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Trainee Advanced Clinical Practitioner (UCR)

Lewisham and Greenwich NHS Trust
£43,742 to £50,056 per annum plus HCA
Closing date
24 Sep 2023

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Other Health Profession
Band 7
Contract Type
Full Time
An exciting substantive opportunity has arisen for an enthusiastic, highly motivated Trainee Advanced Clinical Practitioner (ACP) who is willing to work towards an MSc in Advanced Practice.

We currently have a vacancy for a substantive, full-time Trainee ACP within our Urgent Community Response Team (UCR). UCR is part of the NHS Long Term Plan and Ageing Well Programme to support England's ageing population and those with complex needs.

The role will work beyond normal professional boundaries as a Registered Nurse or Allied Health Professional and therefore be working at an advanced clinical level. The post holder will be identified as a clinical expert and required to have a high clinical profile ensuring the provision of effective and efficient care.

Please note that you will initially be employed as a band 7 ACP until you have completed the MSc and Trust competencies have been completed and signed off.

Main duties of the job

The main duties of the Trainee ACP will be to be work independently and autonomously, visiting patient in their own homes in and around the Lewisham area. Working alongside other professionals from the multi-disciplinary team to provide an urgent or same day response. Visits are unplanned, in a response to assisting with the prevention of hospital admissions.

Additional duties include:
  • Liaising with and assisting with the safe transfer of patients that require higher levels of care, as per protocol.
  • Undertake investigations and procedures within scope of individual practice (specific add-ons for specific ACP role).
  • Teaching and clinically supervising HCA, student nurses, RN by example, demonstration, explanation, and evaluation
  • Facilitate the sharing of information and the development of knowledge amongst nursing and non-nursing staff.
  • Regularly re-evaluate the service and develop according to need, within the limitation of resource
  • Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed health choices
  • Interpretation of X-rays and other diagnostic investigations in line with a competency framework
  • Liaison with appropriate members of multidisciplinary team
  • Initiation of appropriate services (i.e. health screening and health promotion
  • Clinical examination and assessment
  • Maintenance of records and databases

About us

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley.

With a turnover of around �700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

The Trust has 7,500 staff and we have recently invested in our workforce to grow our establishment across a number of key services. In 2020 we won a London NHS Parliamentary Award in recognition of a wide range of initiatives to make the organisation a great place to work. We are accredited as a flexible working employer offering a number of flexible working options for staff. We are also accredited as a London Living Wage employer for our substantive, bank and contractors.

Job description

Job responsibilities

Key Responsibilities

To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed illnesses underpinned by extensive knowledge of a range of chronic and acute conditions.

To be competent in providing an initial clinical diagnosis and in the decision to refer to an appropriate speciality.

To be competent in the ability to discharge patients following appropriate assessment and treatment.

To be competent in the initial immediate assessment and treatment of patients with a range of life threatening presentations such as cardiac arrest and acute major illness.

If not already an Independent Prescriber, will be expected to successfully complete the programme within a timely manner, in order to continue in the role. To be undertaken and completed within 1 year of qualifying.

To be able to see, treat and refer appropriately, a broad range of patients with acute and chronic illnesses as an autonomous practitioner.

Administration of medicines, e.g. in line with NMC Guidance and Trust Policy.

Demonstrate own personal development with self-directed learning and identifying and accessing internal and external development opportunities, as per individual advanced practice portfolio.

Autonomous decision making including judgments involving complex facts or situations which require the analysis, interpretation, and comparison of a range of options in relation to the care/ management needs of the patients on a day to day basis within the clinical environment.

Conduct physical assessments, examinations, and investigations to identify abnormalities and make diagnoses and administer a comprehensive and appropriate level of care.

Use of advanced clinical skills and autonomous judgement to prescribe drug treatments for patients following interpretation of clinical findings through requested bloods and investigations across several broad and varied clinical fields.

Use best practice, analyse evidence based practice, use of benchmarking to inform clinical practice.

Provide detailed and transparent reports of workload, outcomes, and recommendations for future developments demonstrated in advanced practice portfolio this should include case based discussions, multi-source feedback, etc.

Be accountable for the direct delivery and implementation of clinical care on a day to day basis across the full spectrum of illnesses and therapy management.

Provide personal care plans to patients and develop, implement and evaluate care including independently prescribed medications, monitoring therapeutic programmes and providing health education and promotion.

Be proactive in developing new ways of working, such as ACP led initiatives to increase the quality of the patient journey and the ward efficiency.

Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs of patients.

Person Specification



  • NMC registered Nurse / Other allied health care professional (HCPC) Degree in relevant health subject
  • Post-registration qualification in autonomous / specialist / advanced assessment practice
  • ILS or ALS Teaching / assessment / Mentorship


  • Master's in advanced practice * Leadership qualification*
  • Non-medical Prescribing course Accredited autonomous practitioner qualification

Work Experience


  • Significant experience (5 years generally)
  • Teaching and assessment experience in clinical practice
  • Experience of leadership experience


  • Minimum 6 years' experience
  • Minimum of 1 year's experience at trainee level or in an autonomous practitioner role
  • Experience of service / practice development* Experience in a range of care settings*

Skills, Knowledge and Ability


  • Advanced clinical assessment and documentation skills Evidence of radiology requesting
  • Medicines Management: Experience at working with Patient Group Directives (PGDs)
  • Experience of appraisals


  • Autonomous clinical assessment skills Competence in radiology requesting and interpretation
  • Clinical Audit and interest in research
  • Knowledge of pathophysiology and clinical diagnostics* Research skills* Publication*

Personal Characteristics / Disposition


  • Evidence of multi-disciplinary-team working Self-motivated towards own practice and development
  • Confident and competent in approach to practice Supportive, friendly, adaptable and patient focussed
  • Effective interpersonal skills with colleagues, patients and public


  • Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice



  • Willingness to travel in order to continue professional development.
  • Internal rotation and work all shifts (unless agreed at interview) Able to change shift at short notice.

Employer details

Employer name

Lewisham and Greenwich NHS Trust


University Hospital Lewisham

Lewisham High Street


SE13 6LH

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