Advanced Clinical Practitioner - Emergency Department in Manchester

Job overview

The Advanced Clinical Practitioner (ACP) in the Emergency Department at Manchester Royal Infirmary is an autonomous practitioner responsible for delivering advanced clinical assessment, diagnosis, treatment, and management of patients presenting with undifferentiated and complex emergency conditions.

Working within a busy, high-acuity city-centre emergency department, the ACP provides safe, effective, evidence-based care to patients presenting with medical, surgical, trauma and minor injury conditions, within their individual scope of practice and level of competence. The post holder utilises advanced clinical reasoning and decision-making skills to initiate investigations, develop management plans, prescribe where appropriately qualified, and determine appropriate referral, escalation, admission, or discharge.

Alongside clinical responsibilities, the post holder contributes to the four pillars of advanced practice: clinical practice, leadership and management, education, and research. This includes supporting the development of trainee ACPs, delivering clinical education, contributing to clinical governance and audit, and supporting service improvement initiatives.

The post holder will demonstrate professional leadership, accountability and a commitment to continuous development, patient safety, and the delivery of high-quality emergency care.

Main duties of the job

The Advanced Clinical Practitioner (ACP) will deliver autonomous, high-quality emergency care across all areas of the Emergency Department, including Resuscitation, Majors, Minors and the initial assessment and streaming of patients to appropriate services, including Same Day Emergency Care (SDEC).

The post holder will undertake comprehensive clinical assessments, formulate differential diagnoses, request and interpret investigations, initiate evidence-based treatment and develop appropriate management plans for patients presenting with a wide range of undifferentiated medical, surgical, and traumatic conditions. They will demonstrate advanced clinical reasoning, recognise and manage the deteriorating patient, and initiate timely escalation and referral to specialist teams when required.

Working collaboratively with emergency medicine consultants, medical and nursing colleagues, specialty teams and the wider multidisciplinary workforce, the ACP will support effective clinical decision-making, safe patient pathways, and timely patient flow.

In addition to direct clinical responsibilities, the ACP will contribute to the four pillars of advanced practice through clinical leadership, education, research, and service development.

The ACP will actively contribute to improving patient safety, experience, and departmental performance, working flexibly across the Emergency Department.

Working for our organisation

Join Manchester University NHS Foundation Trust (MFT) and become part of a 30,000 plus strong team, delivering exceptional care to over 1 million people every year. As the largest provider of specialist services, and our Oxford Road Campus in Manchester, the largest health academic campus in Europe, we are forward-thinking, committed to clinical excellence and driven to deliver innovation, and continuous improvement.
Whether you’re beginning your career or taking the next step, MFT offers a stimulating and supportive environment where your contribution truly matters. Our Hive Electronic Patient Record system enables safer, smarter, and more efficient ways of working - empowering you to deliver the best possible outcomes for our patients.
You’ll be part of a collaborative, multi-disciplinary community, working alongside professionals from a wide range of clinical backgrounds. Together, we push boundaries, share knowledge, and deliver care that transforms lives.
At MFT, you’ll find a workplace where everyone is respected, supported, and encouraged to thrive. We offer clear clinical pathways for professional development, helping you grow your skills and achieve your ambitions.
Your journey at MFT is more than a job - it’s an opportunity to make a lasting impact. We’ll support you as you shape the future of healthcare, one patient at a time.

Detailed job description and main responsibilities

IMPORTANT CANDIDATE INFORMATION

We welcome applications from a wide range of backgrounds and experiences.
To help us manage applications fairly and give each one the time it deserves, our adverts may close early if we receive a high level of interest. Early applications are therefore encouraged.

Diversity Matters
MFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, please contact the manager named below.

Use of Artificial Intelligence (AI) in your application

Here at Manchester University NHS Foundation Trust, we’re proud to be ALL HERE FOR YOU, for our patients, our communities, and each other.
As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your application, especially personal statements and responses to role specific questions is written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone.

Thank you for helping us uphold the values that make our Trust a place where people belong, grow, and thrive. We look forward to receiving your application.

Disclosure and Barring Service (DBS) check

As part of our commitment to safeguarding patients and staff, many roles at Manchester University NHS Foundation Trust (MFT) require a Disclosure and Barring Service (DBS) check. This is a standard process across the NHS and helps us ensure a safe environment for everyone.

What is a DBS Check?

A DBS check is a background check that reveals any criminal convictions, cautions, reprimands, or warnings. The level of check required depends on the role:

Standard DBS : Checks for spent and unspent convictions, cautions, reprimands, and final warnings.

