Ironopolis Medical Group

Advanced Clinical Practitioner

The closing date is 26 February 2026

Job summary

The Advanced Clinical Practitioner (ACP) is a highly experienced and educated healthcare professional who has been assessed and deemed competent to practice at an advanced level. The ACP uses expert clinical knowledge and skills to work autonomously, exercising professional judgement in the assessment, diagnosis, treatment, and management of patients.

The post holder works at the level of advanced clinical practice and demonstrates the underpinning competencies relevant to their specialty or professional background. These competencies reflect the required knowledge, skills, and behaviours appropriate to the healthcare setting and role.

The role supports timely access to care and reduces unnecessary GP appointments by enabling patients to be assessed, diagnosed, and treated by the ACP without delay

Main duties of the job

The ACP is accountable for their professional practice and is expected to work autonomously within their defined scope of practice. Core responsibilities include, but are not limited to, the following:

Act autonomously in the assessment, diagnosis, interpretation of investigations, and treatment of patients.

Use advanced clinical reasoning and decision-making skills to manage patients presenting with acute, chronic, complex, and undifferentiated conditions.

Initiate, evaluate, and modify a range of clinical interventions, including:

Prescribing medicines- where qualified

Therapeutic interventions

Lifestyle and preventative advice

Care planning and follow-up

Exercise professional judgement to manage clinical risk, including escalation and referral where required.

Implement and evaluate individualised treatment plans, particularly for patients with long-term conditions.

Identify, manage, and support patients at risk of developing chronic disease, aiming to prevent deterioration and adverse outcomes.

Provide chronic disease clinics and refer patients appropriately to secondary or specialist services.

Maintain accurate, timely, and comprehensive clinical records in line with legislation and professional standards, ensuring effective use of SNOMED CT coding.

Deliver opportunistic health promotion and preventative care where appropriate.

Provide chaperoning when required.

Support the clinical team in managing medical emergencies.

About us

The Ironopolis Medical Group was formed through the administrative merger of Martonside Medical Centre (7900 patients) and The Endeavour Practice (9300 patients) in June 2017.

This position is for Martonside Medical Centre. The group has 6 GP partners and a management partner. Both sites are training practices.

Our clinical system is SystmOne.

Details

Date posted

19 February 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A5717-26-0000

Job locations

Martonside Medical Centre

Martonside Way

Middlesbrough

Cleveland

TS4 3BU


Job description

Job responsibilities

The ACP is accountable for their professional practice and is expected to work autonomously within their defined scope of practice. Core responsibilities include, but are not limited to, the following:

Act autonomously in the assessment, diagnosis, interpretation of investigations, and treatment of patients.

Use advanced clinical reasoning and decision-making skills to manage patients presenting with acute, chronic, complex, and undifferentiated conditions.

Initiate, evaluate, and modify a range of clinical interventions, including:

Prescribing medicines

Therapeutic interventions

Lifestyle and preventative advice

Care planning and follow-up

Exercise professional judgement to manage clinical risk, including escalation and referral where required.

Implement and evaluate individualised treatment plans, particularly for patients with long-term conditions.

Identify, manage, and support patients at risk of developing chronic disease, aiming to prevent deterioration and adverse outcomes.

Provide chronic disease clinics and refer patients appropriately to secondary or specialist services.

Maintain accurate, timely, and comprehensive clinical records in line with legislation and professional standards, ensuring effective use of SNOMED CT coding.

Deliver opportunistic health promotion and preventative care where appropriate.

Provide chaperoning when required.

Support the clinical team in managing medical emergencies.

Professional Practice, Leadership & Governance

Practice in accordance with the relevant professional code of conduct, maintaining accountability for decisions, actions, and omissions.

Demonstrate a critical understanding of professional autonomy and the limits of own competence, particularly when managing complexity, uncertainty, and incomplete information.

Apply professional judgement to determine when to seek advice or escalate concerns.

Act as a professional role model, demonstrating high standards of clinical practice and professional behaviour.

Support safeguarding responsibilities in line with national and local policy.

Understand and apply policies related to substance misuse and addictive behaviours, referring patients appropriately.

Contribute to clinical governance processes, including:

Significant event and near-miss reviews

Root cause analysis

Risk management and patient safety initiatives

Contribute to achieving organisational and national targets, including QOF, in line with local and regional guidance.

Communication & Partnership Working

Work in partnership with individuals, families, and carers using a range of assessment and communication approaches.

Demonstrate effective communication skills to support shared decision-making, care planning, and behaviour change.

Engage constructively with colleagues and multidisciplinary teams.

Seek and value feedback from patients, carers, communities, and colleagues to inform service improvement.

