Job summary
An exciting opportunity has arisen for an experienced, highly motivated and dynamic professional to join our friendly Acute Care Response Team (ACRT) at Gloucestershire Hospitals NHS Foundation Trust.
We have created a new job role within our experienced team of Advanced Practitioners and are now recruiting for the position of ACRT Practitioner - Enhanced Level.
Enhanced practice is delivered by experienced, registered health care professionals. It is a level of practice characterised by those working with autonomy and working independently in complex areas and managing day to day risks. Enhanced level practice can be a precursor or preparation for advanced level practice but equally it can be valued as a role destination in itself (NHSe 2024).
Complex clinical decision making is needed but may be supported by an overall plan from specialist or advanced clinicians in the area. The ACRT Practitioner provides high quality, individualised clinical management for patients who are acutely unwell or at risk of deterioration.
Applications are welcome from individuals who do not meet the essential criteria for a qualified enhanced practitioner but are committed to undertaking an accredited education programme. The successful candidate will be supported with completion of the required competencies and capabilities.
If there are a significant number of applicants we reserve the right to close applications early.
Main duties of the job
The successful applicant would demonstrate a high level of professional standards; they will be a role model and will work autonomously whilst demonstrating the core trust values. The key duties of the job include:
- Assessment and management of deteriorating patients using clinical assessment and diagnostic reasoning skills to determine and initiate changes to treatment as necessary. This covers all adult in patient areas.
-Key team member of the clinical emergency teams within the trust. We are Advanced Life Support providers therefore excellent leadership qualities are required for this exciting and varied role.
- Provide advice, support and education to medical, nursing and AHP staff.
- If qualified to do so prescribe medication appropriately for specific groups of patients, following Trust guidance where appropriate.
- Work with ACRT Advanced Practitioners to deliver educational programs for staff locally.
- Act as clinical role model / educator for developing and delivering care that is responsive to changing requirements
- Provide a timely, holistic discharge review of patients transitioning from critical care to the wards. In addition, supporting the wards with tracheostomy and laryngectomy patients.
- The ACRT are the responding team to Martha's Rule, a major patient safety initiative providing patients and families with a way to seek a clinical review if their loved ones condition deteriorates.
About us
Gloucestershire Hospitals NHS Foundation Trust operates hospitals on our two main sites in Cheltenham and Gloucester, and we're one of the largest NHS trusts in the country.
Our workforce of almost 9,000 staff provides high-quality emergency, elective and specialist care across a range of clinical areas
It is expected that all employees uphold the values of the organisation as our values underpin everything we do and describe the way we expect our staff to behave towards our patients, families and carers and between each other.
Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:
72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.
Job description
Job responsibilities
Please see the detailed Job description attached in documents section. The main duties of the role are described in the advert and job description.
Minimum 30hrs per week. 24hours/7 day. GHNHSFT (Trust wide - GRH/CGH cross site working).
Expected interview date: 10/10/2025
Additional information:
It is recommended that applicants visit the team prior to application, if you would like to arrange a date and time to visit us please contact us via email: ghn-tr.acutecareresponseteam@nhs.net
Job description
Job responsibilities
Please see the detailed Job description attached in documents section. The main duties of the role are described in the advert and job description.
Minimum 30hrs per week. 24hours/7 day. GHNHSFT (Trust wide - GRH/CGH cross site working).
