Acute Medicine Advanced Clinical Practitioner (ACP)

North Cumbria Integrated Care NHS Foundation Trust; Carlisle; On-site; GBP 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in the UK is seeking a Qualified Advanced Clinical Practitioner (ACP) to join the Acute Medicine team at Cumberland Infirmary, Carlisle. The role involves managing clinical care, working collaboratively in a multi-disciplinary team, and ensuring effective communication within the healthcare environment. Applicants must have substantial experience, including a Master’s in Advanced Clinical Practice and independent prescribing capabilities. This position offers 36 hours per week along with a range of benefits including a holiday scheme and NHS discounts.

Benefits

27-day holiday scheme rising to 33 after 10 years

NHS Discounts

Salary Sacrifice schemes

Qualifications

• Substantial broad experience relevant to area of practice.
• Independent prescriber.
• Ability to interpret CXR and laboratory investigations.

Responsibilities

• Manage clinical care in partnership with patients and families.
• Assess and evaluate treatment and care packages for patients.
• Maintain effective communication within the SDEC environment.

Skills

Advanced Clinical Assessment skills

Excellent communication skills

Leadership ability

Research Skills

Education

Master's degree in Advanced Clinical Practice

Registered with an appropriate regulatory body

Job description

Go back North Cumbria Integrated Care NHS Foundation Trust

Acute Medicine Advanced Clinical Practitioner (ACP)

The closing date is 29 December 2025

Advanced Clinical Practitioner (ACP) within Acute Medicine at Cumberland Infirmary, Carlisle (CIC). This role is for 36 hours per week.

We are looking to appoint dynamic and forward-thinking Qualified Advanced Clinical Practitioner (ACP)s with a special interest in Same Day Emergency Care to support the current Acute Medicine ACP, nursing and medical team.

The successful candidate will work as part of an established multi-disciplinary team. This is an opportunity to join an organisation in which Clinicians are at the forefront of service management, patient care and transformational projects.

Main duties of the job

Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes.

The post holder will assess, differential diagnose, plan, implement and evaluate individual treatment/interventions and care packages for patients, resulting in safe and appropriate management, referral or discharge.

Prescribe independently, appropriate to patient needs and in accordance with evidence‑based practice, national and local protocols and within scope of practice to optimise treatment.

Prioritises own and medical team's workload and ensures effective time‑management strategies are embedded within the culture of the team.

Maintains effective communication within the SDEC environment ensuring active participation with senior nursing and medical team members and provide effective communication between the roles. Communicate with external stakeholders such as other wards and agencies to support continuing quality care.

Takes responsibility for own learning and performance. Ensure positive promotion of the ACP role. Demonstrate continuous learning and development through a personal portfolio for discussion at annual review as per Trust ACP framework.

About us

At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':

Being a clinically led organisation

Quality and safety at the heart of our Trust

A positive patient experience every time

A great place to work

Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

CERTIFICATE OF SPONSORSHIP

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment. Any applicants who do not meet the eligibility criteria will not be progressed. For further information visit the UK Visas and Immigration website (Opens in a new tab).

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Disclosure and Barring Service

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.

The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

• Standard Check: £21.50 + Administration cost of £5.90 = £27.40. Deducted from salary over a 4 month period or a one‑off payment.
• Enhanced Check: £49.50 + administration cost of £5.90 = £55.40. Deducted from salary over a 4 month period or a one‑off payment.

