Surgical Advanced Nurse Practitioner - ENT, Maxfax and Plastics (SNAP)

NHS; London; On-site; GBP 61,000 - 69,000; Full time

Job summary

A leading healthcare provider seeks an Advanced Clinical Practitioner for its ENT, Maxfax, and Plastics team at St George's Hospital. The role involves managing complex cases, performing surgical procedures, and participating in clinical decision-making in a full-time, permanent position. Candidates should have a Master's in Advanced Clinical Practice and substantial experience in emergency departments.

Qualifications

• 7 years post-registration experience with 5 years in specialty.
• Experience in all four pillars of advanced clinical practice.
• Independent or supplementary non-medical prescriber qualification.

Responsibilities

• Lead clinical assessments and requests for urgent imaging.
• Perform minor surgical procedures during night shifts.
• Work collaboratively with other ACPs and on-call teams.

Skills

Clinical decision-making

Patient assessment

Surgical procedures

Diagnostics interpretation

Education

MSc in Advanced Clinical Practice or equivalent

Registered clinical professional

Job description

Job summary

It's 8pm at St George's Hospital.

You've just taken handover from the day team when your pager buzzes, a patient with severe facial trauma is inbound by air. While preparing for their arrival, you're also alerted to a potential airway emergency coming through ED. As the Advanced Clinical Practitioner for Maxfax tonight, you're first on scene, leading assessments, requesting urgent imaging, and performing minor surgical procedures.

You're not alone. Two other ACPs are on shift, each covering their own surgical specialty. Together, you collaborate, support one another, and hand over as a team at the end of your shift. You'll assess patients, order investigations, prescribe treatment, and make clinical decisions - independently.

This is what a night looks like in our ENT, Maxfax and Plastics ACP team: complex cases, rapid decision-making, and the opportunity to work at the top of your game.

Complex surgical cases, minor procedures, and the chance to expand your skills in a close-knit, forward-thinking team - if that sounds like the next step in your career, we'd love to hear from you.

Main duties of the job

This role places you at the heart of advanced clinical practice within ENT, Maxfax and Plastics. You'll be part of a team of six ACPs providing overnight cover and playing a key role in assessing and managing patients arriving in the emergency department.

You'll need to have:

• Completed your MSc in Advanced Clinical Practice
• Hold a non-medical prescribing qualification
• Be confident in requesting and interpreting diagnostics as well as performing clinical procedures within your scope

Please note: To be considered for this role, you must have experience working in an ED or as a Nurse Practitioner, or paramedic with exposure to acute surgical patients. While this is a night-shift position, your first six months will be spent working alongside the doctors during daytime hours as part of your induction and training period.

What makes this role different?

• Autonomy and variety
  • You'll be the first to assess patients referred overnight -- from airway emergencies to complex trauma. You'll lead clinical decisions, carry out interventions, and work closely with on-call teams. No two nights are ever the same.
• A great ACP team
  • Each night, you'll work alongside two other ACPs. We support each other, collaborate across specialties, and maintain a strong culture of communication and trust

About us

• Cutting-edge environment
  • As one of London's largest teaching hospitals and a regional specialist centre, we treat some of the most complex cases in the region. We have a helipad, hyper-acute stroke and cardiac services, and are one of the city's four major trauma centres

We know starting a new role at a new hospital can feel daunting, but from day one, you'll be fully supported. That support goes beyond your day-to-day responsibilities. We're committed to your development, and open to new ideas.

Details Date posted

07 July 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£61,927 to £68,676 a year per annum inc HCAS (pro-rata)

Contract

Permanent

Working pattern

Full-time

Reference number

200-6968049-GO-ND-B-A

Job locations

St Georges Site

Blackshaw Road, Tooting

London

SW17 0QT

Job description Job responsibilities

***Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification***Specialty requirements

ENT:

Throat infections: Tonsillitis/quinsy and epiglottitis

Foreign body in ear, nose or throat

Ear infection

Head/neck trauma

Elective head/neck admission for surgery

PLASTICS:

Hand trauma/infections

Wound assessment and management

MAX FAX:

Facial trauma (facial fractures)

Dental infections

Infected wounds

Job description Job responsibilities

***Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification***Specialty requirements

ENT:

Throat infections: Tonsillitis/quinsy and epiglottitis

Foreign body in ear, nose or throat

Ear infection

Head/neck trauma

Elective head/neck admission for surgery

PLASTICS:

Hand trauma/infections

Wound assessment and management

MAX FAX:

Facial trauma (facial fractures)

Dental infections

Infected wounds

Person Specification Essential Essential

• Registered clinical professional
• MSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
• Independent or supplementary non-medical prescriber (where relevant)
• 7 years post-registration experience, of which at least 5 years includes speciality experience
• Demonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
• Participation in audit and research

Desirable

• Completed portfolio of supervised practice in speciality
• Certified speciality courses
• Relevant NHS leadership qualification or working towards
• Experience as clinical Leader
• Experience in an autonomous practice role
• Previous experience in an advanced practice role
• Experience of service development

Desirable Desirable

• NMC registered Independent prescriber or meets criteria to undertake within 6 months of appointment.
• Previous specialist nursing/Hospital at night experience
• Advanced clinical assessment skills/ANP qualifitcation
• Experience of running research and audit programmes
• Completed a recognized leadership development programme

Person Specification Essential Essential

• Registered clinical professional
• MSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
• Independent or supplementary non-medical prescriber (where relevant)
• 7 years post-registration experience, of which at least 5 years includes speciality experience
• Demonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
• Participation in audit and research

Desirable

• Completed portfolio of supervised practice in speciality
• Certified speciality courses
• Relevant NHS leadership qualification or working towards
• Experience as clinical Leader
• Experience in an autonomous practice role
• Previous experience in an advanced practice role
• Experience of service development

Desirable Desirable

• NMC registered Independent prescriber or meets criteria to undertake within 6 months of appointment.
• Previous specialist nursing/Hospital at night experience
• Advanced clinical assessment skills/ANP qualifitcation
• Experience of running research and audit programmes
• Completed a recognized leadership development programme

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.

UK Registration

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

Additional information 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.

UK Registration

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

Employer details Employer name

St George's University Hospitals NHS Foundation Trust

Address

St Georges Site

Blackshaw Road, Tooting

London

SW17 0QT

Employer's website

https://www.stgeorges.nhs.uk/ (Opens in a new tab)

Employer details Employer name

St George's University Hospitals NHS Foundation Trust

Address

St Georges Site

Blackshaw Road, Tooting

London

SW17 0QT

Employer's website

https://www.stgeorges.nhs.uk/ (Opens in a new tab)