Senior Enhanced Practitioner

Bristol Nhs Foundation Trust; West of England; On-site; GBP 49,000 - 57,000; Full time

Job summary

The Senior Enhanced Practitioner role at Bristol NHS Foundation Trust, based at Southmead, involves leading an autonomous nurse-led Acute Response Team to deliver timely clinical intervention for acutely unwell inpatients.

You will perform advanced assessments, drive early interventions, and support ward staff education while collaborating with specialists to improve patient safety and outcomes.

Qualifications

• Professional registration and ongoing professional development in acute/critical care.
• Experience in managing a deteriorating patient across settings.
• Senior level post-registration experience in acute care.
• Non Medical Prescribing and related professional certifications.

Responsibilities

• Provide autonomous clinical assessment and high-quality care for acutely unwell inpatients.
• Lead and develop the workforce; role modelling with trust values.
• Support ward staff education and inter-disciplinary collaboration.
• Respond to acute deterioration and initiate early interventions.

Skills

Professional registration

PACR

PADRAP

Non Medical Prescribing

Ongoing professional development

Managing deteriorating patient

Deteriorating patient knowledge

Senior acute care experience

Job description

Senior Enhanced Practitioner Bristol NHS Foundation Trust•Bristol, United Kingdom

Job summary
An exciting opportunity has become available for a passionate and enthusiastic nurse to join a newly created Acute Response Team at Bristol NHS Foundation Trust, Southmead Site. This team will deliver safe, effective, and timely clinical intervention to adult inpatients who are acutely unwell or at risk of deterioration.
This nurse led team will act with a high degree of autonomy to support high quality care for acutely unwell adult inpatients 24 hours a day, 7 days a week.
Practitioners in this team will respond to acute deterioration at an early stage. They will provide an advanced clinical assessment and initiate investigation and clinical intervention to avert further deterioration. They will work in close collaboration with the parent specialty and ward teams to deliver high quality care and will support education of ward staff across the multi-disciplinary team. They will provide critical care knowledge and skills including routinely reviewing ICU discharges, using non-invasive ventilation, CPAP and High Flow Nasal Oxygen, and supporting emergency intubations occurring outside the ICU.
They will be the effectors of Martha's Rule within the Trust, responding to patients' and relatives' concerns with compassion and sincerity, offering rapid clinical review as required. They will undertake audit and evaluation of their workload and engage actively with clinical governance to ensure patient safety and high-quality outcomes.

Main duties of the job
The Senior Enhanced practitioners will work with a high degree of autonomy. They will work with the support and education of the Advanced Clinical Practitioners but will be able to undertake high quality clinical assessment for patients across a range of specialties and effect early intervention in response to clinical deterioration. This is an exciting opportunity to lead, shape and develop a new service to drive improved care for acutely unwell patients in Bristol NHS Foundation Trust. For further details and a comprehensive list of the main duties of this job please see the attached job description.

About us

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.
With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Details

Date posted: 14 August 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year per annum, pro rata for part time
Contract: Permanent
Working pattern: Full-time
Reference number: 339-MED3436-MJA
Job locations: Southmead Hospital, Bristol, BS10 5NB, United Kingdom

Job description

Job responsibilities
This role will involve working as part of a team, the practitioner will use autonomous practice, make complex decisions and provide high quality care for patients who are acutely unwell.
Using their expertise and decision-making skills the practitioner will need to use clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations.
The practitioner will support the development of the workforce, work as a role model with the trust values, demonstrating a person-centred approach.
The practitioner will demonstrate team leadership, resilience, and determination, manage situations that are complex or unpredictable. Pro-actively initiating and developing effective relationships, working closely with the lead practitioners within the team.
For a more detailed comprehensive outline of the job description and main responsibilities see attached.

Person Specification

Education

• Professional registration
• PACR
• PADRAP
• Non Medical Prescribing
• Evidence of ongoing professional development relevant to acute / critical care
• Experience of management of a deteriorating patient
• Grounded knowledge of the deteriorating patient across a range of settings
• Extensive post registration and current senior experience in acute care

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.
Certificate of Sponsorship
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).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Bristol NHS Foundation Trust is an equal opportunities employer actively working towards a diverse workforce.