Job summary
Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice
Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians when scope of practice is reached
To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients
Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary
Develop scope of advanced clinical skills and practice to meet changing needs of service
Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance.
Main duties of the job
Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice
Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review
Manage daily patient caseload in a specific area of advanced clinical practice
About us
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you
Details
Date posted
24 February 2026
Pay scheme
Agenda for change
Band
Band 8a
Salary
£55,690 to £62,682 a year (pa pro rata if part-time)
Contract
Permanent
Working pattern
Full-time
Reference number
318-26-T0132
Job locations
Emergency Department, CGH and GRH
Gloucestershire
GL1 3NN
Job description
Job responsibilities
Clinical Responsibilities/Key Responsibilities
Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice
Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians when scope of practice is reached
To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients
Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary
Develop scope of advanced clinical skills and practice to meet changing needs of service
Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance.
Facilitate expert inter-professional care for the patient pathway and their dependants by direction, supervision and example
Critically apply advanced clinical expertise in appropriate facilitator ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted
Work in all areas of the ED, minors, majors, paediatrics and the resuscitation areavariation and promote the sharing and adoption of best practice
Maintain accurate and contemporaneous patient records
Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review
Manage daily patient caseload in a specific area of advanced clinical practice
Job description
Job responsibilities
Clinical Responsibilities/Key Responsibilities
Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice
Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information
Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians when scope of practice is reached
To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients
Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary
Develop scope of advanced clinical skills and practice to meet changing needs of service
Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance.
Facilitate expert inter-professional care for the patient pathway and their dependants by direction, supervision and example
Critically apply advanced clinical expertise in appropriate facilitator ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted
Work in all areas of the ED, minors, majors, paediatrics and the resuscitation areavariation and promote the sharing and adoption of best practice
Maintain accurate and contemporaneous patient records
Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review
Manage daily patient caseload in a specific area of advanced clinical practice
Person Specification
Qualifications, Knowledge and Experience
Essential
* Registered Health Care Professional with a regulatory body
* MSc Advanced Practice from an accredited pathway
* Formal assessment of achievement of capabilities specific to context of practice by occupationally competent assessor
* Independent Prescribing qualification, where essential to the delivery of service and role and where professional groups have appropriate legislation in place
Desirable
* Enhanced IT skills - working knowledge of software packages such as word, excel and outlook alongside EPR, PACS, ICE etc
* Evidence of leading research as Principal Investigator
* Experience of developing practice guidelines and governance
* ATLS/ETC qualification
* RCEM Credentialled
* Experience of working in an Emergency Department in a senior position
Person Specification
Qualifications, Knowledge and Experience
Essential
* Registered Health Care Professional with a regulatory body
* MSc Advanced Practice from an accredited pathway
* Formal assessment of achievement of capabilities specific to context of practice by occupationally competent assessor
* Independent Prescribing qualification, where essential to the delivery of service and role and where professional groups have appropriate legislation in place
Desirable
* Enhanced IT skills - working knowledge of software packages such as word, excel and outlook alongside EPR, PACS, ICE etc
* Evidence of leading research as Principal Investigator
* Experience of developing practice guidelines and governance
* ATLS/ETC qualification
* RCEM Credentialled
* Experience of working in an Emergency Department in a senior position
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details
Employer name
Gloucestershire Hospitals NHS Foundation Trust
Address
Emergency Department, CGH and GRH
Gloucestershire
GL1 3NN
Employer's website
(Opens in a new tab)
Employer details
Employer name
Gloucestershire Hospitals NHS Foundation Trust
Address
Emergency Department, CGH and GRH
Gloucestershire
GL1 3NN
Employer's website
(Opens in a new tab)