Advanced Clinical Practitioner- Virtual Wards

Chelsea and Westminster Hospital NHS Foundation Trust; Greater London; Hybrid; GBP 45,000 - 60,000; Full time

Job summary

A prominent NHS Foundation Trust located in Greater London is seeking an Advanced Clinical Practitioner to provide autonomous healthcare to patients across multiple sites. The role involves independent clinical assessment, diagnosis, and the management of complex patient cases. Candidates must hold an MSc in Advanced Clinical Practice or equivalent, displaying expertise in virtual wards and leadership in digital health initiatives. The Trust values diversity and aims to create a sustainable healthcare environment.

Benefits

Diverse working environment

Training and development opportunities

Qualifications

• Registered nurse or healthcare professional.
• Demonstrates in-depth knowledge of Virtual Wards.
• Holds Non-Medical Prescriber registration.

Responsibilities

• Independently assess and diagnose patients.
• Manage staff performance and development.
• Contribute to digital healthcare strategies.

Skills

Advanced clinical assessment

Critical thinking

Clinical management skills

Non-medical prescribing

Education

MSc in Advanced Clinical Practice

Job description

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

The post holder will be cross site between Chelsea and Westminster/West Middlesex NHS Foundation Trust’s, within the Virtual Wards, underEmergency & Integrated Care (EIC).

Role Overview

The Advanced Clinical Practitioner (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 the ACP is responsible for appropriately referring patients to relevant specialties for any necessary inpatient or outpatient investigations as well as facilitating safe patient discharge.

Clinical Responsibilities

• Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the specialty with complex undifferentiated or undefined presentations.
• Undertakes physical examination as indicated by the patient’s condition; autonomously analyses complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
• Performs clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, including (but not limited to) catheterisation, cannulation, peripheral arterial blood gas sampling.
• Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X‑Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
• Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgments and evaluating care provided; presenting this information to speciality/senior medical staff for advice when scope of practice is exceeded.

Other Responsibilities

• Works in partnership with the existing senior medical, nursing and AHP teams in driving departmental development and change.
• Manages conflicting views and liaises between groups where there may be conflict.
• Highlights and addresses areas of witnessed poor practice and manages the situation appropriately.
• Leads and manages staff performance, training and supervision of trainee ACPs including annual appraisals.
• Supports staff development to maximise their potential, acting as a role model and encouraging everyone to learn from each other and from external good practice.
• Supports patients, carers and staff during difficult situations arising in the clinical area e.g. breaking bad news or following an unexpected event.
• Produces accurate and complete documentation and patient records consistent with legislation, policies and procedures.
• Possesses excellent time management and personal organisation skills.
• Acts as a knowledge resource in how to initiate and manage the impact of change.
• Develops and contributes to local guidelines, interpreting and adapting national protocols and standards to enhance patient care and safety.
• Maintains awareness of budgetary constraints within the department, manages resources appropriately and encourages others to do likewise.
• Ensures appropriate representation and participation in departmental meetings as appropriate for role.
• Actively contributes and provides leadership with service development plans within the directorate.
• Develop and lead the digital workforce strategy for virtual wards, ensuring staff are trained and confident in digital health solutions.
• Act as a champion for digital upskilling within the team, working with clinical and non‑clinical stakeholders to drive engagement.
• Collaborate with IT and digital health teams to refine and optimise the use of telemedicine, remote monitoring, and AI‑driven decision‑making tools.
• Influence the wider strategic direction of digital healthcare within the trust, aligning virtual ward developments with national and local healthcare strategies.

Qualifications and Competencies

The post holder will be a registered nurse or registered healthcare professional and hold an MSc in Advanced Clinical Practice or equivalent at MSc level. They will be an independent Non‑Medical Prescriber registered with the NMC (or equivalent professional body). They will practice at an advanced level demonstrating in depth knowledge and competence in all aspects of Virtual Wards, encompassing advanced clinical assessment, critical thinking and clinical management skills that are evidence based and deliver high quality patient centred care.

About the Trust

Our Trust is one of England's top‑performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award‑winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

Additional Information

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six‑month probation. Some roles may require weekend shifts at multiple sites.

This advert closes on Monday 22 Dec 2025.