Main area Emergency Medicine, Emergency Care, Advanced Clinical Practitioner Grade NHS AfC: Band 8a Contract Permanent Hours Full time - 37.5 hours per week (Night Shifts/Weekends) Job ref 391-RFL-7648201
Employer Royal Free London NHS Foundation Trust Employer type NHS Site Royal Free Hospital Town London Salary £64,156 - £71,148 per annum inclusive of HCAS Salary period Yearly Closing 03/02/2026 23:59
Band 8a Advanced Clinical Practitioner in Emergency Care & SDEC
NHS AfC: Band 8a
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
The Advanced Clinical Practitioner (ACP) role in Emergency and Same Day Emergency Care is an advanced, autonomous position that transcends traditional professional boundaries, providing expert clinical assessment and management of patients across the emergency pathway. Working within the Emergency Department (ED), Same Day Emergency Care (SDEC), and associated urgent care settings, the ACP is a key leader in inter‑professional practice, modelling excellence in the delivery of safe, effective, and holistic care.
Please see attached 'ACP Recruitment Pack' for further information.
Main duties of the job
* Report to the Senior Matron for line management, with clinical oversight provided by an Emergency Medicine Consultant.
* Receive educational supervision from an Emergency Medicine Consultant, similar to a core medical trainee, to support professional development and the effective delivery of the ACP service.
* Undertake independent assessment, diagnosis, and management of patients with undifferentiated and complex presentations, in line with the Royal College of Emergency Medicine curriculum (2015), under appropriate supervision regardless of credentialed status.
* Contribute to the middle-grade rota, once competencies are achieved, and actively engage in departmental teaching and education.
* Collaborate effectively within multi-professional teams, working alongside consultants, nursing, allied health professionals, and site-specific clinical specialists to deliver patient-centred care.
* Participate in, and where appropriate lead, clinical audit, service evaluation, and research projects to inform practice, support service innovation, and improve outcomes for patients and families.
* Uphold and promote Clinical Governance standards, supporting directorate governance processes and contributing to continuous quality improvement.
Working for our organisation
The Royal Free London NHS Foundation Trust is one of the UK’s biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6 million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17 million tests.
Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top.
Person specification
Royal Free World Class Values
* Demonstrable ability to meet the Trust Values
Professional and Educational Development
* Registered Health Care Professional (NMC/HCPC) Nurse/Paramedic/Physio
* MSc in Advanced Clinical Practice or equivalent MSc with supplementary modules
* Teaching and Assessing Course
* Academic Qualification – Degree/DipHE
* Advanced Assessment Course or Recognised Autonomous Practitioner Qualification
* ALS/APLS Provider
* ALS/APLS instructor
* Evidence of ongoing professional development
Experience
* Significant post registration experience within Urgent & Emergency Care (inc. Pre‑Hospital Care), Acute Medicine and/or Primary Care at a Band 7
* Experience of supervising, mentoring, and coaching.
* Experience of multidisciplinary working.
* Experience of requesting and interpretation of imaging.
Application numbers
This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.
Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.
Please note:
* Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification.
* Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
* Interview arrangements will be communicated via email so please check your email regularly following the closing date.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
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