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Advanced Clinical Practitioner

Nottingham University Hospitals NHS Trusts
£50,952 to £57,349 per annum
Closing date
24 Jul 2024

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Other Health Profession
Band 8A
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 Stroke 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 Stroke department is led by a group of senior Stroke Consultants, and delivers secondary and tertiary care. Our team of experienced Stroke ACPs provide cover and leadership to the TIA clinic and Stroke 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 in-reach 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 ischaemic stroke, haemorrhagic stroke, transient ischaemic attacks and stroke mimics.

We also provide support to the hyper-acute stroke unit, acute stroke unit and lead the stroke rehabilitation ward.

The post holders will be based at Nottingham University Hospital NHS Trust, at both QMC and City Hospital sites.

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 ACPs will use specialist knowledge and skills to provide healthcare autonomously to patients in their area. The ACP is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions.

The post holder will be a 1st level registered nurse registered healthcare professional and hold an MSc in Advanced Clinical Practice or equivalent at MSc level. They will be an independent Non-Medical Prescriber registered with the NMC (or equivalent professional body). They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of medicine, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.

The post holder will have a Trust-wide responsibility to promote clinical excellence in the care of patients presenting to their area by providing clinical advice and support to nursing staff and other health care professionals. They will provide expert professional and independent clinical care, which enables the coordination of a multi professional seamless service for patients. As a senior member of the team, the ACP will also play a pivotal role in the operational development of their specialty.

About us

With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Job description

Job responsibilities

Please refer to the attached job description and person specification for full details on the role and main responsibilities.

This post holder will be expected to deliver on all four Pillars of the ACP role Clinical practice and expertise, Leadership and management, education and research.
  • Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefinedpresentations.
  • Undertakes physical examination as indicated by the patients condition autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment asrequired.
  • Analyses multiple sources of data including patient history, physical examination and investigation findings whenmaking diagnoses, clinical judgements and evaluating care provided presenting this information, to speciality/senior medical staff for advice when scope of practice is exceeded.
  • Works in partnership with the existing senior medical, nursing and AHP teams in driving departmental development and change.
  • Takes responsibility for their own learning and performance including the participation in clinical supervision andmaintaining an awareness of relevant research evidence.

Please contact Deborah Godfrey lead stroke ACP on

Person Specification

Training & Qualifications


  • Current registration with professional body such as NMC or HCPC
  • MSc in advanced clinical practice or equivalent MSc
  • Registered Independent Non-Medical prescriber
  • Evidence of teaching, supervision & assessment skills
  • ALS provider/instructor


  • Mentor/assessor and/or teaching qualification



  • Currently working as a qualified ACP
  • Completed portfolio of supervised practice in advanced clinical practice
  • Evidence of continued professional development following MSc completion


  • 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
  • Demonstrates negotiating and influencing skills
  • Ability to work independently and within a team
  • Assertiveness skills and the ability to deal with interpersonal conflict
  • Ability to adapt communication methods to a wide variety of patient abilities/needs
  • Communication skills that facilitate building honest and trusting partnerships with patients, families and carers


  • Evidence of multidisciplinary teaching

Analytical and Judgement skills


  • Ability to respond to, prioritise and analyse complex health conditions and ensure effective interventions are actioned in a timely manner
  • Deals effectively with clinical issues within defined procedures and guidelines
  • Ability to work with undifferentiated and undiagnosed healthcare problems
  • Participation in research or audit projects
  • Active involvement in departmental operational development


  • Lead in audit or research
  • Involvement in the investigation of serious clinical incidents

Planning and organisation skills


  • Demonstrates adaptability to departmental and patient need. Self-motivated with evidence of efficient time and deadline management
  • Able to identify learning opportunities and able to organise own learning and development
  • Ability to provide education, complete research and audit

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


  • Demonstrates flexibility in working patterns and practices
  • Ability to support, colleagues, patients and relatives in sometimes distressing circumstances
  • Able to work across City Hospital and QMC, and the NRC.

Commitment to Trust Values and Behaviours


  • Must be able to demonstrate behaviours consistent with the Trust values and behaviours

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


City Hospital

Hucknall Road



Any attachments will be accessible after you click to apply.


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