This is an HTML version of an attachment to the Freedom of Information request 'Job evaluation for enhanced level paramedics'.

Job Title: Specialist Paramedic – Critical Care 
Job Statement: Specialist Paramedics (Critical Care) are experienced Paramedics who have undergone 
and successfully completed additional education, clinical mentorship and assessment. The post holder 
has a responsibility for their own on-going development within critical care. The role is able to provide 
advanced assessment, medical and surgical interventions which are in addition to the standard 
Paramedic scope of practice. 
Status: Matched 
Matched to: Ambulance Practitioner Advanced 
Relevant Job Information 
JE Level 
1. Communication &  Provide and receive complex, sensitive information; barriers to 

Relationship Skills 
understanding Communicates condition related information to 
patients/clients, relatives and clinical staff; requires empathetic 
and reassurance skills. 
2. Knowledge, 
Expertise within specialism underpinned by practical experience 

Training & 
Knowledge of procedures for advanced clinical intervention at 
scene; acquired through diploma level qualification plus 
additional theoretical study and experience to degree or 
equivalent level 
3. Analytical & 
Range of facts or situations requiring analysis, comparison of 

Judgemental Skills 
range of options/Complex facts or situations requiring analysis, 
interpretation, comparison of range of options. Assesses patient 
situations, decides on courses of action in accordance with 
guidelines and protocols/assesses complex patient conditions. 
4. Planning & 
Plan and organise straightforward activities, some ongoing 

Organisational Skills 
Plans, organises on-scene activities 
5. Physical Skills 
Highly developed physical skills, high degree of precision 

Highly developed dexterity, co-ordination and sensory skills for 
advanced clinical interventions e.g. advanced airway 
management including intubation, cricothyroidotomy, suturing 
6. Responsibility for 
Develop programmes of care, care packages 

Patient/Client Care 
7. Responsibility for 
Follow policies in own role 

8. Responsibility for 
Handle cash, valuable; safe use of equipment other than that 

Financial and 
used personally; maintain stock control; safe use of expensive 
Physical Resources 
equipment. Removes and passes patient belongings to clinical 
staff; ensure ambulance equipment is safe; maintains and 
secures stocks of drugs; safe use of vehicles and clinical 
9. Responsibility for 
Clinical supervision; provide training in own discipline Provides 

Human Resources 
clinical supervision, provides job training to less experienced 

members of the care team 
10. Responsibility for  Record personally generated information Keeps records of 

emergency and other treatment, incidents 
11. Responsibility for  Complete surveys or audits as necessary to own work 

Research and 
12. Freedom to Act 
Clearly defined occupational policies, work is managed rather 

than supervised Works within emergency protocols and 
guidelines, work is managed rather than supervised 
13. Physical Effort 
Occasional/ frequent intense effort for several short periods 

Lifting and carrying patients/clients in limited physical space 
14. Mental Effort 
Frequent concentration, work pattern pattern/unpredictable 

Concentration on driving, delivering emergency medical care/ 
may be switched to other emergency situations 
15. Emotional Effort 
Occasional trauma; frequent highly distressing or emotional 

Circumstances. Arriving at and dealing with e.g. families at the 
scene of accidents 
16. Working 
Considerable exposure to hazards. Unavoidable exposure to 

physically dangerous situations on a regular basis 
JE Score/Band 
419 Band 6