Job overview

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

Working for our organisation

• 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.