Advanced Clinical Practitioner, Band 8a

At Gloucestershire Hospitals, our people are at the heart of everything we do. As the county’s largest employer, we are proud to provide high-quality acute, elective, and specialist services to more than 650,000 people across our county. Our care is delivered across Gloucestershire Royal, Cheltenham General and Stroud Maternity Hospital.

With over 9,000 employees representing more than 95 nationalities, we bring together a mix of cultures and experiences to the care that we deliver. Whether you’re beginning your NHS journey or looking to take the next step in your career, this is an exciting time to join us. We’re investing heavily in innovation, research, and transformation, with more than 100 active clinical studies and major developments underway across our hospitals.

We take pride in working as one team, driven by a shared ambition to grow, develop, and continually improve. Every contribution is valued and by combining our collective strengths, we support not only our diverse communities but one another. You can expect a warm, supportive culture and colleagues who are passionate about teamwork, professional development and delivering exceptional care. We offer structured development programmes, mentoring and leadership opportunities to help you progress in your career.

We are committed to fostering an inclusive environment where everyone feels they belong. By joining our Trust, you will benefit from a comprehensive package that includes flexible working opportunities, generous annual leave, the NHS pension scheme, competitive bank rates, local discounts, access to on-site nurseries, reduced public transport costs, reward and recognition schemes and a wide range of health and wellbeing initiatives.

Job overview:

• Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills.
• To be responsible and accountable for own decisions, actions and omissions at this level of practice.
• Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
• Critically reflect on their own practice and acknowledge limitations in knowledge, referring to senior clinicians when scope of practice is reached.
• To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients.
• Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements.
• To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary.
• Develop scope of advanced clinical skills and practice to meet changing needs of service.
• Prescribe, supply and/or administer medication within appropriate legal frameworks and Trust guidance.

Main duties of the job:

• Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review.
• Manage daily patient caseload in a specific area of advanced clinical practice.
• Facilitate ‘expert’ inter-professional care for the patient pathway and their dependants by direction, supervision and example.
• Critically apply advanced clinical expertise in appropriate facilitator ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality.
• Work in all areas of the ED, minors, majors, paediatrics and the resuscitation area.
• Maintain accurate and contemporaneous patient records.

Person specification:

• Registered Health Care Professional with a regulatory body.
• MSc Advanced Practice from an accredited pathway.
• Formal assessment of achievement of capabilities specific to context of practice by occupationally competent assessor.
• Independent Prescribing qualification, where essential to the delivery of service and role and where professional groups have appropriate legislation in place.
• Enhanced IT skills – working knowledge of software packages such as word, excel and outlook alongside EPR, PACS, ICE etc.
• Evidence of leading research as Principal Investigator.
• Experience of developing practice guidelines and governance.
• RCEM Credentialled.
• Experience of working in an Emergency Department in a senior position.

You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.

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.