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Advanced Clinical Practitioner (XR08)

Leeds Teaching Hospitals NHS Trust
£50,952 to £57,349 a year
Closing date
4 Jun 2024

View more

Other Health Profession
Band 8A
Contract Type
Full Time
The multidisciplinary team at Leeds Vascular institute are seeking a motivated and enthusiastic Advanced Clinical Practitioner to further develop and deliver their Perioperative Frailty Service.

This dedicated service manages vascular patients 65yo and older in line with CPOC (Centre for Perioperative Care) guidelines. Based on Comprehensive Geriatric Assessment (CGA), frailty syndromes are identified and managed to optimise patients to their best possible condition for surgery. The service offers broad and holistic care to this patient cohort, including enhanced shared decision making and advance care planning, and managing conditions when the surgical risk may simply be too high. It prides itself on full integration and collaboration with the vascular surgical and broader multidisciplinary team to deliver high quality individualised patient care.

Main duties of the job

The role itself involves the assessment, and management of frail older patients who are being considered for vascular surgery, including frailty assessment, management and optimisation of co-morbidities in the perioperative period, contribution to truly collaborative ward rounds undertaken by the Surgeon and the Geriatrician together, and attending ward MDT meetings. The post holder will be in the privileged position of participating in enhanced shared decision making and advance care planning and planning the consequential care. The role has a significant outpatient component, working alongside Surgeons and Anaesthetists to assess and optimise care prior to any proposed admission/procedure. Additional support and training will be provided if this is unfamiliar clinical territory.

About us

This autonomous role has excellent potential for personal and professional, as well as service development and leadership opportunities. The job is Monday-Friday (8-4) although there is some scope for flexibility here, and applications from people wishing to work LTFT will be considered.

The successful applicant will actively engage in audit and clinical governance activity and the current post holder has also presented work at national conferences.

There is scope to engage with other surgical specialties across the Trust, promoting the work of frailty services in the older surgical patient.

It is hoped that the service will further expand in the coming year and the incoming post-holder will have the opportunity to be at the forefront of new developments including supervising and training additional ACP/tACP team members.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities

The Advanced Clinical Practitioner (ACP) will use specialist knowledge and skills to provide healthcare independently to patients within the Leeds Vascular Services. The ACP is accountable for the total episode of care for patients.

The post holder will act as a role model, delivering advanced practice and promoting clinical effectiveness in care. He / she / they will be required to work autonomously in delivering independent assessment, clinical examination, diagnosis, clinical decision making and planning of care and treatment, diagnosis, prescribing, health promotion and safe discharge of patients.

The post holder will work closely with all members of the multidisciplinary team and will play an integral role in the operational/strategic development of the service.

The post holder will promote and facilitate evidence based practice and clinical audit and research within the Trust.

The job holder will work as an autonomous practitioner within the Vascular Ward, delivering all aspects of management and care to a wide range of patients with varying needs.

Person Specification



  • Registered with relevant professional body
  • Degree-level registration qualification or equivalent post-registration award
  • MSc in Advanced Practice (or PG Diploma in advanced practice for those with other Masters qualification)
  • Life Support qualification
  • Relevant teaching qualification.
  • Non-medical prescribing


  • PG certificate in education
  • Band 7 experience.
  • Experience of working within speciality.
  • Good Clinical Practice Certificate

Skills & behaviours


  • Inspirational, with ability to motivate a team.
  • Flexible, positive, problem solving approach to issues.
  • Ability to work autonomously and within a team.
  • Professional and patient focused, with a strong commitment to providing high quality care.
  • Able to remain calm and polite under pressure
  • Flexible and adaptable, able to work all shifts throughout 24 hour period.
  • With support is able to successfully initiate and manage change.
  • Excellent interpersonal skills with effective oral and written communication skills.



  • Documented evidence of completion of generic advanced practice competencies and a defined range of speciality competencies.
  • Ability to motivate individuals and teams.
  • High standard of oral and written communication skills and confidence to discuss patient management with other members of the MDT.
  • High level of capability using outcome measures and audit.
  • Confidence and ability to accurately assess and manage complex patient presentations to a high professional standard.
  • Ability to critique own practice.
  • ln-depth knowledge in their specialist clinical field.
  • Ability to manage time and workload effectively and to work in a high pressure environment.
  • Excellent liaison and negotiation skills.
  • Commitment to Staff Development and Training.
  • Self-motivated and able to work independently and autonomously both within the Trust and with partner organisations.
  • Evidence of managing complex patients in stressful and emotional situations where life-changing events are being communicated and clinically managed


  • An understanding of research methodologies

Other Requirements


  • Able to fulfil Occupational health requirements for the post (with reasonable adjustments if necessary).
  • Able to travel between hospital sites, external venues either locally, regionally or nationally.

Practical Skills


  • Evidence of extended skills

Employer details

Employer name

Leeds Teaching Hospitals


St. James's University Hospital

Beckett Street



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