Qualified Enp/Ecp

London North West University Healthcare Nhs Trust; Greater London, Ealing, Harrow; On-site; GBP 45,000 - 55,000; Full time

Job summary

London North West University Healthcare NHS Trust is seeking an Emergency Nurse Practitioner/Emergency Care Practitioner (ENP/ECP) to provide autonomous patient assessments, diagnoses, treatments, and discharge within the UTC. The post holder will make independent clinical decisions, prescribe where qualified, and develop management plans to ensure timely patient care.

The role includes acting as a senior clinical decision maker within the Enhanced Streaming Team, delivering expert guidance,

Qualifications

• Registered nurse or paramedic with first level registration.
• Autonomous practitioner training at level 6/7 with experience for illness and injury.
• Substantial emergency/urgent care experience.
• Knowledge of local and national emergency care guidelines (DoH/NICE).
• Good decision making, communication and organisational skills.

Responsibilities

• Undertake autonomous assessment, diagnosis, treatment and discharge of minor injuries and illnesses.
• Request, interpret and act upon appropriate investigations within scope of practice; prescribe if qualified.
• Maintain accurate, comprehensive patient documentation.
• Act as senior clinical decision maker within the Enhanced Streaming Team and mentor junior staff.

Skills

Autonomous practice

Clinical decision making

Leadership

Communication

Education

First level Registration Nurse or Paramedic

A33 autonomous Practitioner or level 6/7

BLS

Job description

Job summary

The Emergency Nurse Practitioner/Emergency Care Practitioner (ENP/ECP) will provide autonomous assessment, diagnosis, treatment, management and discharge of patients presenting with minor injuries and illnesses within the Urgent Treatment Centre (UTC). Working within their professional scope of practice, the post holder will make independent clinical decisions, request and interpret investigations, prescribe where qualified, and develop appropriate management plans to ensure safe, effective and timely patient care.

The post holder will maintain accurate and contemporaneous clinical records in line with professional, legal and organisational standards. As part of the Emergency Department Enhanced Streaming Team, they will undertake rapid clinical assessment of patients on arrival, identifying the most appropriate care pathway and ensuring safe and effective streaming based on clinical need.

Acting as a senior clinical decision maker, the post holder will provide expert advice and support to nursing, medical and allied health professionals, contributing to the development of less experienced staff through mentorship, clinical leadership and education. Working collaboratively within the multidisciplinary team, they will support delivery of high-quality, patient-centred care, promote patient safety, service improvement and clinical excellence, and contribute to meeting key performance, quality and access targets across urgent and emergency care services.

Main duties of the job

Undertake autonomous assessment, diagnosis, treatment, management, and discharge of patients presenting with minor injuries and illnesses. Request, interpret, and act upon appropriate investigations within scope of practice. Prescribe medications and treatments where appropriately qualified and authorised. Maintain accurate, comprehensive, and legally compliant patient documentation. Act as a senior clinical decision maker within the Enhanced Streaming Team, ensuring patients are directed to the most appropriate clinical pathway. Support timely patient flow and contribute to the achievement of departmental Key Performance Indicators (KPIs) and national standards. Provide expert clinical guidance, leadership, and support to junior colleagues and multidisciplinary team members. Participate in teaching, supervision, and the professional development of staff. Promote a culture of patient safety, clinical excellence, and continuous quality improvement. Work collaboratively with colleagues across the Urgent Treatment Centre, Emergency Department, Acute Services, Community Services, and Primary Care to ensure seamless patient care. Ensure the delivery of a high-quality, safe, effective, and patient-centred service at all times.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

"We operate a joint recruitment hub across the North West London Acute Provider Collaborative Group. As part of this, your application and personal data may be shared with partner trusts within the group for recruitment and workforce purposes, in line with general data protection regulation (GDPR)."

Job responsibilities

To view the main responsibility, please see the attached the Job Description and Person Specification.

Person Specification

Education and knowledge

Essential

• First level Registration Nurse or Paramedic
• A33 autonomous Practitioner or equivalent studies at level 6/7 with proven experience for both illness and injury. BLS
• Substantial experience in an emergency or urgent care setting with exposure to a wide variety of patients with emergency or urgent care needs
• Excellent knowledge base in the assessment, diagnosis, management and treatment of patients who present with undefined injury and/or illness
• Management experience
• Recent and continuing evidence of developing practice
• In depth understanding of local and national issues relating to emergency or urgent care
• Good decision making, communication and organisational skills. Up to date knowledge of Department of Health and NICE guidelines

Desirable

• Independent and Supplementary Prescribing
• Teaching and Assessing qualification
• ALS/PALS
• Experience in general practice or walk in centre
• Evidence of audit or research experience
• IT skills to perform literature searches enabling enhancement of theoretical knowledge

Skills, abilities and attributes

Essential

• Skills, abilities and attributes

Desirable

• Audit skills
• Research skills
• Ability to challenge accepted practice as appropriate
• Drive change
• Develop Trust wide links

Competency-based questions

Essential

• will be given some knowledged based questions and scenarios based on common minor injury and illness presentations

Desirable

• will be given some knowledged based questions and scenarios based on common minor injury and illness presentations

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).