Job summary
The post holder will work as an Advanced Critical Care Practitioner (ACCP) within a consultant-led, multi-professional critical care team, providing expert clinical management and care critically unwell patients, across Adult Intensive Care and trust-wide services as required.
This post is open to qualified ACCPs who have successfully completed an MSc in Advanced Clinical Practice (Critical Care) (or equivalent) and hold Membership of the Faculty of Intensive Care Medicine (FICM). Applicants must be fully credentialed and eligible to practice independently within the ACCP scope of practice.
The ACCP will function autonomously within agreed clinical guidelines, while working closely with critical care clinical team and the responsible on-call consultant intensivist, to whom they are professionally accountable on a day-to-day basis. The post holder will participate fully in the ACCP rota, providing a high level of advanced clinical decision-making, procedural skills, and leadership within the critical care environment.
The role includes a minimum of 80% clinical commitment, with the remaining time allocated to non-clinical activities, including service development, quality improvement, education, leadership, and research. The post holder will be expected to contribute to the ongoing development and sustainability of the ACCP service, support quality improvement initiatives within the department, and develop an area of specialist interest aligned with service needs.
Main duties of the job
KEY RESPONSIBILITIES.
- To work at a high level of advanced practice, providing clinical expertise
- To provide professional leadership and support within a multi-professional team
- To cover a 24hr, 7-day service including a combination of long days, nights and weekend shifts.
- To act as a senior role model within critical care
- To contribute to the development of the ACCP role within Critical Care and the Trust.
- To work across organisational departments, policies, and professional boundaries to improve the quality of patient care for critically ill patients.
- To enhance continuity of patient care.
- To monitor the effectiveness of the role.
- To support and mentor future Advanced Critical Care Practitioners.
- Understands the professional accountability and legal frameworks for advanced practice.
About us
Guy's and St Thomas' NHS Foundation Trust iaamong 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 have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
ORGANISATIONAL VALUES:
Our values describe who we are as an organisation and help shape our Guy's and St Thomas' culture. They guide us in everything that we do and are central to how we deliver our strategy.
We are
Caring:we put patients first
Ambitious:we innovate and strive for excellence
Inclusive:we respect each other and work collaboratively
Job description
Job responsibilities
MAIN RESPONSABILITIES
- To work at a high level of advanced practice, providing clinical expertise
- To provide professional leadership and support within a multi-professional team
- To cover a 24hr, 7-day service including a combination of long days, nights and weekend shifts.
- To act as a senior role model within critical care
- To contribute to the development of the ACCP role within Critical Care and the Trust.
- To work across organisational departments, policies, and professional boundaries to improve the quality of patient care for critically ill patients.
- To enhance continuity of patient care.
- To monitor the effectiveness of the role.
- To support and mentor future Advanced Critical Care Practitioners.
- Understands the professional accountability and legal frameworks for advanced practice.
COMMUNICATION
- Maintain and promote effective communication with teams in all clinical areas and all the multi-disciplinary team and all units, wards and departments.
- To promote trust values to all individuals, groups and organisations both internally and externally.
- To support the critical care management and leadership team.
- Deal with sensitive information and communicating unpleasant news both in a professional and compassionate manner.
- Demonstrate skills of motivation and negotiation in an aim to improve quality of patient care.
- To be able to give informal and formal presentations and teaching sessions related to learning within a critical care environment.
CLINICAL AND PATIENT CARE:
- To work competently in the role of ACCP, being aware of the boundaries of the role, referring patients appropriately to other healthcare professionals as required.
- To perform advanced physiological assessment of critically ill patients regardless of location (ICU/HDU/Theatres/Recovery/Wards).
- To analyse and/or collect information from the physiological assessment, patient history, diagnostic data and identify relevant problems.
- To use appropriate clinical decision making to initiate appropriate management/treatment according to agreed protocols and guidelines.
- To prescribe in adherence to non-medical local policy & governance structures.
- To be an ALS & CALs provider.
- To undertake airway management skills, both directly and indirectly supervised within the boundaries of individual skill set.
- To Initiate and subsequently management mechanical ventilation, which will include monitoring blood gases and altering ventilator settings to ensure optimal ventilation.
