Medway NHS Foundation Trust

Advanced Clinical Practitioner

The closing date is 21 December 2025

Job summary

The post holder is required to deliver an advanced level of clinical practice within the field of SMART Virtual Hospital Working with the local and nationally agreed frameworks the Advanced Clinical Practitioner (ACP) exercises independent judgment to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of patients within the acute medical / or emergency department. The ACP's will be part of an alternative medical workforce model having undergone generalist training meeting all academic and core clinical requirements relevant to the role.

The Band 8a ACP practices in partnership with the multidisciplinary team under the clinical supervision provided by a department Consultant and/or Specialist registrar (SpR).

Main duties of the job

Work to a high level of personal and professional autonomy, using specialist knowledge and skills to deliver independent assessment, clinical examination, diagnosis, clinical decision making and planning of care and treatment, health promotion and safe admission and discharge of patients being cared for in the 24hrs Virtual Hospital.

Leadership and management: The ACP as a senior member of the team, will also play a pivotal role in the operational development of their specialty. They will initiate, manage and drive change within the department, innovating changes in practice for the benefit of patient care in line with current trust and local programmes. Approximately 20% of the post holder's time will be used for these purposes. The ACP will undertake the role in accordance with organisational guidelines but have freedom to act within broad policies and protocols, in accordance with professional responsibilities and boundaries.

About us

Work in collaboration with the clinical teams on a daily basis. Monitor and action decisions in relation to clinical areas, ensuring an appropriate nursing skill mix in relation to activity and acuity. Manage and report any risk issues to the Deputy Director of Nursing, in a timely manner.

Details

Date posted

08 December 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year Per annum/ pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

275-1225-ACP

Job locations

Medway Foundation Trust

Windmill Road

Gillingham

ME75NY


Job description

Job responsibilities

Ensure patients are informed and consent is gained prior to treatment, investigation and management as appropriate.

Take responsibility for the management of patients within own caseload and supervision/development of junior members of the multi-professional team.

Is able to identify the need for appropriate diagnostic tests such as X-rays and CT scans, and interpret the results.

To identify and intervene proactively where circumstances contribute to an unsafe

environment for patients, staff or relatives and escalate these to the Care Group/Departmental Risk Lead and/or Consultant Leads for Clinical Governance.

To share knowledge and expertise, acting as an expert resource to others across primary and secondary care as appropriate.

Contribute to the development and improvement of systems and processes that facilitate patient flow.

Job description

Job responsibilities

Ensure patients are informed and consent is gained prior to treatment, investigation and management as appropriate.

Take responsibility for the management of patients within own caseload and supervision/development of junior members of the multi-professional team.

Is able to identify the need for appropriate diagnostic tests such as X-rays and CT scans, and interpret the results.

To identify and intervene proactively where circumstances contribute to an unsafe

environment for patients, staff or relatives and escalate these to the Care Group/Departmental Risk Lead and/or Consultant Leads for Clinical Governance.

To share knowledge and expertise, acting as an expert resource to others across primary and secondary care as appropriate.

Contribute to the development and improvement of systems and processes that facilitate patient flow.

Person Specification

Qualifications

Essential

  • MSc/BSc level Practitioner module
  • Advanced Clinical Practitioner (MSc)
  • Non-medical Prescriber
  • IRMER
  • Clinical supervision training and experience

Knowledge

Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Wider health economy
  • Ability to lead and monitor organisational / service change

Experience

Essential

  • Significant post registration experience
  • Nurse-led management of minor illness, minor ailments and injuries
  • Triage
  • Compiling protocols and clinical guidelines
  • Clinical Leadership Audit - Research and quality improvement projects
  • Prescribing and relevant portfolio of practice
  • Relevant and recent experience in Acute & Emergency Medicine

Skills

Essential

  • Clinical leadership skills
  • Communication skills, both written, verbal and non-verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Teaching and mentorship clinical setting
  • Resource management
Person Specification

Qualifications

Essential

  • MSc/BSc level Practitioner module
  • Advanced Clinical Practitioner (MSc)
  • Non-medical Prescriber
  • IRMER
  • Clinical supervision training and experience

Knowledge

Essential

  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Wider health economy
  • Ability to lead and monitor organisational / service change

Experience

Essential

  • Significant post registration experience
  • Nurse-led management of minor illness, minor ailments and injuries
  • Triage
  • Compiling protocols and clinical guidelines
  • Clinical Leadership Audit - Research and quality improvement projects
  • Prescribing and relevant portfolio of practice
  • Relevant and recent experience in Acute & Emergency Medicine

Skills

Essential

  • Clinical leadership skills
  • Communication skills, both written, verbal and non-verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Teaching and mentorship clinical setting
  • 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.

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

Medway NHS Foundation Trust

Address

Medway Foundation Trust

Windmill Road

Gillingham

ME75NY


Employer's website

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


Employer details

Employer name

Medway NHS Foundation Trust

Address

Medway Foundation Trust

Windmill Road

Gillingham

ME75NY


Employer's website

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


Employer contact details

For questions about the job, contact:

Head of Nursing SMART Virtual Hospital

Jackie Hammond

jacqueline.hammond1@nhs.net

01634974171

Details

Date posted

08 December 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year Per annum/ pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

275-1225-ACP

Job locations

Medway Foundation Trust

Windmill Road

Gillingham

ME75NY


Supporting documents

Privacy notice

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