Carlisle Healthcare

Advanced Clinical Practitioner

The closing date is 31 January 2026

Job summary

The Advanced Clinical Practitioner (ACP) will act autonomously within their professional scope of practice providing care for patients face to face, telephone consultations and home visits (dependent on role).

The post holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The Advanced Clinical Practitioner will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.

The post holder will use skills, knowledge and competencies as a qualified Advanced Clinical Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.

Main duties of the job

The ACP will assess, diagnose, plan and implement treatment for patients within their care, acting within their own scope of competence to do so. Using critical clinical consultation skills they will provide care for a wide range of patients.

Predominantly working as an independent and autonomous practitioner as part of the multi-disciplinary team providing safe and effective person-centred care, they will recognise when to refer or to access additional support and will do so efficiently. This may include seeking support from duty GP, onward referral to secondary care and/or additional investigations in line with current local and national guidelines. The practitioner will make safe and efficient prescribing decisions in line with current best practice and their own scope of competence.

The ACP will ensure care provision is in line with best standards, contributing to practice and national targets for high quality care (including QOF and enhanced service targets).

About us

Carlisle Healthcare (CHC) is an NHS GP Practice situated in the City of Carlisle and provides care for around forty thousand registered patients. The practice is set across three sites, all of which have purpose built facilities.

The practice boasts

Overall rated Good by CQC

Large multi-disciplinary clinical team including GPs, ACPs, Paramedics, Occupational Therapists, Physiotherapists, Specialist Nurses and HCAs and a large non clinical support team.

A positive, supportive, family friendly atmosphere

A teaching practice for Medical/ Nursing Students

High achieving in QOF and Enhanced Services

We are looking for a skilled, autonomous practitioner to join our team of ACPs. We are keen to find the right person to fit in with our team and are open to welcoming practitioners from a variety of backgrounds

Details

Date posted

30 December 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Job share, Flexible working

Reference number

A1945-25-0010

Job locations

St. Pauls Square

Carlisle

CA1 1DG


North Carlisle Medical Centre

Eden Street

Carlisle

CA3 9JZ


Carlisle Healthcare

Locke Road

Durranhill Industrial Estate

Carlisle

CA1 3UB


Job description

Job responsibilities

Advanced Clinical Practice

The ACP will assess, diagnose, plan and implement treatment for patients within their care, acting within their own scope of competence to do so. Using critical clinical consultation skills they will provide care for a wide range of patients.Predominantly working as an independent and autonomous practitioner as part of the multi-disciplinary team providing safe and effective person-centred care

Evidence and Research

The ACP will contribute to and undertake audits of clinical practice to ensure care provision is in line with guidelines for best practice. The ACP will participate in and contribute to team exercises in the improvement of patient care and will assist in dissemination of new guidelines and recommendations for practice, evaluating the effectiveness of any changes to practice if appropriate.

Training and personal development

Education and Learning: The ACP will positively contribute to their own learning and development by maintaining up to date skills and knowledge, undertaking additional training as required, this may be identified by the individual or the practice. They will also participate in appraisal/performance reviews annually and undertake mandatory/statutory training as required. The ACP undertakes personal responsibility for ensuring that their own professional requirement are met fully including revalidation and annual prescribing reviews where necessary.

Leadership personal and people development

Leadership: Acting as a positive role model for others, the ACP will offer support to colleagues in their development, acting as a mentor to junior colleagues/student nurses/medical students as required promoting a positive learning environment within the practice. They may also contribute to the development and review of local guidelines and protocols. The ACP will assess their own performance and take accountability for own actions, either directly or under supervision and contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

  • Participate in the administrative and professional responsibilities of the practice team
  • Accurate and legible notes of all consultations and treatments are recorded in the patients notes
  • Ensure clinical systems kept up to date, recording and/or amending accurate details
  • Ensure appropriate items of service claims are made accurately, reporting any problems to the Deputy Practice Managers
  • Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
  • The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential and manage this information in line with professional standards for conduct and legal requirements including (but not exclusive to) GDPR, information governance and data protection legislation.