Enhanced DBS : Includes the above, plus any additional information held by local police that’s considered relevant to the role.

Enhanced with Barred Lists: Includes all of the above, plus checks against the children’s and/or adults’ barred lists.

Who Needs a DBS Check

Most roles involving direct patient contact, working with children or vulnerable adults, or access to sensitive information will require a DBS check. The job advert and recruitment team will let you know if this applies to your role.

The Costs for a DBS

At Manchester University NHS Foundation Trust (MFT), roles that require a DBS check are subject to a cost recovery policy. This means that the cost of submitting and processing a DBS application if you are successful and join us, will be deducted from your salary within the first three months of employment. If, however, you withdraw from a conditional offer after the DBS process has begun, you will still be liable for the cost incurred.

Candidates are also expected to register with the DBS Update Service which must be completed within 30 days of the certificate being issued. This helps streamline future employment checks and supports safer recruitment practices. For more information, please visit the DBS Update Service.

Person specification

Qualifications and professional registration

• Current registration with the relevant professional regulator (e.g. NMC or HCPC, as applicable to professional background)
• Master’s-level qualification in Advanced Clinical Practice, or evidence of equivalence accepted by the Trust
• Non-medical qualifications(NMP), where relevant to professional background and role
• Evidence of training and assessment appropriate to the agreed scope of Emergency Department practice
• Relevant postgraduate Emergency Medicine, urgent care or specialty qualification
• ALS, APLS,ETC, ALS
• Teaching, clinical supervision or leadership qualification

Experience

• Substantial post-registration clinical experience relevant to acute and emergency care
• Demonstrable experience assessing and managing patients with undifferentiated presentations within an appropriate scope of practice
• Evidence of autonomous decision-making, recognising clinical risk and escalating appropriatelyEvidence of continuing professional development and maintaining a portfolio of competence
• Experience across more than one Emergency Department clinical area or urgent care pathway
• Experience supporting trainee ACPs, students or colleagues in clinical practice
• Experience contributing to service improvement, audit or research

Clinical knowledge and skills

• Demonstrates advanced assessment, clinical reasoning, differential diagnosis and management planning
• Able to recognise serious illness, injury, deterioration and time-critical presentations and act promptly
• Able to request, interpret and act on investigations within agreed scope and local policy
• Understands safe admission, referral, discharge and safety-netting processes
• Demonstrates sound knowledge of safeguarding, consent, capacity, confidentiality, infection prevention and medicines safety
• Works within professional scope, recognises limitations and seeks senior advice appropriately
• Prescribing within an authorised scope of practice
• Experience of developing or using clinical pathways and protocols
• Competence in additional skills relevant to the service and evidenced within the Trust framework

Leadership and service development

• Demonstrates professional leadership and acts as a positive role model
• Able to work effectively within a multidisciplinary team and communicate concerns clearly
• ncerns clearly; Able to identify risks, service gaps and opportunities to improve quality and patient flow
• Demonstrates ability to organise workload, prioritise competing demands and use resources appropriately
• Understands clinical governance, incident reporting, audit and quality improvement
• Evidence of leading a service development, change management or quality improvement project
• Participation in departmental or Trust-wide groups, networks or committees

Education and supervision

• Demonstrates commitment to learning, reflection and supporting the development of others
• Able to provide clear clinical explanations and constructive feedback
• Willing to contribute to teaching, supervision and induction appropriate to competence and role
• Teaching or mentorship qualification
• Experience planning, delivering and evaluating teaching sessions
• Experience providing clinical supervision or supporting ACP development

Research, audit and evidencebased practice

• Able to interpret and apply evidence, guidelines and professional standards to clinical practice
• Understands the purpose of audit, evaluation and quality improvement
• Able to reflect on practice and act on learning from incidents, feedback and review
• Experience leading or participating in research, audit or quality improvement
• Presentations or publications at local, regional or national level
• Contribution to academic or professional education

Communication and interpersonal skills

• Excellent verbal and written communication skills
• Able to communicate sensitive or complex information with empathy and clarity
• Able to build effective working relationships with patients, carers and colleagues
• Demonstrates diplomacy, negotiation and constructive conflict resolution
• Able to adapt communication to individual needs and promote shared decisionmaking
• Experience presenting clinical or service information to multidisciplinary or wider audiences

Personal attributes

• Evidence of ongoing leadership development or participation in a recognised leadership programme

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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