- To undertake intra-hospital transfer of the critically ill patient as deemed appropriate and within their limitations.
- To undertake and organise the management of patients with tracheostomy in the Intensive Care Unit and ward areas, including initiating and managing tube changes and decannulation.
- Initiate admission to and discharge from the Intensive Care, Recovery and Step Up after consultation with the consultant in charge of the unit. This would include admission clerking and discharge summaries.
- To perform procedures common to the Critical Care environment including but not limited to peripheral and central venous access, arterial puncture and cannulation, bronchoscopy and transfer of stable level 3 patients.
- To adhere to the Trust and Critical Care guidelines.
- To work flexibly as a member of the Critical Care Team supporting the critical care MDT.
- Recognise and take appropriate actions with regards to critical incidents using appropriate pathways.
- To interpret and utilise complex data obtained from effective use of current invasive and non-invasive monitoring equipment initiating appropriate management.
- To request initial laboratory and radiological tests as required.
- To request and authorise blood products as required.
- To interpret laboratory and radiological results initiating appropriate management.
- To communicate highly complex and sensitive information to patients and relatives.
- To present at critical care MDT and handover.
- To provide accurate and effective clinical handovers.
- To manage a caseload of discharged patients, follow up patients discharged from critical care, and assist with the critical care Follow-Up Clinic.
TRAINING AND EDUCATION
- To maintain registration, credentialing, and good standing as an ACCP, including continued FICM Membership.
- To demonstrate ongoing compliance with the national ACCP FICM Competency Framework, maintaining evidence of competence and scope of practice appropriate to the role.
- To maintain an up-to-date training portfolio, including clinical skills logbooks, continuing professional development (CPD) activity, and evidence of revalidation where applicable.
- To participate in regular appraisal, professional development reviews, and job planning, contributing to the identification of individual learning needs and targeted development plans.
- To engage in continuing professional development, including maintenance and extension of advanced clinical skills, aligned with service requirements and personal areas of specialist interest.
- To contribute to and participate in quality improvement, education, and research activities, supporting the ongoing development of the ACCP workforce and critical care service.
- To undertake annual appraisal and performance review, including assessment of clinical practice, professional development, and contribution to the wider service.
EDUCATIONAL
- To work collaboratively with the ACCP Lead, Critical Care Education Team, and senior clinicians to contribute to the development, delivery, and evaluation of the Critical Care education strategy.
- To maintain mandatory and role-specific training relevant to advanced critical care practice (e.g. advanced life support, blood authorisation), in line with local and national requirements.
- To plan, deliver, and support formal and informal education and training for critical care staff, including multidisciplinary teaching at bedside, simulation, and classroom-based sessions.
- To evaluate the impact and effectiveness of educational activity, using feedback, reflection, and outcome measures, and adapt teaching approaches to ensure alignment with service and workforce needs.
MANAGEMENT AND LEADERSHIP
- Adopt a leadership style that motivates and empowers other healthcare professionals to attain high standards of patient care and professional development.
- Foster a supportive working environment, maintain staff morale, and facilitate good and effective communications to the development of a robust team within their area of responsibility, ensuring a workforce fit for purpose.
- To act as a role model and promote advanced practice opportunities in the Trust.
- Encourages and supervises other members of the critical care team including nurses, allied health professionals and junior members of the medical team to develop their clinical skills, assesses advanced clinical competencies and knowledge.
CLINICAL GOVERNANCE AND PATIENT SAFETY
- Effectively communicate the role of Advanced Critical Care Practitioner with the patient, families, and staff.
- Acts as a specialist resource to other members of the organisation, patients and their families.
- Always advocate and prioritise care in the best interest of the patient.
- Be responsible for ensuring the agreed programme of work is achieved in the allotted time frame.
- Develop and review systems/policies to ensure good communication and team effectiveness.
- Be responsible for the deployment of HR policies within their sphere of responsibility.
- Implement the recommendation of Improving Working Lives and act on the results of the staff survey.
- Ensure the Critical Care Team are kept informed of the progress of the role and provide the opportunities for suggestion and comments to improve the care delivery.
