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Band 8a Advanced Clinical Practitioner - Wiltshire

Avon & Wiltshire Mental Health Partnership NHS Trust
£43,742 to £57,349 a year
Closing date
7 Mar 2024

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Other Health Profession
Band 7
Contract Type
Full Time
We are seeking an Advanced Clinical Practitioner (ACP), or experienced registered Mental Health clinician interested in progression to ACP to join our Dementia service in Wiltshire.

You will be a Registered Healthcare Professional with an MSc in Advanced Clinical Practice accredited by the Centre for Advancing Practice (or equivalent e-portfolio route for those who predate the 2017 framework), or a willingness to undertake an identified training pathway to reach this level of practice.

Trainee applicants will apply separately to the MSc program, and the interview will include a representative from the University to support decision making.

Main duties of the job

You will take responsibility for autonomously planning and managing episodes of care, including completing/contributing to a comprehensive assessment/formulation of need/diagnosis, the identification and initiation of appropriate interventions, and prescribing where this falls within your scope of practice.

Your focus will be on working with complexity, uncertainty and varying levels of risk across a range of settings. You will engage with complex decision making in relation to clinical pathways, and support other clinicians to develop these skills.

You will provide clinical leadership and mentorship, supporting staff development, disseminating and embedding learning and information gained, and proactively engaging with quality and governance systems.

Further detail available in attached job description.

About us

We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust):a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.

We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B& NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.

Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.

At AWP we actively encourage applicants from all backgrounds we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.

Job description

Job responsibilities

Clinical Practice:

Qualified Advanced Clinical Practitioners will:
  • Practice in accordance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions.
  • Demonstrate a critical understanding of their broadened level of responsibility and autonomy, and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
  • Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change.
  • Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate.
  • Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make positive changes.
  • Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations.
  • Synthesize information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
  • Initiate, evaluate and modify a range of interventions, which may include prescribing medicines, therapies, life style advice and care.
  • Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events, and supporting teams to do likewise to ensure safety of individuals, families and carers.
  • Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings.
  • Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
  • Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role, setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope.
  • Review and work to embed the evidence-based clinical programmes, including admission, assessment, treatment, discharge and aftercare, for people using services.
  • Establish and embed robust clinical supervision and reflective practice processes.
  • Take a lead on the support, coaching and mentoring of clinicians around core areas of practice.
  • Work proactively, compassionately and dynamically with the clinical service to ensure practice is orientated to contemporary ethical, clinical and professional standards.
  • Undertake and support the specialist assessment of physiological and/or psychological functioning for service users.
  • Review, develop and oversee the delivery of comprehensive and complex discharge and home treatment programmes using evidence-based frameworks, including strategies to manage risk for service users.

Leadership and Management:

Qualified Advanced Clinical Practitioners will:
  • Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
  • Role model the values of their organisation/place of work, demonstrating a person-centred approach to service delivery and development.
  • Evaluate own practice, and participate in multi-disciplinary service and team evaluation, demonstrating the impact of advanced clinical practice on service function and effectiveness, and quality (i.e. outcomes of care, experience and safety).
  • Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.
  • Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
  • Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvements.
  • Critically apply advanced clinical expertise in appropriate to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
  • Demonstrate team leadership, resilience and determination, managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others.
  • Continually develop practice in response to changing population health need, engaging in horizon scanning for future developments (e.g. impacts of genomics, new treatments and changing social challenges).
  • Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.
  • Negotiate an individual scope of practice within legal, ethical, professional and organisational policies, governance and procedures, with a focus on managing risk and upholding safety.
  • Work in a creative and integrated way across whole systems (e.g. integrated care boards, community partnerships and the private and voluntary sector) to help ensure care and treatment pathways are safe, effective and delivered within available resources.


Qualified Advanced Clinical Practitioners will:
  • Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.
  • Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge, as well as own potential to lead and develop both care and services.
  • Engage with, appraise and respond to individuals motivation, development stage and capacity, working collaboratively to support health literacy and empower individuals to participate in decisions about their care and to maximise their health and well-being.
  • Advocate for and contribute to a culture of organisational learning to inspire future and existing staff.
  • Facilitate collaboration of the wider team and support peer review processes to identify individual and team learning.
  • Identify further developmental needs for the individual and the wider team and supporting them to address these.
  • Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice.
  • Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others.


Qualified Advanced Clinical Practitioners will:
  • Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.
  • Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
  • Critically appraise and synthesise the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform that of others.
  • Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
  • Actively identify potential need for further research to strengthen evidence for best practice. This may involve acting as an educator, leader, innovator and contributor to research activity and/or seeking out and applying for research funding.
  • Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.
  • Disseminate best practice research findings and quality improvement projects through appropriate media and fora (e.g. presentations and peer review research publications).
  • Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other active researchers.

Person Specification

Registered clinical practitoner


  • Current professional registration NMC
  • (for qualified ACP) - MSc in Advanced Clinical Practice, or accreditation as an Advanced Clinical Practitioner through a nationally-validated portfolio route
  • (for trainee ACP) - Ability and willingness to undertake and complete a 3-year Masters Programme in Advanced Clinical Practice (and, where relevant, an end-point assessment), committing to all academic and vocational components as outlined by AWP and the relevant education provider.


  • Possession of a post-registration qualification in an area of clinical practice, service / quality improvement, teaching and learning, or another professionally-relevant subject.
  • Non medical prescriber

Skills & abilities


  • Highly developed verbal communication skills, able to engage effectively with people at all levels
  • Able to lead and support colleagues at all levels with warmth and clinical authority, providing a sense of psychological safety.
  • Able to articulate a wide range of clinical concepts and processes in the context of a joined-up care and treatment network.
  • Highly developed written communication skills, with experience of compiling and sorting notes and reports, establishing statistical data and analysing information
  • Ability to work autonomously, and as part of a complex care system
  • Ability to manage time and prioritise, particularly when working under pressure
  • Ability to identify, challenge, report and address sub-optimal practice and to lead on team-wide improvement
  • Empathy for individuals who have experienced mental health problems and ability to cope with behaviour which may be challenging at times.

Experience & Knowledge


  • Substantial post-registration knowledge and experience gained in a clinical setting.
  • Significant experience of complex clinical assessment, delivery and care planning
  • Experience of making decisions in the context of complex care pathways
  • Experience of working as a clinical leader in health services
  • Knowledge of relevant national policies and procedure in relation to area of practice
  • Experience of providing clinical supervision to a range of practitioners


  • Knowledge of service or quality improvement frameworks / methodology
  • Experience of team development and change
  • Experience of managing clinical teams / services

Employer details

Employer name

Avon & Wiltshire Mental Health Partnership NHS Trust


Green Lane Hospital

Marshall Road


SN10 5DS

Any attachments will be accessible after you click to apply.


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