The Advanced Clinical Practitioner post sits in the Emergency Department at Newham University Hospital, within Barts Health NHS Trust. The post holder assesses, diagnoses and manages emergency patients, working alongside doctors and physician associates under supervision. It is tied to a four-stage ACP development programme, from newly qualified Band 7 to senior practice at Band 8b and above, with RCEM accreditation at stage 3. Fit turns on a completed ACP postgraduate qualification, prescribing module and independent emergency experience.
What the job involves
- Assess, investigate, diagnose, plan, implement and evaluate clinical care of emergency department patients, using independent judgement under supervision
- Medical assessment, management and referral of emergency department patients
- Work as part of the emergency medical team alongside physician associates, doctors in training, clinical fellows and consultants
- Provide clinical expertise to develop and enhance the emergency clinical service
- Ensure evidence-based practice is inherent in all aspects of care and treatment
- Work to local and national protocols and guidelines
- Support the education and development of medical, nursing and AHP colleagues
- At stage 3 (Band 8a): supervise multidisciplinary clinical care and lead clinical areas in the department
- At stage 2 (Band 8a): consolidate clinical experience and move into a supervising and leading role
- At stage 4 (Band 8b+): develop further towards consultant equivalency or management, as opportunities arise
Qualifications
- Completed Advanced Clinical Practice postgraduate diploma or full MSc in ACP
- Completed non-medical prescribing module
- Completed IRMER training and requesting independently within scope of practice
- ALS, APLS or equivalent
Experience
- Working as a Band 7 or Band 8a ACP in emergency medicine or acute specialties, including independently
- Teaching, mentoring and clinical supervision, including supporting ACP trainees
- Leadership and service development in emergency or acute care, such as pathway redesign or workforce transformation
- Audit, research or quality improvement with measurable patient safety outcomes
- Advanced clinical decision-making across high-acuity and complex emergency presentations
Skills & knowledge
- Experience and understanding of the emergency care environment
- Leadership and change management skills to drive service improvement
- Educational and coaching skills for staff development
- Excellent communication and interpersonal skills
- Knowledge of clinical governance, risk management and patient safety in emergency care
Other
- Team player able to provide autonomous clinical leadership within a multidisciplinary team
- Able to work a full shift pattern (partial shifts considered only in exceptional circumstances)
Nice to have
- Previous experience in teaching, mentoring or clinical supervision
- Demonstrated ability to lead multidisciplinary teams autonomously
- Comprehensive understanding of the RCEM ACP curriculum and national ACP frameworks
- Understanding of leadership, change management and service development principles
- Familiarity with research, audit and quality improvement methodologies
- Proficiency in digital health systems, electronic patient records and data-driven practice
- Awareness of the NHS Long Term Workforce Plan and its relevance to advanced practice
- Advanced clinical decision-making and diagnostic reasoning across a broad range of emergency presentations