Paramedic Development

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The NHS Staff Council, ambulance unions, employers and arms length bodies agreed a new job profile for paramedics at pay band 6 in December 2016. The agreement was in recognition of the additional responsibilities and knowledge needed by paramedics to carry out increasing amounts of clinical work in line with the requirements set out in the Urgent and Emergency Care Review. 

As part of the national agreement employers and unions have agreed a new national band 6 paramedic job description. Our emergency services national job profiles contains information on the new profile, guidance for the job matching process and FAQs. 

The newly qualified practitioner role

Newly qualified paramedics undertake a consolidation of learning programme. This is designed to support new paramedics to deliver the scope of practice demanded by current out-of-hospital emergency healthcare.  

The duties and responsibilities of newly qualified practitioners (NQPs), in line with Health and Care Professions Council standards, are described in a nationally agreed generic job description which will be adapted for use locally by each trust. The NHS Staff Council’s Job Evaluation Group (JEG) have developed a new profile in line with the job description. 

The additional support given to NQPs in decision making at the start of their careers places the role in pay band 5. Upon completion, NQPs will automatically move into a paramedic role in pay band 6, where they will be autonomous within the scope of their clinical practice.

Consolidation period framework

NQPs own and maintain a portfolio of agreed learning outcomes that is evidenced, in order for the individual to progress through the consolidation period. Individual trusts determine how best to support their new paramedics during the consolidation period. The consolidation of the application of theoretical knowledge and practical skills in operational settings is assessed against standard specified learning outcomes.

This schematic describes the two year post-registration consolidation period. 

Fast track scheme

Some NQP's may be able to gain confidence and capability, particularly if they have previous relevant experience, to move though the consolidation of learning period in less than two years. Candidates self-assess, providing evidence they have met all competencies and undertake a panel review.  

The fast track programme for newly qualified paramedics is based on nationally agreed principles

Further information

Read our FAQs on the newly qualified paramedic role.

Read FAQs on improved arrangements for newly qualified paramedics impacted by the retrospective application of the national agreement.


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