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Advanced Clinical Practitioner

The Christie NHS FT
£50,952 to £57,349 per annum, pro rata
Closing date
24 Jul 2024

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Other Health Profession
Band 8A
Contract Type
Full Time
An exciting opportunity has arisen for a highly motivated, experienced, and enthusiastic Advanced Clinical Practitioner to become part of the clinical review team at The Christie NHS FT Radiotherapy department based at Withington site. Situated in south Manchester, The Christie NHS FT is the largest cancer treatment centre of its kind in Europe, seeing more than 40,000 patients a year. We are an international leader in cancer research and development.

Ideally educated to Masters level, you will be expected to practice autonomously at an advanced level in the delivery of high quality, safe and supportive care to patients including assessing and managing radiotherapy side effects and prescribing independently.

You must have the necessary skills to be able to react to and manage acute/emergency situations. You will be a key member of the clinical team, which includes Advanced Clinical Practitioners and will be a part of a large cross-trust multi-disciplinary team. You will be involved in the clinical training and development of qualified AHP's, nurses and support staff.

We are open to discussing a Band 7 training post for this role if you do not already possess the essential skills required.

Main duties of the job

The Advanced Clinical Practitioner is a skilled practitioner who, demonstrates highly developed specialist knowledge and skills in the assessment and management of patients. They will formulate clinical decisions and complex treatment plans to manage acute and chronic illness and will respond to actual and potential health problems appropriately. Non-Medical prescribing, strategic planning, education, research and audit are key components of the role.

The postholder will have a role in the clinical assessment of patients attending the hospital, working autonomously to assess the clinical situation, assessing symptoms determining a working diagnosis and appropriate supportive management. They will oversee the management of patients on outpatient treatment pathways and those attending for radiotherapy, identifying issues and altering treatment plans in line with consultant colleagues. They will order investigations, make appropriate/timely referrals and maintain relevant clinical records. They will work alongside medical colleagues maintaining good communication and collaboration between the various multidisciplinary teams. Evidence based care will be inherent in their practice, ensuring that best practice is disseminated throughout the clinical areas.

About us

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

The Christie at Salford opened in 2011 and is one of three Christie satellite centres delivering Radiotherapy to patients closer to their homes. The Christie at Salford is the only NHS Christie Centre currently offering Stereotactic Radiosurgery Treatments to patients across the Greater Manchester catchment area.

Working hours must be flexible to fit the needs of the service and individuals will be expected to participate in all shift patterns and will be contracted to work between 6am and 11pm.

Job description

Job responsibilities


Advanced Clinical Practice

1.0 Plan and manage own workload and the workload of the service, in a flexible manner, ensuring that service provision meets the need of patients.

1.1Recognises and appropriately responds to limitations and gaps in knowledge seeking support where necessary. Demonstrates critical self-reflection, self-awareness, emotional intelligence, and openness to change.

1.2Develops and undertakes advanced clinical skills in assessing and managing patients. This includes obtaining informed consent, history taking, screening, systematic physical examination, requisition and interpretation of appropriate clinical investigations and formulation of clinical management plans.

1.3 Maintain and develop expertise and competence within the field of oncology to enable collaboration with senior colleagues and medical staff, and to facilitate the management of patients.

1.4 Use evidence-based research to support clinical decisions and management plans.

1.5 Prescribe within the capacity of non-medical prescribing, adhering to Trust policy and existing frameworks including first and subsequent cycles of chemotherapy (as per Medicines Practice Operational Policy July 2010), unlicensed medication and drugs used within clinical trials as qualified Independent Non-Medical Prescriber. Prescribe appropriate blood products as per Trust policy.

1.9Liaise with the wider inter-professional teams regarding the management of patients under their care.

1.10 Accept referrals from other health care professionals and refer patients directly to other specialties within the appropriate primary, secondary and tertiary care settings.

1.11 Communicate highly complex and sensitive information to patients and their significant others, this may include diagnosis, results of scans or other investigations, management options and prognosis.

1.12 Work collaboratively with an appropriate range of multi-agency and multi-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings.

1.13 Prepare accurate and concise records and reports, both verbal and written. Communicate with the patients referring specialist, GP, and other community. and hospice-based services at regular intervals as appropriate.

1.14Contribute to clinical and research governance processes, including adverse incident reporting and the investigation and the management of complaints as appropriate

1.15 Educate patients and their carers on issues surrounding health promotion and illness prevention. Promote and facilitate changes to lifestyle where appropriate.

1.16Contribute to the coordination and effective management of the admission and discharge process as appropriate for disease group with reference to Bed Management Policy.

1.17 Perform clinical procedures safely according to defined protocols.

1.18Develop patient specific information and ensure patients receive appropriate information, advice, and support in relation to their illness and treatment. Provide an environment that encourages patient centred involvement.

1.19Be an active member of relevant Trust committees and groups contributing to developing/implementing local/national strategy.

1.20 Collaborate within the Cancer Network and offer clinical support to colleagues within cancer units, relating to individual patient management, health care delivery, peer review and strategic policy initiatives. Assist in the development of integrated patient pathways (e.g., NICE Guidance on Cancer Services, NHS Guidance etc.).

