Great Western Hospitals NHS Foundation Trust

Advanced Clinical Practitioner

The closing date is 26 August 2025

Job summary

Are you looking for the next challenge in your career?

An exciting opportunity has arisen within the Department of Older Persons Services at Great Western Hospital NHS Foundation. We are looking for a qualified ACP or a Registered Nurse / AHP who is keen undertake the ACP training role over 3 years which would start at Band 7 Agenda for Change progressing to Band 8a following successful completion. We are looking for someone who is dynamic and enthusiastic with a passion to provide high quality care to meet individual needs of the older patient.

Older Person ACP representation is required to support the transformational development of the delivery of a comprehensive multi-disciplinary service that is holistic in it's approach and evidence based.

The successful applicant will work closely with the Matron, Head of service and Clinical Lead to proactively manage older adults in the acute setting.

Main duties of the job

This post is a highly specialist clinical practitioner post to lead the transformational development of the deliveryof a specialised Advanced Clinical Practitioner service for our older patients. This is a key role for the medicaldivision and we need a highly motivated individual with strong organisational skills to undertake this position.

The post holder will support the delivery of a comprehensive multi-disciplinary service that is holistic in itsapproach; evidence based and meets the individual needs of older patients.

The post holder must be able to clearly demonstrate specialist knowledge and skills at an advanced level. Theywill practice autonomously and also within a defined multidisciplinary team in accordance with local guidelinesand protocols. Responsibilities will include supporting the medical team with initial history taking, clinicalassessment, diagnosis, treatment and evaluation of care. The post holder will demonstrate critical thinking in thedecision making process with support from Consultants as required. They will deliver a professional approachto the provision of high quality nursing care, acting as a role model to junior staff. The post holder will work closelywith the Matron, Head of Service and Clinical lead to drive forward change within the service.

About us

Our STAR values - Service, Teamwork, Ambition and Respect - are a golden thread running through everything we do. These values serve as a guiding principle, driving us towards our vision of delivering great joined up services to our local community. Whether at home, in the community, or within the hospital, our goal is to empower individuals to lead independent and healthier lives.

Details

Date posted

13 August 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

249-7392745

Job locations

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Job description

Job responsibilities

1. To work in partnership with the multi-disciplinary team to clinically assess, examine, diagnose, plan and evaluate treatment / interventions and care for patients presenting with an undifferentiated diagnosis within the older persons services.

2. To assess, plan and implement specialist nursing care, ensuring that each patient has a coherent and comprehensive management plan.

3. Independent prescriber (or working towards) who will prescribe and review medications within the practitioners competency and scope of practice for therapeutic effectiveness, appropriate to patientsneeds and in accordance with evidence based practice.

4. To work in partnership with the multi-disciplinary members of the older persons team to provide a Comprehensive Geriatric Assessment (CGA) for patients living with frailty and presenting in an acute setting.

5. Effectively lead and monitor the delivery of care to ensure the individual needs of the patients are met.

6. To recognise changes in patients conditions which require the intervention of others and refer on as appropriate.

7. To clearly present the patients point of view to others, including promoting and protecting the interest anddignity of the patients.

8. Provide information to patients, relatives and carers regarding the treatment options assessments, investigations and follow up.

9. To maintain accurate, appropriate and concise records, including documentation on electronic patient management systems.

10. Promote and lead the development, implementation and review of standards, policies, procedures andclinical guidelines.

Please see attached JD for full responsibilities.

Job description

Job responsibilities

1. To work in partnership with the multi-disciplinary team to clinically assess, examine, diagnose, plan and evaluate treatment / interventions and care for patients presenting with an undifferentiated diagnosis within the older persons services.

2. To assess, plan and implement specialist nursing care, ensuring that each patient has a coherent and comprehensive management plan.

3. Independent prescriber (or working towards) who will prescribe and review medications within the practitioners competency and scope of practice for therapeutic effectiveness, appropriate to patientsneeds and in accordance with evidence based practice.

4. To work in partnership with the multi-disciplinary members of the older persons team to provide a Comprehensive Geriatric Assessment (CGA) for patients living with frailty and presenting in an acute setting.

5. Effectively lead and monitor the delivery of care to ensure the individual needs of the patients are met.

6. To recognise changes in patients conditions which require the intervention of others and refer on as appropriate.

7. To clearly present the patients point of view to others, including promoting and protecting the interest anddignity of the patients.

8. Provide information to patients, relatives and carers regarding the treatment options assessments, investigations and follow up.

9. To maintain accurate, appropriate and concise records, including documentation on electronic patient management systems.

10. Promote and lead the development, implementation and review of standards, policies, procedures andclinical guidelines.

Please see attached JD for full responsibilities.

Person Specification

Qualifications

Essential

  • Registered Nurse Level 1 or Allied Health Professional
  • Significant post registration experience at Band 6 or above
  • Nurse Medical Prescriber (willingness to work towards).
  • Evidence of completed ACP modules (willingness to work towards).
  • Recognised teaching / assessing qualification

Desirable

  • Master level degree education or equivalent
  • Advanced communication skills or counselling skills training
  • Relevant clinical course to enable history taking and clinical examination, diagnostic reasoning and differential diagnosis

Experience

Essential

  • Thorough and up to date knowledge of nursing theory and best practice particularly within medical conditions and the application of this in practice.
  • and the application of this in practice. ? Significant post registration experience of working in elderly medicine nursing services.
  • Competent in Phlebotomy and cannulation.
  • Ability to apply critical thinking/ independent judgement to identify solutions to variable problems
  • Highly effective communication skills - able to communicate verbally and in writing to staff, patients and relatives including situations of conflict and distress.

Desirable

  • Experience in service development/change management.
  • Able to demonstrate advanced clinical skills e.g. physical assessments and clerking of patients.
  • Evidence of relevant training in leadership and management skills
Person Specification

Qualifications

Essential

  • Registered Nurse Level 1 or Allied Health Professional
  • Significant post registration experience at Band 6 or above
  • Nurse Medical Prescriber (willingness to work towards).
  • Evidence of completed ACP modules (willingness to work towards).
  • Recognised teaching / assessing qualification

Desirable

  • Master level degree education or equivalent
  • Advanced communication skills or counselling skills training
  • Relevant clinical course to enable history taking and clinical examination, diagnostic reasoning and differential diagnosis

Experience

Essential

  • Thorough and up to date knowledge of nursing theory and best practice particularly within medical conditions and the application of this in practice.
  • and the application of this in practice. ? Significant post registration experience of working in elderly medicine nursing services.
  • Competent in Phlebotomy and cannulation.
  • Ability to apply critical thinking/ independent judgement to identify solutions to variable problems
  • Highly effective communication skills - able to communicate verbally and in writing to staff, patients and relatives including situations of conflict and distress.

Desirable

  • Experience in service development/change management.
  • Able to demonstrate advanced clinical skills e.g. physical assessments and clerking of patients.
  • Evidence of relevant training in leadership and management skills

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).

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.

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).

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

Great Western Hospitals NHS Foundation Trust

Address

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Employer's website

https://www.gwh.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Great Western Hospitals NHS Foundation Trust

Address

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Employer's website

https://www.gwh.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Matron

Marie Mowbray

m.mowbray@nhs.net

07193607333

Details

Date posted

13 August 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

249-7392745

Job locations

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Supporting documents

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