Bolton NHS Foundation Trust

ACP/ENP Lead - Urgent and Emergency Care Department

The closing date is 10 March 2026

Job summary

We are looking to recruit a motivated and driven Lead Advanced Clinical Practitioner (ACP)to join the urgent and emergency care directorate. They will be a senior advanced clinical practitioner who will play a lead role in the development, management and governance of ACP roles across department.

The role has designated 40% direct clinical time working in the Emergency Department and 60% non-clinical time. The Emergency Department is a busy department comprising of an Emergency Department and Urgent treatment centre. The team are a busy and dynamic speciality who excel in delivering high quality patient-centred care across the footprint. The footprint is in the process of further development and there will be opportunities be involved in service development, audit and research.

The successful applicant will be a Registered Nurse with Valid NMC registration or Health Care Professional and registered with HCPC.

They will already possess a Relevant Masters' qualification in Advanced Practice also having evidence of extensive professional and clinical knowledge of the undifferentiated emergency presentations. supplemented by specialist clinical training and continuing professional development, RCEM accreditation.

This is a non-medical prescribing, fulltime post (37.5hrs/week).

Main duties of the job

The ACP Lead is key member of the Urgent Care Management Team. They are a senior advanced clinical practitioner who exercises expert levels of clinical judgement, decision-making and leadership, and plays a key role in the delivery of the Trusts strategic vision. As an expert in their clinical area, the post holder will practice at a highly specialised and skilled level and will influence improvements in care and patient outcomes. The ACP Lead will be an expert resource, playing a lead role in the development, management and governance of ACP & ENP roles in the emergency department.

This is a designated non-medical prescribing role

About us

Bolton NHS Foundation Trust is an integrated provider of acute, intermediate and community health care serving the population of Bolton. This provides us with an opportunity for our services to work closely with our partners in primary care and the local authority to ensure a seamless service for our patients.

Here at Bolton our patients are at the heart of everything we do. We ensure our patients receive the highest quality of care and are guided by our trust Values. We are proud that our Trust is a centre of excellence for maternity, neonatal and care for children, and that it has been rated as Good by the Quality Care Commission (CQC). This is in recognition of the patient experience and quality of care that our staff provide to patients. It is also supported by our Nursing, Midwifery and Allied Health Professional Framework for Professional Practice.

The Acute Adult Care Division is one of four Clinical Divisions in the Trust that includes Emergency Care, Complex Medicine and Specialist Medicine. The Division contains the busiest single site Emergency Department in Greater Manchester and has inpatient wards providing acute medicine, complex and specialist medicine services. It provides a range of specialist out-patient and community services and is committed to providing excellent clinical performance and patient care.

Details

Date posted

25 February 2026

Pay scheme

Agenda for change

Band

Band 8b

Salary

£64,455 to £74,896 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

241-138MD-26

Job locations

Bolton NHS Foundation Trust

Minerva Road, Farnworth

Bolton

BL4 0JR


Job description

Job responsibilities

The post holder will:

  • Have a relevant Masters degree in Advanced Practice
  • Have a valid NMC registration or be a Health Care Professional and registered with HCPC with relevant clinical experience.
  • Have a highly visible clinical profile in Emergency and urgent care , providing both advisory and direct clinical input into patient care.
  • Manage a defined caseload of patients, including transfer and/or discharge from care with distant supervision from the Medical Consultant body.
  • Be able to analyse, synthesise and action highly complex clinical information and situations to benefit the patients and families.
  • Demonstrate clinical leadership, guidance and judgement in making challenging patient centred decisions, identifying clinical situations that need escalating to the Consultant team.
  • Recognise, understand and accept the requirement to act as an advocate for patients, carers/relatives, the service and the organisation.
  • Develop and maintain expertise in advanced clinical skills and competencies in line with Trust and NMC or HCPC regulatory frameworks.
  • Demonstrates expert interpersonal skills in caring for patients and their families.
  • Work collaboratively with multidisciplinary teams to optimise patient care.
  • Lead on audit processes in Emergency Medicine that will facilitate and improve patient flow including integrated care pathways and clinical guidelines.
  • Identify and implement new developments, treatments and technologies into clinical practice Trust wide.
  • Promote the translation of evidence based research findings and best practice guidance into clinical practice to improve the health of the local population.
  • Maintains accurate and concise clinical records.

