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Surgical Ambulatory Emergency Care ACP

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
£50,952 to £57,349 a year pa
Closing date
15 Dec 2023

View more

Other Health Profession
Band 8A
Contract Type
Full Time
We have a fantastic opportunity for an experienced Advanced Practitioner to join our exciting service within the surgical division.

We are proud to boast a new, purpose built assessment area which will provide a streamlined service for patients requiring an urgent surgical review. The unit offers access to same day emergency care and aims to reduce the time a person may have to stay in hospital.

Applicants must be a qualified ACP/MAP or due to qualify soon.

We request previous applicants do not re-apply for this position.

Main duties of the job

We are looking to recruit an experienced practitioner to join our exciting new Surgical Ambulatory Emergency Care (SAEC) team based at the Royal Albert Edward Infirmary, Wigan. The successful candidate will have previous experience of working within a similar service, have extended accredited clinical skills and a proven track record. The successful candidate will be able to work autonomously, and be able to assess, diagnose, devise and implement a plan of clinical care for surgical patients who are referred to the unit.

The candidate will also be responsible for the trust's National Emergency Laparotomy Audit (NELA) data gathering and distribution.

The surgical workforce will provide support and review of all patients, and there will be a team of advanced practitioners working alongside the successful candidate within the assessment unit. The unit is in operation 7 days per week and you will be required to work a range of shift patterns to ensure smooth running of the service.

There will be an educational framework that you will be expected to maintain, as well as opportunities to access other professional development pertinent to the role. You will be expected to support the unit lead in developing our surgical services and to produce clinical pathways and take part in audits and review to ensure that our service delivery is effective and appropriate, and that our patients receive the right care at the right time.

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.

Job description

Job responsibilities

  • Ensure clinical practice reflects all current NMC documents including: (a) Code of Professional Conduct (b) Standards for record keeping (c) Administration of Medicines
  • Organise the clinical management of individual Surgical patients who present via non- elective pathways into the Trust, utilising clinical knowledge and advanced skills to assess, diagnose, plan, implement and initiate changes where required. This will include monitoring and evaluating the responses to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient.
  • Be the bleep holder and first point of contact for the GP and Emergency Floor for non-elective surgical patients referred to the Surgical Ambulatory Emergency Care unit.
  • Respond to clinical situations, utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.
  • Following successful completion of the non-medical prescribing module, initiate drug therapy / medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.
  • Monitoring and evaluate clinical outcomes of patient centred care involving the patient and their carers wherever possible.
  • Make and receive referrals to and from other health care professionals.
  • Communicate on an on-going basis with the Senior Registrar / Consultant responsible for the patient - updating him / her on changes / progress.
  • Apply appropriate advanced clinical and technological skills in response to the changing needs of care and the dynamic state of healthcare services.
  • Facilitate the development of clinical practice through research and education of the multidisciplinary team, by integrating theory with practice.
  • Collect and process the required data and ensure the trust is compliant with current NELA guidance.
  • Evaluate care through quality assurance initiative and assessment of clinical outcomes.
  • Be an expert clinical resource for other health care practitioners.
  • Participate in risk management and risk assessment working closely with other members of the clinical team.

Person Specification



  • MSc in Advanced Practice or equivalent study relevant to specialty
  • Teaching / assessing qualification
  • Willingness to study towards desirable courses for the role as determined through Personal Development Reviews
  • Current registration on professional register


  • Minor ops course
  • Basic computer qualification such as ECDL or equivalent
  • Evidence of stakeholder working
  • Publication of literature relevant to speciality
  • Advanced Life Support accreditation
  • Advanced Communication Certification
  • Experience of Ultrasound (i.e. FAST Scanning)



  • Significant clinical experience where a degree of autonomous working has been required.
  • Experience of undertaking expanded roles within the speciality applied for
  • Evidence of working on own initiative, managing time effectively and prioritising appropriately.
  • Experience of supporting students and other clinical staff within the clinical areas.
  • Experience of critically analysing published research and applying theory to practice


  • Understanding of National Emergency Laparotomy Audit or previous experience of gathering and submitting data to NELA.
  • Experience at the level of ward manager or equivalent.
  • Demonstrable experience and involvement in clinical audit methods and quality initiatives related to clinical team activities.



  • Excellent interpersonal, written and verbal communication.
  • Able to motivate and lead others.
  • Influential and persuasive
  • Excellent team working skills.
  • Advanced clinical skills relevant to the speciality acquired through MSc training and clinical practice.



  • Evidence of recent CPD activities
  • Willing to continue to professional develop and support the development of others
  • Evidence of contributing to research and audit activities related to own clinical practice.
  • Able to present information and teach to a wide range of personnel using audiovisual equipment.
  • Good understanding of Health and Safety at Work Act and clinical governance and risk management frameworks.



  • Able and willing to work varying shift patterns in accordance with service needs.
  • Speak English to an appropriate standard

Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust


Royal Allbert Edward Infirmary

Wigan Lane



Any attachments will be accessible after you click to apply.


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