Band 8a - Advanced Clinical Practitioner, Emergency Medicine

West Hertfordshire Teaching Hospitals NHS Trust; Watford; On-site; GBP 56,000 - 72,000; Full time

Job summary

West Hertfordshire Teaching Hospitals NHS Trust is seeking an Advanced Clinical Practitioner (Band 8a) to join the Acute Medicine team. The role involves autonomous assessment, diagnosis and management of patients with acute, complex conditions, and supporting patient flow across the Emergency Assessment Unit, Acute Admissions Unit and ambulatory care.

The post includes leadership, education, research and service development responsibilities, with opportunities to supervise juniors and

Qualifications

• Advanced clinical knowledge of Acute Medicine.
• Registered with relevant professional body (NMC/HCPC).
• MSc in Advanced Practice or evidence of equivalent level.
• Non-medical prescriber and ALS credentials.

Responsibilities

• Work as an autonomous practitioner within Acute Medicine, providing expert assessment, diagnosis and management.
• Support patient flow, interpretation of investigations and timely clinical decision-making.
• Lead on education, supervision, audit, and service improvement activities.
• Contribute to safe discharge planning and governance across services.

Skills

Advanced clinical knowledge

Safeguarding knowledge

Risk assessment

Case management

Communication skills

Leadership

Audit/Research

Education & training

Education

MSc in Advanced Practice

Teaching & Assessing qualification

NMC/HCPC registration

Non-Medical Prescriber

ALS Provider

ALS Instructor

Leadership course

Job description

West Hertfordshire Teaching Hospitals NHS Trust

Band 8a - Advanced Clinical Practitioner, Emergency Medicine

The closing date is 12 November 2026

At West Hertfordshire Teaching Hospitals NHS Trust (WHTH), we are committed to delivering high-quality, compassionate care to patients requiring acute medical services. As part of our continued investment in workforce transformation and advanced clinical practice, we are seeking a highly motivated Advanced Practitioner (Band 8a) to join our Acute Medicine team.

Working as an autonomous practitioner alongside Consultant Acute Physicians and the multidisciplinary team, you will provide expert assessment, diagnosis, treatment and management of patients presenting with acute, complex and undifferentiated medical conditions. You will play a key role in supporting patient flow across the acute medical pathway, including the Emergency Assessment Unit (EAU), Acute Admissions Unit (AAU) and ambulatory care services.This is an exciting opportunity for an experienced practitioner to contribute to clinical excellence, leadership, education, research and service development. The successful candidate will demonstrate advanced practice across the four pillars of advanced practice, helping to deliver innovative, evidence-based care and improve patient outcomes across Acute Medicine.

Applications will also be considered from Trainee Advanced Practitioners. Applicants appointed to a trainee role must enrol on and successfully complete an MSc Advanced Clinical Practice programme delivered by an NHSE-accredited university.

Main duties of the job

The post holder will work as an autonomous practitioner within Acute Medicine, providing expert assessment, diagnosis and management of patients presenting with acute, complex and undifferentiated medical conditions. They will request, interpret and act upon diagnostic investigations, independently prescribe within scope of practice, and work collaboratively with Consultant Acute Physicians and the multidisciplinary team to support timely clinical decision‑making, patient flow, admission avoidance and safe discharge planning.

The post holder will recognise and respond to patient deterioration, provide expert clinical leadership and advice, and contribute to education, supervision, audit, research and service improvement activities while maintaining the highest standards of clinical governance, patient safety and patient‑centred care.

The role requires flexibility to work across Acute Medicine services and participate in a range of shift patterns, including weekends and public holidays, to meet service needs.

About us

With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award‑winning virtual hospital and re‑imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking If you have a disability or long‑term health condition and should you require support or guidance please contact [e-mail] If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form.

Job responsibilities

Please refer to the attached job description and person specification for a full list of duties and details about the role.

Person Specification

Knowledge

• Advanced clinical knowledge of Acute Medicine
• Knowledge of safeguarding principles and vulnerable patient groups
• Understanding of health and social care systems
• Knowledge of risk assessment and risk management
• Understanding of case management and care coordination
• Knowledge of the legal, ethical and professional framework for advanced practice
• Effective communication and partnership working across professional boundaries Teaching, presentation and facilitation skills
• Conflict resolution and negotiation skills
• Evidence of service redevelopment work.
• Initiation or participation in audit/research projects.

Experience

• Experience as a qualified Advanced Practitioner within Acute Medicine, or a relevant clinical specialty
• Proven experience managing patients with complex clinical needs in acute care settings.
• Experience working in high-pressure environments, including managing sensitive and life‑changing clinical situations.
• Experience supervising and supporting junior staff and learners.Experience designing and delivering education and training programmes for healthcare professionals.
• Evidence of participation in clinical audit, quality improvement or service development initiatives.
• Evidence of continuing professional development and application of learning to clinical practice.
• Evidence of using clinical Governance framework to influence care and improve outcome

Education and qualifications:

• Registered with relevant professional body.(i.e NMC, HCPC).
• MSc in advanced Practice.
• Teaching & Assessing qualification.
• Non - Medical prescriber.
• ALS Provider.
• Leadership course.
• ALS instructor.

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.

West Hertfordshire Teaching Hospitals NHS Trust