Job summary An exciting substantive opportunity has arisen for an enthusiastic, highly motivated Trainee Advanced Clinical Practitioner (ACP) who is willing towork towards an MSc in Advanced Practice. We currently have a vacancy for a substantive, full-time Trainee ACP within our Urgent Community Response Team (UCR). UCR is part of theNHS Long Term Plan and Ageing Well Programme to support England's ageing population and those with complex needs.The role will work beyond normal professional boundaries as a Registered Nurse or Allied Health Professional and therefore be working at anadvanced clinical level. The post holder will be identified as a clinical expert and required to have a high clinical profile ensuring the provision ofeffective and efficient care. Please note that you will initially be employed as a band 7 ACP until you have completed the MSc and Trust competencies have been completedand signed off. Main duties of the job The main duties of the Trainee ACP will be to be work independently and autonomously, visiting patient in their own homes in and around theLewisham area. Working alongside other professionals from the multi-disciplinary team to provide an urgent or same day response. Visits areunplanned, in a response to assisting with the prevention of hospital admissions. Additional duties include: Liaising with and assisting with the safe transfer of patients that require higher levels of care, as per protocol. Undertake investigations and procedures within scope of individual practice (specific add-ons for specific ACP role). Teaching and clinically supervising HCA, student nurses, RN by example, demonstration, explanation, and evaluation Facilitate the sharing of information and the development of knowledge amongst nursing and non-nursing staff. Regularly re-evaluate the service and develop according to need, within the limitation of resource Advise on the promotion of health and prevention of illness to all client/carer groups and empower individuals to make informed healthchoices Interpretation of X-rays and other diagnostic investigations in line with a competency framework Liaison with appropriate members of multidisciplinary team Initiation of appropriate services (i.e. health screening and health promotion Clinical examination and assessment Maintenance of records and databases Please see the attached job description for additional duties and responsibilities. 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 Reference number 197-AJ6653 Job locations University Hospital Lewisham Lewisham SE13 6LH Job description Job responsibilities Key Responsibilities To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed illnesses underpinnedby extensive knowledge of a range of chronic and acute conditions. To be competent in providing an initial clinical diagnosis and in the decision to refer to an appropriate speciality. To be competent in the ability to discharge patients following appropriate assessment and treatment. To be competent in the initial immediate assessment and treatment of patients with a range of life threatening presentations such as cardiac arrestand acute major illness. If not already an Independent Prescriber, will be expected to successfully complete the programme within a timely manner, in order to continue inthe role. To be undertaken and completed within 1 year of qualifying. To be able to see, treat and refer appropriately, a broad range of patients with acute and chronic illnesses as an autonomous practitioner.Administration of medicines, e.g. in line with NMC Guidance and Trust Policy. Demonstrate own personal development with self-directed learning and identifying and accessing internal and external development opportunities,as per individual advanced practice portfolio. Autonomous decision making including judgments involving complex facts or situations which require the analysis, interpretation, and comparison of a range of options in relation to the care/ management needs of the patients on a day to day basis within the clinical environment. Conduct physical assessments, examinations, and investigations to identify abnormalities and make diagnoses and administer a comprehensiveand appropriate level of care. Use of advanced clinical skills and autonomous judgement to prescribe drug treatments for patients following interpretation of clinical findingsthrough requested bloods and investigations across several broad and varied clinical fields. Use best practice, analyse evidence based practice, use of benchmarking to inform clinical practice. Provide detailed and transparent reports of workload, outcomes, and recommendations for future developments; demonstrated in advancedpractice portfolio this should include case based discussions, multi-source feedback, etc. Be accountable for the direct delivery and implementation of clinical care on a day to day basis across the full spectrum of illnesses and therapymanagement. Provide personal care plans to patients and develop, implement and evaluate care including independently prescribed medications, monitoringtherapeutic programmes and providing health education and promotion. Be proactive in developing new ways of working, such as ACP led initiatives to increase the quality of the patient journey and the ward efficiency. Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs ofpatients. Please see the attached job description for additional duties and responsibilities. Job description Job responsibilities Key Responsibilities To be competent in the assessment and treatment of patients presenting with a range of undifferentiated and undiagnosed illnesses underpinnedby extensive knowledge of a range of chronic and acute conditions. To be competent in providing an initial clinical diagnosis and in the decision to refer to an appropriate speciality. To be competent in the ability to discharge patients following appropriate assessment and treatment. To be competent in the initial immediate assessment and treatment of patients with a range of life threatening presentations such as cardiac arrestand acute major illness. If not already an Independent Prescriber, will be expected to successfully complete the programme within a timely manner, in order to continue inthe role. To be undertaken and completed within 1 year of qualifying. To be able to see, treat and refer appropriately, a broad range of patients with acute and chronic illnesses as an autonomous practitioner.Administration of medicines, e.g. in line with NMC Guidance and Trust Policy. Demonstrate own personal development with self-directed learning and identifying and accessing internal and external development opportunities,as per individual advanced practice portfolio. Autonomous decision making including judgments involving complex facts or situations which require the analysis, interpretation, and comparison of a range of options in relation to the care/ management needs of the patients on a day to day basis within the clinical environment. Conduct physical assessments, examinations, and investigations to identify abnormalities and make diagnoses and administer a comprehensiveand appropriate level of care. Use of advanced clinical skills and autonomous judgement to prescribe drug treatments for patients following interpretation of clinical findingsthrough requested bloods and investigations across several broad and varied clinical fields. Use best practice, analyse evidence based practice, use of benchmarking to inform clinical practice. Provide detailed and transparent reports of workload, outcomes, and recommendations for future developments; demonstrated in advancedpractice portfolio this should include case based discussions, multi-source feedback, etc. Be accountable for the direct delivery and implementation of clinical care on a day to day basis across the full spectrum of illnesses and therapymanagement. Provide personal care plans to patients and develop, implement and evaluate care including independently prescribed medications, monitoringtherapeutic programmes and providing health education and promotion. Be proactive in developing new ways of working, such as ACP led initiatives to increase the quality of the patient journey and the ward efficiency. Be a safe and competent non-Medical Prescriber-providing responsible prescribing and adapting medication therapies to meet the needs ofpatients. Please see the attached job description for additional duties and responsibilities. Person Specification Attainments Essential NMC registered Nurse / Other allied health care professional (HCPC) ILS or ALS Teaching / assessment / Mentorship Qualification Non-medical Prescribing course Master's/DiP in advanced practice (willing to undertake) or equivalent Leadership qualification Desirable Lewisham & Greenwich Trust approval as independent practitioner ALS Accredited autonomous practitioner qualification Master's/DiP in advanced practice or equivalent Leadership qualification Work Experience Essential Significant experience post HCP qualification (5 years generally) Teaching and assessment experience in clinical practice Experience of leadership Desirable Minimum 6 years' experience as HCP Minimum of 1 year's experience as ACP 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 Critical decision-making skills Experience of appraisals Experience of non-medical prescribing Autonomous clinical assessment skills Full driving license with access to car Desirable Competence in radiology requesting and interpretation Clinical Audit and interest in research 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 Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice Person Specification Attainments Essential NMC registered Nurse / Other allied health care professional (HCPC) ILS or ALS Teaching / assessment / Mentorship Qualification Non-medical Prescribing course Master's/DiP in advanced practice (willing to undertake) or equivalent Leadership qualification Desirable Lewisham & Greenwich Trust approval as independent practitioner ALS Accredited autonomous practitioner qualification Master's/DiP in advanced practice or equivalent Leadership qualification Work Experience Essential Significant experience post HCP qualification (5 years generally) Teaching and assessment experience in clinical practice Experience of leadership Desirable Minimum 6 years' experience as HCP Minimum of 1 year's experience as ACP 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 Critical decision-making skills Experience of appraisals Experience of non-medical prescribing Autonomous clinical assessment skills Full driving license with access to car Desirable Competence in radiology requesting and interpretation Clinical Audit and interest in research 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 Demonstrate commitment to support national and Trust strategies and objectives for clinical care and advanced clinical practice 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). 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). Employer details Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham SE13 6LH Employer's website https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)