About this role
Job summary
Are you looking for a dynamic and rewarding role where you can make a real difference? An exciting opportunity has arisen to join the Home 1st Urgent Community Response (UCR) team as a Band 6 Nurse/Paramedic.
The UCR service provides a rapid 2-hour response to patients experiencing acute illness or deterioration, delivering high-quality care in patients' homes or care settings. The aim is to avoid unnecessary hospital admissions, support early discharge, and improve patient outcomes through timely intervention.
As a Band 6 practitioner, you will work within a multidisciplinary team, using advanced assessment, decision-making and treatment skills to deliver urgent community care. You will triage referrals, complete holistic assessments, and implement safe, effective care plans tailored to individual needs.
You will work both autonomously and collaboratively with system partners including GP practices, ambulance services, and community teams. The role includes responding to urgent referrals, managing falls, supporting virtual ward patients, and contributing to seamless care pathways.
This is an exciting time to join a developing service, with opportunities to be involved in innovative practice and service improvement.
The service operates 24/7, requiring participation in a rotational shift pattern including days, nights, weekends and bank holidays.
Main duties of the job
The Band 6 UCR Nurse/Paramedic will:
Respond to urgent referrals within a 2-hour timeframe, delivering rapid assessment and treatment to patients in their own homes or care settings.
Undertake telephone triage, making clinical decisions on suitability for the service and escalating concerns, including identification of red flag symptoms.
Perform holistic assessments and physical examinations, developing and implementing evidence-based care plans for short-term acute management.
Deliver advanced clinical interventions, including use of PGDs and non-medical prescribing (where qualified), to support diagnosis and treatment.
Work within a multidisciplinary team to prevent hospital admissions and support early discharge, including care of virtual ward and Home 1st patients.
Respond to urgent situations such as falls, working with system partners to ensure safe management and avoid hospital conveyance where appropriate.
Liaise with GPs, ambulance services, and health and social care professionals to provide coordinated, patient-centred care.
Provide clinical advice and education to colleagues, care home staff, patients, and carers to support early recognition of deterioration and promote independence.
Maintain accurate documentation and contribute to audit, quality improvement, and service development.
Work flexibly as part of a 24/7 service, including lone working, ensuring safety and adherence to professional standards.
About us
The NHS in Milton Keynes is committed to providing quality health & social care services, tailored to the needs of individuals, public & private organizations, delivered close to home.
Our commitment as an employer & in accordance with the NHS constitution is to provide you with:
Clear roles and responsibilities and a rewarding job so that you can make a difference to patients, their families and those who care for them and communities.
Personal development, access to appropriate training for your job and line management support to succeed.
Support and opportunities to maintain your health, well-being and safety and an environment free from harassment, bullying or violence.
A good working environment with flexible working opportunities, consistent with the needs of patients and with the way that people live their lives.
Opportunities to engage in decisions that affect you and the services you provide, individually, through representative organisations and through local partnership working arrangements.
Job description Job responsibilities
The Band 6 UCR Nurse/Paramedic will be a key member of the Home 1st multidisciplinary team, delivering rapid, high-quality care to patients in their own homes and care settings. This role is central to preventing unnecessary hospital admissions and supporting patients to remain safely at home through timely, expert intervention.
What youll be doing Responding to urgent referrals within a 2-hour timeframe, providing rapid clinical assessment and treatment in the community.
Triaging referrals and making confident clinical decisions, including recognising when escalation is required.
Undertaking holistic assessments and delivering person-centred, evidence-based care plans for patients with acute illness or deterioration.
Using advanced clinical skills, including PGDs and non-medical prescribing (where appropriate), to support safe and effective treatment.
Working closely with a wide range of partners including GPs, ambulance services, and community teams to ensure seamless, coordinated care.
Supporting admission avoidance, early discharge, and care of patients on virtual ward and Home 1st pathways.
Providing advice, guidance, and education to patients, carers, care home staff, and colleagues to promote independence and improve outcomes.
Maintaining high standards of documentation and contributing to audit, quality improvement, and ongoing service development.
Working autonomously in a fast-paced environment, including lone working, as part of a 24/7 service.
Person Specification
Qualifications Essential
NMC Registered/HCPC Registered Evidence of other professional training, CPD and PDP Advanced Assessment Skills or willingness to work towards
Desirable
Independent Nurse Prescribing or willingness to complete required training
Knowledge Essential
Knowledge of local and national agendas for transformational change affecting care of older people. Knowledge of current UCR agenda Broad Knowledge of primary care provision Sound clinical knowledge Working knowledge of Government initiatives regarding preventative care to promote patient's health
Key Skills/Abilities Essential
Awareness of NHS polices in respect to primary care and reducing hospital admissions Assessment skills Clinical skills Ability to work autonomously as well as be part of a team Able to carry out regular home visits and deliver care in the community Ability to work under pressure Ability to work under pressure Time management skills Time management skills Ability to prioritise a changing workload Ability to implement policy and guidelines Ability to work a shift pattern Ability to work a shift pattern Full UK driving license Car driver and use of car
Experience Essential
Evidence of post qualification professional experience Involvement in practice development activities
Desirable
Understanding and experience of current community/hospital nursing issues Experience relevant to Intermediate Care Involvement in discharge planning processes
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 MK Community Health Services HQ
Open University Campus
Milton Keynes
MK7 6AA
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)