Job description

Job responsibilities

Advanced Clinical Practice

The ACP will assess, diagnose, plan and implement treatment for patients within their care, acting within their own scope of competence to do so. Using critical clinical consultation skills they will provide care for a wide range of patients.Predominantly working as an independent and autonomous practitioner as part of the multi-disciplinary team providing safe and effective person-centred care

Evidence and Research

The ACP will contribute to and undertake audits of clinical practice to ensure care provision is in line with guidelines for best practice. The ACP will participate in and contribute to team exercises in the improvement of patient care and will assist in dissemination of new guidelines and recommendations for practice, evaluating the effectiveness of any changes to practice if appropriate.

Training and personal development

Education and Learning: The ACP will positively contribute to their own learning and development by maintaining up to date skills and knowledge, undertaking additional training as required, this may be identified by the individual or the practice. They will also participate in appraisal/performance reviews annually and undertake mandatory/statutory training as required. The ACP undertakes personal responsibility for ensuring that their own professional requirement are met fully including revalidation and annual prescribing reviews where necessary.

Leadership personal and people development

Leadership: Acting as a positive role model for others, the ACP will offer support to colleagues in their development, acting as a mentor to junior colleagues/student nurses/medical students as required promoting a positive learning environment within the practice. They may also contribute to the development and review of local guidelines and protocols. The ACP will assess their own performance and take accountability for own actions, either directly or under supervision and contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Administration and professional responsibilities

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

  • Participate in the administrative and professional responsibilities of the practice team
  • Accurate and legible notes of all consultations and treatments are recorded in the patients notes
  • Ensure clinical systems kept up to date, recording and/or amending accurate details
  • Ensure appropriate items of service claims are made accurately, reporting any problems to the Deputy Practice Managers
  • Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
  • The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential and manage this information in line with professional standards for conduct and legal requirements including (but not exclusive to) GDPR, information governance and data protection legislation.

Person Specification

Experience

Essential

  • Significant post-registration experience, ideally with recent experience in primary care
  • Experienced independent/autonomous practitioner
  • Management of acute/on the day presentations of illness and minor injuries
  • Working across a broad population group

Desirable

  • Experience in management of long-term/chronic condition
  • Experience working with children and pregnant women
  • Experience of working in a GP practice

Qualifications

Essential

  • Masters degree level in relevant area of expertise
  • Relevant nursing/health degree
  • Non-Medical Prescribing

Knowledge & Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Clinical leadership skills
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills

Desirable

  • Wider health economy
  • Clinical governance issues in primary care
  • Patient group directions and associated policy
  • Change management
  • Teaching and mentorship clinical setting
  • Resource management
Person Specification

Experience

Essential

  • Significant post-registration experience, ideally with recent experience in primary care
  • Experienced independent/autonomous practitioner
  • Management of acute/on the day presentations of illness and minor injuries
  • Working across a broad population group

Desirable

  • Experience in management of long-term/chronic condition
  • Experience working with children and pregnant women
  • Experience of working in a GP practice

Qualifications

Essential

  • Masters degree level in relevant area of expertise
  • Relevant nursing/health degree
  • Non-Medical Prescribing

Knowledge & Skills

Essential

  • Advanced clinical practice skills
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Clinical leadership skills
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills

Desirable

  • Wider health economy
  • Clinical governance issues in primary care
  • Patient group directions and associated policy
  • Change management
  • Teaching and mentorship clinical setting
  • Resource management

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).

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.

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

Carlisle Healthcare

Address

St. Pauls Square

Carlisle

CA1 1DG


Employer's website

https://www.carlislehealthcare.co.uk/ (Opens in a new tab)

Employer details

Employer name

Carlisle Healthcare

Address

St. Pauls Square

Carlisle

CA1 1DG


Employer's website

https://www.carlislehealthcare.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

ACP Team Lead

Sarah Sewell

S.Sewell2@nhs.net

01228588121

Details

Date posted

30 December 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Job share, Flexible working

Reference number

A1945-25-0010

Job locations

St. Pauls Square

Carlisle

CA1 1DG


North Carlisle Medical Centre

Eden Street

Carlisle

CA3 9JZ


Carlisle Healthcare

Locke Road

Durranhill Industrial Estate

Carlisle

CA1 3UB


Supporting documents

Privacy notice

Carlisle Healthcare's privacy notice (opens in a new tab)