Mid Cheshire Hospitals NHS Foundation Trust

Trainee Advanced Clinical Practitioner - Urology

The closing date is 16 September 2025

Job summary

An exciting opportunity has arisen for a Trainee Advanced Clinical Practitioner to join our fabulous Urology team which is expanding and developing to complement a brand-new Urology Outpatient Unit. We are looking for a professional, friendly and dynamic individual to join the team. Applicants require a high level of clinical expertise and experience in the field of urology and a passion for the delivery of a high quality, patient centred service.

The post holder will work as a Trainee Advanced Clinical Practitioner whilst undertaking a 3-year Apprenticeship Masters Programme in Advanced Clinical Practice; University is anticipated to commence in December 2025. Alongside the Masters programme, you will practice clinically with supervisors and the multidisciplinary team.

The successful candidate will utilise advanced clinical skills and higher level, autonomous decision-making ability in the assessment, diagnosis, management and review of patients within the speciality of urology.

Evidence of experience within the Urology speciality is essential and the applicant must demonstrate evidence of degree level study.

Main duties of the job

As a Trainee Advanced Clinical Practitioner, you will be expected to work alongside the medical and nursing teams to promote the delivery of a high standard of patient centred care within a supported environment.

The successful applicant will be required to undertake the MSc Advanced Clinical Practitioner Apprenticeship Programme over a three year period, commencing December 2025.

The role will encompass all aspects within the specialty and you will be supported to become an independent practitioner within the field of urology.

The post holder will develop to work within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

About us

MCHT provides a full range of local hospital and community services for people across East Cheshire (population 399K) and West Cheshire and Chester boroughs (population 357K). The Trust provides high quality planned and unplanned/emergency care, cardiac and critical care as well as child health, maternity services, and intermediate care across our sites at Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford.

The Trust provides 500 beds and employs over 5,000 members of staff. An extensive range of community services is provided across 26 medical centres and schools by our community arm, Central Cheshire Integrated Care Partnership, in collaboration with Cheshire and Wirral Partnership NHS FT and the South Cheshire and Vale Royal GP Alliance.

With the formation of Integrated Care Systems in July 2022 the Trust became a strategic partner in both Cheshire East and Cheshire West and Chester 'places' and is part of the Cheshire and Merseyside partnership caring for a population of over 2.7million. During the Coronavirus pandemic, the Trust was recognised nationally for its 'Be Safe Be EquiPPEd' campaign, which aimed to make the Trust as safe as possible for staff and patients, through supporting the correct use of PPE.

At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.

Details

Date posted

04 September 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year pa, per annum

Contract

Permanent

Working pattern

Full-time

Reference number

412-S&C-7408213

Job locations

Leighton Hospital

Middlewich Road

Crewe

CW1 4QJ


Job description

Job responsibilities

Following successful completion of the MSc in Advanced Clinical Practice and in conjunction with the clinical exposure during your training, the Urology ACP will be able to undertake the following in a supportive & ever developing department:

  • Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for urology patients.
  • Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
  • Triage referrals appropriately, reviewing patients in a timely manner according to their presentation.
  • Liaise with community teams to prevent avoidable urology admissions to hospital/ED attendances.
  • Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
  • Analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information to speciality /senior medical staff for advice when scope of practice is exceeded.
  • Autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
  • Continuously revaluate findings and clinical response to treatment and establish an appropriate ongoing management plan accordingly.
  • Contribute to clinical governance by leading quality improvement, audit and research projects as part of the multidisciplinary service-wide performance and quality agenda.
  • Conduct patient assessments, including medical history and physical examination to diagnose urological conditions.
  • Order and interpret diagnostic tests such as urine, bloods, imaging and other urological investigations to aid in diagnosis.
  • Collaborate with urologists to develop individualised treatment plans based on patient needs and diagnosis.
  • Prescribe medications and treatments for urological conditions including antibiotics, analgesics and bladder instillations.
  • Perform minor procedures such as catheterisation, bladder scan, LA TP biopsy, cystoscopy, stent removal and Botox treatment under supervision or independently as per scope of practice and Trust policies/BAUN guidelines as appropriate.
  • Educate patient and their families about urological condition, treatment options and self-care strategies.
  • Provide counselling on lifestyle modifications, such as dietary changes and fluid management to improve urological health and prevent recurrence of conditions.
  • Address patient concerns and provide support throughout the treatment process, fostering a collaborative and patient centred process.
  • Coordinate with other healthcare providers to ensure continuity of care for patients undergoing surgical interventions or specialised procedures.
  • Schedule and conduct urology follow-up appointments to monitor patient progress, assess treatment efficacy and address any complications or side effects.
  • Adjust treatment plans as needed based on patient's response and clinical findings