- Update patients health records and ensure record keeping is timely and accurate at all times ensuring patient confidentiality is maintained.
POLICY AND SERVICE DEVELOPMENT
- Ensure the constant provision of effective, high-quality care to all patients.
- To support and work with the multi-disciplinary team in the introduction of clinical changes.
- To be actively involved in the development of critical care related protocols and procedures in conjunction with other members of the multidisciplinary team.
- Maintain, update and develop personal and professional knowledge and skills, using the performance management, enabling standards of patient care to be constantly monitored and improved.
- To participate in the business planning process, helping to identify areas for service development.
RESEARCH/AUDIT
- Regularly undertake audit and research within the service.
- Identify potential areas for service improvement.
- Seek to improve the quality of service through application of best evidence.
- Identify areas for improvement in the management of acutely ill patients throughout the organisation.
- Participate in research studies whenever possible and publish outcomes as appropriate.
- Monitor the effectiveness of the role by development of appropriate audit measures.
- Identify areas of critical care practice that need to be researched.
- Be innovative in widening professional boundaries in non-traditional workforce.
Job description
Job responsibilities
MAIN RESPONSABILITIES
- To work at a high level of advanced practice, providing clinical expertise
- To provide professional leadership and support within a multi-professional team
- To cover a 24hr, 7-day service including a combination of long days, nights and weekend shifts.
- To act as a senior role model within critical care
- To contribute to the development of the ACCP role within Critical Care and the Trust.
- To work across organisational departments, policies, and professional boundaries to improve the quality of patient care for critically ill patients.
- To enhance continuity of patient care.
- To monitor the effectiveness of the role.
- To support and mentor future Advanced Critical Care Practitioners.
- Understands the professional accountability and legal frameworks for advanced practice.
COMMUNICATION
- Maintain and promote effective communication with teams in all clinical areas and all the multi-disciplinary team and all units, wards and departments.
- To promote trust values to all individuals, groups and organisations both internally and externally.
- To support the critical care management and leadership team.
- Deal with sensitive information and communicating unpleasant news both in a professional and compassionate manner.
- Demonstrate skills of motivation and negotiation in an aim to improve quality of patient care.
- To be able to give informal and formal presentations and teaching sessions related to learning within a critical care environment.
CLINICAL AND PATIENT CARE:
- To work competently in the role of ACCP, being aware of the boundaries of the role, referring patients appropriately to other healthcare professionals as required.
- To perform advanced physiological assessment of critically ill patients regardless of location (ICU/HDU/Theatres/Recovery/Wards).
- To analyse and/or collect information from the physiological assessment, patient history, diagnostic data and identify relevant problems.
- To use appropriate clinical decision making to initiate appropriate management/treatment according to agreed protocols and guidelines.
- To prescribe in adherence to non-medical local policy & governance structures.
- To be an ALS & CALs provider.
- To undertake airway management skills, both directly and indirectly supervised within the boundaries of individual skill set.
- To Initiate and subsequently management mechanical ventilation, which will include monitoring blood gases and altering ventilator settings to ensure optimal ventilation.
- To undertake intra-hospital transfer of the critically ill patient as deemed appropriate and within their limitations.
- To undertake and organise the management of patients with tracheostomy in the Intensive Care Unit and ward areas, including initiating and managing tube changes and decannulation.
- Initiate admission to and discharge from the Intensive Care, Recovery and Step Up after consultation with the consultant in charge of the unit. This would include admission clerking and discharge summaries.
- To perform procedures common to the Critical Care environment including but not limited to peripheral and central venous access, arterial puncture and cannulation, bronchoscopy and transfer of stable level 3 patients.
- To adhere to the Trust and Critical Care guidelines.
- To work flexibly as a member of the Critical Care Team supporting the critical care MDT.
- Recognise and take appropriate actions with regards to critical incidents using appropriate pathways.
- To interpret and utilise complex data obtained from effective use of current invasive and non-invasive monitoring equipment initiating appropriate management.
- To request initial laboratory and radiological tests as required.
- To request and authorise blood products as required.
