Job summary
We're offering an exciting opportunity for Advanced Clinical Practitioners (ACPs) to become part of our dedicated Out of Hours team at our Treatment Centre in the Cumberland Infirmary.
This position is on a bank contract basis, giving you flexibility to work shifts that fit around your lifestyle. You'll primarily be based at our Carlisle site, where you'll play a vital role in delivering high-quality, patient-centred care.
We are looking for ACPs to provide assessment and management to patients in our base at Carlisle. This includes home visits and telephone consultations, depending on experience.
The role is critical in providing high-quality care out of hours, ensuring our patients receive timely and effective care.
CLOSING DATE: 27th November 2025
WHEN APPLYING FOR THIS ROLE, PLEASE INCLUDE YOUR
MOBILE NUMBER ON YOUR APPLICATION SO WE CAN CONTACT YOU IF NEEDED. PLEASE ALSO
CHECK YOUR SPAM OR JUNK FOLDER REGULARLY AS EMAILS FROM US MAY OCCASIONALLY BE
FILTERED THERE.
We
encourage you to apply as early as possible as this job may close earlier than
the advertised closing date once enough applications have been received
Please
note that we are unable to offer an Employer Sponsored Visa for this role.
Main duties of the job
You will work as a member of the clinical team, responsible
for recognising, negotiating and implementing processes to enhance the delivery
of care in the Treatment centre.
Patient centred
care will be delivered by assessing patients with undifferentiated and
undiagnosed problems; initiating treatment, investigations, advice and
management of problems using professional autonomous decision making processes,
liaising when appropriate with other healthcare professionals and service
providers to ensure safe and effective patient care.
The post holder
will contribute to development and delivery of a high quality innovative
service to the community through the implementation of evidence based clinical
practice, supported by continual professional development and
mentorship/supervision.
All staff are expected to work to Cumbria Healths Values:
Clinically Focussed: Everything every one of us does is for the
patient
Responsive: We listen and we respond quickly in a patient focussed
way
One Team: We work together to provide a high quality service which
is organised
and consistent, and in partnership with both the local Acute and Community
Trusts
High Standards: We provide skilled professionals working to the
highest standards
who are passionate about improving patient care
Growth & Sustainability: With our strong roots we will
continue to thrive and grow
Communities:
Connecting and engaging to meet local needs
About us
Cumbria Health places the patient, their family and their community at the heart of everything we do. We are an award-winning organisation, the first out-of-hours organisation in the country to be rated as outstanding by the Care Quality Commission (CQC).
We provide primary health care services, both in and out of hours, across Cumbria. We are values-driven and place great emphasis on inclusivity and the wellbeing and development of our staff, while striving to provide a consistently high-quality service. Our service is designed to improve health and wellbeing.
Working for Cumbria Health can offer flexible opportunities in terms of location, hours and working patterns so you can enjoy a great work life balance. In order to provide the best patient care we understand the importance of ensuring staff satisfaction and are consistently trying to ensure we offer our staff a positive working environment whether that be though training or social events.
Listen to your heart. Have the work life balance you'd love.
Job description
Job responsibilities
This
list of duties and responsibilities, which follows, represents the broad range
of tasks which may be required to be undertaken either routinely or
periodically. This list is not
exhaustive and the role may include additional duties which are not listed
here.
Communication
1. Communicates effectively as a member of
a multi-disciplinary team.
- Refers when necessary to general
practitioners, Paramedics, Accident and Emergency, Secondary Care, District
nurses, Night rapid response nurses, Emergency social workers, Emergency mental
health team, and Emergency dental services.
2. With Primary care nurses giving support,
advice and leadership.
3. With reception staff regarding patient
information.
4. Recognise and effectively manages
situations where there are barriers to effective communication.
5. Recognises and effectively manages
situations where there are barriers to effective communication.
Clinical Skills
1. Works independently as an Advanced Clinical
Practitioner within the scope of professional practice.
- Functions
at a high level to a carry out clinical decision making such as diagnosing and
discharging patients with minimal input from a medical practitioner remaining
with the scope of professional practice.
