University Hospitals Sussex NHS Foundation Trust (279)

Lead Advanced Clinical Practitioner - Urgent and Emergency Care

The closing date is 05 January 2026

Job summary

An exciting opportunity has arisen for a skilled and passionate Lead Advanced Clinical Practitioner (ACP)to join theUrgent and Emergency Care Directorate at Worthing Hospital. This senior clinical role is integral to the ongoing transformation of urgent and emergency services, providing expert clinical leadership and supporting high standards of care delivery across our Emergency Department (ED), Urgent Treatment Centre (UTC), and Same Day Emergency Care (SDEC). As a Lead ACP, you will work autonomously at an advanced clinical level, managing patients across the full spectrum of undifferentiated emergency presentations or within our SDEC services. You will also provide visible clinical leadership, mentoring and developing a growing team of ACPs, Trainee ACPs and Emergency Practitioners (EP), ensuring excellence in clinical practice, education, and service innovation. This is an excellent opportunity for a highly motivated and experienced ACP to influence strategic service development, enhance patient experience, and support safe, effective urgent care pathways.

This role is eligible for visa sponsorship under the UK Visas & Immigration (UKVI) Skilled Worker route however sponsorship can only be provided where applicants meet the specific requirements set by UKVI, including the relevant skill and salary thresholds (£25000), and any role-specific criteria.

Main duties of the job

Lead the clinical delivery of care within the Urgent and Emergency Care Directorate, including ED, UTC, and SDEC.

Provide high-level assessment, diagnosis, treatment, and discharge planning for a broad range of emergency presentations.

Lead the supervision, development, and appraisal of ACPs and Trainee ACPs, supporting workforce growth and clinical excellence.

Collaborate with senior clinical, operational, and education leaders to drive quality improvement and service innovation.

Contribute to governance activities, including audit, incident review, and clinical effectiveness initiatives.

Champion a culture of compassionate, patient-centered care in line with Trust values.

We welcome applications from those who currently hold a UK NMC or HCPC registration. If you currently hold an overseas nursing qualification and require sponsorship we are not currently direct hiring Internationally Qualified Nurses.

About us

At UHSussex, diversity is our strength, and we want you to feel included to help us always deliver Excellent Care Everywhere, as shown in our Outstanding for Caring CQC rating. Your uniqueness and experiences will be part of our creative and innovative community where everyone is encouraged to succeed. We have a range of staff networks to help break down barriers, and can offer abuddy to help new members settle in. We're proud to be a Disability Confident Employer (Level 3) and a Veteran Aware Trust.Candidate Pack

Details

Date posted

22 December 2025

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

279-7602744-DEC25

Job locations

Worthing Hospital

Lyndhurst Road

Worthing

BN112DH


Job description

Job responsibilities

  • To communicate in a highly skilled and sensitive manner, highly technical, clinically sensitive /or condition-related information to clients, their families and other healthcare professionals both verbally and in written format
  • Communicate effectively with individuals, their families, carers and health/social care practitioners using a range of styles and ensuring information always remains confidential
  • Proactive in seeking out different styles and methods of communication to assist longer term needs and aims
  • Engage fully and contribute in communication and negotiation regarding service provision for emergency care considering how advanced practice can support progress and evolution of the service Collaborate and communicate effectively with other specialties, clinical areas, disciplines and services to deliver high standards of efficient care to your patients
  • Utilise effective communication techniques to integrate into the multidisciplinary team.
  • To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding. Communicate with multidisciplinary health professionals and colleagues at all levels
  • Provides and receives highly complex information and anticipates barriers to communication, whilst recognising factors that may influence the situation and pro-actively seeking out solutions to improve communication
  • To recognise the complexity of the communication and any associated political issues and risks
  • To explore complex issues and to make complex decisions encouraging the effective participation of all involved with excellent listening skills
  • To be empathetic and reassuring when communicating highly sensitive condition related information and advice to patients, carers, relatives and staff
  • To competently receive sensitive information concerning patients' diagnosis/medical condition and to deal with this information appropriately
  • To use a range of skills to adapt the delivery of information through changing the environment, methods of communication or delivery of content using effective, reassuring skills as required. E.g. Breaking bad news/special needs/ dealing with anxious relatives/language barriers
  • To identify and manage challenging behaviours using a range of communication strategies
  • To ensure that essential information on the patients condition and progress is recorded by self and team members appropriately according to NMC guidelines
  • Provides complex comprehensive information to the Trust and appropriate regional and national forums
  • To provide highly visible leadership within the multidisciplinary team, inspiring others and encouraging and supporting clinical practice and service development, nurturing talent in the clinical areas

