As ambulance services move into a period of innovation and change, developing services to support the urgent care agenda, SCAS is committed to providing high levels of patient care within the pre-hospital environment and are focused on delivering the right care to our patients, at the right time.

Key to the delivery of these services is the expansion of advanced clinical practice roles, one of which is the Specialist / Advanced Practitioner in Urgent Care (previously named Emergency Care Practitioner).

As a Qualified Specialist / Advanced Practitioner you will be a senior healthcare professional who rotates throughout the Urgent and Emergency Care system. In addition to being a solo responder to a range of emergency and non-emergency situations through the 999 and 111 system, you will rotate into a range of clinical environments which may include:

  • Our Clinical Coordination Centre providing clinical advice to ambulance staff / Community First Responders and tasking your colleagues to suitable incidents
  • Primary Care, helping to assess acute same day appointments and undertaking home visits on behalf of GP surgery
  • Falls and Frailty services working with an Occupational Therapist to attend patients that have fallen and provide a full holistic package of care
  • Minor Injury Units and Emergency Departments

When you attend a patient, you will use your advanced level of clinical assessment and decision making to diagnose and formulate a treatment plan that could range from treating and discharging the patient yourself to delivering lifesaving interventions. You will also be responsible for giving and supplying medicines through either Independent Prescribing or Patient Group Directions.

Trainee Specialist Practitioner: We also recruit externally and internally to develop to become an SP. Trainees undertake a 2-year training programme consisting of both Level 7 academic study and clinical practice placements in the areas outlined above.

NURSES – Never worked within Pre-Hospital Care before but would like to? We have developed a Pre-Hospital Conversion Course to prepare Nurses for working in the out-of-hospital emergency care environment. The 12-week course covers emergency driving, classroom based clinical course and supervised clinical practice with Work Based Assessments. All you require is to meet the driving licence requirements and entry requirements outlined below for either the trainee or qualified roles.

Trainee First Contact Practitioners – This role will provide high quality, patient focused care and clinical leadership across a wide range of clinical settings. it will also involve collaborative and rotational working opportunities, across the primary care settings, with potential future opportunities to include urgent care centres, and walk-in centres.

This exciting opportunity involves successful completion of the two stage HEE Road Map. The successful candidate will undertake the following development opportunities:

  • Stage 1 & 2 – Paramedic First Contact Practitioners in Primary Care
  • Once the competencies have been met, you will become registered with the Centre of Advancing Practice, where you will be eligible for Band 7 status.
  • Rotational working partnerships across primary & emergency care – front line operations


Entry requirements

These are some of the essential criteria you will need to be successful as a Paramedic; more detailed criteria are available in the Person Specification for the role:

  • Fully qualified and NMC registered Nurse or HCPC registered Paramedic
  • B-category (Car) UK driving licence with no more than 3 penalty points (C1 Not required)

Trainee Specialist: Evidence of completion of Level 6 (Batchelors) study.

Specialist: Level 7 practitioner qualification or Level 6 practitioner qualification with subsequent Level 7 study that is relevant to urgent & emergency care.

Advanced: A relevant master’s degree or evidence of level 7 learning/experience that covers the 4 pillars of advanced clinical practice and is relevant to Urgent and Emergency Care. Must be an Independent Prescriber.

General requirements:

  • Immediate Life Support (Manual) or Advanced Life Support qualification
  • Demonstrable experience of working in Urgent & Emergency care
  • Flexible, with a willingness to work shifts
  • Ability to work as part of a team
  • Thorough knowledge of the Highway Code
  • Nurses: Ideally (but not essential) have some experience of pre-hospital care / event medicine or undertaken observer shifts with an ambulance service

What is the package?

  • Salary: (Unsocial Hours will be paid in accordance to Section 2 of the NHS Agenda for Change handbook)
    • Trainee SP: Band 6 moving to Band 7 upon qualifying
    • Specialist: Band 7
    • Advanced: TBC
  • Hours:Full-time: 37.5 hours per week (part-time hours may be available, and we would welcome discussions in relation to flexible working)
  • Location: Various throughout Buckinghamshire, Oxfordshire, Berkshire and Hampshire
  • Annual leave: Minimum 27 days plus UK bank holidays and commensurate with AfC terms and conditions
  • Shift pattern: Covering 24 hours, 7 days a week, shift patterns vary by area.