NCIC can offer successful future employees the following benefits:

• 27‑day holiday scheme rising to 33 after 10 years
• NHS Discounts*
• Salary Sacrifice schemes including lease cars and Cycle to Work*
• Vivup is a free, confidential counselling and information service to assist with personal or work‑related problems

*Subject to eligibility

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

Person Specification

Education, Training and Qualifications

• Substantial broad experience relevant to area of practice
• ILS provider
• Advanced clinical practice skills and clinical treatment skills
• Independent prescriber
• Clinical diagnostic skills including the ability to interpret CXR and laboratory investigations
• Evidence of substantial clinical practice at advanced level
• Evidence of competence within all core ACP competencies (as per DHFT ACP framework)
• Master's degree in "Advanced clinical practice"
• ALS provider/instructor
• Ability to perform basic interpretation of CT brain and Skeletal X‑Rays

Experience

• Previous experience at managing/ leading a team
• Experience within acute care

Knowledge

• Broad and advanced knowledge of clinical pathophysiology
• Has a sound level of knowledge in relation to invasive and non‑invasive diagnostic and therapeutic procedures
• Ability to take a full systematic focused history
• Ability to make a diagnosis based on interpretation of imaging and pathology resultsHas the knowledge to support safe clinical decision making in relation to discharge
• Knowledge of more than one area of clinical practice - i.e. surgery, medicine, orthopaedics, ITU

Skills and Ability

• Advanced Clinical Assessment skills
• Evidence of proven leadership ability
• Willingness to perform and or learn advanced clinical skills appropriate to area of practice
• Ability to manage a team of patients and prioritise workload
• Ability to demonstrate the compassionate values and behaviours needed for dignified care
• Research Skills

Behaviours

• oDemonstrates excellent interpersonal skills
• oDemonstrates effective team management
• oUnderstands and overcomes barriers to effective communication

Communications & Relationship skills

• oAble to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance
• oUtilises above skills to communicate information to patients and relatives including delivering unwelcome news
• oExcellent communication skills, written and oral, including highly effective interpersonal skills
• oWell‑developed facilitation and influencing skills, effective negotiation and conflict management skills
• oAbility to manage conflict
• oAble to present information to a wide audience using a variety of methods to suit audience type

Knowledge, Training & Experience

• oRegistered with an appropriate regulatory body (i.e. NMC, HPCC)
• oEvidence of continual CPD (review of portfolio)
• oAdvanced clinical assessment and diagnostic skills
• oHighly motivated and experienced practitioner
• oExperience in managing acute problems
• oClinical diagnostic skills including the ability to interpret as a minimum CXR, AXR and laboratory investigations (as per DHFT ACP Framework)
• oEvidence of a teaching/coaching/ mentoring course
• oSubstantial broad experience relevant to clinical area
• oExperience in leadership and/or management
• oEvidence of competence within all core ACP competencies
• oHas the ability to use basic IT systems including Word, Excel and PowerPoint, as well as ability to learn Trust specific IT systems
• oExperience in managing chronic health issues
• oAbility to perform basic interpretation of CT brain and Skeletal X‑Ray
• oALS provider

Analytical & Judgemental Skills

• oHas the ability to work as an independent practitioner through completion of Master's level clinical practice programme and/or completion of competencies
• oPortfolio evidence of assessment of competent advanced clinical decision making (i.e. ACAT, Mini - cex, DOPS)
• oHas ability to formulate a diagnosis and differential diagnosis, initiate appropriate treatment and evaluate effectiveness
• oAbility to manage a team of patients and prioritise work
• oAble to present and receive complex information from the MDT
• oDemonstrate experience with the audit process and audit tools
• oCompetent to verify death
• oCompetent to interpret Arterial Blood Gases (ABG)

Planning & Organisational Skills

• oDemonstrate proactive performance
• oManage own workload and support junior medical staff in managing theirs
• oPlan and organise work as a senior member of the team according to clinical situation
• oHas the ability to plan and implement strategies which may impact across the Trust and healthcare community
• oPrioritise balance of work to support flow of patients through Trust

Physical Skills

• oPhysically able to perform all requirements of the ACP role where highly developed skills and accuracy are required i.e. ABG, IVIs drug administration, inserting catheters, specialist procedures relevant to area of practice
• oWilling to be adaptable and flexible to meet service requirements
• oIs willing to develop and maintain competence in the variety of skills as listed within DHFT ACP core competency document as appropriate to area of practice

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.

North Cumbria Integrated Care NHS Foundation Trust