Job summary
- Main area
- Emergency Care
- Grade
- NHS AfC: Band 7/8
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week (Shifts will be a mix of day shifts, night shifts and weekends)
- Job ref
- 197-AJ-R-8111
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- Site
- University Hospital Lewisham & Queen Elizabeth Hospital (Cross site)
- Town
- London
- Salary
- £49,387 - £64,750 per annum plus HCA
- Salary period
- Yearly
- Closing
- 27/04/2026 23:59
Employer heading
Advanced Clinical Practitioner (ED)
NHS AfC: Band 7/8
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
To work as part of the Emergency Department and Same Day Emergency Care service as an ACP.
The post holder will work clinically developing a portfolio of practice as per the Royal College of Emergency Medicine. They will undertake and be required to pass an advanced Clinical practice masters within a London University.
This post is being advertised as a qualified ACP, however there may be some circumstances where a trainee ACP may be considered.
Main duties of the job
Advanced Clinical Practitioner (ACP) - Trainee in Emergency Care Band 7
Advanced Clinical Practitioner (ACP) Band 8a
The Trust has two EDs; one on the Queen Elizabeth (QE) site and one on the University Hospital site (UHL); which are some of the busiest within London seeing in the region of 140,000(QE) and 119,000(UHL) patients annually. The team on both sites is made up of a range of senior nursing and medical roles, who are supportive of this role. We have a dedicated ACP lead Consultant that covers both sites.
The ACP role will provide expert patient assessment and management as outlined in the job description in all areas of the department and will be expected to work on both QE and UHL sites during the trainee phase. The trainee will also support and work within the Same Day Emergency Care (SDEC) service .
The role will have a 24 hour 7 day rota allocation.
Candidates are required to have significant acute care experience and are welcomed from both an appropriate nursing or allied health care background. You must be dedicated to the requirements of the training phase as outlined below. The ACP will be a senior member of the ED team and as such would be required to demonstrate self-motivation, dedication to high quality of care and clearly evidence their own personal and professional development.
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream
Detailed job description and main responsibilities
This job will encompass the skills of assessment, examination, diagnosis and treatment within an agreed scope of practice throughout the Emergency Directorate (ED). The post holder will under supervision assist in the safe referral and discharge of patients with undifferentiated and undiagnosed presentations in designated areas of the ED and Same Day Emergency Care
To deliver and participate in clinical care of patients attending the ED
Provide a level of advanced and comprehensive nursing assessment, based on a specialist body of knowledge, under supervision.
Direct responsibility for the management of patients within own case load and for the supervision of junior members of the multidisciplinary team
To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations within the boundaries of the role as a trainee.
Order and interpret investigations, laboratory tests, x-rays and act on results as appropriate, with supervision as required as a trainee
Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation supply and prescribing of medicines.
To contribute to the development and improvement of systems and processes that facilitates patient flow.
Maintain own clinical development by keeping abreast of new treatments and technologies within emergency and unscheduled care.
To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.
To rigorously review all aspects of the patient’s plan of care and identify and address issues that may result in a sub-standard service.
Contribute to the review and development of integrated care pathways and clinical guidelines to ensure a standardised approach to emergency care.
Under supervision practice with confidence and competence within your professional guidelines and code of conduct (NMC / HCPC)
To ensure that accurate documentation and records of patient care are kept.
To assist in the development of assessment systems, processes and tools within the ED and adjacent clinical/assessment areas.
Ability to adapt specialist clinical knowledge and skills to different clinical settings and influence service delivery and patient care
Actively implement effective systems and processes for infection control management and relevant audit within their clinical area.
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
Communicate patient’s conditions verbally and in writing to other members of the health care team and contribute to the decision making processes in patient management. Acting as an advocate for patients and colleagues.
Ensure awareness of sources of support and guidance e.g., patient liaison service, and provide information in an accurate format to all patients.
Be able to anticipate barriers to effective communication and take action to improve communication.
Person specification
Attainments
Essential criteria
- NMC registered Nurse / Other allied health care professional (HCPC) Degree in relevant health subject
- Post-registration qualification in autonomous / specialist / advanced assessment practice
- ILS or ALS Teaching / assessment / Mentorship
Desirable criteria
- Master’s in advanced practice * Leadership qualification*
- Non-medical Prescribing course Accredited autonomous practitioner qualification
Work Experience
Essential criteria
- Significant experience (5 years generally)
- Teaching and assessment experience in clinical practice
- Experience of leadership experience
Desirable criteria
- Minimum 6 years’ experience
- Minimum of 1 year’s experience at trainee level or in an autonomous practitioner role
- Experience of service / practice development* Experience in a range of care settings*
Skills, Knowledge and Ability
Essential criteria
- Advanced clinical assessment and documentation skills Evidence of radiology requesting
- Medicines Management: Experience at working with Patient Group Directives (PGDs)
- Experience of appraisals
Desirable criteria
- Autonomous clinical assessment skills Competence in radiology requesting and interpretation
- Clinical Audit and interest in research
- Knowledge of pathophysiology and clinical diagnostics* Research skills* Publication*
Personal Characteristics / Disposition
Essential criteria
- Evidence of multi-disciplinary-team working Self-motivated towards own practice and development
- Confident and competent in approach to practice Supportive, friendly, adaptable and patient focussed
- Effective interpersonal skills with colleagues, patients and public
Desirable criteria
- Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice
Circumstances
Essential criteria
- Willingness to travel in order to continue professional development.
- Internal rotation and work all shifts (unless agreed at interview) Able to change shift at short notice.
Applicant requirements
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 recommend applying as early as possible to avoid missing out. All applications received before the cap is reached will be considered equally and assessed against the person specification.
Documents to download
Further details / informal visits contact
- Name
- Andrew Ogilvie
- Job title
- Advanced Clinical Practitioner ED team lead
- Email address
- [email protected]
- Telephone number
- 0000000000
- Additional information
Please contact via email in first instance if you are interested or would like to discuss this post further
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