responder. Procedures where appropriately trained and competent i.e. suturing, IV access, haemorrhage control, wound care. Vital observations and diagnostics eg blood pressure, pulse, SATs, blood glucose monitoring. Cardiac & CVA intervention / competent in the monitoring of physiological observations by undertaking a full assessment using a structured and prioritised approach and the recognition of the acutely ill patient e.g. ABCDE approach, ECG recognition, pathways for CVA and the diagnosis and referral of a range of cardiac conditions To determine the appropriate destination for the patient to include the initiation of treatment linked to an agreed and regulated care pathway in association with other health, mental and social care professionals in cases where transport to hospital is not required. Assess individuals health needs. To undertake first and secondary reception screens. Provision of holistic care. Administer treatment within local guidelines / protocols within ones own scope of practice. To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice. Administer medication, within areas of competence (as prescribed on SystmOne and homely remedies). Assisting with health promotion, screening and treatment clinics. Provide patient information and education. Develop / maintain advanced clinical skills. Referral / sign posting to appropriate health professionals / services. Assist with the activities of daily living and development of care plans for prisoners with physical and mental health needs. Ensure CNWL clinical protocols are adhered to at all times. Work at all times within the relevant code of professional conduct. Maintain own personal and professional development plan, in line with CNWLs Trust and service objectives. Appraise own performance and discuss development needs of the individual and the team with mentors, supervisors and line manager. Appraise more junior staff members as applicable to the role / structure. Participate in regular clinical supervision. Be conversant and comply with the services fire precautions and procedures for evacuation and emergency resuscitation. Assist with the triage role as appropriate To maintain standards of infection control within the unit and during clinical care and to assist patients to maintain their own infection control needs. Managerial: Prioritise patient care throughout the units, assuming shift leader responsibility allocating staff and resources effectively, as and when rostered to this function. Assist in orientation and support to new staff to the units. Support junior staff with supervision and development. Communication: Ensure that identified lines of communication are maintained with patients, colleagues and external agencies to demonstrate politeness and courtesy and sensitivity promoting the corporate image of Central and North West London NHS Foundation Trust. Communicate and liaise with all healthcare staff. Play an integral role in ensuring that junior team members are aware of local and general Health & Safety matters, Clinical Governance and other on-going issues, which arise including patient safety issues. Provide and organise support through the means of clinical supervision in accordance with Central and North West London NHS Foundation Trust company policy. Demonstrate the ability to be able to motivate and persuade others through advanced communication skills. Effectively communicate with line managers. Clinical Governance To participate and assist in the systematic monitoring, review and evaluation of paramedic practice through clinical audit. To participate and assist in the setting of standards of patient care based on sound research findings. Work within CNWLs Clinical Governance framework. Take a personal responsibility to maintain HCPC registration and professional development in line with the expectations of the role. Promote clinical excellence and best evidence based practice reflecting CNWLs nursing philosophy and HCPC Guidelines. Maintain confidentiality of information regarding patients, families and friends at all times. Ensure full and accurate records are maintained and confidentially policy adhered to. Participates in the reporting of clinical and non-clinical risk assessments and incidents. Be conversant and comply with CNWLs Health and Safety Policy. Education and Training: To have a proactive approach to self-development, working within the appropriate professional bodies code of conduct (HCPC). Be involved in healthcare initiatives and health promotion within the units. To participate and assist in the systematic monitoring, review and evaluation of paramedic practice through clinical audit. Providing feedback results to line managers and staff to improve patient care in the units. To research, develop, introduce and apply up to date research-based findings to paramedic practice, thus ensuring best evidence based practice is followed. Show commitment to lifelong learning and a learning environment through personal example and dissemination of skills, attitude and knowledge to others. Maintain registration with the appropriate professional body (HCPC) and professional development in line with the expectations of the role. Comply with the Care CNWL appraisal system and attend appraisal annually. To participate in and deliver training for junior staff Ensure updated mandatory training requirements are met and equipment training records are maintained. Quality Issues: Promote clinical excellence and best evidence practice reflecting CNWLs clinical philosophy. Participate in annual review of protocols and evidence based documentation. Participate in Primary Care clinical audit strategy. Act responsibly as an employee to maintain a safe and healthy environment for service users, visitors and staff. Reporting any incidents as per local guidelines. Advocate for patients