Community Response Nurse​/Paramedic Practitioner

An exciting opportunity has arisen for a motivated and dynamic Band 6 UCR Practitioner to join the Home 1st Urgent Community Response (UCR) Team on a fixed-term basis for 10 months. Working within an innovative multidisciplinary service, you will provide rapid assessment, treatment and clinical intervention for patients experiencing an acute health crisis in their own homes, helping to prevent unnecessary hospital admissions and supporting timely discharge from hospital.

You will work autonomously and collaboratively with a range of health and social care professionals, delivering high-quality, person‑centred care while responding to referrals within a two-hour timeframe. This role offers an excellent opportunity to develop advanced clinical skills, work across a variety of urgent community pathways, including Virtual Ward and intermediate care services, and contribute to the continued development of a forward‑thinking community service.

• Provide advanced clinical assessment, diagnosis and treatment for patients experiencing an acute health crisis in their own home or care home, helping to avoid unnecessary hospital admission and facilitate early discharge from hospital.
• Triage and manage referrals received from a range of partners including GPs, Consultants, NHS 111, South Central Ambulance Service, care homes, district nursing teams and other community services.
• Respond to urgent referrals within a two-hour timeframe, delivering safe, effective and person‑centred care in line with national Urgent Community Response standards.
• Work autonomously and collaboratively within a multidisciplinary team to determine appropriate care pathways and support patients with acute illness, frailty and exacerbations of long‑term conditions.
• Undertake comprehensive risk assessments, clinical decision‑making and care planning, ensuring patient safety and high‑quality outcomes.
• Support patients on Virtual Ward, intermediate care and reablement pathways, providing ongoing assessment, monitoring and clinical intervention as required.
• Deliver urgent assessment and intervention for patients who have fallen at home, working alongside multidisciplinary colleagues to prevent avoidable conveyance to hospital.
• Maintain accurate clinical documentation and uphold professional, organisational and regulatory standards at all times.

At Central and North West London NHS Foundation Trust (CNWL), we are committed to delivering high‑quality, person‑centred care while creating an environment where staff feel valued, supported and empowered to thrive. Our values of Compassion, Respect, Empowerment and Partnership underpin everything we do. We are proud to foster a culture built on our Safe, Compassionate, Accountable, Reflective and Fair behaviours, ensuring both staff and patients have the best possible experience.

We recognise that our colleagues are our greatest asset and are committed to supporting career development, leadership opportunities and lifelong learning. Staff benefit from regular supervision, access to professional development and training programmes, flexible working opportunities where service needs allow, a comprehensive health and wellbeing offer, occupational health support, employee assistance services and active staff networks that champion inclusion and diversity.

We are dedicated to creating a workplace where everyone feels heard, respected and able to reach their full potential.

offers the opportunity to work within an innovative and supportive multidisciplinary team at the forefront of community healthcare transformation in Milton Keynes. You'll have the chance to develop advanced clinical skills,…