Respiratory Advanced Clinical Practitioner

Mcht; Crewe; Hybrid; GBP 58,000 - 65,000; Full time

Job summary

Mid Cheshire Hospitals NHS Foundation Trust in Crewe is recruiting two Respiratory Advanced Clinical Practitioners (ACP) at Band 8a to join a 7-day respiratory service within acute and outpatient care.

You will work with the multidisciplinary team to perform autonomous assessments, develop care plans, and contribute to audits, teaching and service development. This permanent role offers a salary of £57,528 – £64,750 per year.

Qualifications

• MSC Advanced Practice and speciality competencies completed.
• Post-registration study in speciality or related field.
• Teaching qualification or module completed.

Responsibilities

• Provide comprehensive assessment, diagnosis and management of respiratory patients.
• Timely review of admitted patients and adherence to evidence-based care.
• Develop, implement and evaluate individualised care plans with MDT.
• Work autonomously within scope and escalate when needed.
• Contribute to 7-day respiratory service and collaboration with teams.
• Support development of the respiratory virtual ward and patient pathways.
• Engage in teaching, governance, audit and quality improvement.

Skills

Clinical skills

Clinical expertise

Complex decisions

Independent practice

Team working

Leadership role

Policy development

Change management

Education

MSC Advanced Practice

Speciality competencies

Post-registration study

Teaching qualification

ALS

IRMER

Job description

Respiratory Advanced Clinical Practitioner

Band 8a

Main area Respiratory Grade Band 8a Contract Permanent: Working over a 7 day service Hours Full time - 37.5 hours per week (Will be working over a 7 day service) Job ref 412-MED-8226448

Site Mid Cheshire Hospital Town Crewe Salary £57,528 - £64,750 Salary period Yearly Closing 08/10/2026 23:59

Job overview

An exciting opportunity has arisen for two Respiratory Advanced Clinical Practitioners (ACPs) to join our expanding Respiratory Team and play a key role in delivering high-quality care across acute and outpatient respiratory services.

The successful candidates will work as part of the wider multidisciplinary respiratory team to improve standards of care for patients admitted to hospital with Respiratory problems. Working with our established multi-professional team, the new advanced practitioners will enable a 7 day respiratory service to be stablished with care delivered as early as possible in the patient's journey. You will be working alongside the existing team of Advanced Practitioners, Physician Associates, the resident doctor team and consultant colleagues.

The role will help to support the consistent delivery of standards of care outlined in the National asthma and COPD audits, improving patient experience, care and flow. There will be a strong emphasis on evidence based care and the demonstration of this through audit completion to demonstrate that we are delivering care in line with the national standards.

Respiratory ACPs will undertake the assessment, investigation, diagnosis and management of patients presenting with a broad range of respiratory conditions, developing and implementing individualised plans of care and ensuring patients receive timely, evidence-based treatment.

Main duties of the job

The successful candidates will:

• Provide comprehensive assessment, diagnosis and management of patients presenting with a wide range of respiratory conditions.
• Undertake timely review of patients presenting with respiratory problems following admission, improving adherence to evidence based standard of care
• Develop, implement and evaluate individualised plans of care in collaboration with patients, families and the wider multidisciplinary team.
• Work autonomously within their scope of practice while recognising when specialist or consultant input is required.
• Contribute to the delivery and development of a 7-day respiratory service, working collaboratively with the wider team of Advanced Practitioners, Physician Associates and other members of the respiratory workforce.
• Support the ongoing development and delivery of therespiratory virtual ward, helping to provide continuity of care and early identification of patients suitable for out of hospital care.
• Work collaboratively across inpatient and outpatient services to support effective patient pathways and reduce avoidable hospital admissions and length of stay.
• Contribute to teaching, service development, clinical governance, audit, research and quality improvement within respiratory medicine

Working for our organisation

MCHFT provides a full range of local hospital and community services for people across East Cheshire (population 399K) and West Cheshire and Chester boroughs (population 357K). The Trust provides high quality planned and unplanned/emergency care, cardiac and critical care as well as child health, maternity services, and intermediate care across our sites at Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford.

The Trust provides 500 beds and employs over 5,000 members of staff. An extensive range of community services is provided across 26 medical centres and schools by our community arm, Central Cheshire Integrated Care Partnership, in collaboration with Cheshire and Wirral Partnership NHS FT and the South Cheshire and Vale Royal GP Alliance. With the formation of Integrated Care Systems in July 2022 the Trust became a strategic partner in both Cheshire East and Cheshire West and Chester ‘places’ and is part of the Cheshire and Merseyside partnership caring for a population of over 2.7million.

During the Coronavirus pandemic, the Trust was recognised nationally for its ‘Be Safe Be EquiPPEd’ campaign, which aimed to make the Trust as safe as possible for staff and patients, through supporting the correct use of PPE. At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.

