Advanced Clinical Practitioner

Job responsibilities

Responsibilities and Duties

Clinical Assessment and Patient Care

• Undertake comprehensive, autonomous assessments of patients presenting with undifferentiated and undiagnosed conditions.
• Use advanced clinical reasoning and decision-making skills to formulate differential diagnoses and treatment plans.
• Manage patients with acute, chronic and complex conditions within scope of practice and in line with national and local clinical guidance.
• Initiate, request, and interpret diagnostic investigations including pathology and imaging to support clinical decision-making.
• Provide evidence-based treatment and management, ensuring safe and appropriate prescribing under V300 Independent Prescribing authority.
• Monitor patient response to treatment, adjust care plans accordingly, and refer to other services where appropriate.
• Undertake structured reviews of patients with long-term conditions, supporting disease prevention, optimisation of treatment, and personalised care planning.
• Provide urgent, on-the-day care for minor illness, exacerbations of chronic illness, or other time-sensitive presentations.
• Recognise when escalation is required and act promptly to involve GPs or emergency services when necessary.

Prescribing and Medicines Management (V300)

• Prescribe safely, effectively, and appropriately as a V300 Independent Prescriber in line with national frameworks, formulary guidance, and scope of competence.
• Undertake medication reviews, particularly for polypharmacy, high-risk drugs, or medication concordance issues.
• Promote safe prescribing practices, monitor for adverse drug reactions, and engage in medicines optimisation initiatives.
• Work closely with clinical pharmacists and GPs to ensure continuity and safety in medicines management.

Communication and Patient Education

• Use advanced communication skills to engage with patients, families and carers, explaining diagnoses and management plans clearly and compassionately.
• Support patients in shared decision-making, informed consent, and understanding of self-care strategies.
• Address barriers to communication, such as language, cognitive impairment, or health literacy.

Teamwork and Collaboration

• Work collaboratively with the wider multidisciplinary team, including GPs, nurses, pharmacists, HCAs, and external healthcare professionals.
• Contribute to team discussions, case reviews, and referral planning to ensure coordinated patient care.
• Participate in internal meetings and multidisciplinary discussions relevant to patient care and service delivery.

Clinical Governance and Quality

• Maintain accurate, contemporaneous clinical records in accordance with legal, professional, and practice standards.
• Participate in audits, service evaluations, quality improvement projects and significant event reviews.
• Contribute to the practices compliance with CQC standards, local safeguarding protocols, infection control, and risk management.
• Report incidents, concerns, and near misses promptly using the agreed reporting systems.

Professional Development and Supervision

• Maintain active registration with the relevant professional body and comply with all requirements for revalidation and CPD.
• Participate in annual appraisals, peer reviews, clinical supervision, and reflective practice activities.
• Take responsibility for own learning and actively maintain up-to-date knowledge and skills relevant to advanced practice and prescribing.
• Support the induction and supervision of students, junior staff, or colleagues new to advanced roles.

Service Development and Leadership

• Contribute to the design, development and evaluation of care pathways and protocols within the practice.
• Identify areas for service improvement and make constructive proposals to enhance efficiency and patient experience.
• Assist with the delivery of local and national health initiatives, including vaccination campaigns, QOF and enhanced services.
• Represent the practice at local forums, working groups or education events as agreed with the management team.

Administrative and Operational Duties

• Use EMIS Web and other practice systems to manage patient care, tasks, and documentation.
• Action pathology results, incoming correspondence, and administrative tasks associated with patient management as delegated.
• Contribute to the achievement of performance indicators, including QOF, IIF and locally commissioned services.
• Provide input into practice policies, clinical templates, and protocols within the scope of clinical expertise.

Professional Conduct and Values

• Adhere at all times to the relevant Code of Conduct (e.g. NMC, HCPC) and uphold the values of Quarry Bank Medical Centre.
• Act with integrity, professionalism, and accountability in all patient and team interactions.
• Promote equality, diversity and inclusion in patient care and workplace behaviour.
• Maintain patient confidentiality in accordance with GDPR and information governance regulations.

Qualifications

Essential

• Registered healthcare professional (e.g. Nurse, Paramedic, Physiotherapist, Pharmacist) with current registration with NMC, HCPC, or GPhC
• Masters degree in Advanced Clinical Practice or evidence of working towards completion of a recognised ACP Masters programme
• V300 Independent and Supplementary Prescribing qualification with active prescribing status
• Evidence of continued professional development relevant to advanced clinical practice
• Level 7 physical assessment and clinical examination training

Desirable

• Teaching, mentoring or clinical supervision qualification or training
• Non-medical prescribing used routinely and confidently in current or recent clinical role
• Training in minor illness, long-term condition management, or urgent/emergency care
• Experience using EMIS Web or similar clinical system
• Additional leadership, service improvement, or quality improvement training

Experience

Essential

• Significant post-registration experience in a clinical role relevant to primary care, urgent care, or community health
• Proven experience working autonomously in assessing, diagnosing, and managing patients with a range of conditions
• Experience of safely prescribing under V300 Independent Prescriber authority
• Demonstrable ability to manage both acute presentations and long-term conditions
• Experience working as part of a multidisciplinary team, contributing to coordinated care planning
• Experience maintaining accurate clinical documentation and managing clinical risk

Desirable

• Experience in a designated Advanced Clinical Practitioner role within primary care
• Involvement in clinical audits, service development or quality improvement projects
• Experience delivering patient education and self-care support
• Experience supervising students, junior staff or other clinicians
• Familiarity with QOF, enhanced services, and NHS contractual frameworks
• Previous use of EMIS Web or similar clinical IT systems

Personal Qualities

Essential

• Demonstrates a consistently respectful, compassionate, and emotionally intelligent approach to patients, colleagues, and stakeholders, regardless of role or seniority
• Committed to fostering a workplace culture rooted in kindness, collaboration, humility, and mutual respect.
• Strong sense of self-awareness and professionalism, with an ability to reflect on personal behaviours and adjust to constructive feedback without defensiveness.
• Demonstrates humility and emotional maturity, with a focus on shared success rather than personal recognition or status.
• Approachable and grounded, with excellent interpersonal skills and a genuine willingness to listen and learn from others.
• Understands the importance of psychological safety in team settings and actively contributes to a no-blame, supportive environment.
• Maintains integrity, discretion, and confidentiality at all times, particularly in high-pressure or sensitive situations.
• Proactively supports colleagues and demonstrates patience, understanding, and generosity of spirit.
• Committed to the core NHS values and principles of inclusive, non-hierarchical practice.
• Reliable, self-motivated, and willing to take responsibility for personal actions without shifting blame or avoiding accountability.

Desirable

• Demonstrated history of contributing to workplace culture initiatives or improving team dynamics.
• Experience mentoring, coaching, or supporting colleagues in a way that reinforces team unity and respectful professional standards.
• Previous experience working in a team-first culture where ego, conflict, or rigid authority were actively discouraged.
• Evidence of managing conflict or interpersonal difficulty with empathy and diplomacy.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).