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Lead Advanced Clinical Practitioner- Acute

East Lancashire Hospitals NHS Trust
£58,972 to £68,525 a year pa
Closing date
27 Apr 2024

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Other Health Profession
Band 8B
Contract Type
Full Time

Job Details

There is an exciting opportunity to recruit a Lead Advanced Clinical Practitioner for the Acute Directorate. This is a new post, which is toprovide outstanding leadership and managerial support for the 10 Acute Advanced Clinical Practitioner team.

The post holder will support the Head of Nursing and Clinical Director in delivering the Acute strategic framework supporting evidence based care that is well led, safe, effective and caring whilst having direct oversight and accountability of the ACP team.

We are looking for someone who has energy, drive and resilience with a clear desire to lead a team and develop the service further. It is a busyand challenging role with multiple competing demands, which requires someone who can manage their own workload, whilst having a clear visionof the development of the department and workforce. Excellent team working skills, along with good negation skills is required, with an ability tosupport, encourage and motivate others.

You will be supported by the Head of Nursing with monthly 1-1s to enable progression of team and service development.

Main duties of the job

  • Provide leadership and managerial support for the Acute department Advanced clinical practitioner team.
  • Support the Head of Nursing and Clinical director with the objectives of continuous service development and strategic framework.
  • Attend and actively take part in divisional and organisational forums, supporting new and existing initiatives.
  • Provide highly specialised emergency care and leadership within the hospital setting, using advanced clinical knowledge that is evidence based, acting as a role model to colleagues.
  • Function independently or within a clinical team and will demonstrate competence complementary to the MDT role in the delivery of health care.
  • Provide expert advice and to ensure the needs of the patient are met by leading, challenging and changing practice within the clinical setting.
  • To provide expert advice, support and direction to ensure holistic patient care for Emergency presentations in conjunction with the multi - disciplinary team over the 24-hour period.
  • Work closely with the Emergency Care Nursing and Medical Teams to support outstanding, evidence-based care delivery.
  • To provide the infrastructure that addresses the knowledge and skills deficits of the Advanced clinical practitioner team, including a clear strategic framework of how the pillars of advanced practice will be met and maintained.

About us

The Acute Directorate has a great team, who work under some really challenging times with increased demand for service, and increasedpressures for capacity. The team is multi-disciplinary, where everyone wants to make a difference to patients and our colleagues. We are committed as a team to provide a working environment that is supportive, responsive and realistic with the pressures we face.

Job description

Job responsibilities

Professional and Organisational Responsibilities:
  • Possesses excellent leadership skills and be able to direct members of wider multidisciplinary team as appropriate.
  • Undertakes direct line manager responsibilities for the ACPs within the Emergency
  • Provides leadership and educational support for the Emergency
  • Provides clinical and leadership support for the junior medical teams, across the 24 hour period
  • As a senior member of the Trust wide nursing team, contributes to the vision for the clinical practice and direction for practical development.
  • Acts as an effective change agent. Anticipates and identifies new initiatives and priorities relevant to Emergency care and facilitates or lead change as appropriate.
  • Keep accurate records and compile reports as necessary
  • Maintain high professional standards of care and
  • Develops and supports protocols of care for patients in conjunctions with other members of the multidisciplinary team.
  • Active involvement and responsibility for the formulating of Standard Operating Procedures to support existing and new practice.
  • Involvement in clinical governance within the
  • Maintain and extend professional knowledge and skills to keep up to date with current trends and practices
  • Be proactive in the accessing of inter-professional clinical supervision
  • Be involved in relevant professional groups to ensure up to date knowledge of role development
  • Acquire new skills and apply to practice
  • To adhere to professional Code of Professional Conduct at all times
  • Challenge professional/organisational boundaries with a view to improving care/health outcomes
  • Ensure effective use of physical and financial resources
  • Use physical and financial resources and technology effectively and in the best interests of the
  • Participate in the development of care pathways, protocols and clinical guidelines
  • Ongoing review and development of existing protocols relating to specialist nursing roles within the directorate
  • Liaise with appropriate departments within the Trust regarding the modification of traditional role boundaries, with a view to facilitating the ongoing development of the Advanced Practitioner role
  • Develop standards by which the ongoing development of the Advanced Practitioner role can be monitored
  • Acting as a role model to others wishing to develop professional roles and providing appropriate information and support

Personal Responsibilities:
  • Take responsibility for own professional development as in adherence with the NMC Code of Professional Conduct
  • Apply a flexible approach to the role of which necessary changes to the job content may be expected to evolve.
  • Highlights incidents, potential complaints and takes appropriate action to ensure the risk of further occurrence is minimised and the episode brought to a prompt conclusion.

Duties and Key Skills: Clinical:
  • Management of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including discharging patients from the service when treatment is complete/optimum outcome is achieved
  • Independently adjust treatment plans according to need assessing appropriate management options, and initiate treatment or referral to an appropriate professional where necessary
  • Request haematological and radiological investigations appropriately, independently interpreting and acting upon the results of these investigations and adjusting the patients management plan accordingly
  • Request therapeutic procedures/interventions and evaluate the outcome of these interventions
  • Assess and manage patients with complex problems, making independent referrals to medical teams and other practitioners both within and outside the specific directorate.
  • Provide education and counselling regarding the range of treatment options available to the patient
  • Provide the patient with comprehensive information regarding clinical procedures, ensuring informed consent
  • Obtain written consent for medical procedures
  • Manage complete programmes of care in a manner which provides appropriate support for patients and their families
  • Provide/facilitate interventions which are evidence based and individualised to the patient's needs
  • Demonstrate the ability to make sound decisions regarding patient management in the absence of specific protocols
  • Promote clinical awareness of the need for constant review and development of professional practice
  • Take action where unsatisfactory practice is identified
  • Secure agreed changes or development in
  • To complete and update ALS+APLS.

Audit/Quality Improvement and Research:
  • Continually evaluate/audit one's own practice and that of
  • Initiate appropriate and relevant research and evaluate the findings in the context of service .
  • Ensure that where possible, clinical practice is based upon available research evidence and that such evidence is disseminated to other staff to enable them to use this information in their work and improve health outcomes.
  • Seek out new knowledge by reading, enquiring and partaking of continuous education. Evaluate information gained and make appropriate judgements regarding its appropriateness for integration into practice.
  • Seek to develop new skills and develop role in accordance with changing
  • Monitor the effectiveness of current treatments and interventions with a view to improving
  • Apply validated research findings to Clinical
  • Add to wider knowledge pool with published works in peer-reviewed
  • Present at national and international
  • Have clear monitoring mechanisms of all the ACP lead projects/research being

Person Specification



  • MSC Advanced practice
  • First degree registered RN/AHP
  • Leadership/managerial experience with substantial period working at senior level


  • Teaching qualification
  • Management qualification

Employer details

Employer name

East Lancashire Hospitals NHS Trust


Royal Blackburn Hospital NHS Trust

Haslingden Road



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