- Practices as an autonomous practitioner
where possible with non-medical prescribing authority.
2. Functions at a high level in relation to
communication skills through patient consultation and nursing assessment of
physical, psychological and social needs.
- Takes an accurate history, building
rapport towards a therapeutic relationship.
- Assess, plan and implements patient
centred plan of care for patients with in the out of hours treatment centres,
independently discharge patients from your care and refer when necessary to
other healthcare professionals for further specialised care.
3. Demonstrates clinical competence in the
assessment and management of patients of all ages from infants to the elderly
and management of lifelong illness such as diabetes, asthma and chronic
obstructive pulmonary disease during the time of acute illness and managing
minor illness.
4. Adapts to change within working
situation managing unscheduled emergency situations.
Basic life support, severe breathing problems, serious
cardiovascular problems, collapsed patients and seriously illpatients.
5. Performs investigations to reach a
differential diagnosis using core clinical skill and competence. Initiate
treatment including diagnostic investigations.
- Recognition of abnormal vital signs
observing paediatric and adult respiratory rate and effort, heart rate rhythm
and volume, temperature and blood pressures as appropriate.
- Performs investigatory procedures
including; Performing ECGs, Urinalysis, Blood Glucose monitoring,
Venepuncture, measuring and interpreting Peak Flow.
6. Demonstrates competence in examination
techniques
- Examination of the Ear Nose and Throat
system
- Basic Neurological examination of
Headaches and Head injury
- Basic Muscular-skeletal examination in
the assessment of injury
- Basic eye examination in the assessment
of injury, foreign body and infection.
- Respiratory Examination
- Abdominal Examination
- Cardiovascular Examination
- Vaginal Examination and sexual health
screening
7. Performs safe manual handling
techniques.
8. Recognises own limitations, seek
assistance and refer appropriately.
9. Delivers a high standard of care without
discrimination to all ages, sexes and ethnic origins of the population through
continuum of life.
10. Deliver safe, effective evidence based
care and advice to ease patient problems.
11. Promotes improving the health of the
individual through advice and education to aid adjustment of lifestyle,
including Contraception advice.
Organisational Skills
1. Aware of and complies with Cumbria
Health policies and procedures.
2. Able to adapt to change in the workplace
being involved in new developments in the delivery of care.
3. Ensures faulty clinical equipment is
reported and repaired and adequate for use.
4. Ensures store supplies are adequately
ordered and maintained.
5. Participates and supports the
implementation of clinical governance, clinical audit and clinical risk
assessment, setting and monitoring standards of care.
6. Promotes improving the health of the
community through reporting and preventing occurrences of infectious disease,
proving advice and education.
7. Has a flexible approach to geographical
locations across county sites.
Professional
1. Ensures practice and implementation of
care is evidence based by adhering to local and national guidance.
2.
Complies
with NMC. HCPC, GPC code of conduct and works within scope of professional
practice
3. Maintains confidentiality of information
regarding patients.
4. Ensures accurate, concise documentation.
5. Reports any adverse incidents or near
miss events through agreed Cumbria Health system.
6. Maintains professional development in
risk awareness, health and safety, fire safety at work, Child and Adult
safeguarding, conflict resolution, information governance and basic life
support by attending annual mandatory training.
7. Identifies and/ or participates in
strategies of risk assessment to avoid or prevent clinical incidents and near
misses incorporated in the clinical governance framework including:
- Risk management, Child and Adult
safeguarding policies, Drug policies and Infection prevention policies.
Leadership
1. Is a support network for other
colleagues.
2. Acts as role model to inspire and
motivate others.
3. Motivates and inspires others to deliver
excellent standards of care, both within own team and across the wider
workforce
4. Acts as mentor, support and induct new
staff.
5. Supports and challenges colleagues on
specific aspects of their practice, encouraging healthy debate and contributing to the development of others
Training and Education
1.
Enhances
professional development.
2.
Continually
keeps up to date with current evidence based practice.
