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Advanced Critical Care Practitioner (ACCP)

North Cumbria Integrated Care NHS Foundation Trust
£50,952 to £57,349 Per annum
Closing date
27 May 2024

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Other Health Profession
Band 8A
Contract Type
Full Time
The ACCP will work autonomously, at an advanced level on the Intensive Care Unit (ICU) to assess, diagnose and treat critically ill (Level 1-3) patients, performing daily reviews of patients on the ICU/HDU alongside the multidisciplinary team (MDT), led by the ICU Consultant. The ACCP will also review patients in other areas of the hospital where patients have been referred to the critical care team and attend trauma calls when needed

Main duties of the job

  • Undertake an extensive assessment of the critically ill patient, including taking a history and completing a clinical examination
  • Perform or order diagnostic and therapeutic procedures/investigations
  • Recognise which medications are required in a range of physiological abnormalities within the critical care sphere, and be able to seek and justify their prescription appropriately
  • Prescribe independently (when legally permitted) or use PGD's to review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, national practice & protocols, and within scope of practice to optimise the patient's treatment
  • Initiate and manage a clinical treatment plan
  • Perform invasive procedures, advanced airway skills, vascular access and other practical skills within the level of clinical competence
  • Teach and educate members of the multi-professional team
  • Undertake internal and inter-hospital transfers of critically ill patients
  • Contribute to the development of the Advanced Critical Care Practitioner role

About us

At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':
  • Being a clinically led organisation
  • Quality and safety at the heart of our Trust
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.

Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.
  • Please ensure that you document evidence of meeting all the essential criteria in the supporting information.
  • If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:
  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email:

Unlock Tel: 01634 247350, email or complete the online form on the Unlock website

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: �18 + Administration cost of �3.85 = �21.85. Deducted at �6.85 from 1st month salary and �5 deducted from salary over following 3 months.

Enhanced Check: �38 + administration cost of �3.90 = �41.90. Deducted at �11.90 from 1st month salary and �10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification



  • Post graduate diploma to master's level (level 7) in Advanced Critical Care Practice
  • Registered nurse / physiotherapist / operating department practitioners with active registration
  • Substantial broad experience relevant to critical care
  • Degree qualification related to specialist area of practice
  • To recognise which medications are required in a range of physiological abnormalities within the critical care sphere, and be able to seek prescription appropriately
  • Recognised teaching qualification e.g. HLLM 5/6 001
  • Evidence of ongoing professional development
  • IT skills
  • ALS certificate


  • Master's degree in Advanced Clinical Skills (ACCP)
  • EPLS and ATLS certificate
  • Non-medical prescribing qualification (subject to non-medical prescribing qualification once available)
  • Essential IT skills (EITS) or equivalent.



  • Extensive critical care experience and/or experience at working at a senior level
  • Experience of effectively managing people and resources
  • Clinical care, assessment, diagnosis and care planning experience
  • Experience in audit and research



  • Broad and advanced knowledge of critical care practice in both the medical and surgical fields
  • Ability to make a diagnosis based on relevant history, tests and investigation results
  • Continuing professional development with portfolio.
  • Equality legislation and best practice



  • Advanced clinical assessment skills
  • High degree of dexterity to perform clinical procedures necessary to critical care
  • Effective communication and interpersonal skills.
  • Leadership skills (for band 8a)
  • The ability to demonstrate the compassionate values and behaviours needed for dignified care.
  • Personally resilient
  • Ability to prioritise a complex workload in a rapidly changing environment
  • Willingness to extend scope of practice


  • Conduct 'Confirmation of Adult Expected Death' to patients who meet criteria to do so (subject to Trust training and completion of extended Scope of Practice)

Personal circumstances


  • Self-motivation
  • Enthusiasm

Other requirements


  • Ability to travel independently across Cumbria.
  • Flexible approach to working patterns
  • Extended scope of practice based on unit requirements


  • Driving licence

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust


Cumberland Infirmary



Any attachments will be accessible after you click to apply.


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