Skip to main content

Trainee Advanced Clinical Practitioner - Respiratory Medicine

Nottingham University Hospitals NHS Trust
£35,392 to £42,618 Per Annum
Closing date
26 May 2024

View more

Other Health Profession
Band 6
Contract Type
Full Time
Nottingham University Hospitals (NUH) is nationally recognised as having an established Advanced Clinical Practitioner (ACP) service, with ACPs embedded across 18 specialties. We are now seeking committed, enthusiastic and compassionate individual/s to train as an ACP to join our Respiratory team to deliver the highest quality care to our patients. Successful applicants will undertake an MSc in Advanced Clinical Practice as an apprentice at The University of Nottingham and follow our supported and established three year ACP training pathway.

The respiratory department is led by a group of senior Respiratory Consultants, and delivers secondary and tertiary care. Our team of experienced respiratory ACPs provide cover to the Respiratory Assessment Unit and Respiratory Same Day Emergency Care Unit. The SDEC Unit was set up and is primarily staffed by ACPs providing rapid assessment of patients alongside an experienced nursing team. We also offer an inreach service to ED to provide autonomous early intervention to patients who present at the QMC campus. Our goal is to provide the best possible care in this busy and thriving department. The trainee can expect to encounter conditions ranging from common acute respiratory presentations such as such as asthma and COPD, respiratory infections, and complications of lung cancer to more complex conditions.

Main duties of the job

In addition to the brief list above you must familiarise yourself with the full job description and person specification attached to this advert prior to applying.

The training pathway consists of: Year 1: appointed as a band 6 and work within the trainee's appropriate role in the department. The trainee is released 15 hours a week to complete year 1 of the MSc. Year 2: The trainee is full-time supernumerary and starts the work-based learning and non-medical prescribing modules. Trainees receive supervision time, competency sign off, ACP mentorship and structured teaching. Following completion of non-medical prescribing and a percentage of the portfolio tACPs will be awarded a band 7. Year 3: following completion of the year 2 modules and the portfolio, tACPs will undertake a VIVA, once completed the tACPs will undertake a supported transition onto the rota with a supervisory period. When the final gateway assessments/modules are completed the trainee will advance to a band 8a qualified ACP. Once qualified, along with clinical work across the department the individual will have weekly rostered time to undertake their own continued professional development alongside service development work. To understand the role in more detail, please read the attached job description and person specification documents.

About us

Nottingham University Hospitals (NUH) was established in 2006 and we are one of the biggest and busiest NHS Trusts in the country and provide services to over 2.5 million residents of Nottingham. NUH are, by any measure, a large, complex, person-centred organisation.

With over 19,000 employees from a wide range of professional backgrounds, they are one of the region's largest employers. NUH has an excellent national and international reputation for the quality of their patient care and for their research, education and innovation. They have strong links to the University of Nottingham, Nottingham Trent University and Loughborough University.

This allows for the provision of excellent training and education for their students, as well as being a major research organisation. For information about the Trust, including business plans, annual reports, and services, visit their website. Nottingham University Hospitals NHS Trust have various staff benefits. Some of the benefits of working for NUH include

o Access to the Staff Wellbeing programme including our 24hour staff advice and emotional support service, financial advice service, a staff physiotherapy service and staff support networks

o Access to Spiritual and Pastoral Care Services

o Salary sacrifice schemes

o Cycle to work and travel passes

o NHS discounts

o Flexible working Details of these and other benefits can be found on our intranet pages which you will have access when you commence with Team NUH.

Job description

Job responsibilities

Please see the attached the Job Description and Person Specification for key duties and responsibilities.

