Advanced Clinical Practitioner, Cicu And Hdu, Cardiac Surgery
Nottingham University Hospitals Nhs Trust
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Job summary
Nottingham University Hospitals NHS Trust is seeking an experienced Advanced Clinical Practitioner to join the Cardiac Surgery team. The post holder will work autonomously and with the MDT to deliver expert clinical care across the cardiac surgical pathway.
You will hold an MSc in Advanced Clinical Practice with a digital badge and be a registered professional. The role includes independent clinical assessment, decision-making, referrals, and involvement in audit and development of practice with
Qualifications
- Registered with NMC or HCPC
- MSc in Advanced Clinical Practice or NHSE Digital Badge
- Independent Non-Medical Prescriber
- Portfolio demonstrating competence across four pillars of advanced practice
Responsibilities
- Provide autonomous clinical assessment, diagnosis and treatment.
- Refer to relevant specialties for investigations and facilitate safe discharge.
- Collaborate with the multidisciplinary team to deliver patient-centred cardiac care.
- Contribute to audit, research, and development of departmental policies and practice.
Skills
Education
Job description
We are seeking a highly motivated and experienced Advanced Clinical Practitioner (ACP) to join our dynamic Cardiac Surgery team at Nottingham University NHS Trust. The postholder will work autonomously and as part of the wider multidisciplinary team, providing expert clinical care across the cardiac surgical pathway. This is an exciting opportunity to contribute to the delivery of safe, high-quality care and to participate in the continuing development of advanced practice within a nationally recognised surgical centre.
The ACP will use specialist knowledge and skills to provide healthcare autonomously to patients CICU/CHDU. The ACP is accountable for independent clinical assessment, diagnosis, and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this the ACP is also responsible for appropriately referring patients to relevant specialities for any necessary investigations as well as facilitating safe patient discharge. The ACP will be a registered healthcare professional and hold an MSc in Advanced Clinical Practice which includes patient assessment modules and/or hold a NHS England Advanced Practice Digital Badge. Possession of a digital badge is essential for those who hold an equivalent MSc not in advanced clinical practice. They will have a completed portfolio of evidence demonstrating competence across the four pillars as described by the advanced clinical practice framework (HEE, 2017), mapped to the trust generic clinical competency framework (if training undertaken at NUH) and NHS England standards. The key job responsibilities described are divided across the four pillars of advanced practice. The ACP may be an independent Non‑Medical Prescriber. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of Cardiac Surgery, encompassing clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient care.
With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation. Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career! We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Date posted: 01 September 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £57,528 to £64,750 a year. Salary will be dependent on experience.
Contract: Permanent
Working pattern: Full-time, Part-time
Reference number: 164-8173865
Job locations: Nottingham University Hospital NHS Trust, Hucknall Road, Nottingham, NG5 1PB, United Kingdom
The Cardiac Surgery ACP team provide 24/7 clinical cover of CICU & CHDU. The rota generally consists of Long Day shifts and Night Shifts Monday-Sunday. The ACP will use specialist knowledge and skills to provide healthcare autonomously to patients in their area. The ACP is accountable for independent clinical assessment, diagnosis, and treatment of patients with undiagnosed and undifferentiated conditions. In addition to this the ACP is also responsible for appropriately referring patients to relevant specialities for any necessary investigations as well as facilitating safe patient discharge. The ACP will be a registered healthcare professional and hold an MSc in Advanced Clinical Practice which includes patient assessment modules and/or hold a NHS England Advanced Practice Digital Badge. Possession of a digital badge is essential for those who hold an equivalent MSc not in advanced clinical practice. They will have a completed portfolio of evidence demonstrating competence across the four pillars as described by the advanced clinical practice framework (HEE, 2017), mapped to the trust generic clinical competency framework (if training undertaken at NUH) and NHS England standards. The key job responsibilities as described below are divided across the four pillars of advanced practice. The ACP may be an independent Non‑Medical Prescriber registered with the appropriate professional body. They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of Cardiac Surgery, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care. The ACP will have a Trust-wide responsibility to promote clinical excellence in the care of patients referred or presenting to their area by providing clinical advice and support to the MDT. They will provide expert professional and independent clinical care which enables the coordination of a multi professional seamless service for patients. The role will include developing audit and research projects within Cardiac Surgery and participating in up‑dating and implementing departmental/practice policies, protocols, and guidelines, in line with national guidance and contemporary evidence. The ACP will have protected time to maintain and further develop their professional competence, participating in annual appraisal and annual review of clinical practice (ARCP). The ACP will also provide ongoing supervision and support, participating in the induction and training of AHP, nursing and medical staff. As a senior member of the team, the ACP will also play a pivotal role in the operational development of their specialty. They will initiate, manage, and drive change within the department, innovating changes in practice for the benefit of patient care in line with national and current trust and local programmes. A minimum of 16% of the post holders time will be used for these purposes. The ACP will undertake the role in accordance with organisational guidelines but have independence to act within broad policies and protocols, in accordance with professional responsibilities and boundaries.
