Job summaryThe post holder will be a clinically credible registered practitioner who is highly experienced and proficient in the management of the acutely unwell patient with a comprehensive background of experience in acute care. They will utilize their clinical expertise and specialist knowledge to deliver high quality evidence / research based care to the critically ill patient. They will review referred and ongoing patients and assess these patients who are considered "at risk" by the referring multi-professional team. They will act as a role model providing support, education and training to the multi-professional team caring for the critically ill patient. The post holder will have a degree of autonomy where they will be responsible for a caseload of patients across a number of specialties, to include an element of lone working.
The post holder will be expected to use their experience to support the implementation of clinical and non-clinical governance and to modernise patient services. In addition the post holder will be responsible for participating in clinical audit and nursing research.
They will be required to work flexibly as a member of the ACT team to ensure standards are being maintained, evaluated and where necessary improved. In addition, to the obligatory advanced clinical skills, the practitioner may be required to develop a range of additional skills or techniques that fall outside the usual scope of nursing practice.
Main duties of the jobMeet National Outreach Forum competencies and work within service specification for critical care servicesDemonstrate the use of evidence-based specialist skills and practice in the care of critically ill patients, including the use of an effective communication tool (SBAR)Demonstrate the use of specialist knowledge and skills in the assessment, planning, implementation and evaluation of care delivered to the critically ill patient, ensuring the appropriate documentation is maintained and completed.
Demonstrate the interpretation and delivery of appropriate action / treatment / therapy to the critically ill patient, ensuring records are updated and maintained. This includes the transfer of patient's intra-hospital.
Monitor and evaluate the condition of patients using the National Early Warning Scoring system, recognising and alerting staff to changes in the patients' condition.
Assist and participate in the follow up care of patients discharged from critical care.
Negotiate with the ward multi-professional team to improve clinical care given to the "at risk" patientAbout usAt East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.
We are committed to helping our staff balance their work and home lives and ensure they feel supported, valued and appreciated.
DetailsDate posted08 September 2026Pay schemeAgenda for changeBandBand 6Salary
39,959 to 56,515 a year
Band 6 / 7 dependent on qualifications and experience
ContractPermanentWorking pattern
Full-time
Reference number435-S139-26Job locationsEast Lancashire Hospital TrustHaslingden RoadBlackburnBB2 3HHUnited KingdomJob descriptionJob responsibilitiesThe post holder will be working within the Acute Care Team Critical Care Outreach service at East Lancashire Hospital Trust and will be banded appropriate to knowledge and skills. Those banded as 6 will be expected to work towards band 7 and will undertake appropriate training and development required for this post. The main roles and responsibilities will sit with in the management of deteriorating patients outside of the critical care unit and will facilitate admission avoidance, safe transfer and management of those patients identified for safe step down outside of the critical care. Additional to this the role requires the delivery of education around deteriorating patients, core role on the cardiac arrest team and daily case load of AKI patients. The post covers both the acute and peripheral Burnley site and the remote management of patients in the community sites as an out of hours service.
Job description
Job responsibilitiesThe post holder will be working within the Acute Care Team Critical Care Outreach service at East Lancashire Hospital Trust and will be banded appropriate to knowledge and skills. Those banded as 6 will be expected to work towards band 7 and will undertake appropriate training and development required for this post. The main roles and responsibilities will sit with in the management of deteriorating patients outside of the critical care unit and will facilitate admission avoidance, safe transfer and management of those patients identified for safe step down outside of the critical care. Additional to this the role requires the delivery of education around deteriorating patients, core role on the cardiac arrest team and daily case load of AKI patients. The post covers both the acute and peripheral Burnley site and the remote management of patients in the community sites as an out of hours service.
Person Specification
Training and Qualifications
EssentialCurrent first level NMC registration or equivalentMentorship qualificationMedicines management competencyAcute Speciality qualificationDesirableDegree or working towardsEvidence of CPD level 7Leadership trainingALSNon-Medical Prescribing qualification (essential for band 7 post)Assessment diagnostic qualification
Experience
EssentialPost registration experience, ideally within critical care or acute settingDemonstration of evidence based practiceEvidence of ability to apply critical care skills outside of the critical care environmentEvidence of appropriate delegation and leadership skillsUnderstanding of change managementRecognition of own limitationsDesirableInvolvement in project workEvidence of conflict management skillsInvolvement in guideline developmentEvidence of leadership or management skillsAbility to provide feedbackProven track record of teaching experience
Attributes
EssentialExcellent communication skillsExcellent interpersonal skillsEffective team workerAbility to identify learning needsAble to respond to stressful situationsFlexibility to work across divisions and teamsSupportive of junior staffDrive to continuously improve
Skills / Abilities
EssentialCan demonstrate ability to undertake comprehensive patient assessmentWorking knowledge of the current NHS agenda and issuesAbility to work independentlyEffective written and verbal communication skillsAbility to manage own workloadComputer literateCommitment to education and training programmesDesirableExperience within a Leadership Role
Other
EssentialAbility to work across the 24 hour period
Person Specification
Training and Qualifications
EssentialCurrent first level NMC registration or equivalentMentorship qualificationMedicines management competencyAcute Speciality qualificationDesirableDegree or working towardsEvidence of CPD level 7Leadership trainingALSNon-Medical Prescribing qualification (essential for band 7 post)Assessment diagnostic qualification
Experience
EssentialPost registration experience, ideally within critical care or acute settingDemonstration of evidence based practiceEvidence of ability to apply critical care skills outside of the critical care environmentEvidence of appropriate delegation and leadership skillsUnderstanding of change managementRecognition of own limitationsDesirableInvolvement in project workEvidence of conflict management skillsInvolvement in guideline developmentEvidence of leadership or management skillsAbility to provide feedbackProven track record of teaching experience
Attributes
EssentialExcellent communication skillsExcellent interpersonal skillsEffective team workerAbility to identify learning needsAble to respond to stressful situationsFlexibility to work across divisions and teamsSupportive of junior staffDrive to continuously improve
Skills / Abilities
EssentialCan demonstrate ability to undertake comprehensive patient assessmentWorking knowledge of the current NHS agenda and issuesAbility to work independentlyEffective written and verbal communication skillsAbility to manage own workloadComputer literateCommitment to education and training programmesDesirableExperience within a Leadership Role
Other
EssentialAbility to work across the 24 hour periodDisclosure and Barring Service CheckThis 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 SponsorshipApplications 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 CheckThis 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 SponsorshipApplications 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 detailsEmployer nameEast Lancashire Hospitals NHS TrustAddressEast Lancashire Hospital TrustHaslingden RoadBlackburnBB2 3HHUnited KingdomEmployer's websiteEmployer detailsEmployer nameEast Lancashire Hospitals NHS TrustAddressEast Lancashire Hospital TrustHaslingden RoadBlackburnBB2 3HHUnited KingdomEmployer's website
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