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Advanced Clinical Practitioner (CRT)

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
£50,952 to £57,349 a year pa pro rata
Closing date
4 May 2024

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Other Health Profession
Band 8A
Contract Type
Full Time

Job Details

This permanent full time role (37.5 hours) works to deliver service 7 days per week from 8am-10pm (including bank holidays). Part-time will be considered. MSc in Advanced Practice is essential.

The role of the Advanced Clinical Practitioner is to work across professional boundaries, undertaking a variety of clinical duties, within the context of the clinical team and to work as part of the community response team and work with the principles of the Community Services Division. The Advanced Practitioner is required to work as an autonomous clinical professional.

Within the multi-disciplinary team, the Advanced Practitioner will support the provision of high quality patient centred health care. To identify, assess, diagnose and treat adults with acute illness / complex needs and long term conditions. This includes supporting our Virtual ward initiative and the Community Assessment Unit at the acute site.


Main duties of the job

We are looking to recruit an ACP to work within the Community React Team (CRT). The post holders will work as part of the Community multi-disciplinary teams to manage patients in the community setting, including patients' home, care homes and the SDEC ambulatory chairs at the acute hospital site. The post holders will support the clinical team in terms of clinical leadership and expertise.

The CRT works in collaboration with North West Ambulance Service (NWAS), Primary Care, Care Homes and the wider healthcare economy, with a focus on safe admission avoidance.

This is an exciting time for the Community ReactTeam as we continue to evolve, working closely with our key stakeholders. The expectation is to work within a changing environment and to drive the transformation agenda.

You must be able to travel across Trust independently.

An Enhanced DBS with Adults' Barred List checks will be obtained during pre-employment checks.

This post involves contact with patients and families face to face within a community setting. Therefore it cannot be ruled out that the postholder may come in to contact with people who have COVID-19, although the Trust provides PPE and takes all reasonable steps to minimise risk.

This vacancy may close early if sufficient applications are received.

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh 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.

COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated there is helpful advice and information available by contacting where you can also ask about how to access vaccinations.

Job description

Job responsibilities

Main duties and responsibilities
  • A reduction in A& E attendances.
  • Reduction in emergency admissions.
  • A high level of patient and professional satisfaction.
  • A reduction in readmissions.
  • Promotion of self-management and self-care.
  • Reduction in delayed discharges.
  • The maintenance of patient independence.
  • Improved communication between professionals, patients and carers.

The post holder will:
  • Work as an advanced practitioner making independent clinical judgement/decisions based on patients clinical needs.
  • Act as a lead for the development of advanced and specialist practice.
  • Undertake independent comprehensive assessment and management of patients to incorporate physiological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes.
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills.
  • Deliver a proactive model of service delivery for the management of patients and carers within the community and care home setting with complex care needs.
  • Provide counselling and advocacy for patients with acute and chronic conditions.
  • Undertake research and service development.
  • Establish close liaison and communication between all stakeholders across health and social care, community, primary care and third sector disciplines involved in the care of patients and their families and work in partnership with other practitioners.
  • Monitor and evaluate the role of the ACP in liaison with appropriate managers and GPs and demonstrate and respond to changing needs.
  • Develop and sustain close working relationships, partnerships and networks and draw upon multi-agency/inter professional resources where appropriate in order to improve health.

Professional Responsibilities
  • The ACP in conjunction with the Professional/Clinical Lead and Operational Business Manager is responsible for the implementation, monitoring and evaluation of the Risk Management and Clinical Governance strategies within their area.
  • Keep up to date with developments in the role of the advanced practitioner through personal and professional development, in service training and education, professional conferences, courses and seminars as appropriate.
  • Keep accurate records and complete reports as necessary.
  • Maintain high standards of professional standards of care and expertise.
  • Be involved in the production of written protocols, clinical guidelines, standards and documentation systems for own use and use by others.
  • Be proactive in accessing clinical supervision.
  • Be involved in relevant professional groups to ensure up to date knowledge of role development.
  • Acquire new skills and apply to practice.
  • Adhere to code of professional conduct.
  • You are expected to comply with relevant Trust codes of conduct and accountability as well as those of your professional body you are registered with: NMC/HCP.