Service Delivery and Improvement

  • To use advanced analytical and judgement skills to support the assessment of patients in highly complex situations; integrate information from multiple levels in diagnoses
  • To undertake advanced and comprehensive assessment, investigations and diagnoses based on a body of specialist knowledge
  • Continue provision of care in a determined care plan on the already differentiated and diagnosed patients or adapt care relevant to further assessment, investigations or differentiation/diagnosis in accordance with governance protocols relevant to area of working
  • Responsible for ensuring that information systems adopted by the Trust are implemented and maintained in their service area, that their service uses such systems effectively and that the information available is analysed and evaluated, to manage performance and to meet Trust objectives
  • Contribute to the national evidence base on advanced practice in emergency care; drawing on local findings of complex audit

People Management and Development

  • Act as a role model working with a high level of personal standards and self-discipline whilst delivering a high standard of care to your patients
  • Be an approachable senior clinical leader and support junior staff in their own development and learning
  • Be responsible for maintaining their own professional development above and beyond that expected of their MSc.
  • Ensure you maintain qualifications in relevant national courses for your role and if an instructor, continue to engage in these activities of education.
  • If not already completed, be willing to complete speciality credential or demonstrate a clinical portfolio to an equivalent from the relevant Royal College if such a curriculum is not yet in existence.
  • Supervise, mentor, coach and act as a resource to Advanced Clinical Practitioners, Trainee ACPs and Emergency Practitioners of all levels and speciality across the directorate . With direct responsibility for appraisals of these staff groups.
  • Responsible for recruitment across the service by working with the Clinical teams to agree appropriate workforce levels and skill mix in accordance with budget; participating in recruitment panels where required and supporting the selection process for staff
  • Take a lead role in the development of strategic plans for the emergency service and advanced practice provision across the directorate. Linking with primary and secondary care providers to develop collaborative and innovative strategies and processes
  • Lead on the development of educational strategies to ensure the workforce is equipped to meet current and future service developments.
  • Identify and assess the operational planning of the service to achieve the aims and objectives of the service and wider organisation
  • Lead on a portfolio of quality improvement, clinical audit and support research initiatives
  • Monitor the delivery of the service whilst promptly identifying and addressing any issues, changing priorities and implementing corrective actions where necessary
  • Gain feedback on how to improve service delivery to inform future practice
  • Presents complex information to people at corporate level in relation to service requirements where there are identified issues with efficiency and effectiveness highlighting advanced practice throughout the Trust
  • Works in partnership with others to define and clarify the strategic direction of the service
  • Engages all interested parties/users of the service in the planning of service development in partnership with the organisation(s)

Patient Care Delivery

  • Deliver and participate in high standards of clinical care, functioning as an expert practitioner with your speciality.
  • Work for up to 60% of the time in clinical practice
  • To be highly visible to all staff, patients and carers to be able to respond to requests for specialist assistance, advice and support, particularly concerning provision of care
  • Scrutinise patient care and address any issues, which may result in substandard care
  • To manage a case load of patients autonomously and independently in accordance with governance protocols relevant to area of working
  • Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area. Focus and strive to achieve national targets
  • Be directly involved in patient experience quality assessment and implementation of improvement strategies
  • Maintain infection control standards
  • Be an independent non-medical prescriber (V300)
  • Undertake health promotion at all appropriate opportunities
  • Make clinical decisions at the highest level working within the relevant Scope of Professional Practice and Code of Professional Conduct
  • To maintain accurate and legible patient notes (written and electronic) in accordance with Trust and national professional policies and guidelines
  • Scrutinise patient care and address any issues, which may result in substandard care
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area. Focus and strive to achieve national targets

Please see attached Job Description & Person Specification for full details.