- To interpret laboratory and radiological results initiating appropriate management.
- To communicate highly complex and sensitive information to patients and relatives.
- To present at critical care MDT and handover.
- To provide accurate and effective clinical handovers.
- To manage a caseload of discharged patients, follow up patients discharged from critical care, and assist with the critical care Follow-Up Clinic.
TRAINING AND EDUCATION
- To maintain registration, credentialing, and good standing as an ACCP, including continued FICM Membership.
- To demonstrate ongoing compliance with the national ACCP FICM Competency Framework, maintaining evidence of competence and scope of practice appropriate to the role.
- To maintain an up-to-date training portfolio, including clinical skills logbooks, continuing professional development (CPD) activity, and evidence of revalidation where applicable.
- To participate in regular appraisal, professional development reviews, and job planning, contributing to the identification of individual learning needs and targeted development plans.
- To engage in continuing professional development, including maintenance and extension of advanced clinical skills, aligned with service requirements and personal areas of specialist interest.
- To contribute to and participate in quality improvement, education, and research activities, supporting the ongoing development of the ACCP workforce and critical care service.
- To undertake annual appraisal and performance review, including assessment of clinical practice, professional development, and contribution to the wider service.
EDUCATIONAL
- To work collaboratively with the ACCP Lead, Critical Care Education Team, and senior clinicians to contribute to the development, delivery, and evaluation of the Critical Care education strategy.
- To maintain mandatory and role-specific training relevant to advanced critical care practice (e.g. advanced life support, blood authorisation), in line with local and national requirements.
- To plan, deliver, and support formal and informal education and training for critical care staff, including multidisciplinary teaching at bedside, simulation, and classroom-based sessions.
- To evaluate the impact and effectiveness of educational activity, using feedback, reflection, and outcome measures, and adapt teaching approaches to ensure alignment with service and workforce needs.
MANAGEMENT AND LEADERSHIP
- Adopt a leadership style that motivates and empowers other healthcare professionals to attain high standards of patient care and professional development.
- Foster a supportive working environment, maintain staff morale, and facilitate good and effective communications to the development of a robust team within their area of responsibility, ensuring a workforce fit for purpose.
- To act as a role model and promote advanced practice opportunities in the Trust.
- Encourages and supervises other members of the critical care team including nurses, allied health professionals and junior members of the medical team to develop their clinical skills, assesses advanced clinical competencies and knowledge.
CLINICAL GOVERNANCE AND PATIENT SAFETY
- Effectively communicate the role of Advanced Critical Care Practitioner with the patient, families, and staff.
- Acts as a specialist resource to other members of the organisation, patients and their families.
- Always advocate and prioritise care in the best interest of the patient.
- Be responsible for ensuring the agreed programme of work is achieved in the allotted time frame.
- Develop and review systems/policies to ensure good communication and team effectiveness.
- Be responsible for the deployment of HR policies within their sphere of responsibility.
- Implement the recommendation of Improving Working Lives and act on the results of the staff survey.
- Ensure the Critical Care Team are kept informed of the progress of the role and provide the opportunities for suggestion and comments to improve the care delivery.
- Update patients health records and ensure record keeping is timely and accurate at all times ensuring patient confidentiality is maintained.
POLICY AND SERVICE DEVELOPMENT
- Ensure the constant provision of effective, high-quality care to all patients.
- To support and work with the multi-disciplinary team in the introduction of clinical changes.
- To be actively involved in the development of critical care related protocols and procedures in conjunction with other members of the multidisciplinary team.
- Maintain, update and develop personal and professional knowledge and skills, using the performance management, enabling standards of patient care to be constantly monitored and improved.
- To participate in the business planning process, helping to identify areas for service development.
RESEARCH/AUDIT
- Regularly undertake audit and research within the service.
- Identify potential areas for service improvement.
- Seek to improve the quality of service through application of best evidence.
- Identify areas for improvement in the management of acutely ill patients throughout the organisation.
- Participate in research studies whenever possible and publish outcomes as appropriate.
- Monitor the effectiveness of the role by development of appropriate audit measures.
- Identify areas of critical care practice that need to be researched.