where feedback has been received. Responsibilities Specific to the Prison Environment: Comply with all relevant security procedures pertaining to keys and the passing on of relevant information which might pose a risk to staff, other patients or third parties. Be familiar with Prison Service Standards, Standing Orders, Circular Instructions, and Notices to Staff, Prison Rules, Health & Safety and any other relevant material in order to function as an informed practitioner with the prison setting. Working Conditions: Staff may be exposed to distressing or emotional circumstances such as information regarding patients criminal behaviour or occasionally exposed to distressing episodes of self-harm. Staff will be required to concentrate for periods of time where the work is unpredictable. Person Specification Qualifications Essential Qualified Paramedic with current HCPC registration ALS/ATLS/PALS Qualification for Paramedics Evidence of Continuous Professional Development (CPD). Desirable Teaching and assessing qualification Post registration qualification in autonomous practice or equivalent Skills & Knowledge Essential Evidence of autonomous working and the skills in physical assessment required, diagnosis and treatment by use of portfolio and show willingness to develop Ability to prioritise patient care Ability to demonstrate clinical expertise and knowledge of audit Ability to communicate effectively, verbally and in writing Basic IT skills Perceptive, flexible and effective leadership skills Fully understanding of equal opportunities, diversity and cultural issue which may arise in the role Desirable Evidence of extended skills eg suturing Complete understanding of the medico-legal aspects of the role Experience in use of a medical software package Evidence of knowledge in current professional issues; health promotion clinical governance; national initiatives e.g. NICE guidelines, knowledge of National Health Service Framework issues; pharmacology; evidence based practice; standard for better health Experience of working in criminal justice setting Other Essential Declared medically fit by the Occupational Health Department to perform the duties of the post. The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job. Ability to promote anti-discriminatory and anti-racist practices Ability to promote and work in line with the working model of a 7 day a week service Attitudes, aptitudes personal characteristics Essential Ability to motivate self and others Team worker able to relate to all grades of staff Able to work under pressure Appropriate levels of confidentiality are maintained Previous Experience Essential Proven post registration experience including evidence of working in any of these following clinical areas; Ambulance Services; Emergency Departments; Minor Injuries / Illness Units Experience of working autonomously Experience of working within a multi-disciplinary team Evidence of participation in clinical supervision (either in the supervised or supervisor role) Desirable Experience within Primary Care environments Experience of managing a team Evidence of teaching and assessing others Evidence of team leadership and supervision of junior staff Person Specification Qualifications Essential Qualified Paramedic with current HCPC registration ALS/ATLS/PALS Qualification for Paramedics Evidence of Continuous Professional Development (CPD). Desirable Teaching and assessing qualification Post registration qualification in autonomous practice or equivalent Skills & Knowledge Essential Evidence of autonomous working and the skills in physical assessment required, diagnosis and treatment by use of portfolio and show willingness to develop Ability to prioritise patient care Ability to demonstrate clinical expertise and knowledge of audit Ability to communicate effectively, verbally and in writing Basic IT skills Perceptive, flexible and effective leadership skills Fully understanding of equal opportunities, diversity and cultural issue which may arise in the role Desirable Evidence of extended skills eg suturing Complete understanding of the medico-legal aspects of the role Experience in use of a medical software package Evidence of knowledge in current professional issues; health promotion clinical governance; national initiatives e.g. NICE guidelines, knowledge of National Health Service Framework issues; pharmacology; evidence based practice; standard for better health Experience of working in criminal justice setting Other Essential Declared medically fit by the Occupational Health Department to perform the duties of the post. The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job. Ability to promote anti-discriminatory and anti-racist practices Ability to promote and work in line with the working model of a 7 day a week service Attitudes, aptitudes personal characteristics Essential Ability to motivate self and others Team worker able to relate to all grades of staff Able to work under pressure Appropriate levels of confidentiality are maintained Previous Experience Essential Proven post registration experience including evidence of working in any of these following clinical areas; Ambulance Services; Emergency Departments; Minor Injuries / Illness Units Experience of working autonomously Experience of working within a multi-disciplinary team Evidence of participation in clinical supervision (either in the supervised or supervisor role) Desirable Experience within Primary Care environments Experience of managing a team Evidence of teaching and assessing others Evidence of team leadership and supervision of junior staff 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Central and North West London NHS Foundation Trust Address HMP/YOI Bronzefield Woodthorpe Road Ashford, Middlesex TW15 3JZ Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)