Job summary This is an exciting opportunity in Lewisham and Greenwich as a trainee Advanced Clinical Practitioner. The successful post holder will work as either: Part of the Emergency Department and Same Day Emergency Care service as a trainee ACP. or Part of the Same Day Emergency Care Unit only This post will developmental position from a band 7 to a Band 8a upon completion of the trust governance process which includes, MSC level studies in advanced practice, the completion of a trust portfolio of the relevant speciality and ratification from the trust ACP credentialing panel 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 trainee 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 for ED ACPs The role will have a 7 day rota allocation for SDEC ACPs 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 trainee 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. About us 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 Date posted 11 April 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £60,504 a year per annum plus HCA Contract Permanent Working pattern Full-time, Part-time Reference number 197-AJ6658 Job locations University Hospital Lewisham & Queen Elizabeth Hospital (Cross site) Lewisham High Street London SE13 6LH Job description Job 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 patients 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 patients 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. Job description Job 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 patients 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 patients 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 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 Master's in advanced practice Leadership qualification Non-medical Prescribing course Accredited autonomous practitioner qualification Work Experience Essential Significant experience (5 years generally) Teaching and assessment experience in clinical practice Experience of leadership experience Desirable 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 Advanced clinical assessment and documentation skills Evidence of radiology requesting Medicines Management: Experience at working with Patient Group Directives (PGDs) Experience of appraisals Desirable 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 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 Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice Circumstances Essential 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. Person Specification Attainments Essential 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 Master's in advanced practice Leadership qualification Non-medical Prescribing course Accredited autonomous practitioner qualification Work Experience Essential Significant experience (5 years generally) Teaching and assessment experience in clinical practice Experience of leadership experience Desirable 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 Advanced clinical assessment and documentation skills Evidence of radiology requesting Medicines Management: Experience at working with Patient Group Directives (PGDs) Experience of appraisals Desirable 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 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 Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice Circumstances Essential 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. 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). 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. 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). Employer details Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham & Queen Elizabeth Hospital (Cross site) Lewisham High Street London SE13 6LH Employer's website https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)