Advanced Clinical Practitioner

NHS; Milton Keynes; On-site; GBP 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in Milton Keynes is seeking an Advanced Clinical Practitioner to lead patient care in the Emergency Department. The role includes comprehensive clinical assessment and decision-making, requiring a Master's degree in advanced practice. Ideal candidates will have excellent communication skills and the ability to work under pressure. This full-time role offers flexible working arrangements to accommodate varied shifts, aiming to enhance patient care.

Benefits

Flexible working arrangements

Qualifications

• Registered nurse or paramedic with current registration.
• Master's degree in advanced clinical practice.
• Non-medical prescriber status.

Responsibilities

• Perform comprehensive clinical assessment.
• Make confident clinical decisions.
• Organise complex care planning and follow ups.
• Act as a proactive clinical leader.

Skills

Excellent communication skills

Ability to manage stressful situations

Team player

Research skills

Decision-making skills

Education

Master's degree in advanced clinical practice

Registered nurse or paramedic with current registration

Job description

Overview

Advanced Clinical Practitioner

Closing date: 30 September 2025

Hours: 37.5 per week on a rota which will include early, lates, twilights and night shifts. All MKUH roles will be considered for flexible working

Are you ready to lead, innovate, and deliver exceptional care in a fast-paced clinical environment?

#TeamMKUH have an exciting opportunity for an experienced Advanced Nurse Practitioner to join our Emergency Department.

As an ACP, you''ll manage the full patient journey--from initial assessment to diagnosis, treatment, and evaluation. You''ll work within a multi-professional framework, making complex decisions with confidence, compassion and care.

Additionally, you will organise complex care planning and follow ups, including discharge planning and referrals to another services/organisation

You should have excellent interpersonal skills, resilience, emotional intelligence, and a professional manner, and be able to prioritise and organise your workload and work under pressure.

Furthermore, the successful candidate will collaborate across our internal and external partners, including medical and nursing teams, allied health professionals, social care, and urgent care providers.

Interview date: 08.10.2025

Main duties of the job

The role is established in line with the national framework: multi-professional framework for advanced clinical practice in England (HEE,2017).

Advanced Clinical Practice is characterised by a high degree of autonomy and complex decision making. The post holder is an experienced practitioner who is practising within their professional boundaries, who will provide care for the presenting patients from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care. The post holder will demonstrate safe clinical decision-making including the prescribing of medicines.

This is underpinned by a master''s level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education, and research, with demonstration of core capabilities and area specific clinical competence.

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 peoples'' experience and improve clinical outcomes. The post holder will demonstrate critical thinking within the clinical decision-making process.

The role will encompass a 7-day working pattern with an element of shifts and out of hours working to meet the needs of the patients and service.

About us

Milton Keynes University Hospital, in proud partnership with the University of Buckingham, is a University Teaching Hospital committed to advancing patient care through cutting-edge research and education. With a "Good" rating from the CQC and significant investment underway, this is an exciting time to join our team and grow your career.

As a medium sized general hospital, we provide a full range of general medical and surgical services, including a busy Emergency Department, Maternity, and Paediatrics. As the population of our city and surrounding areas continues to grow rapidly, we are expanding and enhancing our facilities to meet rising demand and improve access to care for all our communities.

We are also proud to offer a growing portfolio of specialist services. In January 2025 we opened our state-of-the-art Radiotherapy Centre, bringing advanced cancer treatment closer to home. Our services also include neonatology, specialist surgical care, and a wide range of diagnostics, supported by the new Community Diagnostic Centre at Whitehouse Health Centre.

Further investment is underway, including the construction of Oak Wards - a new ward block featuring two 24-bed wards - and the recently approved Women and Children''s Centre, set to open by 2030.

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For further information about Milton Keynes please visit - Visit Milton Keynes

Job responsibilities

Clinical

• Perform comprehensive clinical assessment.
• Request, perform, interpret, and follow up on diagnostics tests to support clinical decision making.
• Make decisions with confidence, competence and drawing on clinical expertise.
• Organises complex care planning and follow ups, including discharge planning and referrals to other services/organisations.
• Communicate with and take the views of the patients/relatives and carers on board to ensure that informed consent is obtained prior to investigations and or treatment.

Leadership and management

• Act as a proactive clinical leader, demonstrating effective leadership skills.
• Promote best practice for the patients, using standards, clinical guidelines, and research/audit findings.
• Develop and lead service improvement, utilising the transformation and quality improvement agenda.
• Act as a resource in providing clinical leadership and advice to other teams and individuals and or other organisations, sharing knowledge and expertise

Education

• Undertake statutory and mandatory training as required by the Trust.
• Participate in the theoretical and clinical education and training of others.
• To develop and maintain a positive learning environment for the team by providing support, ensuring developmental requirements are addressed
• Ensure that own skills and competence are regularly and actively updated in the light of research, audit, and knowledge.
• Be confident in the delivery of multi professional education and training.

Research

• Assist in data collection for local, national, and multi-centre research projects.
• Identify areas for research and audit, liaising with the research and audit teams.
• Analyse audit and research findings and interpreting them for practice changes.
• Prepare and present reports on audit and research to the multi-disciplinary team and or corporate team

Please refer to the job description for further details.

Person Specification

Qualifications

• Registered nurse or paramedic with current registration with a professional regulatory body.
• Master''s degree in advanced clinical practice
• Non-medical prescriber
• Advanced Life Support Provider status
• APLS/EPALS Provider status
• ETC/ATLS Provider status
• ALS/APLS/EPALS/ETC/ATLS Instructor status

Qualifications and knowledge

• Clinical History Taking and Physical Examination training/experience.
• Evidence of autonomous practice with high level of decision making.
• Highly developed communication skills (written and verbal)
• Specialist knowledge in the service

Experience

• Substantial clinical experience of managing undifferentiated emergency cases
• Experience in clinical governance (risk management and complaints management)
• Experience in investigating serious untoward incident with follow up actions
• Experience in providing expert clinical care and advice
• Evidence of research skills
• Evidence of critical thinking with regards to effective patient management.
• Experience of leading quality improvement initiatives
• Evidence of producing and presenting clinical papers/posters

Skills

• Ability to seek and provide peer reviews and support
• Ability to participate in a full shift rota
• Ability to work collaboratively as part of a multidisciplinary team
• Ability to provide advice to other staff/teams
• Up-to-date knowledge of adult and child safeguarding
• Up-to-date knowledge of infection prevention and control issues
• Able to support personal resilience by seeking feedback and advice
• Able to engage patients and families in decision making
• Able to translate national guidance and guidelines into practice
• Updated national initiatives on ACP
• Previous experience as an ACP.

Personal Development

• Ability to be flexible, to have flair and initiative and be able to work in a team
• Motivated / positive - self-directed and committed.
• Professional image
• Have an ongoing personal development plan
• Ability to organize, priorities and coordinate work

Communication

• Excellent communication skills with colleagues and people at all levels
• Flexible approach to work
• Good listener
• Team player
• Ability to manage stressful situations, raise clinical issues and work independently to ensure the patients'' needs are being met
• Ability to manage and motivate self and others.

Specific requirements

• Able to perform the duties of the post with reasonable aids and adaptations

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.

Milton Keynes University Hospital NHS Foundation Trust

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