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Advanced Clinical Practitioner

Norfolk Community Health and Care NHS Trust
£50,952 to £57,349 Per annum
Closing date
3 Mar 2024

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Other Health Profession
Band 8A
Contract Type
Full Time
The post holder will work within their professional boundaries to provide care for the patient from initial history taking, to clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, evidence based clinical decision-making and expert care for patients referred to the Home Visiting Service. They will work collaboratively with the Home Visiting Service team to meet the needs of patients, supporting the delivery of policies and procedures, as and when required.

Main duties of the job

The Advanced Clinical Practitioner (ACP) will act as an autonomous, accountable practitioner working on their own and in collaboration with nursing, medical, allied health professionals, General Practitioners and emergency services to assess individual patient The ACP will initiate investigations, determine a differential diagnosis and initiate appropriate holistic evidence-based treatment and care.

About us

The Home Visiting Service aims to deliver high quality, responsive care for patients with urgent admission avoidance needs. The team consists of GPs, specialist nurses and paramedics who deploy their clinical skills and expertise to troubleshoot urgent problems with an array of patients, working closely with colleagues in primary care .

Apply now to join an organisation that has been awarded an Outstanding rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title.

Job description

Job responsibilities

Provide a first point of contact for patients at home referred with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Act as an advanced practitioner, demonstrating advanced clinical competence and a knowledge base beyond those associated with conventional healthcare role.

Make direct referrals to primary, secondary and social referrals within locally agreed pathways, guidance and protocols.Prescribe, supply and administer medicines as indicated to address patient needs in accordance with own practice or within PGDs. Use handwritten or electronic prescribing as appropriate.

Work within the ACPs own specific professional scope of practice, following Trust policies and procedures to provide a service in which the clinicians role is extended to include venepuncture / cannulation, catheterization, ECG recording and interpretation, blood gases/ cultures and verification of expected death. Taking and interpreting other pathology results including bloods & radiology.

Recognising when there is a need for escalation of treatment for medical attention and ensuring the appropriate health care professional is called to facilitate optimum patient care. Recognising when escalation to acute hospital may not be appropriate and complete joint advanced care planning decision making with patients/families as appropriate.

Work with clinical leads, ward managers, matron and medical staff to provide clinical leadership to other members of the team. Help develop the services in the community setting, working alongside the associate Directors of primary care to develop patient pathways and services to meet the needs of the ICS and in line with the direction of travel as outlined by the ICS and the broader requirements of the 5 year Forward View

Person Specification



  • oRegistered First Level Nurse/Therapist/Pharmacist/Paramedic
  • oDegree in Healthcare
  • oMasters in advanced practice
  • oIndependent prescriber Enhanced Clinical Assessment at L7


  • oLong term conditions qualification
  • Mentoring/leadership qualification



  • oSignificant years post Registration experience in a variety of settings
  • oExperience of working to protocols and guidelines
  • oEvidence of on-going personal and professional development
  • oPrevious experience of developing clinical guidelines and clinical care pathways
  • oExperience of clinical audit
  • oEvidence of successful management of change


  • oPrevious experience in an ACP role

Skills, Abilities and Knowledge


  • oAbility to work autonomously and manage own workload
  • oManagement of patients with complex needs
  • oClinical examination skills
  • oAccountability of own role and other roles in an ACP-led service
  • oManagement and Leadership skills / effective change agent
  • oEvidence of advanced clinical practice
  • oAwareness of the need to focus on continuous quality improvement
  • oAble and willing to use Information Technology systems



  • oExcellent written and Verbal communication skills using the English language
  • oAbility to communicate with patients and families with regard to diagnosis, treatment and care planning.
  • oNegotiation and conflict management skills

Personal and People Development


  • oTeaching and mentoring skills

Personal Attributes/Behaviours


  • oAwareness and understanding of the NHS issues relevant to advanced clinical practice
  • oUnderstanding of the Clinical Governance Framework
  • oAware of the political and organisational drivers that impact on the service



  • oMust hold full and valid driving license and have access to a vehicle
  • oAbility to be creative innovative and adaptable
  • oOrganised and motivated
  • oPositive role model
  • oFlexibility to work evenings and weekends if required in order to meet service needs

Employer details

Employer name

Norfolk Community Health and Care NHS Trust





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