Expected interview date: 10/10/2025
Additional information:
It is recommended that applicants visit the team prior to application, if you would like to arrange a date and time to visit us please contact us via email: ghn-tr.acutecareresponseteam@nhs.net
Person Specification
Qualifications
Essential
- Current registered health care professional registered with NMC or HCPC holding significant experience in an acute specialty
- BSc (Hons) or equivalent from a recognised institution of higher education or its equivalent in a relevant subject area
- Post graduate qualification; Physical assessment and clinical reasoning or equivalent. (Or willing to complete in trainee capacity)
- Post graduate qualification; Pathophysiology and diagnostic reasoning or equivalent (Or willing to complete in trainee capacity)
- Recognised teaching qualification or relevant experience as educator, supervisor, coach and mentor
- Clinical experience in managing acutely unwell adults and associated complications
- Evidence of continued professional development
- Grade C/4 or above in GCSE English and Mathematics or Functional Skills Level 2 in English and Mathematics or equivalent
- As part of university entry requirements if English is not your first spoken language, then you will need evidence that you have reached a sufficient standard eg IELTS 6.5 or equivalent
- Non-medical prescribing with evidence of updated knowledge appropriate for prescribing range (Or willing to complete in trainee capacity)
- ALS provider certification (or willing to complete in post)
Desirable
- ILS provider certification
Skills
Essential
- Evidence of working within an acute specialty with interest in acutely unwell or deteriorating patients
- To act as a specialist clinical expert in direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills
- Demonstrate a critical understanding of own level of responsibility, including when working with complexity, risk, uncertainty and incomplete information
- Ability to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
- Demonstrate enhanced aptitude/ intentional desire to learn the required skills to initiate, evaluate and modify a range of interventions in relation to the management of deteriorating patients.
- Ability to interpret and evaluate national and international guidelines and apply to local protocols and practice as appropriate.
- Evidence of continuing professional development
- Critically appraise and synthesise the outcome of relevant research, evaluation and audit
- Ability to complete ACRT capabilities in trainee capacity.
Desirable
- Experience in autonomous practice role
Personal Attributes
Essential
- Excellent communication skills for within a variety of healthcare setting with heath care professionals, patients, and visitors/family. Ability to effectively communicate highly complex and sensitive information
- Ability to prioritise and organise workload effectively
- Evidence of strong leadership skills, resilience, determination and ability to manage conflict
- High level of self-motivation drive for performance and improvement
- Flexibility in approach and attitude
- Able to demonstrate self- reflection within practice
- Ability to remain calm in rapidly changing and stressful situations
Person Specification
Qualifications
Essential
- Current registered health care professional registered with NMC or HCPC holding significant experience in an acute specialty
- BSc (Hons) or equivalent from a recognised institution of higher education or its equivalent in a relevant subject area
- Post graduate qualification; Physical assessment and clinical reasoning or equivalent. (Or willing to complete in trainee capacity)
- Post graduate qualification; Pathophysiology and diagnostic reasoning or equivalent (Or willing to complete in trainee capacity)
- Recognised teaching qualification or relevant experience as educator, supervisor, coach and mentor
- Clinical experience in managing acutely unwell adults and associated complications
- Evidence of continued professional development
- Grade C/4 or above in GCSE English and Mathematics or Functional Skills Level 2 in English and Mathematics or equivalent
- As part of university entry requirements if English is not your first spoken language, then you will need evidence that you have reached a sufficient standard eg IELTS 6.5 or equivalent
- Non-medical prescribing with evidence of updated knowledge appropriate for prescribing range (Or willing to complete in trainee capacity)
- ALS provider certification (or willing to complete in post)
Desirable
- ILS provider certification
Skills
Essential
- Evidence of working within an acute specialty with interest in acutely unwell or deteriorating patients
- To act as a specialist clinical expert in direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills
- Demonstrate a critical understanding of own level of responsibility, including when working with complexity, risk, uncertainty and incomplete information
- Ability to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
- Demonstrate enhanced aptitude/ intentional desire to learn the required skills to initiate, evaluate and modify a range of interventions in relation to the management of deteriorating patients.
- Ability to interpret and evaluate national and international guidelines and apply to local protocols and practice as appropriate.
- Evidence of continuing professional development
- Critically appraise and synthesise the outcome of relevant research, evaluation and audit
- Ability to complete ACRT capabilities in trainee capacity.
Desirable
- Experience in autonomous practice role
Personal Attributes
Essential
- Excellent communication skills for within a variety of healthcare setting with heath care professionals, patients, and visitors/family. Ability to effectively communicate highly complex and sensitive information
- Ability to prioritise and organise workload effectively
- Evidence of strong leadership skills, resilience, determination and ability to manage conflict
- High level of self-motivation drive for performance and improvement
- Flexibility in approach and attitude
- Able to demonstrate self- reflection within practice
- Ability to remain calm in rapidly changing and stressful situations
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).