Job description

Job responsibilities

The ACP is accountable for their professional practice and is expected to work autonomously within their defined scope of practice. Core responsibilities include, but are not limited to, the following:

Act autonomously in the assessment, diagnosis, interpretation of investigations, and treatment of patients.

Use advanced clinical reasoning and decision-making skills to manage patients presenting with acute, chronic, complex, and undifferentiated conditions.

Initiate, evaluate, and modify a range of clinical interventions, including:

Prescribing medicines

Therapeutic interventions

Lifestyle and preventative advice

Care planning and follow-up

Exercise professional judgement to manage clinical risk, including escalation and referral where required.

Implement and evaluate individualised treatment plans, particularly for patients with long-term conditions.

Identify, manage, and support patients at risk of developing chronic disease, aiming to prevent deterioration and adverse outcomes.

Provide chronic disease clinics and refer patients appropriately to secondary or specialist services.

Maintain accurate, timely, and comprehensive clinical records in line with legislation and professional standards, ensuring effective use of SNOMED CT coding.

Deliver opportunistic health promotion and preventative care where appropriate.

Provide chaperoning when required.

Support the clinical team in managing medical emergencies.

Professional Practice, Leadership & Governance

Practice in accordance with the relevant professional code of conduct, maintaining accountability for decisions, actions, and omissions.

Demonstrate a critical understanding of professional autonomy and the limits of own competence, particularly when managing complexity, uncertainty, and incomplete information.

Apply professional judgement to determine when to seek advice or escalate concerns.

Act as a professional role model, demonstrating high standards of clinical practice and professional behaviour.

Support safeguarding responsibilities in line with national and local policy.

Understand and apply policies related to substance misuse and addictive behaviours, referring patients appropriately.

Contribute to clinical governance processes, including:

Significant event and near-miss reviews

Root cause analysis

Risk management and patient safety initiatives

Contribute to achieving organisational and national targets, including QOF, in line with local and regional guidance.

Communication & Partnership Working

Work in partnership with individuals, families, and carers using a range of assessment and communication approaches.

Demonstrate effective communication skills to support shared decision-making, care planning, and behaviour change.

Engage constructively with colleagues and multidisciplinary teams.

Seek and value feedback from patients, carers, communities, and colleagues to inform service improvement.

Person Specification

Experience

Essential

  • Advanced clinical knowledge and skills within own professional specialty.
  • Strong understanding of evidence-based practice.
  • Broad knowledge of clinical governance and patient safety.
  • Ability to maintain accurate and high-quality clinical records.
  • Clear understanding of professional scope of practice and appropriate referral to medical colleagues.
  • Knowledge of health promotion and preventative strategies.
  • Understanding of PGDs and related policy frameworks.
  • Confident, professional, and adaptable approach to work.
  • Strong problem-solving and analytical skills.
  • Ability to work under pressure and in emotionally demanding situations.
  • High levels of integrity, professionalism, and accountability.
  • Empathetic and sensitive approach to patient care.

Desirable

  • Experience of working in primary care.
  • Experience of working in a GP Practice.
  • Experience of prescribing and undertaking medication reviews
Person Specification

Experience

Essential

  • Advanced clinical knowledge and skills within own professional specialty.
  • Strong understanding of evidence-based practice.
  • Broad knowledge of clinical governance and patient safety.
  • Ability to maintain accurate and high-quality clinical records.
  • Clear understanding of professional scope of practice and appropriate referral to medical colleagues.
  • Knowledge of health promotion and preventative strategies.
  • Understanding of PGDs and related policy frameworks.
  • Confident, professional, and adaptable approach to work.
  • Strong problem-solving and analytical skills.
  • Ability to work under pressure and in emotionally demanding situations.
  • High levels of integrity, professionalism, and accountability.
  • Empathetic and sensitive approach to patient care.

Desirable

  • Experience of working in primary care.
  • Experience of working in a GP Practice.
  • Experience of prescribing and undertaking medication reviews

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Ironopolis Medical Group

Address

Martonside Medical Centre

Martonside Way

Middlesbrough

Cleveland

TS4 3BU


Employer's website

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


Employer details

Employer name

Ironopolis Medical Group

Address

Martonside Medical Centre

Martonside Way

Middlesbrough

Cleveland

TS4 3BU


Employer's website

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


Employer contact details

For questions about the job, contact:

Operations Manager

Emma Kane

emma.kane9@nhs.net

01642812226

Details

Date posted

19 February 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A5717-26-0000

Job locations

Martonside Medical Centre

Martonside Way

Middlesbrough

Cleveland

TS4 3BU


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