ADVANCED CLINICAL PRACTITIONER

NHS

  • Nottingham
  • Permanent
  • Full-time
  • 1 month ago
Are you a qualified Advanced Clinical Practitioner (ACP) seeking a fresh challenge in a forward-thinking, high-performing general practice. At Lombard Medical Centre, we are proud to offer an exciting opportunity for two ACPs to join our large and expanding team a diverse and supportive environment where your advanced clinical skills, leadership, and development ambitions will be truly valued.As an ACP at Lombard Medical Centre, you will be delivering high-quality, person-centred care across a blended role comprising both clinic-based consultations and home visits. You will work autonomously, drawing on your advanced clinical assessment and diagnostic skills, and collaborate closely with our experienced multi-professional team.Main duties of the jobYour core responsibilities will include:Assessing, diagnosing, planning, treating and reviewing patients with both acute and chronic conditionsCarrying out home visits and leading care for patients with learning disabilitiesManaging clinical episodes independently including prescribing and referralsTaking a lead in unscheduled and emergency carePerforming clinical procedures and planning care pathwaysCommunicating effectively with patients, carers and clinical teamsAbout usWe are a well-established, friendly, GP training practice serving over 22,000 patients With a strong commitment to staff wellbeing and continuous development, Lombard Medical Centre provides an ideal platform for you to make a real difference in patient care while progressing professionally.Ongoing Development and SupportAs a GP training practice, we foster a culture of learning, supervision and progression.We offerProtected learning timeOpportunities to supervise and support othersParticipation in audits, research and service developmentInvolvement in care pathway and quality improvement initiativesMeet the TeamYou'll join a vibrant, multi-disciplinary team that includes:9 GP Partners3 Salaried GPs - 5 from SeptemberGP registrars 6 from August2 Clinical Pharmacists - 3 from SeptemberFirst Contact PhysioLong-Term Conditions Nurse4 Practice Nurses2 Nurse Associates planning to start nurse training soon3 HCAs2 PhlebotomistsThe DetailsHours: 37.5 hours/week (full time) or part-time considered Salary: Agenda for Change Band 8a Location: Lombard Medical Centre, Nottingham Accountable to: Clinical Lead/Practice Manager Start date: NegotiableReady to Apply?We welcome informal visits and conversations if you would like to learn more about the team or the role.DetailsDate posted01 August 2025Pay schemeAgenda for changeBandBand 8aSalaryDepending on experienceContractPermanentWorking patternFull-time, Part-timeReference numberA5240-25-0005Job locations2 Portland StreetNewarkNottinghamNG24 4XGJob descriptionJob responsibilities
  • Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to Lombard Medical Centre frequently with complex undifferentiated or undefined presentations.
  • Undertakes physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
  • Performs clinical procedures appropriate to the history and physical examination of patients, including further invasive testing and treatments requiring highly developed skills and precision.
  • Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
  • Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to GPs, other medical staff for advice when scope of practice is exceeded.
  • Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission, or discharge from service.
  • Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
  • Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
  • Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need.
  • Provides clinical cover to the surgery according to patient and staffing needs.
  • Prescribes and reviews medication (as an independent prescriber, if relevant) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework. Integrates both pharmacological and non - pharmacological treatment in patient care/management plans
  • Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services.
  • Communicates effectively with patients, carers, colleagues, and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment.
Job descriptionJob responsibilities
  • Use highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to Lombard Medical Centre frequently with complex undifferentiated or undefined presentations.
  • Undertakes physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required.
  • Performs clinical procedures appropriate to the history and physical examination of patients, including further invasive testing and treatments requiring highly developed skills and precision.
  • Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations and as local policy allows.
  • Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided; presenting this information, to GPs, other medical staff for advice when scope of practice is exceeded.
  • Autonomously formulates appropriate management plans for patients, formulates clinical decisions and often complex treatment plans to manage acute illness and acute episodes of chronic illness including referral, admission, or discharge from service.
  • Continuously revaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
  • Prioritises health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.
  • Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patients dependency and clinical need.
  • Provides clinical cover to the surgery according to patient and staffing needs.
  • Prescribes and reviews medication (as an independent prescriber, if relevant) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework. Integrates both pharmacological and non - pharmacological treatment in patient care/management plans
  • Assesses patients with mental health needs using local policy and guidelines and refers to the appropriate services.
  • Communicates effectively with patients, carers, colleagues, and others using appropriate communication styles. Anticipates barriers to communication and ensures patients and significant others are kept fully informed and consent to treatment.
Person SpecificationAnalytical and judgement skillsEssential
  • Demonstrates:
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner.
  • Ability to deal effectively with clinical issues within defined procedures and guidelines.
  • Ability to work with undifferentiated and undiagnosed healthcare problems.
  • Participation in research and audit projects.
  • Active involvement in organisational operational management
Desirable
  • Leadership in audit or research.
  • Involvement in the investigation of serious clinical incidents
QualificationsEssential
  • Current registration with the relevant professional body, such as NMC or HCPC.
  • MSc in advanced clinical practice or an equivalent MSc or NHSE Centre for Advancing Practice Digital Badge (or working towards it).
  • Registered Independent Prescriber
  • Evidence of teaching, supervision, and assessment skills
Desirable
  • Mentor/ assessor and/or teaching qualification
  • NHSE Centre for Advancing Practice Digital Badge (or working towards it)
ExperienceEssential
  • Currently working clinically in an advanced practice role
  • Has an up-to-date portfolio of supervised practice in advanced clinical practice.
  • Has evidence of continued professional development (CPD) following successful completion of MSc & qualification as
Desirable
  • Management and leadership experience.
  • Evidence of involvement in policy and practice change.
  • Clinical work in an autonomous role
Person SpecificationAnalytical and judgement skillsEssential
  • Demonstrates:
  • Ability to respond to, prioritise and analyse complex health conditions and ensure that effective interventions are actioned in a safe and timely manner.
  • Ability to deal effectively with clinical issues within defined procedures and guidelines.
  • Ability to work with undifferentiated and undiagnosed healthcare problems.
  • Participation in research and audit projects.
  • Active involvement in organisational operational management
Desirable
  • Leadership in audit or research.
  • Involvement in the investigation of serious clinical incidents
QualificationsEssential
  • Current registration with the relevant professional body, such as NMC or HCPC.
  • MSc in advanced clinical practice or an equivalent MSc or NHSE Centre for Advancing Practice Digital Badge (or working towards it).
  • Registered Independent Prescriber
  • Evidence of teaching, supervision, and assessment skills
Desirable
  • Mentor/ assessor and/or teaching qualification
  • NHSE Centre for Advancing Practice Digital Badge (or working towards it)
ExperienceEssential
  • Currently working clinically in an advanced practice role
  • Has an up-to-date portfolio of supervised practice in advanced clinical practice.
  • Has evidence of continued professional development (CPD) following successful completion of MSc & qualification as
Desirable
  • Management and leadership experience.
  • Evidence of involvement in policy and practice change.
  • Clinical work in an autonomous role

NHS