Lewisham and Greenwich NHS Trust

Advanced Clinical Practitioner - Urgent Community Response

The closing date is 11 February 2026

Job summary

The post holder will support a new way of working by practising as a member of the integrated multi-disciplinary Urgent Community Response (UCR) teamseeing patients in their usual place of residence, providing a rapid assessment service, specialising in frailty and elderly care, at the interface between primary and secondary care.

The postholder will need to complete Lewisham & Greenwich Trust competency framework as an independent practitioner to be banded as an 8a.Whilst this post is being advertised at Band 8a, we would alsoconsiderapplications from experienced clinicians whodemonstratethe potential to develop into the role.

For the right candidate with significant clinical experience, we may consider appointing at Band 7 in a trainee capacity, with progression to Band 8a on successful completion of agreed competencies and portfolio requirements.

The post holder willbe requiredto have a full UK driving license and access to a car.

Main duties of the job

To deliver andparticipate in clinical care of patients and provide a level of advanced and comprehensive assessment, based on a specialist body of knowledge, under supervision.Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team. To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

Order and interpret investigations, laboratory tests, x-rays and act on results as appropriate.

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.To contribute to the development and improvement of systems and processes that facilitates patient flow.And maintain own clinical development by keeping abreast of new treatments and technologies

To help identify, plan and assist in the implementation of goals for clinical development of staff working within the designated clinical setting and adjacent assessment areas. Contribute/assist in the development of multidisciplinary research and clinical audit in the clinical setting and adjacent assessment areas, implementing effective and evidence-based practice.Develop research skills and provide support and appropriate implementation strategies for changes in clinical practice.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Details

Date posted

29 January 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year pa including HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

197-AJ-R-7848

Job locations

University Hospital Lewisham

Lewisham High St, London SE13 6LH

London

SE13 6LH


Job description

Job responsibilities

Key Duties and Responsibilities

1. Clinical

To deliver and participate in clinical care of patients

Provide a level of advanced and comprehensive assessment, based on a specialist body of knowledge, under supervision.

Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team

To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

Order and interpret investigations, laboratory tests, x-rays and act on results as appropriate.

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.

To contribute to the development and improvement of systems and processes that facilitates patient flow.

Maintain own clinical development by keeping abreast of new treatments and technologies

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach.

Under supervision practice with confidence and competence within your professional guidelines and code of conduct (NMC/HCPC/GPhC)

To ensure that accurate documentation and records of patient care are kept.

To assist in the development of assessment systems, processes and tools within the clinical setting and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.

Be able to anticipate barriers to effective communication and take action to improve communication.

2. Management and Leadership

Choose an area of special interest within advanced clinical practice with the intention to develop and take forward in your ACP role, also taking into consideration the needs of the service.

To develop own leadership skills within the Advanced Clinical Practitioner Team.

Contribute in the development of a specialist service and act as a change agent and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.

Contribute to evidence-based policies and procedures specifically required by the team.

Contribute to development of clinical competencies for junior staff working within the team.

Develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.

Work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.

Participate in the recruitment, selection and retention of staff.

To be conversant with all Trust policies and procedures and ensure they are correctly implemented.

To represent the Trust on National Forums related to Advanced Clinical Practice.

Adhere to confidentiality at all times with sensitive personal data

Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

3. Education and Training

To help identify, plan and assist in the implementation of goals for clinical development of staff working within the designated clinical setting and adjacent assessment areas.

To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements of junior staff are addressed.

To assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.

To participate in teaching programmes for nursing in the care of patients with a range of clinical presentations as defined by the clinical area of practice.

4. Audit and Research

Contribute/assist in the development of multidisciplinary research and clinical audit in the clinical setting and adjacent assessment areas, implementing effective and evidence-based practice.

Develop research skills and provide support and appropriate implementation strategies for changes in clinical practice.

Participate and contribute to any on-going regional and national research to evaluate the effectiveness of care strategies related to the patient experience

To share best practice; through publications and attendance/presentation opportunities at conference level.

5. Resource Management

To apply sound financial evaluation to proposed service developments.

Maintain accurate records in relation to equipment used and maintained.

6. Risk Management

To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others.

To monitor incidents highlighted by members of the team and communicate to appropriate areas to address risk issues.

Promote best practice in health & safety, utilising unit and Trust policies.

Job description

Job responsibilities

Key Duties and Responsibilities

1. Clinical

To deliver and participate in clinical care of patients

Provide a level of advanced and comprehensive assessment, based on a specialist body of knowledge, under supervision.

Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team

To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.

Order and interpret investigations, laboratory tests, x-rays and act on results as appropriate.

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.

To contribute to the development and improvement of systems and processes that facilitates patient flow.

Maintain own clinical development by keeping abreast of new treatments and technologies

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

To rigorously review all aspects of the patients plan of care and identify and address issues that may result in a sub-standard service.

Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach.

Under supervision practice with confidence and competence within your professional guidelines and code of conduct (NMC/HCPC/GPhC)

To ensure that accurate documentation and records of patient care are kept.

To assist in the development of assessment systems, processes and tools within the clinical setting and adjacent clinical/assessment areas.

Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care.

Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate patients conditions verbally and in writing to other members of the health care team and contribute to the decision-making processes in patient management. Acting as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.

Be able to anticipate barriers to effective communication and take action to improve communication.

2. Management and Leadership

Choose an area of special interest within advanced clinical practice with the intention to develop and take forward in your ACP role, also taking into consideration the needs of the service.

To develop own leadership skills within the Advanced Clinical Practitioner Team.

Contribute in the development of a specialist service and act as a change agent and facilitate the change process whilst encouraging others to be innovative and adaptable in the approach to change.

Contribute to evidence-based policies and procedures specifically required by the team.

Contribute to development of clinical competencies for junior staff working within the team.

Develop and maintain effective communication with the multidisciplinary team to ensure high standards of care.

Work collaboratively with representatives of other clinical areas, disciplines and services to provide a seamless pathway of care.

Participate in the recruitment, selection and retention of staff.

To be conversant with all Trust policies and procedures and ensure they are correctly implemented.

To represent the Trust on National Forums related to Advanced Clinical Practice.

Adhere to confidentiality at all times with sensitive personal data

Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

3. Education and Training

To help identify, plan and assist in the implementation of goals for clinical development of staff working within the designated clinical setting and adjacent assessment areas.

To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements of junior staff are addressed.

To assist in the provision of clinical supervision and provide the opportunity to reflect and discuss areas of practice.

To participate in teaching programmes for nursing in the care of patients with a range of clinical presentations as defined by the clinical area of practice.

4. Audit and Research

Contribute/assist in the development of multidisciplinary research and clinical audit in the clinical setting and adjacent assessment areas, implementing effective and evidence-based practice.

Develop research skills and provide support and appropriate implementation strategies for changes in clinical practice.

Participate and contribute to any on-going regional and national research to evaluate the effectiveness of care strategies related to the patient experience

To share best practice; through publications and attendance/presentation opportunities at conference level.

5. Resource Management

To apply sound financial evaluation to proposed service developments.

Maintain accurate records in relation to equipment used and maintained.

6. Risk Management

To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others.

To monitor incidents highlighted by members of the team and communicate to appropriate areas to address risk issues.

Promote best practice in health & safety, utilising unit and Trust policies.

Person Specification

Qualifications

Essential

  • NMC registered Nurse / Other allied health care professional (HCPC).
  • ILS or ALS
  • Teaching / assessment / Mentorship Qualification.
  • Accredited autonomous practitioner qualification
  • Lewisham & Greenwich Trust approval as independent practitioner.

Desirable

  • Master's/DiP in advanced practice or equivalent.
  • Non-medical Prescribing course.
  • Leadership qualification

Experience

Essential

  • Significant experience post HCP qualification (5 years generally).
  • Teaching and assessment experience in clinical practice.
  • Experience of leadership.
  • Minimum 6 years' experience as HCP.
  • Minimum of 1 years' experience as ACP.

Desirable

  • Experience of service / practice development.
  • Experience in a range of care settings.

Skills, Knowledge & Ability

Essential

  • Advanced clinical assessment and documentation skills.
  • Evidence of radiology requesting
  • Critical decision-making skills
  • Competence in radiology requesting and interpretation
  • Autonomous clinical assessment skills
  • Clinical Audit and interest in research
  • Experience of non-medical prescribing
  • Evidence of multi-disciplinary-team working
  • Effective interpersonal skills with colleagues, patients and public
  • Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice
  • Full driving license with access to car
Person Specification

Qualifications

Essential

  • NMC registered Nurse / Other allied health care professional (HCPC).
  • ILS or ALS
  • Teaching / assessment / Mentorship Qualification.
  • Accredited autonomous practitioner qualification
  • Lewisham & Greenwich Trust approval as independent practitioner.

Desirable

  • Master's/DiP in advanced practice or equivalent.
  • Non-medical Prescribing course.
  • Leadership qualification

Experience

Essential

  • Significant experience post HCP qualification (5 years generally).
  • Teaching and assessment experience in clinical practice.
  • Experience of leadership.
  • Minimum 6 years' experience as HCP.
  • Minimum of 1 years' experience as ACP.

Desirable

  • Experience of service / practice development.
  • Experience in a range of care settings.

Skills, Knowledge & Ability

Essential

  • Advanced clinical assessment and documentation skills.
  • Evidence of radiology requesting
  • Critical decision-making skills
  • Competence in radiology requesting and interpretation
  • Autonomous clinical assessment skills
  • Clinical Audit and interest in research
  • Experience of non-medical prescribing
  • Evidence of multi-disciplinary-team working
  • Effective interpersonal skills with colleagues, patients and public
  • Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice
  • Full driving license with access to car

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

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High St, London SE13 6LH

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High St, London SE13 6LH

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Service Lead Urgent Community Response Team

Trevor Long

trevor.long@nhs.net

07900594383

Details

Date posted

29 January 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year pa including HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

197-AJ-R-7848

Job locations

University Hospital Lewisham

Lewisham High St, London SE13 6LH

London

SE13 6LH


Supporting documents

Privacy notice

Lewisham and Greenwich NHS Trust's privacy notice (opens in a new tab)