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Advanced Critical Care Practitioner

Great Western Hospitals NHS Foundation Trust
£43,742 to £50,056 per annum po rata
Closing date
17 Jun 2024

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Other Health Profession
Band 7
Contract Type
Full Time
  • In this advanced role, the post holder will provide expert clinical management and care to patients requiring levels 1-3 care in Critical Care in a role traditionally performed by medical staff.
  • The post holder will work clinically within Critical Care, in a supernumerary training capacity for 2 years, alongside a bespoke Post Graduate Diploma in Advanced Critical Care Practice and Independent Prescribing.
  • The post holder will carry out practical assessments within the workplace and theoretical work with the University.

Main duties of the job

  • Undertakes comprehensive clinical assessment of a patient's condition.
  • Requests and performs diagnostic tests.
  • Initiates and manages clinical treatment plans.
  • Undertakes invasive interventions within the scope of practice
  • Provides professional leadership and support within a multi-professional team
  • Demonstrates comprehensive knowledge across a range of subject areas relevant to the field of critical care.
  • Critically analyses, evaluates, and synthesises different sources of information for the purpose of assessing and managing the care of a critically ill patient
  • Applies the principles of diagnosis and clinical reasoning that underlie clinical judgement and decision making.
  • Applies theory to practice through a clinical decision-making model.
  • Understands the professional accountability and legal frameworks for advanced practice, fulfils the requirement of FICM ACCP curriculum.
  • Applies the principles of evidence-based practice to the management of the critically ill patient.
  • Understands and performs clinical audit.

About us

Our STAR values are at the heart of everything we do. You can expect to see them in the way we act and the way we treat each other. Our values make us who we are.

Service We will put our patients firstTeamwork We will work togetherAmbition We will aspire to provide the best serviceRespect We will act with integrity

Job description

Job responsibilities

  • Actively supports patients and their families through communicating difficult and highly complex information using a variety of methods to ensure effective understanding in a timely manner.
  • Communicates complex information to patients/carers during the consent process prior to commencement of treatment plans and invasive procedures including explaining treatment options.
  • Proactively supports patients and carers in coming to terms with their illness/condition.
  • Ensures effective communication is maintained between members of the multidisciplinary team to ensure appropriate individuals are informed of changes to the patients conditions or treatment plan.
  • Provides empathy and reassurance through understanding the quality-of-life issues associated with their illness/condition.
  • Supports the Consultant Intensivist and the Intensive care doctors in training, in providing patients with treatment plans on critical care.
  • Exchanges information with patients and staff regarding appointments, admissions, discharges and follow up care in verbal and written form.
  • Makes direct referrals to other members of the Health Care Team.
  • Provide professional leadership and support within a multi-professional team.
  • Maintains accurate and up to date clinical records.
  • Core member of the Critical Care multidisciplinary team providing specialist ACCP knowledge and advice.
  • Uses specialist knowledge, leadership, and expertise to assess, plan and implement care interventions for patients requiring critical care for monitoring and organ support.
  • Uses expertise to recommend adjustments/amendments to treatment plans, in consultation with patients to members of the multi professional team.
  • Maintains up to date knowledge in the specialist field, using information to affect change in practice and ensuring the effective dissemination of new knowledge.
  • Will interpret new knowledge to ensure that practice is up to date and in line with current thinking.
  • The Advanced critical care practitioner is accountable for own professional actions and not directly supervised.
  • Has obtained the theoretical and practical knowledge to a level that allows the job responsibilities to be delivered to a high standard.
  • Maintain a professional portfolio and participate in professional continuing development.
  • Develop and organise study days and training sessions.

  • Responsible for the delivery of an ACCP specialist service which offers highly specialised advice
  • Critically analyse, evaluate, and synthesise different sources of information for the purpose of assessing and managing the care of a critically ill patient.
  • Undertake comprehensive clinical assessment of a patients condition.
  • Request and perform diagnostic tests.
  • Initiate and manage a clinical treatment plan.
  • Provide accurate and effective clinical handovers.
  • Undertake invasive interventions within the scope of practice.
  • Requesting and interpreting investigations.
  • Consent process.
  • Clinical skills i.e. intravenous management, cannulation.
  • Ongoing patient management and referral to the MDT team.
  • Manage Discharge Process

  • Responsible for managing and prioritising own workload against the needs of patients and service requirements.
  • With the support of the Matron/Consultants, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility.
  • Apply theory to practice through a clinical decision-making model.

