Band 8a - Advanced Clinical Practitioner, Emergency Medicine

West Hertfordshire Hospitals NHS Trust; Watford; On-site; GBP 55,000 - 69,000; Full time

Job summary

West Hertfordshire Teaching Hospitals NHS Trust invites applications for an Advanced Clinical Practitioner (Band 8a) in Emergency Medicine/ Acute Medicine. The post involves autonomous practice alongside Consultants and the MDT to deliver expert assessment, diagnosis and management of acute, undifferentiated medical presentations.

The successful candidate will support patient flow across the acute pathway, contribute to education, audit and service development, and participate in flexible shift

Qualifications

• Autonomous practitioner with responsibility for expert assessment, diagnosis and management of acute, complex undifferentiated medical conditions.
• Ability to request, interpret and act on diagnostic investigations and to prescribe within scope.
• Leadership, education, research and service development activities within clinical governance.
• Flexibility to work across Acute Medicine with shifts including weekends/public holidays.

Responsibilities

• Provide autonomous expert assessment, diagnosis and management of acute, complex medical presentations alongside the MDT.
• Support timely clinical decision-making, patient flow and safe discharge planning across the acute pathway.
• Lead and contribute to education, supervision, audit, research and service improvement activities.

Skills

Autonomous Practice

Acute Medicine

Job description

Band 8a - Advanced Clinical Practitioner, Emergency Medicine

A Vacancy at West Hertfordshire Teaching Hospitals NHS Trust.

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.

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.

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 [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.

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

This advert closes on Thursday 12 Nov 2026