- Current registration with professional body such as NMC or HCPC.
- MSc in advanced clinical practice or an equivalent MSc with the NHSE Centre for Advancing Practice Digital Badge.
- Registered Independent Non-Medical prescriber.
- Evidence of teaching, supervision & assessment skills.
- ALS Provider/Instructor.
- Mentor/assessor and/or teaching qualification.
- NHSE Centre for Advancing Practice Digital Badge (or working towards it).
- FICM ACCP membership.
- Cardiac Advanced Life Support Provider.
- Completed Non-medical Authorisation of Blood Components course.
- Currently working clinically in an autonomous Advanced Practitioner role.
- Has an up-to-date portfolio of supervised practice in advanced clinical practice.
- Has evidence of continued professional development (CPD) following successful completion of MSc & qualification as an ACP.
- Evidence of multi- professional teaching.
- Management and leadership experience.
- Evidence of involvement in policy and practice change.
- Ability to work within a multi-professional team, often presenting and receiving complex information.
- Negotiating and influencing skills.
- Ability to work independently and within a team.
- Assertiveness skills and the ability to deal with interpersonal conflict.
- Ability to adapt communication styles that facilitate building honest & trusting partnerships with patients, families, & carers.
- Ability to accept constructive feedback & teaching from a variety of sources.
- Evidence of conflict management.
- Ability to undertake the required clinical duties and procedures.
- Ability to manoeuver patients and perform clinical examinations as required.
- Ability to undertake skills involving computers and other equipment.
- IT skills to manage and report on complex performance management information.
- Completion of a clinical skills module.
- Must be able to demonstrate behaviours consistent with the Trust's behavioural standards.
- Ability to respond to, prioritise and analyse complex undifferentiated and undiagnosed health conditions and ensure that effective interventions are actioned in a safe and timely manner.
- Ability to deal effectively with clinical issues within defined procedures and guidelines.
- Ability to work with undifferentiated and undiagnosed healthcare problems.
- Participation in research and audit projects.
- Active involvement in organisational operational management.
- Leadership in research or audit projects.Involvement in the investigation of serious clinical incidents.
- Ability to provide education, and complete research and audit.
- Adaptability according to the needs of the patient/s and organisation.
- Self-motivation with evidence of efficient time and deadline management.
- Ability to identify learning opportunities and organise own learning and development.
- Ability to schedule work commitments across the four pillars of advanced practice with CPD & relevant academic workloads.
- Flexibility in working patterns and practices.
- Ability to support colleagues, patients, families and carers in a variety of circumstances, sometimes distressing.
- Exposure Prone Procedures clearance by NUH Occupational Health.
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. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer name: Nottingham University Hospitals NHS Trusts
Address: Nottingham University Hospital NHS Trust, Hucknall Road, Nottingham, NG5 1PB, United Kingdom
Employer's website: https://www.nuh.nhs.uk/ (Opens in a new tab)
For questions about the job, contact: Senior ACP Cardiac Surgery, Richard Wells, richard.wells7@nhs.net, 07810855009
Advanced Clinical Practitioner, CICU and HDU, Cardiac Surgery • Nottingham, United Kingdom
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