Job description

Job responsibilities

  • To communicate in a highly skilled and sensitive manner, highly technical, clinically sensitive /or condition-related information to clients, their families and other healthcare professionals both verbally and in written format
  • Communicate effectively with individuals, their families, carers and health/social care practitioners using a range of styles and ensuring information always remains confidential
  • Proactive in seeking out different styles and methods of communication to assist longer term needs and aims
  • Engage fully and contribute in communication and negotiation regarding service provision for emergency care considering how advanced practice can support progress and evolution of the service Collaborate and communicate effectively with other specialties, clinical areas, disciplines and services to deliver high standards of efficient care to your patients
  • Utilise effective communication techniques to integrate into the multidisciplinary team.
  • To communicate effectively with a wide range of people in a manner consistent with their level of understanding, culture and background and preferred ways of understanding. Communicate with multidisciplinary health professionals and colleagues at all levels
  • Provides and receives highly complex information and anticipates barriers to communication, whilst recognising factors that may influence the situation and pro-actively seeking out solutions to improve communication
  • To recognise the complexity of the communication and any associated political issues and risks
  • To explore complex issues and to make complex decisions encouraging the effective participation of all involved with excellent listening skills
  • To be empathetic and reassuring when communicating highly sensitive condition related information and advice to patients, carers, relatives and staff
  • To competently receive sensitive information concerning patients' diagnosis/medical condition and to deal with this information appropriately
  • To use a range of skills to adapt the delivery of information through changing the environment, methods of communication or delivery of content using effective, reassuring skills as required. E.g. Breaking bad news/special needs/ dealing with anxious relatives/language barriers
  • To identify and manage challenging behaviours using a range of communication strategies
  • To ensure that essential information on the patients condition and progress is recorded by self and team members appropriately according to NMC guidelines
  • Provides complex comprehensive information to the Trust and appropriate regional and national forums
  • To provide highly visible leadership within the multidisciplinary team, inspiring others and encouraging and supporting clinical practice and service development, nurturing talent in the clinical areas

Service Delivery and Improvement

  • To use advanced analytical and judgement skills to support the assessment of patients in highly complex situations; integrate information from multiple levels in diagnoses
  • To undertake advanced and comprehensive assessment, investigations and diagnoses based on a body of specialist knowledge
  • Continue provision of care in a determined care plan on the already differentiated and diagnosed patients or adapt care relevant to further assessment, investigations or differentiation/diagnosis in accordance with governance protocols relevant to area of working
  • Responsible for ensuring that information systems adopted by the Trust are implemented and maintained in their service area, that their service uses such systems effectively and that the information available is analysed and evaluated, to manage performance and to meet Trust objectives
  • Contribute to the national evidence base on advanced practice in emergency care; drawing on local findings of complex audit

People Management and Development

  • Act as a role model working with a high level of personal standards and self-discipline whilst delivering a high standard of care to your patients
  • Be an approachable senior clinical leader and support junior staff in their own development and learning
  • Be responsible for maintaining their own professional development above and beyond that expected of their MSc.
  • Ensure you maintain qualifications in relevant national courses for your role and if an instructor, continue to engage in these activities of education.
  • If not already completed, be willing to complete speciality credential or demonstrate a clinical portfolio to an equivalent from the relevant Royal College if such a curriculum is not yet in existence.
  • Supervise, mentor, coach and act as a resource to Advanced Clinical Practitioners, Trainee ACPs and Emergency Practitioners of all levels and speciality across the directorate . With direct responsibility for appraisals of these staff groups.
  • Responsible for recruitment across the service by working with the Clinical teams to agree appropriate workforce levels and skill mix in accordance with budget; participating in recruitment panels where required and supporting the selection process for staff
  • Take a lead role in the development of strategic plans for the emergency service and advanced practice provision across the directorate. Linking with primary and secondary care providers to develop collaborative and innovative strategies and processes
  • Lead on the development of educational strategies to ensure the workforce is equipped to meet current and future service developments.
  • Identify and assess the operational planning of the service to achieve the aims and objectives of the service and wider organisation
  • Lead on a portfolio of quality improvement, clinical audit and support research initiatives
  • Monitor the delivery of the service whilst promptly identifying and addressing any issues, changing priorities and implementing corrective actions where necessary
  • Gain feedback on how to improve service delivery to inform future practice
  • Presents complex information to people at corporate level in relation to service requirements where there are identified issues with efficiency and effectiveness highlighting advanced practice throughout the Trust
  • Works in partnership with others to define and clarify the strategic direction of the service
  • Engages all interested parties/users of the service in the planning of service development in partnership with the organisation(s)