3.
Is
involved in lifelong learning.
4.
Ensures
mandatory training has been completed.
5. Participates in in-house training
provided / clinical meetings / supervision
Job description
Job responsibilities
This
list of duties and responsibilities, which follows, represents the broad range
of tasks which may be required to be undertaken either routinely or
periodically. This list is not
exhaustive and the role may include additional duties which are not listed
here.
Communication
1. Communicates effectively as a member of
a multi-disciplinary team.
- Refers when necessary to general
practitioners, Paramedics, Accident and Emergency, Secondary Care, District
nurses, Night rapid response nurses, Emergency social workers, Emergency mental
health team, and Emergency dental services.
2. With Primary care nurses giving support,
advice and leadership.
3. With reception staff regarding patient
information.
4. Recognise and effectively manages
situations where there are barriers to effective communication.
5. Recognises and effectively manages
situations where there are barriers to effective communication.
Clinical Skills
1. Works independently as an Advanced Clinical
Practitioner within the scope of professional practice.
- Functions
at a high level to a carry out clinical decision making such as diagnosing and
discharging patients with minimal input from a medical practitioner remaining
with the scope of professional practice.
- Practices as an autonomous practitioner
where possible with non-medical prescribing authority.
2. Functions at a high level in relation to
communication skills through patient consultation and nursing assessment of
physical, psychological and social needs.
- Takes an accurate history, building
rapport towards a therapeutic relationship.
- Assess, plan and implements patient
centred plan of care for patients with in the out of hours treatment centres,
independently discharge patients from your care and refer when necessary to
other healthcare professionals for further specialised care.
3. Demonstrates clinical competence in the
assessment and management of patients of all ages from infants to the elderly
and management of lifelong illness such as diabetes, asthma and chronic
obstructive pulmonary disease during the time of acute illness and managing
minor illness.
4. Adapts to change within working
situation managing unscheduled emergency situations.
Basic life support, severe breathing problems, serious
cardiovascular problems, collapsed patients and seriously illpatients.
5. Performs investigations to reach a
differential diagnosis using core clinical skill and competence. Initiate
treatment including diagnostic investigations.
- Recognition of abnormal vital signs
observing paediatric and adult respiratory rate and effort, heart rate rhythm
and volume, temperature and blood pressures as appropriate.
- Performs investigatory procedures
including; Performing ECGs, Urinalysis, Blood Glucose monitoring,
Venepuncture, measuring and interpreting Peak Flow.
6. Demonstrates competence in examination
techniques
- Examination of the Ear Nose and Throat
system
- Basic Neurological examination of
Headaches and Head injury
- Basic Muscular-skeletal examination in
the assessment of injury
- Basic eye examination in the assessment
of injury, foreign body and infection.
- Respiratory Examination
- Abdominal Examination
- Cardiovascular Examination
- Vaginal Examination and sexual health
screening
7. Performs safe manual handling
techniques.
8. Recognises own limitations, seek
assistance and refer appropriately.
9. Delivers a high standard of care without
discrimination to all ages, sexes and ethnic origins of the population through
continuum of life.
10. Deliver safe, effective evidence based
care and advice to ease patient problems.
11. Promotes improving the health of the
individual through advice and education to aid adjustment of lifestyle,
including Contraception advice.
Organisational Skills
1. Aware of and complies with Cumbria
Health policies and procedures.
2. Able to adapt to change in the workplace
being involved in new developments in the delivery of care.
3. Ensures faulty clinical equipment is
reported and repaired and adequate for use.
4. Ensures store supplies are adequately
ordered and maintained.
5. Participates and supports the
implementation of clinical governance, clinical audit and clinical risk
assessment, setting and monitoring standards of care.
6. Promotes improving the health of the
community through reporting and preventing occurrences of infectious disease,
proving advice and education.
7. Has a flexible approach to geographical
locations across county sites.
Professional
1. Ensures practice and implementation of
care is evidence based by adhering to local and national guidance.
2.
