Job summary
- Main area
- Emergency Medicine, Emergency Care, Advanced Clinical Practitioner
- Grade
- NHS AfC: Band 8a
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week (Night Shifts/Weekends)
- Job ref
- 391-RFL-6704238-C
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- Royal Free Hospital
- Town
- London
- Salary
- £64,156 - £71,148 per annum inclusive of HCAS
- Salary period
- Yearly
- Closing
- 17/09/2025 23:59
Employer heading

Band 8a Advanced Clinical Practitioner in Emergency Care
NHS AfC: Band 8a
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
Click here to view our video Welcome to the Royal Free
Job overview
The Advanced Clinical Practitioner (ACP) role in Emergency and Same Day Emergency Care is an advanced, autonomous position that transcends traditional professional boundaries, providing expert clinical assessment and management of patients across the emergency pathway. Working within the Emergency Department (ED), Same Day Emergency Care (SDEC), and associated urgent care settings, the ACP is a key leader in inter-professional practice, modelling excellence in the delivery of safe, effective, and holistic care.
Please see attached 'ACP Recruitment Pack' for further information.
Main duties of the job
- Report to the Senior Matron for line management, with clinical oversight provided by an Emergency Medicine Consultant.
- Receive educational supervision from an Emergency Medicine Consultant, similar to a core medical trainee, to support professional development and the effective delivery of the ACP service.
- Undertake independent assessment, diagnosis, and management of patients with undifferentiated and complex presentations, in line with the Royal College of Emergency Medicine curriculum (2015), under appropriate supervision regardless of credentialed status.
- Contribute to the middle-grade rota, once competencies are achieved, and actively engage in departmental teaching and education.
- Collaborate effectively within multi-professional teams, working alongside consultants, nursing, allied health professionals, and site-specific clinical specialists to deliver patient-centred care.
- Participate in, and where appropriate lead, clinical audit, service evaluation, and research projects to inform practice, support service innovation, and improve outcomes for patients and families.
- Uphold and promote Clinical Governance standards, supporting directorate governance processes and contributing to continuous quality improvement.
Working for our organisation
The organisation and the Emergency Department Leadership is keen to grow an Advanced Clinical Practitioner workforce. The ED is extremely busy with the ability to extend your medical knowledge due to be specialist centre for renal and transplant medicine to name a few. We have grown how we deliver emergency care but expanding our Acute SDEC which is managed and delivered by our ED team.
Detailed job description and main responsibilities
Please see the JD and Personal Specification for detailed information. These are attached to review at your leisure.
Person specification
Royal Free World Class Values
Essential criteria
- Demonstrable ability to meet the Trust Values
Education & professional Qualifications
Essential criteria
- Registered Nurse/Paramedic - if a Physio has worked in acute/critical areas
- Masters level approved course
- Independent prescribing
- Teaching qualification
Desirable criteria
- ALS/APLS/ETC provider
- ALS/APLS/ETC instructor
- Academic specialist course in Emergency Care or other relevant area
- IRMER training
- Wound Closure competency
- Plastering competency
Experience
Essential criteria
- Significant Emergency Care / Acute Care / Urgent Care / Critical Care / Pre-Hosptial Care experience at a Band 7
- Leadership skills that are capable of supporting and developing service / others
- I.T. Skills
- Strategic vision
- Understanding/application of Research methodology
Desirable criteria
- Experience of working as autonomous practitioner
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.
Documents to download
Further details / informal visits contact
- Name
- Peter J Hollely
- Job title
- Senior Matron for Emergency Care and ACP
- Email address
- [email protected]
- Telephone number
- 07929 790 682
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