Patient Care Delivery

  • Deliver and participate in high standards of clinical care, functioning as an expert practitioner with your speciality.
  • Work for up to 60% of the time in clinical practice
  • To be highly visible to all staff, patients and carers to be able to respond to requests for specialist assistance, advice and support, particularly concerning provision of care
  • Scrutinise patient care and address any issues, which may result in substandard care
  • To manage a case load of patients autonomously and independently in accordance with governance protocols relevant to area of working
  • Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area. Focus and strive to achieve national targets
  • Be directly involved in patient experience quality assessment and implementation of improvement strategies
  • Maintain infection control standards
  • Be an independent non-medical prescriber (V300)
  • Undertake health promotion at all appropriate opportunities
  • Make clinical decisions at the highest level working within the relevant Scope of Professional Practice and Code of Professional Conduct
  • To maintain accurate and legible patient notes (written and electronic) in accordance with Trust and national professional policies and guidelines
  • Scrutinise patient care and address any issues, which may result in substandard care
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area. Focus and strive to achieve national targets

Please see attached Job Description & Person Specification for full details.

Person Specification

Essential

Essential

  • NMC / HPCP registration
  • Level 7 - MSc level study
  • Independent non-medical prescriber (where applicable to role /professional group)
  • IRMER (imaging referral by Non-medical Healthcare Professionals) training complete
  • Non-medical authorisation of blood products training completed (as applicable to role
  • Significant post registration specialty experience
  • Subspecialist interests/expertise, as would contribute to the development of the service at UHS
  • Enhanced clinical skills relevant to area of clinical practice
  • Interpretation of diagnostics
  • Experience of leadership/ managing teams .
  • Experience of communication with and management of multi-professional team across a large and complex organisation or network of care
  • Teaching and presentation skills
  • Project management experience
  • Experience contributing to student supervision and assessment
  • Experience of managing financial resources (eg. Budget )
  • Experience of conducting audit/research
  • Computer skills including use of databases, spread sheets, Word, Excel, PowerPoint and other clinical support systems
  • Able to access databases to do literature searches
  • Experience of leading a change project within the clinical area

Desirable

  • Experience of generating and presenting data reports
  • Experience of presenting at Conference and writing publications.

Equality, Diversity, and Inclusion

Essential

  • Evidence of having undertaken own development to improve understanding of equalities issues
  • Evidence of having championed diversity in previous roles (as appropriate to role)
Person Specification

Essential

Essential

  • NMC / HPCP registration
  • Level 7 - MSc level study
  • Independent non-medical prescriber (where applicable to role /professional group)
  • IRMER (imaging referral by Non-medical Healthcare Professionals) training complete
  • Non-medical authorisation of blood products training completed (as applicable to role
  • Significant post registration specialty experience
  • Subspecialist interests/expertise, as would contribute to the development of the service at UHS
  • Enhanced clinical skills relevant to area of clinical practice
  • Interpretation of diagnostics
  • Experience of leadership/ managing teams .
  • Experience of communication with and management of multi-professional team across a large and complex organisation or network of care
  • Teaching and presentation skills
  • Project management experience
  • Experience contributing to student supervision and assessment
  • Experience of managing financial resources (eg. Budget )
  • Experience of conducting audit/research
  • Computer skills including use of databases, spread sheets, Word, Excel, PowerPoint and other clinical support systems
  • Able to access databases to do literature searches
  • Experience of leading a change project within the clinical area

Desirable

  • Experience of generating and presenting data reports
  • Experience of presenting at Conference and writing publications.

Equality, Diversity, and Inclusion

Essential

  • Evidence of having undertaken own development to improve understanding of equalities issues
  • Evidence of having championed diversity in previous roles (as appropriate to role)

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

University Hospitals Sussex NHS Foundation Trust (279)

Address

Worthing Hospital

Lyndhurst Road

Worthing

BN112DH


Employer's website

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


Employer details

Employer name

University Hospitals Sussex NHS Foundation Trust (279)

Address

Worthing Hospital

Lyndhurst Road

Worthing

BN112DH


Employer's website

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


Employer contact details

For questions about the job, contact:

Head of Nursing UEC

Dominic Ward

dominic.ward@nhs.net

07879631307

Details

Date posted

22 December 2025

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

279-7602744-DEC25

Job locations

Worthing Hospital

Lyndhurst Road

Worthing

BN112DH


Supporting documents

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