Leadership and Consultancy:

The post holder will be expected to:

  • Act as a role model in delivery of patient care that reflects the Trusts strategic vision, values and behaviours.
  • To professionally lead the ACP/ENP workforce. This will include supporting their personal development as well as helping guide and develop their roles within their specialities.
  • Be influential and innovative in shaping the development of the Emergency and Urgent Care services, leading and engaging where appropriate with external agencies and commissioners.
  • Be an active member of relevant Trust forums and committees to provide expert clinical advice and contribute to the development of multi-professional policy and strategy.
  • Work with partner organisations, agencies, forums, voluntary sector and integrated health care to contribute to policy and strategy.
  • Adhere to professional standards of care and promote a professional image of health care professionals that inspires confidence in service users, their carers and relatives.
  • Participate in Trust Wide Divisional reviews, serious untoward incidents, Structured Judgement reviews and HR reviews; producing the written accounts/reports where required.
  • Work collaboratively and strategically with other clinical areas in promoting patient satisfaction to provide a seamless pathway of care.
  • Interpret, adapts and implements national policy and standards to enhance patient safety and good quality care.
  • Lead in the development of documentation that is consistent with legislation, policies and procedures.
  • Lead on change management and the impact of change.
  • Maintains awareness of budgetary constraints within the department, ensuring appropriate use of resources in order to meet service/patient needs.

Learning, developing, improving across the system

The post holder will be expected to:

  • Act as a coordinating/associate supervisor for trainee and qualified ACP/ENPs in Emergency Medicine.
  • Lead on the development of ACP/ENP roles within emergency medicine, with centre endorsed competency frameworks.
  • Act as an expert source of clinical and theoretical knowledge for junior members of the acute medical team.
  • Develop methods of peer support and clinical supervision in line with NHSE guidance.
  • Works with the MDT to further develop clinical pathways and care approaches.
  • Develop health promotion and education in collaboration with other health care professionals to ensure that care and resources reflect current and best practice.
  • Ensure the clinical learning environment is conducive to supporting the education and learning of qualified staff and trainees.
  • Work closely with colleagues in local higher education facilities in developing, planning and delivering educational programmes for staff to improve knowledge and skills in caring for patients.
  • Take responsibility for their own learning and performance including participation in clinical supervision and annual performance review.
  • Maintain professional registration and CPD requirements in line with professional body guidelines.
  • Leads or participates in educational events at local, regional and national level to share best practice and collaborative working.

Job description

Job responsibilities

The post holder will:

  • Have a relevant Masters degree in Advanced Practice
  • Have a valid NMC registration or be a Health Care Professional and registered with HCPC with relevant clinical experience.
  • Have a highly visible clinical profile in Emergency and urgent care , providing both advisory and direct clinical input into patient care.
  • Manage a defined caseload of patients, including transfer and/or discharge from care with distant supervision from the Medical Consultant body.
  • Be able to analyse, synthesise and action highly complex clinical information and situations to benefit the patients and families.
  • Demonstrate clinical leadership, guidance and judgement in making challenging patient centred decisions, identifying clinical situations that need escalating to the Consultant team.
  • Recognise, understand and accept the requirement to act as an advocate for patients, carers/relatives, the service and the organisation.
  • Develop and maintain expertise in advanced clinical skills and competencies in line with Trust and NMC or HCPC regulatory frameworks.
  • Demonstrates expert interpersonal skills in caring for patients and their families.
  • Work collaboratively with multidisciplinary teams to optimise patient care.
  • Lead on audit processes in Emergency Medicine that will facilitate and improve patient flow including integrated care pathways and clinical guidelines.
  • Identify and implement new developments, treatments and technologies into clinical practice Trust wide.
  • Promote the translation of evidence based research findings and best practice guidance into clinical practice to improve the health of the local population.
  • Maintains accurate and concise clinical records.

