Go back Guy's and St Thomas' NHS Foundation Trust
Advanced Nurse Practitioner
The closing date is 12 October 2025
The Evelina are seeking a highly-motivated and dynamic individual to join a growing team of Paediatric Critical Care Advanced Clinical Practitioners (PCCACP). Applicants from professional groups who are eligible to undertake non-medical prescribing under current statutory regulation with significant Critical Care experience as an AP, are welcomed to apply.
Closing Date: 12th October 2025
Interview Date: 20th October 2025
Main duties of the job
The post holder will work as a member of PCC and STRS as an Advanced Nurse Practitioner and be an expert practitioner and role model with PCC and retrieval. The Advanced Nurse Practitioner is an experienced registered nurse with specialist skills to assess and treat patients and manage the clinical environment, in liaison with the management and consultant team. The nurse will act as an autonomous practitioner in forming clinical decisions and complex management plans in the diagnosis, assessment and treatment of patients. In conjunction with senior nursing and consultant staff formulate the development of clinical guidance for all aspects of clinical practice within the clinical speciality. The post holder will develop new areas of practice, with nursing and consultant staff ensuring quality standards are met. The post holder will work closely with the interdisciplinary team and collaborate with colleagues to ensure that high quality patient care is maintained
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We are the lead centre for paediatric intensive care in the south-east region and home of the South Thames Retrieval Service (STRS), a transport service for all critically ill children south of the river Thames. STRS receives over 1,800 referrals a year, moves around 900 children between hospitals and provides training and simulation courses to partner hospitals.
The expectation would be for the successful candidate to work within both the paediatric critical care team (PCC) and South Thames Retrieval Service (STRS) delivering high standard care and specialist care.
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
Job responsibilities
1. 1.1 Management and Clinical Leadership
Work autonomously across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems;
To receive patients with undifferentiated and undiagnosed problems and make an assessment of their health care needs, based on highly-developed nursing knowledge and skills.
To be responsible for ordering necessary investigations and provide treatment and care both individually, as part of a team, and through referral to other agencies.
To make differential diagnoses using decision-making and problem-solving skills and have the authority to admit or discharge patients from their caseload, and refer patients to other health care providers as appropriate.
To provide a consultancy and clinical leadership function as required.
To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing.
Support and enable patients and carers to make informed decisions relating to their treatment and management.
Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant.
Negotiate and facilitate the management of change in practices to achieve best practice in services.
To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures.
To support and facilitate the development of clinical skills for the nurses
Line manages members of the local nursing and support team as appropriate including clinical nurse specialists
Lead the nursing team in establishing and maintaining effective communication channels with multi-disciplinary team, patients and their carers and external agencies.
Coordinate, lead and manage the activities of clinical environment on a day to day basis.
Establish regular dialogue with local and tertiary referral centres sharing good practice.
Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups e.g. TNMC.
To lead relevant departmental nursing meetings
Investigation of complaints relating to patient care, leading the development of action plans to address areas of concern, identifying learning and changes to practice.
Managing human resources issues, undertaking PDRs.
To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
To develop own managerial and administrative functions in conjunction with role developments.
2. 4.2 Service Development
Work in close partnership with the appropriate Clinical Leads and Service Managers to ensure all local, corporate and national initiatives and targets in relation to specialty are met.
Leading a national working party across multiple disciplines to ensure the same researched and evidence based treatment and care is given to complex patients at other centres throughout England.
Involved in leading the implementation of nursing developments/ initiatives introduced from the national Network or bodies.
To utilise information systems to aid regular audit of the clinical role and to provide an activity analysis and specialist report on a quarterly basis.
To provide expert input to the Trusts quality strategy by expressing the needs of the patient via a whole systems approach rather than a uni-professional view.
To have experience of facilitating change by collaborating with stakeholders within specialist area, across other professions and both intra and inter organisationally to produce innovative practice and service development showing improved patient outcomes.
Perform and report on quality assurance measurements of the new initiatives relating to service within the Trust and relevant agencies.
Identify and take forward the specific contribution nurse Practitioners within service can make to the future development of the service.
Accountable for all aspects of the allocated budget.
Ensure best practice and good value for money when ordering supplies and maintaining stocks and adhere to the Trusts code of practice for financial management
To have regular meetings regarding the budget with the service delivery manager.
3. 4.5 Information management
Responsible for the systematic weekly monitoring of investigations and appointments, in collaboration with the administration and managerial staff.
Ensure compliance to the 18 week pathway and other service developments.
Provide an annual report of the statistics, Key performance indicators, service and practice developments.
Provide a high standard of documentation according the trusts documentation policy and the NMC guidance on standards for good record keeping and information governance standards.
4. 4.6 Education & Developing others
Enable patients/clients to learn by designing and coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage.
Develop robust governance systems by contributing to the development and implementation of evidence-based protocols, documentation processes, standards, policies and clinical guidelines through interpreting and synthesising information from a variety of sources and promoting their use in practice
Work in collaboration with others to plan and deliver interventions to meet the learning and development needs of their own and other professions;
Advocate and contribute to the development of an organisational culture that supports continuous learning and development, evidence-based practice and succession planning;
Embrace the current awareness of local regional, national and international perspectives in clinical speciality.
Provide training and education opportunities with the team, within the trust, local and national areas.
5. 4.7 Research and Development
To participate in projects and research that will enhance personal performance and the operation of the service. To contribute towards meeting the objectives of the Nursing & Midwifery Strategy.
6. 4.8 Professional Accountability
To comply with all Trust policies and procedures
To act in accordance with the NMC code of conduct and other Trust, professional and statutory guidance, policies and rules.
To make professionally autonomous decisions, for which they are accountable.
Responsible for own professional development and clinical/managerial update.
To undertake any other duties commensurate with the grade as directed by the Head of Nursing/ Consultant Nurse/Matron.
Person Specification
Qualifications/ Education
* Bachelors Degree in nursing, health or management related studies.
* Be an independent prescriber according to the Trusts Non medical prescribing policy
* Certificated specialty courses within paediatric intensive care
* Advanced physical assessment skills
* Teaching and Assessment qualification
Professional/ Statutory Registration
* Registered with the NMC as an RN-Child
* Meet NMC revalidation standards
* Broad clinical experience relevant to the post, including specialist skills and experience in speciality.
* A proven track record of clinical service management at a senior level in an acute hospital environment, including staff management, financial management and change management.
* Demonstrate evidence of engaging stakeholders and influencing the development and improvement of practice, patient care and service delivery.
* Experience of working as an ACP
* Experience of handling clinical incidents and complaints and implementation of subsequent learning
* Awareness of evidence based practice and current research
* Experience of teaching patients and staff and others including health promotion and prevention orientation
* Publishing papers and presenting at conferences
Skills/Knowledge/ Ability
* Advanced assessment and history taking skills
* Advanced theoretical and practical knowledge of speciality with a wide range of approaches to the management of patients, demonstrated by advanced clinical reasoning, critical thinking and be able to comprehensively assess patients for risk factors and early signs of illness
* Ability to lead within the nursing profession and multi-professional working; within an organisation and across organisation boundaries, being able to identify and implement systems to promote their contribution and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector;
* Ability to draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions);
* Excellent time management and organisational skills
* Evidence of managing clinical services, service innovation and up-to-date knowledge of nursing policy and strategy, together with successful change management experience and a proven track record in launching new initiatives
* Ability to manage change and contain conflict ensuring resolution with positive outcomes, with use of negotiation skills
* Ability to translate and integrate evidence based research/guidelines into the development of local pathways of care
* Ability to develop working relationships locally, regionally and nationally
* Demonstrate strong leadership skills in contexts that are unfamiliar, complex, and unpredictable and provide consultancy services to their own and other professions on therapeutic interventions, practice and service development;
* Advanced communication skills demonstrated through the delivery of presentations and producing articles
* Ability to critically appraise and synthesise the outcomes of relevant research evaluations and audits.
Additional Information
* High level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude;
* Strong sense of commitment to openness, honesty and integrity in undertaking the role.
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.
Guy's and St Thomas' NHS Foundation Trust
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