EIV specialist Nurse​/Paramedic

Putting community at the heart of everything we do.

Proud to be a prospective advanced foundation trust, CLCH is one of the largest community healthcare providers in the country, employing more than 4,500 staff and caring for more than four million people across London and Hertfordshire. We believe in working together to give children a better start and adults greater independence. Our diverse team of professionals supports patients at every stage of their lives, from health visiting for newborn babies to community nursing, stroke rehabilitation, and palliative care.

By joining CLCH, you will be part of a dynamic and supportive team that values innovation, compassion, and excellence. We offer a range of exciting career opportunities and are committed to your professional development and well‑being.

To join us and help make a real difference in the communities we work in, browse our latest jobs and opportunities below.

Main area EIV Unplanned Care Grade Band 6 Contract Permanent Hours Full time - 37.5 hours per week (one weekend per month) Job
-HERTS-7937320-A

Site BRE Watford Town Watford Salary £41,957 - £50,387 Per Annum, inclusive of HCAS Salary period Yearly Closing 05/08/2026 23:59

Welcome to Central London Community Healthcare (CLCH)

At CLCH, we proudly serve as a beacon of compassionate community healthcare across 14 vibrant London boroughs — Barnet, Brent, Ealing, Hammersmith & Fulham, Harrow, Hounslow, Kensington and Chelsea, Merton, Richmond, Wandsworth, Westminster, Hillingdon, Sutton, and Kingston — as well as Hertfordshire. We bring care closer to home, embracing the rich diversity of these communities with dedication and heart.

Recognised as a Good provider by the Care Quality Commission and celebrated among the top NHS employers, we are united by a shared passion: empowering our community health professionals to deliver care that truly makes a difference.

We are deeply committed to fostering an environment where every member of our team feels respected, valued, and inspired—a place where fairness, kindness, and inclusion blossom. Our culture is rooted in the principles of the NHS People Plan, Our NHS People Promise, and our own strategic Equality values and objectives, guiding us to create a truly supportive and inclusive workplace.

Together, we build a caring community where the warmth we show one another shines through in every life we touch.

CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!

The purpose of the EIV pathway is to deliver crisis management to patients living in Herts Valleys and to prevent a hospital admission, providing a clinical assessment by a nurse or paramedic jointly with a HCA. The operational hours of this pathway are currently 08:00 - 20.00 - 7 days a week (subject to change once fully established).

The EIV pathway is closely aligned to the Unplanned Care service, which delivers high-quality clinical care to patients in their own home at times of crisis. The purpose of the Rapid Response (RR) pathway is to prevent hospital attendance/admission, and the Discharge to Assess (DTA) pathway is to facilitate early discharge from the hospital. The Unplanned Care team operates from 08:00 to 22:00, 7 days a week.

The newly established EIV will supplement and support the delivery of Rapid Response and Discharge to Assess in the Unplanned care service.

• Provide skilled, effective and evidence-based clinical care to patients in a variety of community settings.
• Enable emergency provision of equipment through effective prescribing and ordering.
• Make risk assessments, establish the safety or otherwise of patients ability to stay at home, and arrange necessary nursing and supportive packages.
• Identify safeguarding concerns and effectively manage concerns or refers appropriately for safeguarding investigation. Apply knowledge of safeguarding processes and policy.
• Provide autonomous clinical care to a range of patients presenting with undifferentiated, undiagnosed and/ or complex health needs and long‑term conditions.
• Assess and manage risk, knowing how to…