Consultant Paramedic – Urgent Care

Main area Consultant Paramedic Grade NHS AfC: Band 8c Contract Permanent Hours Full time – 37.5 hours per week (Clinical On Call rota) Job ref 308-CORP-3265

Site Waterloo HQ Town London Salary £88,250 – £100,355 per annum incl HCAS Salary period Yearly Closing 05/07/2026 23:59

Job overview

The Consultant Paramedic (Urgent Care) is a senior clinical leadership role responsible for ensuring the delivery of high-quality patient care through strong clinical leadership, supervision, and governance. The role leads the development and implementation of urgent and primary care services across the organisation, providing expert clinical advice and driving improvements in patient outcomes. It also plays a key role in workforce development, education, and research, while working collaboratively with internal and external stakeholders to deliver integrated, patient‑centred care aligned to organisational strategy.

Main duties of the job

The postholder provides clinical leadership and advanced practice support to urgent care and specialist paramedic teams, including mentorship, supervision, and expert advice on complex cases. They lead the development and delivery of urgent and primary care strategy, including service redesign, care pathways, and initiatives to improve safe non‑conveyance. The role includes acting as an expert consultant across the organisation and system, supporting multidisciplinary teams and driving service modernisation. Responsibilities also include leading education, training, and research activity to enhance workforce capability and improve patient outcomes. In addition, the role requires building strong partnerships across the healthcare system, contributing to governance and patient safety processes, managing staff and resources effectively, and ensuring continuous quality improvement through clinical governance, risk management, and service evaluation.

• Provide clinical and professional leadership and oversight to the advanced practice urgent care teams and the specialist practice teams.
• Provide clinical leadership and support to the wider organisation in relation to urgent care.
• Provide clinical leadership, mentorship and senior clinical support to clinical staff; provide expert input to clinical developments within the Trust in relation to urgent and primary care.
• Provide expert clinical guidance in clinical case reviews.
• Primarily focus on the development of the implementation of the primary and urgent care agenda within the LAS, providing clinical leadership and development to Advanced Paramedics.
• Foster an open and transparent culture where people are willing to report and learn from incidents and near misses.
• Support the Trust in the strategic development of both internal and external educational programmes.
• Be part of the Clinical on call rotas.

Other responsibilities

Joint working with multi‑disciplinary teams to establish and provide new services for patients with reference to strategy documents produced by NHSE, Department of Health, NICE etc.

• Design and provide a patient‑centred, seamless, integrated approach consistent with the principles of Clinical Governance.
• Work clinically at an advanced practice level (urgent care or equivalent) and maintain these competencies.
• Provide an expert consultancy service to patients, carers and colleagues.
• Plan, implement and evaluate evidence‑based care.
• Contribute to the development of the service by taking an active role in generating and disseminating knowledge across the organisation, and the pan‑London area.
• Undertake research in a specialist area that focuses on improving outcomes and experiences for patients, families and carers.
• Facilitate and provide education and training to staff and students.

Professional leadership mandate

• Specifically address the issue of scope of practice developments for paramedics and other staff in primary and urgent care.
• Oversee the development of advances in clinical care to reduce conveyance safely.
• Provide clinical leadership and advice on strategic direction in their own specialist field of practice and service development ensuring a whole systems approach to the delivery of paramedic‑led pre‑hospital care.

Working for our organisation

Our strategy 2023‑2028 outlines how we plan to achieve this, and is centred upon three missions focused on:

• Our care – delivering outstanding emergency and urgent care whenever and wherever needed.
• Our organisation – being an increasingly inclusive, well‑led and highly skilled organisation people are proud to work for.
• Our London – using our unique pan‑London position to contribute to improving the health of the capital.

Person specification

Qualifications, Accreditations, Education

• A BSc (Hons) degree in paramedic science or equivalent clinical discipline.
• A clinical master’s degree, ideally with a focus relevant to the portfolio.
• HCPC registered Paramedic (without conditions or cautions).
• A recognised teaching qualification or equivalent demonstrable ability with evidence of teaching in practice and/or classroom situations.
• Mentoring and coaching; minimum of Practice Placement Educator Level 3 (certificate) or significant demonstrable development of mentoring and coaching skills through formal learning and application.
• Membership of the Royal College of Paramedics.
• Advanced Practice Qualifications (as per HEE definitions).
• Full UK driving licence including C1 with relevant blue light qualifications.
• PhD or doctoral qualification in a relevant area.
• NHS leadership academy qualifications or equivalent.
• Non‑medical Prescriber.

Experience

• Significant demonstrable frontline pre‑hospital experience commensurate with requirements for a consultant AHP role.
• Up‑to‑date portfolio including significant demonstrable and recent CPD activity.
• Demonstrable experience of frontline/operational leadership roles.
• Expert knowledge of the development and implementation of urgent care practice within an ambulance setting.
• Experience of research in practice.
• Experience of working in other clinical settings.
• Recent demonstrable experience working as an autonomous practitioner in an advanced practice role.
• Demonstrable experience in investigating patient safety incidents.
• Significant experience in delivery and implementation of change at a time of operational pressure.

Knowledge and Skills

• Expert in assessing and examining patients presenting with both acute and chronic conditions.
• Utilise additional diagnostic adjuncts.
• Negotiate alternative treatment and/or referral strategies, utilising a range of care pathways and treat‑and‑leave approaches based on sound assessment and decision‑making skills.
• Demonstrable evidence of the ability to support clinicians in making complex decisions about patient care.
• Evidence of ability to participate in primary research and demonstrate knowledge of assessing and evaluating research‑based evidence.
• Evidence of ability to contribute to training events/courses where specialist clinical knowledge is required.
• Evidence of ability to participate in clinical audit on a local and/or service‑wide basis.
• Ability to operate at a strategic level setting priorities and motivating others to deliver high‑quality care.
• Balance strategic and operational requirements to meet timelines and deadlines.
• Experience in negotiating and influencing at an organisational level and externally with a range of stakeholders.
• Evidence of effective project management.

London Ambulance Service NHS Trust is a member of the Business Disability Forum and is a Disability Confident Committed Employer.

In addition to the basic salary for all Agenda for Change posts, London Ambulance Service NHS Trust in line with the NHS Agenda for Change provides 15% or 20% High Cost Area Supplement (HCAS) dependent on the location of your role. The supplement is subject to minimum and maximum payment.

High Cost Area Supplement (HCAS) for part‑time employee will be based on the part‑time salary.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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