Detailed job description and main responsibilities

CLINICAL PRACTICE

Works as an autonomous practitioner taking responsibility for assessment, diagnosis and treatment of patients presenting within their care. Evaluate response to treatments and initiate changes as required within scope of competence. Work within own competence and confidence to ensure safe practice for patients and where unsure seeking out senior colleagues or medical team for support. Communicate effectively with patients, supporting people in making decisions, planning care or seeking to make positive changes. Communicate highly complex information to the Multi-Disciplinary Team (MDT). Work collaboratively with other professionals and refer to appropriate clinicians to ensure the needs of patients and services are met. Request and perform diagnostic procedures and support staff with patients who are unable to obtain these procedures.Request diagnostic interventions, including pathology and radiological tests within own speciality skill set whilst working within own remit of competency. Admit and discharge patients within own competence and utilising pathways, policies, and guidelines. Review of the deteriorating patient and initiation of management plans and escalation to medical team or senior colleagues where appropriate. Establish and maintain effective communication with patients, their families and other relevant agencies and professionals across health, education and social services. Promote clinical excellence and evidence-based approach to care by complying with the agreed policies and procedures. Provide support and advice to other specialities to ensure the correct patient pathway. Take an active role in Health promotion of individuals through appropriate support and education. Analyse and act on information to proactively manage and maintain NHS standards and targets. Maintain accurate patient records on trust documentation ensuring professional confidentiality is always maintained. Provide expert clinical knowledge to clinical staff, patients, carers, relatives and when applicable community and policy-making organisations/groups.

LEADERSHIP AND MANAGEMENT

Act as a role model by demonstrating effective leadership and expertise by maintaining credibility across the trust, the wider health care community and external agencies, ensuring a positive image of the trust is maintained. Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams to encourage productive working. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements. Involved within recruitment, selection, induction and orientation of Trainee ACPs. Undertake trainee ACP appraisals and clinical supervision (3 years post qualification) and ensure time allocated within job plan to facilitate.Lead new practice and service redesign solutions in response to feedback, evaluation and need. Continually develop practice in response to changing population. Participate in sharing experience and knowledge to pre and post registered staff to contribute to the development of future advanced practitioners. Work with division and corporate nursing team to respond and feedback on complaints/reports where required and ensure lessons are learnt to enhance and change practice where required.

EDUCATION

Identify and take responsibility for individual learning and development to ensure ongoing professional development and advancement of the ACP role. Ensuring it reflects the breadth of ongoing development across the four pillars of advanced clinical practise. Completion of speciality specific competencies. Support trainee Advanced Clinical Practitioners within their role and share skills, knowledge and experience in order to contribute to the development of future ACPs. Actively maintain a personal portfolio of learning to ensure compliancy with speciality specific competencies and evidence of working at an advanced level. Disseminate learning and information gathered to share good practice and inform relevant staff that provide the service about current and future developments. Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others. Ensure own compliance with regards to Trust mandatory training.

RESEARCH

Engage in research activity, adhering to good practice research guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money. Evaluate and audit own and others clinical practice. Develop and implement robust governance systems and systematic documentation processes. Participate in professional and policy-making activities that contribute to the development of the practitioner role. Liaise with other ACPs across the trust to achieve a corporate viewpoint on key professional issues. Support the development and implementation of policies, procedures and guidelines related to area of practice.

See Job Description

Person specification

Qualifications

• MSC Advanced Practice
• Speciality specific competencies completed
• Post registration qualification/evidence of study in speciality or related field
• Teaching qualification/Module
• ALS
• IRMER

Experience

• Significant post registration experience at a senior level
• Experience in Leadership role
• Published clinical articles in relevant field
• Involvement in audit and research activitiy
• Formal teaching

Skills and knowledge

• Complex and specialised clinical skills
• Demonstrates clinical expertise
• Ability to make complex decisions
• Ability to work independently or as part of a team
• Broad range of clinical experience
• Role Model
• Service development and production of policies and procedures
• Change management

Key Messages

We are a forces-friendly employers.

Candidates should ensure that all submissions and interactions reflect the candidate’s own skills, experience, and understanding. Any use of AI that compromises the integrity, fairness, or authenticity of the recruitment process may result in disqualification from consideration, withdrawal of offer, or dismissal if this these circumstances come to light post hire.

Candidates that require sponsorship to work in the UK are strongly advised to check the Government website for up-to-date information about whether the role they are applying for (incl. offered salary) is eligible.

Please let us know if you require an adjustment to our recruitment process and we'll be happy to discuss this with you.

We actively promote flexible working so please discuss any requirements you may have with us.

Secondments will be considered for fixed term positions when both parties agree. Candidates should seek approval from their current line manager before application.

• All correspondence will be sent via the email address you have registered as your TRAC account.Selection is based on the Trust's values, and the criteria outlined in the Job Description for the role.
• Appointments are subject to a 6-month probationary period. LED Doctors are subject to a 3-month probationary period.
• You are required to pay for a DBS disclosure where the post requires one, and we encourage applicants to join and remain registered with the DBS update service.
• We do not reimburse travel to interview expenses.

Employer certification / accreditation badges

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.

Application numbers

We expect to receive a very high level of applications for this vacancy, and due to this a limit has been set on the number of applications we are able to receive. Once this limit is reached the vacancy will close. We would urge interested candidates who meet the specification to apply as soon as possible to avoid disappointment.

Name Tracey Taylor Job title Nurse Consultant Email address [e-mail] Telephone number 01270 255141 Additional information

Dr Sarah Sibley - through switchboard 01270 255141