Overview
The Advanced Clinical Practitioner (ACP) role at NUH aligns with the HEE 2017 Advanced Clinical Practice Framework. National strategies including the NHS Long Term Plan and Workforce Plan position ACPs as vital to transforming services, improving capacity, capability, and patient care. The post holder will join over 200 ACPs at NUH, working within the Palliative Medicine department at the City Hospital campus. They will support the Palliative Medicine Virtual Ward Monday to Friday (with potential future 7-day cover), working alongside a specialty ACP and MDT colleagues. The ACP will assess, diagnose, and manage patients autonomously, make referrals, and facilitate safe discharges. They must be a registered healthcare professional with an MSc in Advanced Clinical Practice (or equivalent with a digital badge) and demonstrate competence across the four pillars of advanced practice. As a senior clinician, the ACP may be a Non-Medical Prescriber and will lead in delivering evidence-based, patient-centred care. They will support education, clinical supervision, service development, audit, research, and policy implementation. At least 16% of their role is dedicated to leadership, education, and service improvement. The ACP will act independently within broad protocols and professional boundaries, driving innovation and promoting clinical excellence across NUH.
Every day, Nottingham University Hospitals NHS Trust (NUH) makes a difference—saving lives, improving lives, and welcoming new ones. With over 20,000 colleagues, we are the largest employer in Nottinghamshire and one of the busiest NHS Trusts nationally, serving more than 2.5 million people locally and up to four million across the East Midlands and beyond. Our services span Queen’s Medical Centre, Nottingham City Hospital, and Ropewalk House. We offer nationally and internationally recognised specialist services and are leaders in pioneering surgery and research. NUH is home to the East Midlands Major Trauma Centre and Nottingham Children’s Hospital, and, in partnership with the University of Nottingham, hosts a Biomedical Research Centre advancing research into major health conditions. As a teaching hospital, we help shape the future NHS workforce, working closely with regional universities. While we continue to recover from COVID-19 and address challenges in maternity care and organisational culture, we remain committed to sustained improvement. Part of the New Hospital Programme, we are planning major redevelopments and are building a new 70-bed rehabilitation facility at Stanford Hall. NUH is also featured in Channel 4’s 24 Hours in A&E, showcasing our teams\' skill and dedication.
Clinical Practice
Practice in line with professional codes and scope, remaining accountable for autonomous decisions and actions. Continuously develop clinical competence and identify personal development needs via appraisal. Understand and act within boundaries of advanced responsibility, seeking support when needed.
Apply advanced clinical knowledge and reasoning to assess, diagnose, plan, implement, and evaluate care for patients with complex, undifferentiated conditions. Perform physical examinations and procedures within competence, including invasive interventions. Request and interpret investigations (e.g. bloods, ECGs, X-rays, MRI, CT) in line with IR(ME)R and local policy.
Formulate independent management plans, review interventions, and make referrals or discharge decisions. Communicate effectively and sensitively, supporting informed patient decision-making and gaining consent, even in challenging circumstances. Manage urgent situations, including leading resuscitation when necessary.
Prescribe and review medication safely as an independent prescriber, using both pharmacological and non-pharmacological treatments. Maintain EPMA competency and comply with prescribing agreements. Assess and refer mental health concerns and evaluate capacity in line with legal frameworks.
Identify unsafe environments, escalate risks, and contribute to risk assessments and incident reporting. Accurately document clinical encounters and provide comprehensive handovers across services. Maintain confidentiality in line with regulations, recognising exceptions when needed.
Work towards accreditation with appropriate governing bodies (e.g., Centre for Advanced Practice, RCEM, FICM) and maintain an e-portfolio demonstrating development and competence.
Leadership and Management
Foster collaboration with senior clinical teams to support service development and innovation. Lead multidisciplinary evaluations and demonstrate ACP impact on care quality and service outcomes. Implement improvements based on peer and user feedback, working across systems to influence broader service design.
Act as a specialist resource on policy, protocols, and future planning. Identify and challenge poor practice, escalate safety concerns, and manage conflict and difficult interactions in accordance with policy.
Oversee staff development, training, and performance, including conducting appraisals and ARCPs. Mentor and coach staff, supporting wellbeing through difficult events and transitions. Develop local guidance, adapt national standards, and ensure high-quality, safe care.
Manage resources effectively, mindful of budgetary constraints. Represent the service in relevant meetings and manage workload in response to operational pressures. Support recruitment and retention across the MDT and engage in local, national, and international collaborations to advance practice.
Facilitating Learning
Critically evaluate personal learning needs and create development plans covering all four ACP pillars. Pursue self-directed learning to enhance leadership, education, and clinical skills.
Promote patient education and health literacy, empowering informed decision-making. Support evidence-based care and engage the wider MDT in shared learning opportunities. Champion a learning culture by delivering education programmes and structured training for multi-professional learners.
Serve as a role model, mentor, and educator, supporting the developmental needs of colleagues and teams. Actively contribute to workforce development strategies aligned with organisational goals.
Evidence, Research, and Development
Lead and participate in research, service evaluation, and quality improvement (QI) projects to enhance evidence-based care in Palliative Medicine. Complete GCP training and service improvement methodologies (e.g., QSIR).
Use valid, reliable methods to evaluate care and implement changes from audit/QI findings. Contribute to or lead at least one audit/QI project annually, with outputs documented in an e-portfolio. Disseminate results to promote wider learning and practice change.
Engage in research through at least patient selection, identifying evidence gaps and collaborating to address them safely. Support and drive the development of guidelines, protocols, and clinical standards.
Build collaborative links between clinical practice and research, supporting NUH and system-wide research goals. Continuously improve departmental practices and maintain high-quality standards through evidence-informed care.
This advert closes on Wednesday 10 Sep 2025
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