Complies
with NMC. HCPC, GPC code of conduct and works within scope of professional
practice
3. Maintains confidentiality of information
regarding patients.
4. Ensures accurate, concise documentation.
5. Reports any adverse incidents or near
miss events through agreed Cumbria Health system.
6. Maintains professional development in
risk awareness, health and safety, fire safety at work, Child and Adult
safeguarding, conflict resolution, information governance and basic life
support by attending annual mandatory training.
7. Identifies and/ or participates in
strategies of risk assessment to avoid or prevent clinical incidents and near
misses incorporated in the clinical governance framework including:
- Risk management, Child and Adult
safeguarding policies, Drug policies and Infection prevention policies.
Leadership
1. Is a support network for other
colleagues.
2. Acts as role model to inspire and
motivate others.
3. Motivates and inspires others to deliver
excellent standards of care, both within own team and across the wider
workforce
4. Acts as mentor, support and induct new
staff.
5. Supports and challenges colleagues on
specific aspects of their practice, encouraging healthy debate and contributing to the development of others
Training and Education
1.
Enhances
professional development.
2.
Continually
keeps up to date with current evidence based practice.
3.
Is
involved in lifelong learning.
4.
Ensures
mandatory training has been completed.
5. Participates in in-house training
provided / clinical meetings / supervision
Person Specification
Experience
Essential
- Significant post registration experience (minimum 3 years in relevant field acute or primary care setting)
- Evidence of autonomous practice assessing & managing patients with undifferentiated presentations
- Evidence of good practice
- Leadership Skills
Desirable
- Experience of working within primary or urgent care
Qualifications
Essential
- 1st Level professional registration
- Graduate degree with honours at least 2.2
- Non Medical prescribing qualification
- Evidence of advanced clinical examination & history taking qualification
- Evidence of recent Continual Professional Development
Desirable
- MSc Advanced Practice
- 998 or equivalent teaching certificate.
- ILS Intermediate Life support
Knowledge/Skills and Aptitudes
Essential
- Demonstrate clinical knowledge in acute and chronic disease management
- Demonstrate clinically competent in minor illness management
- Able to demonstrate excellent communication and consultation skills.
- Able to work independently and effectively within a team
- Flexible and motivated
- Basic computer skills.
Desirable
- Ability to adapt to change within working situation
- Innovative practice to deliver patient centred care
Personal Circumstances
Essential
- Positive
- Confident
- Well organised
- Good team player
- Ability to build rapport and effective relationships at all levels
- Demonstrate initiative
- Ability to maintain workload in a sometimes busy and demanding environment
Other Requirements
Essential
- Willingness to undertake further training
- Current driving licence and access to own vehicle
Person Specification
Experience
Essential
- Significant post registration experience (minimum 3 years in relevant field acute or primary care setting)
- Evidence of autonomous practice assessing & managing patients with undifferentiated presentations
- Evidence of good practice
- Leadership Skills
Desirable
- Experience of working within primary or urgent care
Qualifications
Essential
- 1st Level professional registration
- Graduate degree with honours at least 2.2
- Non Medical prescribing qualification
- Evidence of advanced clinical examination & history taking qualification
- Evidence of recent Continual Professional Development
Desirable
- MSc Advanced Practice
- 998 or equivalent teaching certificate.
- ILS Intermediate Life support
Knowledge/Skills and Aptitudes
Essential
- Demonstrate clinical knowledge in acute and chronic disease management
- Demonstrate clinically competent in minor illness management
- Able to demonstrate excellent communication and consultation skills.
- Able to work independently and effectively within a team
- Flexible and motivated
- Basic computer skills.
Desirable
- Ability to adapt to change within working situation
- Innovative practice to deliver patient centred care
Personal Circumstances
Essential
- Positive
- Confident
- Well organised
- Good team player
- Ability to build rapport and effective relationships at all levels
- Demonstrate initiative
- Ability to maintain workload in a sometimes busy and demanding environment
Other Requirements
Essential
- Willingness to undertake further training
- Current driving licence and access to own vehicle
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).