Driven by strategic objectives & organisational values & behaviour, we are looking for people who believe strongly in delivering the best possible care to their patients. Led by Trust & Divisional Lead ACPs NUH has well-established teams of ACPs in 18 specialties. A robust governance structure & career framework supports individual & team development. The post holder will have Trust-wide responsibility to promote clinical excellence in patient care by providing clinical advice & support to their multi-professional colleagues. The role will include developing audit & research projects, & participating in up-dating & implementing departmental policies, protocols/guidelines, in line with national guidance & contemporary evidence. The trainee ACP will undertake the role in accordance with Trust & Departmental guidelines but have freedom to act within broad policies & protocols, in accordance with professional responsibilities & boundaries. The post holder will be based at Nottingham University Hospital NHS Trust. Although the post holders specialty may be based at one campus the training pathway may involve placements or visits at either the City Campus or the Queens Medical Centre. The trainee Advanced Clinical Practitioner (tACP) will develop specialist knowledge and skills to provide healthcare autonomously to patients in their specialty through an established ACP training pathway. The post holder will be a 1st level registered nurse or registered allied health professional with the ability to undertake Non-Medical Prescribing. They will have experience in working within the specialty or an equivalent setting. They will have excellent communication skills, and be able to liaise with patients and their families in planning their care. They will be expected to provide evidence of their ongoing continuing professional development. Whilst in training the tACP will undertake the MSc in Advanced Clinical Practice as an apprentice included in the curriculum are non-medical prescribing and work-based learning modules. As well as the academic pathway the tACP will follow the three year consultant-supported ACP training program mapped against established national and regional competencies. The tACP will gain the skills under direct consultant supervision to undertake clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this the tACP will also be trained in the referral of patients to relevant specialities for any necessary inpatient or outpatient investigations as well as facilitating safe patient discharge. The tACP will develop advanced skills in clinical decision making, critical thinking, and clinical management skills based upon evidence based practice.

Person Specification

Training & Qualifications


  • Current registration with professional body (e.g. NMC, HCPC) with the ability to undertake Non-Medical Prescribing
  • UK degree at minimum 2:2, or degree with statement of comparability at level 6 or 7 (UK ENIC) if undertaken at a non-UK HEI.
  • GCSE grade A* - C in Maths and English or Functional Skills Level 2 Maths and English.


  • Post-registration qualification or training relevant to speciality.
  • Working towards MSc in Advanced Clinical Practice.
  • Registered Independent Non-Medical prescriber.
  • Mentor/assessor and/or teaching qualification.
  • ALS Provider/Instructor.
  • Working in New Ways Packages relevant to the specialty.



  • Minimum 4 years post-registration
  • Minimum 2 years clinical work in a relevant setting.
  • Minimum 1 year working at AfC Band 6 or above.
  • Evidence of continued professional development.
  • Evidence of teaching, supervision and assessment skills.


  • Management and leadership experience
  • Evidence of involvement in policy and practice change
  • Clinical work in an autonomous role

Communication and relationship skills


  • Ability to work within a multi-professional team, often presenting and receiving complex information
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication to a wide variety of patient abilities/needs and deal with potentially difficult or distressing situations effectively.
  • Communication skills that facilitate building honest and trusting partnerships with patients, families and carers


  • Evidence of conflict management
  • Accepts constructive feedback from a variety of sources

Analytical and Judgement skills


  • Ability to respond to, prioritise and analyse health conditions and ensure effective interventions are actioned in a timely manner
  • Deal effectively with clinical issues within defined procedures and guidelines


  • Participation in research or audit projects
  • Able to work with undifferentiated and undiagnosed healthcare problems

Planning and organisation skills


  • Demonstrates adaptability to departmental and patient need
  • Self-motivated with evidence of efficient time and deadline management
  • Ability to schedule academic workload and work commitments
  • Able to identify learning opportunities and able to organise own learning and development
  • Ability to effectively prioritise competing demands.

Physical skills


  • Able to undertake required clinical duties/procedures
  • Ability to manoeuvre patients and perform clinical examinations as required
  • Knowledge and use of IT systems including excel.


  • Completion of a clinical skills module.

Other requirements specific to the role (e.g. be able to drive or work shifts


  • Demonstrate flexibility in working patterns and practices
  • Ability to support, colleagues, patients and relatives in sometimes distressing circumstances

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


Nottingham City Hospital

Hucknall Road



Any attachments will be accessible after you click to apply.


Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert