ELM HAYES SURGERY

Advanced Clinical Practitioner

The closing date is 28 October 2025

Job summary

Elm Hayes Surgery, Paulton, Near Bath are seeking an Advanced Clinical Practitioner

Salary:Depending on experience

Working Pattern:Up to 6 Sessions per week

Job summary

We are seeking an experienced and motivated Advanced Clinical Practitioner (ACP) to join our innovative and friendly general practice team. The successful candidate will deliver high-quality, patient-centered care and operate with a high degree of autonomy in a primary care setting.

The ACP will use specialist knowledge and clinical skills to manage a diverse caseload, providing care for patients with undiagnosed, undifferentiated, and complex conditions. You will be a member of the clinical team contributing to the development of our clinical team and service delivery.

Main duties of the job

Main duties and responsibilities

  • Clinical practice:As an autonomous practitioner, you will manage a wide range of health needs through face-to-face appointments, telephone consultations, and home visits.
    • Assess, diagnose, and treat patients presenting with undifferentiated and undiagnosed problems and follow up of patients after initial presentation.
    • Undertake physical examinations and interpret diagnostic results to formulate and implement treatment plans.
    • Ideally to be able to act as an independent prescriber, reviewing and amending medication as clinically appropriate, although this is not essential.
    • Manage patients with complex and long-term conditions.
    • Act as a clinical expert, supporting the delivery of high-quality, evidence-based care.
    • Contribute on clinical policy and service development within the practice.
  • Research and audit:
    • Contribute to clinical governance by undertaking audits and quality improvement projects.
    • Implement evidence-based practices to ensure the highest standards of care.
  • Education and development:
    • Participate in the training and education of other healthcare professionals.
    • Actively engage in ongoing professional development and maintain your skills and knowledge.

About us

About us

We are a 9000 patient practice committed to delivering a sustainable and patient-focused primary healthcare service. Our team includes 4 GP Partners, 3 Salaried GPs, nurses and ARRS staff including Clinical Pharmacists, General Practice Assistants, Social Prescribers, and Care Co-ordinators, and we actively support staff development

Details

Date posted

30 September 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A3208-25-0002

Job locations

CLANDOWN ROAD

PAULTON

BRISTOL

SOMERSET

BS39 7SF


Job description

Job responsibilities

The following are the core responsibilities of the ACP in delivering health services.

a. Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice

b. 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

c. Act on professional judgement about seeking help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change

d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

e. Develop, implement and embed health promotion and wellbeing programmes

f. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

g. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change

h. Use expertise and decision-making skills to inform clinical reasoning

i. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care

j. Exercise professional judgement to manage risk

k. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

l. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

m. Request and collect pathological specimens. Upon receipt, process and interpret pathology and other test results as required

n. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

o. Chaperone patients where necessary

p. Prioritise health issues and intervene appropriately

q. Support the team in dealing with clinical emergencies

r. Recognise, assess and refer patients presenting with mental health needs

s. Support in the provision of vaccination programmes for both adults and children

t. Ideally be an extended and supplementary prescriber, adhering to extant guidance

u. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

v. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

w. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

x. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

y. Deliver opportunistic health promotion where appropriate

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Job description

Job responsibilities

The following are the core responsibilities of the ACP in delivering health services.

a. Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice

b. 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

c. Act on professional judgement about seeking help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change

d. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate

e. Develop, implement and embed health promotion and wellbeing programmes

f. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health

g. Demonstrate effective communication skills, supporting people in making decisions, planning care or seeking to make a positive change

h. Use expertise and decision-making skills to inform clinical reasoning

i. Initiate, evaluate and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care

j. Exercise professional judgement to manage risk

k. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice

l. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

m. Request and collect pathological specimens. Upon receipt, process and interpret pathology and other test results as required

n. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

o. Chaperone patients where necessary

p. Prioritise health issues and intervene appropriately

q. Support the team in dealing with clinical emergencies

r. Recognise, assess and refer patients presenting with mental health needs

s. Support in the provision of vaccination programmes for both adults and children

t. Ideally be an extended and supplementary prescriber, adhering to extant guidance

u. Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

v. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

w. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

x. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

y. Deliver opportunistic health promotion where appropriate

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Person Specification

Qualifications

Essential

  • Person specification
  • Qualifications
  • Essential:
  • Active, clean registration with the relevant professional body (e.g., NMC, HCPC).
  • Masters degree in Advanced Clinical Practice (or working towards/willingness to undertake).
  • Independent prescribing qualification (V300).
  • Experience
  • Significant experience working as an autonomous advanced clinical practitioner.
  • Proven experience working within a general practice or other primary/urgent care environment.
  • Experience managing patients with complex and long-term conditions.
  • Excellent communication and interpersonal skills.
  • Advanced clinical assessment and diagnostic skills.
  • Strong clinical decision-making and problem-solving skills.
  • Ability to work both independently and collaboratively within a multidisciplinary team.
  • Proficiency in IT and clinical record-keeping.
  • Other requirements
  • Full UK driving licence and access to a vehicle.
  • Commitment to continuous professional development.

Desirable

  • Desirable:
  • Experience in change management or service improvement initiatives.
  • Mentorship qualification.
  • Experience with specific clinical systems (e.g., SystmOne).
  • Experience providing clinical leadership and mentorship.
  • Skills and abilities
Person Specification

Qualifications

Essential

  • Person specification
  • Qualifications
  • Essential:
  • Active, clean registration with the relevant professional body (e.g., NMC, HCPC).
  • Masters degree in Advanced Clinical Practice (or working towards/willingness to undertake).
  • Independent prescribing qualification (V300).
  • Experience
  • Significant experience working as an autonomous advanced clinical practitioner.
  • Proven experience working within a general practice or other primary/urgent care environment.
  • Experience managing patients with complex and long-term conditions.
  • Excellent communication and interpersonal skills.
  • Advanced clinical assessment and diagnostic skills.
  • Strong clinical decision-making and problem-solving skills.
  • Ability to work both independently and collaboratively within a multidisciplinary team.
  • Proficiency in IT and clinical record-keeping.
  • Other requirements
  • Full UK driving licence and access to a vehicle.
  • Commitment to continuous professional development.

Desirable

  • Desirable:
  • Experience in change management or service improvement initiatives.
  • Mentorship qualification.
  • Experience with specific clinical systems (e.g., SystmOne).
  • Experience providing clinical leadership and mentorship.
  • Skills and abilities

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

ELM HAYES SURGERY

Address

CLANDOWN ROAD

PAULTON

BRISTOL

SOMERSET

BS39 7SF


Employer's website

https://elmhayessurgery.co.uk/ (Opens in a new tab)

Employer details

Employer name

ELM HAYES SURGERY

Address

CLANDOWN ROAD

PAULTON

BRISTOL

SOMERSET

BS39 7SF


Employer's website

https://elmhayessurgery.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Dave Emery

bswicb.elmhayes@nhs.net

01761413155

Details

Date posted

30 September 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A3208-25-0002

Job locations

CLANDOWN ROAD

PAULTON

BRISTOL

SOMERSET

BS39 7SF


Privacy notice

ELM HAYES SURGERY's privacy notice (opens in a new tab)