Key results from the job holder
  • Delivery of Key Performance Indicators (KPIs) on care assessment, care delivery and workforce.

Planning and Organisational Duties
  • Work within the Trust's Policies and Procedures and the parameters set down in agreed local clinical protocols and guidelines and national guidelines such as those published by NICE.
  • Organise the clinical management of individual patients, 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.
  • 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.
  • Evaluate care through quality assurance initiative and assessment of clinical outcomes.
  • Be an expert clinical resource for other health care practitioners.
  • Take every opportunity to promote the health of patients and initiate health education strategies as necessary.
  • Participate in risk management and risk assessment working closely with other members of the clinical team.
  • Continually develop own professional practice as indicated by the changing needs of services / patients
  • Participate in the development of the quality and audit strategy, which includes standard setting and development of audit tools.
  • Participate in developing and updating clinical protocols in care in responses to advances in clinical practice.

Communications and Key Working Relationships
  • Accept, make and receive referrals to and from other health care professionals.
  • Communicate patients' conditions, verbally and in writing, to other members of the healthcare team and contribute to decision-making processes in patient management.
  • Communicate on an on-going basis with the GP, Community Medical Lead, Senior
  • Registrar / Consultant responsible for the patient - updating him / her on changes/progress.
  • Participate in virtual ward rounds, perform case presentation and contribute to the decision-making process in patient management.
  • Act as a resource, providing clinical leadership and facilitating professional development amongst the multidisciplinary team both within and outside the organisation.
  • Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards and clinical guidelines.
  • Contribute to clinical governance arrangements by providing expert input and
  • securing quality improvement, including influencing other disciplines, to help deliver quality services.

Responsibility for Finance
  • To identify and actively participate in any cost improvement measures as required.
  • To be responsible and support the appropriate use and management of clinical and non-clinical resources within field of practice e.g consumables, travel.

Responsibility for Human Resources
  • Involvement in staff engagement and patient feedback.
  • Participate in personal development review.
  • Undertake clinical audit and audit the evaluation of practice of self and others.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching
  • Facilitate research-based practice, assist in disseminating research findings and support changes in care.
  • Take part in/ lead research projects, as appropriate, in order to enhance knowledge of the role and / or patient outcomes.
  • Support and facilitate other staff who are undertaking research / audit projects.
  • Provides clinical leadership, acts as a resource and facilitate professional development amongst the multidisciplinary team both within and outside the organisation.
  • Promote best practice, utilising local and regional benchmarking groups for the generation and promotion of standards, nursing and clinical guidelines.
  • Contribute to clinical governance arrangements by providing expert input and securing quality improvement, including influencing other disciplines, to help deliver quality services.
  • Contribute to the Induction programme of staff as required.
  • Contribute to the development, supervision and training of other clinical staff.
  • Support healthcare practitioners, students and others, as required, to achieve appropriate levels of competence in practice.
  • Participate and provide clinical supervision for self and others.

Work Circumstances & on-call

Monday to Sunday between service hours of 0800-2000. No on call duties.

Person Specification



  • Knowledge of contributing to research and audit
  • Ability to present
  • Good understanding of clinical governance
  • Evidence of recent CPD activities
  • Computer literate
  • Willing to continue to professional develop and support the development of others
  • Good understanding of Health and Safety at Work Act and clinical governance and risk management frameworks.



  • Able to motivate and lead others
  • Clinical judgement and decision making skills
  • Advanced clinical skills relevant to speciality
  • Advanced planning and organisational skills
  • Excellent interpersonal, written and verbal communication.
  • Influential and persuasive.
  • Excellent team working skills.
  • Knowledge of Health
  • Skilled in promotion of relevant educational issues



  • Significant clinical experience working autonomously
  • Demonstrable experience and involvement in clinical audit
  • Experience of leadership
  • Experience of supporting other clinical staff
  • Experience of undertaking expanded roles within the speciality
  • Evidence of working on own initiative, managing time effectively and prioritising appropriately.
  • NHS experience



  • MSc in Advanced Practice
  • Non Medical Prescribing
  • Current professional registration



  • Demonstrate enthusiasm
  • Speak English to appropriate degree
  • Flexible in working hours to meet the needs of the service
  • Able to travel across Trust independently

Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust


Claire House

Phoenix Way



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