  • Responsible for managing and prioritising own workload against the needs of patients and service requirements.
  • With the support of the Matron/Consultants, makes representation as appropriate at various meetings, providing feedback to the organisation on clinical and professional issues which have an impact on care and standards of practice within their sphere of responsibility.
  • Apply theory to practice through a clinical decision-making model

  • Perform specialist interventions within scope of practice, under supervision, until deemed appropriate to work independently, including venepuncture and peripheral cannulation
  • Vascular access with central lines, arterial lines, vascular catheters, PICC lines, thoracostomy tube insertion.
  • Interpretation of arterial blood gases and adjustment of Ventilator parameters.
  • Support the outreach team for assessment and management of the deteriorating patient.
  • Inter/intra-hospital transfer for patients.
  • Expert hand/eye co-ordination to facilitate and complete clinical procedures.
  • Undertake point of care assessment and base treatment and complex decision making on the outcomes e.g. Focussed cardiac echo FICE /thoracic USS according to National standards.

  • Develop specialised programs of care and provides highly specialised advice and care under no direct supervision.
  • Assess, develop, implement, and evaluate specialist nursing care pathways for patients needing critical care support.
  • Participates in clinical audits
  • Responsible for developing specialist programmes of care for a caseload of patients which include treatment plans, teaching packages and discharge plans.
  • Acts as a specialist resource to other members of the organisation, patients, and their families.
  • Adheres to Professional Code of conduct, to be aware of boundaries of own extended practice and to always manage associated clinical risk effectively.
  • Responsible for ordering of relevant tests required for patients admitted to the intensive care unit.
  • Responsible for the recording of care, treatment advice, requested tests and results in the nursing and medical notes.
  • Responsible for effective communication to other specialities within and between Trusts/Health Boards.
  • Responsible for the monitoring of quality of care provided by the nursing teams regarding outcomes and ongoing care, liaises with the Matron/Consultant to take the appropriate actions.
  • Acts as a role model for the nursing profession.

  • Participates in service development. Writes protocols, guidelines and procedures for own remit which, impacts on other members of multi-disciplinary team. Develops and evaluates these protocols and guidelines and procedures using current literature and research.
  • Implement policies informing members of multi professional team of any changes.
  • Liaise with the Consultant Intensivist, and Senior Leaders in the development of Critical Care services, contributes ideas and makes recommendations for service improvements.
  • Complies with hospital policies and guidelines.
  • Actively participates and contributes to the clinical governance agenda, e.g. by ensuring that training programmes are regularly updated, by providing annual reports and undertaking regular benchmarking of clinical practices.
  • Keeps up to date with advances in Critical Care

  • Responsible for reporting faults with equipment and removing from the clinical area until repaired.
  • Maintains own time management.
  • Uses specialist equipment to assist in the monitoring and diagnosis of patients.

  • Utilises professional knowledge and skills, underpinned by theoretical and relevant practical experience to teach, motivate, and support junior staff on a range of clinical practice pertaining to critical care procedures.
  • Responsible for the delivery of specialist training and development of other Health Care Workers within the Trust/ Health Board.
  • Responsible for the supervision, teaching, and evaluation of staff in the delivery of critical care service.
  • Delivers specialist teaching sessions to multi professional groups and patients to increase awareness and ensure that appropriate care is given to the client group.
  • Participates in the supervision and mentorship of students, trainees
  • Provides professional leadership, guidance, and support to healthcare professions in order to empower and enable them in matters pertaining to critical care provision and procedures.
  • Undertake clinical supervision.

  • Records personally generated clinical observations.
  • Maintains specialist nursing records for patients caseload in nursing and medical records.
  • Responsible for providing accurate and timely records on patient care and performance using paper and IT based systems in accordance with trust / Health Board policy.
  • Participates in the process to ensure compliance to ICS (intensive Care Society)/FICM(faculty of intensive care) requirements.

  • Undertaking appropriate audits within the intensive care unit ~ both local and national.
  • Assists in data collection for critical care audits and ICS compliance.
  • Undertakes audits to evaluate the effectiveness of care interventions and disseminates outcomes with any potential changes to clinical practice.
  • Supports clinical trials within the intensive care department.
  • To be aware of the relevant research finding and introduce the best research-based practice for the care of patients.
  • In collaboration with the infection control team establish agreed protocols and audit/research programmes to monitor the incidents of infection.

Person Specification



  • Completed Level 6 (Degree)
  • Qualification 2:1 or above, or equivalent credits
  • Registration to allow for Independent Prescribing (NMC/HCPC)


  • Management / leadership qualification
  • Teaching Qualification



  • Experience of conducting audit/research
  • Experience in teaching


  • Conference presentations, publications

Employer details

Employer name

Great Western Hospitals NHS Foundation Trust


Great Western Hospital

Marlborough Rd



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