- Be innovative in widening professional boundaries in non-traditional workforce.
Person Specification
Qualifications & Education
Essential
- Membership of the Faculty of Intensive Care Medicine (FICM)
- Independent non-medical prescribing qualification
- MSc in Advanced Clinical Practice (Critical Care) or equivalent
- Evidence of study and practice at master's level
- Current Advanced Life Support (ALS) provider/instructor status
Desirable
- Formal teaching and/or education qualification
- Formal leadership or management qualification
Professional registration
Essential
- Current HCPC/NMC registration
Previous experience
Essential
- Substantial experience working at an advanced or senior level within Critical Care or Acute Care
- Demonstrated advanced clinical reasoning across a broad range of acute and critical care presentations
- Evidence of autonomous practice, clinical leadership, and effective decision-making in complex and high-pressure environments
- Proven leadership and management experience, including service development or change management
- Experience in supervision, teaching, and mentorship of staff and/or trainees
- Experience of patient advocacy within complex clinical settings
- Involvement in audit, quality improvement, research, or evidence-based practice
- Experience of implementing or supporting service improvement initiatives
Desirable
- Evidence of continuing professional development
- Evidence of conference presentations, publications
Skills, knowledge and ability
Essential
- Advanced clinical, leadership, and professional skills relevant to Critical Care practice
- Ability to clinically lead, influence, and support multidisciplinary teams
- Excellent communication skills, both verbal and written, with all members of the MDT
- Ability to build and maintain effective professional relationships and credibility with stakeholders
- Strong organisational skills with the ability to prioritise workload and manage competing demands
- Demonstrates insight into own scope of practice, limitations, and use of reflective practice
- Up-to-date knowledge of current clinical, professional, and service-related issues in Critical Care
- Ability to undertake and contribute to audit, research, and quality improvement
- Competent IT and digital skills, including electronic patient records and data analysis
- Effective presentation and teaching skills
Desirable
- Competence in Advanced Skills such as bronchoscopy, echo, CALS, etc
- Non-Medical Blood Product Authoriser
- Demonstrate an understanding of resource management
Person Specification
Qualifications & Education
Essential
- Membership of the Faculty of Intensive Care Medicine (FICM)
- Independent non-medical prescribing qualification
- MSc in Advanced Clinical Practice (Critical Care) or equivalent
- Evidence of study and practice at master's level
- Current Advanced Life Support (ALS) provider/instructor status
Desirable
- Formal teaching and/or education qualification
- Formal leadership or management qualification
Professional registration
Essential
- Current HCPC/NMC registration
Previous experience
Essential
- Substantial experience working at an advanced or senior level within Critical Care or Acute Care
- Demonstrated advanced clinical reasoning across a broad range of acute and critical care presentations
- Evidence of autonomous practice, clinical leadership, and effective decision-making in complex and high-pressure environments
- Proven leadership and management experience, including service development or change management
- Experience in supervision, teaching, and mentorship of staff and/or trainees
- Experience of patient advocacy within complex clinical settings
- Involvement in audit, quality improvement, research, or evidence-based practice
- Experience of implementing or supporting service improvement initiatives
Desirable
- Evidence of continuing professional development
- Evidence of conference presentations, publications
Skills, knowledge and ability
Essential
- Advanced clinical, leadership, and professional skills relevant to Critical Care practice
- Ability to clinically lead, influence, and support multidisciplinary teams
- Excellent communication skills, both verbal and written, with all members of the MDT
- Ability to build and maintain effective professional relationships and credibility with stakeholders
- Strong organisational skills with the ability to prioritise workload and manage competing demands
- Demonstrates insight into own scope of practice, limitations, and use of reflective practice
- Up-to-date knowledge of current clinical, professional, and service-related issues in Critical Care
- Ability to undertake and contribute to audit, research, and quality improvement
- Competent IT and digital skills, including electronic patient records and data analysis
- Effective presentation and teaching skills
Desirable
- Competence in Advanced Skills such as bronchoscopy, echo, CALS, etc
- Non-Medical Blood Product Authoriser
- Demonstrate an understanding of resource management
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.
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.
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).