Please also see full job description for details of responsibilities required for the post holder.

Job description

Job responsibilities

Following successful completion of the MSc in Advanced Clinical Practice and in conjunction with the clinical exposure during your training, the Urology ACP will be able to undertake the following in a supportive & ever developing department:

  • Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for urology patients.
  • Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
  • Triage referrals appropriately, reviewing patients in a timely manner according to their presentation.
  • Liaise with community teams to prevent avoidable urology admissions to hospital/ED attendances.
  • Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
  • Analyse multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information to speciality /senior medical staff for advice when scope of practice is exceeded.
  • Autonomously formulate appropriate management plans for patients, formulate clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission or discharge.
  • Continuously revaluate findings and clinical response to treatment and establish an appropriate ongoing management plan accordingly.
  • Contribute to clinical governance by leading quality improvement, audit and research projects as part of the multidisciplinary service-wide performance and quality agenda.
  • Conduct patient assessments, including medical history and physical examination to diagnose urological conditions.
  • Order and interpret diagnostic tests such as urine, bloods, imaging and other urological investigations to aid in diagnosis.
  • Collaborate with urologists to develop individualised treatment plans based on patient needs and diagnosis.
  • Prescribe medications and treatments for urological conditions including antibiotics, analgesics and bladder instillations.
  • Perform minor procedures such as catheterisation, bladder scan, LA TP biopsy, cystoscopy, stent removal and Botox treatment under supervision or independently as per scope of practice and Trust policies/BAUN guidelines as appropriate.
  • Educate patient and their families about urological condition, treatment options and self-care strategies.
  • Provide counselling on lifestyle modifications, such as dietary changes and fluid management to improve urological health and prevent recurrence of conditions.
  • Address patient concerns and provide support throughout the treatment process, fostering a collaborative and patient centred process.
  • Coordinate with other healthcare providers to ensure continuity of care for patients undergoing surgical interventions or specialised procedures.
  • Schedule and conduct urology follow-up appointments to monitor patient progress, assess treatment efficacy and address any complications or side effects.
  • Adjust treatment plans as needed based on patient's response and clinical findings

Please also see full job description for details of responsibilities required for the post holder.

Person Specification

Essential

Essential

  • Registered Professional

Essential

Essential

  • Study at degree level

Essential

Essential

  • Clinical experience within the field of urology
Person Specification

Essential

Essential

  • Registered Professional

Essential

Essential

  • Study at degree level

Essential

Essential

  • Clinical experience within the field of urology

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

Mid Cheshire Hospitals NHS Foundation Trust

Address

Leighton Hospital

Middlewich Road

Crewe

CW1 4QJ


Employer's website

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


Employer details

Employer name

Mid Cheshire Hospitals NHS Foundation Trust

Address

Leighton Hospital

Middlewich Road

Crewe

CW1 4QJ


Employer's website

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


Employer contact details

For questions about the job, contact:

Surgical Matron

Helen Williamson

helen.williamson@mcht.nhs.uk

01270278356

Details

Date posted

04 September 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year pa, per annum

Contract

Permanent

Working pattern

Full-time

Reference number

412-S&C-7408213

Job locations

Leighton Hospital

Middlewich Road

Crewe

CW1 4QJ


Supporting documents

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