Advanced Clinical Practitioner, CICU and HDU, Cardiac Surgery
Nottingham University Hospitals NHS Trust
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Job summary
Nottingham University Hospitals NHS Trust seeks an experienced Advanced Clinical Practitioner to join the Cardiac Surgery team (CICU/CHDU). The post is Band 8a, permanent, with 37.5 hours per week and flexible shifts to cover 24/7 clinical care.
The role requires autonomous practice and involvement in education and research within a nationally recognised centre. The ACP will work across CICU/CHDU, provide expert clinical assessment and management, and participate in MDT decisions while promoting
Qualifications
- Current registration with professional body such as NMC or HCPC.
- MSc in advanced clinical practice or equivalent and NHS England Digital Badge.
- Registered Independent Non-Medical prescriber.
- Evidence of teaching, supervision & assessment skills.
- ALS Provider/Instructor.
- Mentor/assessor or teaching qualification.
- NHSE Digital Badge (or working toward it).
- FICM ACCP membership.
- Cardiac Advanced Life Support Provider.
- Completed Non-medical Authorisation of Blood Components course.
Responsibilities
- Provide autonomous healthcare to CICU/CHDU patients.
- Accountable for independent clinical assessment, diagnosis and treatment.
- Refer to relevant specialties for investigations and facilitate safe discharge.
- Contribute to audit, research and policy updates in Cardiac Surgery.
- Maintain competence with annual appraisal/ARCP.
- Supervise and support AHP, nursing and medical staff.
- Lead operational development and drive practice changes.
- Allocate protected time for professional development.
Skills
Education
Job description
Nottingham University Hospitals (NUH) is the biggest employer in Nottingham with over 19,000 staff
Main area Cardiac Intensive Care/High Dependency Care Unit/Cardiac Surgery Grade Band 8a Contract Permanent Hours
- Full time
- Part time
Site Nottingham University Hospital NHS Trust Town Nottingham Salary £57,528 - £64,750 Salary will be dependent on experience. Salary period Yearly Closing 17/09/2026 23:59
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 will 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.
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 will 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 holder’s 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 toward 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.
- 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.
___________________________________________________________________________________
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 the 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.
Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.
For more information about our organisation and the career opportunities available, please visit our website and/or follow us on Instagram , Twitter andFacebook
If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:
- Stay in full-time education, for example at a college
- Start an Apprenticeship
- Spend 20 hours of more a week working or volunteering, while in part-time education or training
Salary: The quoted salary will be on a pro rata basis for part time workers.
Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.
At Risk of redundancy: NHS employees within the East Midlands who are 'at risk' of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.
ID and Right to work checks : NUH authenticate ID and right to work documentation including passports and driving licenses through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.
Consent:
- Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Departmentconfidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
- Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£49.50 for enhanced and £21.50 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month's pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
For more information about our organization and the career opportunities available, please visit our website and/or follow us on Instagram , Twitter andFacebook
You must have appropriate UK professional registration.
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.
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