Advanced Clinical Practitioner - Same Day Emergency Care in London

Same day emergency care has become pivotal to delivering urgent and emergency care. It offers the opportunity to get involved in the delivery of new models of care, a range of presentations and exciting case mix in a controlled and supportive environment. Imperial College Healthcare NHS Trust has two emergency medicine run SDEC units on the St Mary's and Charing Cross sites and are expanding the service on both sites to optimise patient pathways.

We are looking for energetic, enthusiastic practitioners with a minimum of 1 year experience in emergency or acute medicine who will contribute to this expansion and enhancement of the quality of care to patients. We work alongside acute medicine SDEC and collaborate closely with other specialties. There are opportunities to develop improvement skills, research and education skills as well as access to the resources of Imperial College. Postholders have personal development time in addition to study leave and will be able to work in the Emergency Department on shifts if that is part of the personal development plan.

Main duties of the job:

• Assess, diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting to the Same Day Emergency Care services.
• Empower patients to make informed choices and decisions by applying, sharing and explaining advanced specialist knowledge of research outcomes and evidence-based practice.
• Use expertise and decision-making skills to inform clinical reasoning when dealing with differentiated and undifferentiated individual presentations and complex situations.
• Use and provide service-related information from a range of sources to make appropriate, evidence-based judgements and diagnoses.
• Initiate, evaluate and modify a range of interventions that may include prescribing medicines, therapies, lifestyle advice and care.
• Exercise professional judgement to manage risk in complex and unpredictable events or cases.
• Provide support to the team to ensure the safety of patients, families and carers.
• Work collaboratively with the MDT and more widely across the healthcare system to develop, maintain and evaluate methods to manage risk and issues across a range of settings.
• Communicate effectively with diverse groups; patients, carers, relatives where the practitioner may need to breakdown and interpret highly complex information in order to provide reassurance and/or ensure understanding and motivate the individual to co-operate with their treatment plan.

The practitioner may also need to break bad news in a sensitive, empathetic manner.

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.

Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.

Environmental sustainability: Climate change and poor air quality is a health emergency that harms people's health and wellbeing and widens health inequalities. The Trust is also committed to reducing its impact on the environment by reducing our greenhouse gas emissions to Net Zero by 2045. All our employees have a role to play, and we have an active green network that supports staff to act in ways that ensures that our services are efficient, sustainable and reduce our impact on the environment.

Details:

• Date posted: 30 July 2026
• Pay scheme: Agenda for change
• Band: Band 8a
• Salary: 66,274 to 73,496 a year pa inclusive
• Contract: Permanent
• Working pattern: Full-time
• Reference number: 290-MIC-2184
• Job locations: St Mary's Hospital, London, W2 1NY, United Kingdom

Education:

• Essential: BSc in Nursing or other relevant healthcare professions, MSc in Advanced Clinical Practice, Non-medical prescribing, Certificated speciality courses, Recognised teaching qualification, Registration with the appropriate healthcare governing body, Qualified autonomous practitioner.
• Desirable: Working towards advanced level credentialing.

Experience:

• Essential: Experience of managing and running clinics, Able to work as an autonomous practitioner, Broad clinical experience relevant to the post, Specialist skills and experience in the speciality, Clinical leadership at a senior level in an acute setting including people, financial and change management, Experience of managing investigations and resolving complaints.
• Desirable: Developed a network of clinical and academic contacts across the system, Evidence of teaching experience, Experience of running research and audit and implementing innovative practices, Experience working at a senior level in Same Day Emergency Care/Urgent Care or the Emergency Department.

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.

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.

Applicants must have current UK professional registration.