Leadership and Consultancy:

The post holder will be expected to:

  • Act as a role model in delivery of patient care that reflects the Trusts strategic vision, values and behaviours.
  • To professionally lead the ACP/ENP workforce. This will include supporting their personal development as well as helping guide and develop their roles within their specialities.
  • Be influential and innovative in shaping the development of the Emergency and Urgent Care services, leading and engaging where appropriate with external agencies and commissioners.
  • Be an active member of relevant Trust forums and committees to provide expert clinical advice and contribute to the development of multi-professional policy and strategy.
  • Work with partner organisations, agencies, forums, voluntary sector and integrated health care to contribute to policy and strategy.
  • Adhere to professional standards of care and promote a professional image of health care professionals that inspires confidence in service users, their carers and relatives.
  • Participate in Trust Wide Divisional reviews, serious untoward incidents, Structured Judgement reviews and HR reviews; producing the written accounts/reports where required.
  • Work collaboratively and strategically with other clinical areas in promoting patient satisfaction to provide a seamless pathway of care.
  • Interpret, adapts and implements national policy and standards to enhance patient safety and good quality care.
  • Lead in the development of documentation that is consistent with legislation, policies and procedures.
  • Lead on change management and the impact of change.
  • Maintains awareness of budgetary constraints within the department, ensuring appropriate use of resources in order to meet service/patient needs.

Learning, developing, improving across the system

The post holder will be expected to:

  • Act as a coordinating/associate supervisor for trainee and qualified ACP/ENPs in Emergency Medicine.
  • Lead on the development of ACP/ENP roles within emergency medicine, with centre endorsed competency frameworks.
  • Act as an expert source of clinical and theoretical knowledge for junior members of the acute medical team.
  • Develop methods of peer support and clinical supervision in line with NHSE guidance.
  • Works with the MDT to further develop clinical pathways and care approaches.
  • Develop health promotion and education in collaboration with other health care professionals to ensure that care and resources reflect current and best practice.
  • Ensure the clinical learning environment is conducive to supporting the education and learning of qualified staff and trainees.
  • Work closely with colleagues in local higher education facilities in developing, planning and delivering educational programmes for staff to improve knowledge and skills in caring for patients.
  • Take responsibility for their own learning and performance including participation in clinical supervision and annual performance review.
  • Maintain professional registration and CPD requirements in line with professional body guidelines.
  • Leads or participates in educational events at local, regional and national level to share best practice and collaborative working.

Person Specification

Experience

Essential

  • Significant relevant experience as a qualified ACP within ED
  • Able to evidence and demonstrate experience of ability to act as an independent, senior decision maker in a clinical team.
  • Evidence of advanced clinical skills RCEM
  • Evidence of clinical / managerial leadership experience, including line management of staff, e.g., sickness/absence, recruitment/selection.
  • Experience of leading on change management or service improvement activity.
  • Experience and understanding of clinical governance in a practice setting and of dealing with complaints and managing / investigating clinical or other incidents
  • Experience of training, supervising and assessing competence of junior colleagues.
  • Experience of presenting at local, national or international meetings/conferences.

Desirable

  • Experience of leading on research and education programmes.
  • Experience of regional and/or national collaborative working.

Clinical

Essential

  • Working towards or hold RCEM
Person Specification

Experience

Essential

  • Significant relevant experience as a qualified ACP within ED
  • Able to evidence and demonstrate experience of ability to act as an independent, senior decision maker in a clinical team.
  • Evidence of advanced clinical skills RCEM
  • Evidence of clinical / managerial leadership experience, including line management of staff, e.g., sickness/absence, recruitment/selection.
  • Experience of leading on change management or service improvement activity.
  • Experience and understanding of clinical governance in a practice setting and of dealing with complaints and managing / investigating clinical or other incidents
  • Experience of training, supervising and assessing competence of junior colleagues.
  • Experience of presenting at local, national or international meetings/conferences.

Desirable

  • Experience of leading on research and education programmes.
  • Experience of regional and/or national collaborative working.

Clinical

Essential

  • Working towards or hold RCEM

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

Bolton NHS Foundation Trust

Address

Bolton NHS Foundation Trust

Minerva Road, Farnworth

Bolton

BL4 0JR


Employer's website

http://www.boltonft.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Bolton NHS Foundation Trust

Address

Bolton NHS Foundation Trust

Minerva Road, Farnworth

Bolton

BL4 0JR


Employer's website

http://www.boltonft.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Nurse Consultant

Barbara Whittaker

Barbara.whittaker@boltonft.nhs.uk

01204390390

Details

Date posted

25 February 2026

Pay scheme

Agenda for change

Band

Band 8b

Salary

£64,455 to £74,896 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

241-138MD-26

Job locations

Bolton NHS Foundation Trust

Minerva Road, Farnworth

Bolton

BL4 0JR


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