1.21 Act as an expert resource and provide advice and support to ward/departmental areas and the wider community.

1.22Demonstrate professionalism in terms of attitude, communication, and appearance at all times.

1.23Perform authorities as part of a clinical trial and maintain ICH/GCP competence.


2.0Contribute as appropriate to the development of strategies within the Division and wider Trust.

2.1Be a visible role model for advanced clinical practice in research demonstrating a person-centered approach to service delivery and development within the Trust and externally at a National & International level.

2.2Promote the role of advanced clinical practitioner locally, nationally and internationally.

2.3Pro-actively initiate and develop effective relationships to empower and inspire staff members, to promote productive working and enhance patient care.

2.4Provide professional, clinical and academic leadership and supervision to other professionals as appropriate within the scope of the role

2.5 Lead on clinical audit, including service evaluation and clinical service re-design including evaluation of own practice, demonstrating the impact of advanced practice on service function and effectiveness, (e.g. outcomes of care, experience and safety).

2.6 Critically apply advanced clinical expertise to provide consultancy across professional and service boundaries, such as the development of clinical protocols, standards and guidelines to enhance quality and promote sharing and adoption of best practice.

2.7 Demonstrate excellent leadership skills by identifying, leading and implementing change required for service improvement, risk management, governance and quality.

2.8 Contribute to local, regional and national clinical networks including specialty groups and key stakeholders.

2.9Continually develop practice in response to changing population health and research needs engaging in horizon scanning for future developments.

2.10Actively seek feedback and involvement from patients, families and carers by engaging with Patient Participation and Involvement (PPI) groups in all aspects of patient care and research service delivery i.e., focus groups.

2.11 Demonstrate resilience and determination in managing situations which are complex or unpredictable.

2.12 Demonstrate receptiveness to challenge and preparedness to constructively challenge others, escalating concerns that affect individuals, families, carers, communities and colleagues safety and well-being when necessary.

2.13 Participate in innovative and research-based practice to promote excellence in patient care.

2.14Maintain professional registration and practice through CPD and relevant professional bodies revalidation/renewal processes.

2.15Maintain professional portfolio to demonstrate competency in line with the trust competency framework.

2.16 Maintain personal standards of conduct and behaviour consistent with Trust and relevant professional bodies guidelines.

2.17Recognise and acts as an advocate for patients, carers and service organisation. Lead change as required and ensure resolution of conflict.

2.18 To assume or share management responsibility for colleagues within disease group as required.


3.0 Critically assess and identify own learning and development needs in line with service requirements. Negotiate an annual personal development plan that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice and undertake professional development accordingly.

3.1Engage in self-directed learning, critically reflecting to maximise clinical skills and knowledge. Participate in the on-going advanced clinical practice training and education program both within the organisation and beyond e.g., national/ international conferences.

3.2Promote and contribute to a culture of organisational learning to inspire future and existing staff.

3.3Actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements.

3.4Undergo regular clinical supervision with colleagues from within the organisation e.g. a named mentor from the medical team, as well as seek mentorship externally and coaching where applicable.

3.5 Identify further developmental needs for individuals and the wider team and supporting them to address these.

3.6Act as an educator, supervisor, coach and mentor, seeking to instill and develop the confidence and skill of others

3.7Support, supervise and assess clinical competencies of nursing staff and other members of the multidisciplinary/research teams as appropriate

3.8 Provide specialist training and education locally, nationally and internationally (eg organising/hosting/presenting at meetings, study days, conferences etc).

Person Specification



  • Registered Health Care Professional with clinical responsibilities e.g., -Registered Nurse -Pharmacist -Paramedic -Physiotherapist -Therapeutic Radiographer (This list is not exhaustive)
  • MSc. in Advanced Clinical (or Nursing) Practice (which includes clinical practice hours as defined by the University)


  • Advanced Life Support Course
  • Teaching & Mentorship Course
  • Recent evidence of continuing professional development
  • Advanced Communication Skills training



  • Post registration experience (prior to achieving MSc. in Advanced Clinical (or Nursing) Practice)
  • Experience of working autonomously and as part of a team delivering clinical care to unwell patients
  • Previous experience in oncology/cancer care


  • Experience of assessing and managing acute medical problems.



  • Excellent communication skills: interpersonal, written and verbal.
  • Ability to assess and manage patient risk effectively and safely.
  • Ability to work across professional boundaries e.g., experience of working in a multi-disciplinary team
  • Good time management, organisational skills and ability to prioritise a busy/ unpredictable workload.
  • Well-developed IT skills/ word processing/ data collection/ internet skills.


  • Leadership and Management skills.
  • Innovative and motivated.
  • Ability to think strategically in relation to long-term service development.
  • Presentation skills.
  • Reflective practitioner.



  • Understanding of evidence based practice.
  • Working knowledge of clinical governance.
  • Ability to use research findings in clinical practice
  • Knowledge of national standards and policy that inform best prac
    Any attachments will be accessible after you click to apply.


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