North Bristol NHS Trust

Advanced Clinical Practitioner

The closing date is 09 November 2025

Job summary

Training at Band 7 until completion of ACP training then move to Band 8a (Neurovascular )

We are looking for a motivated ACP to join our expanding Neurovascular and Skull base Neurosurgical service working alongside Consultant Neurosurgeons, Interventional Radiology, Allied health professionals in a well-established and supportive MDT. You will be supporting patients undergoing surgical and interventional neurovascular procedures.

The post holder will lead on Neurovascular research portfolio supporting development of research based culture coordinating sub speciality research trials, patient experience and audit.

The post holder will need to have Neurosciences experience and have undertaken Msc degree (level 7) in Advanced Clinical Practice or equivalent. You must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

You will lead the team on coordination of care of patients recovering from subarachnoid haemorrhage working with MDT to ensure optimal treatment outcomes. You will be working across Neurosurgical and Interventional Neuro-radiology services to enhance continuity of patient care across inpatient critical care journey. You will have expertise in coordinating patient care pathways, patient education and supporting patient and family on recovery journey.

Main duties of the job

The post holder will have excellent leadership and clinical skills, as well as evidence of continuing professional development.

Your role will involve the independent and autonomous practice of history taking, clinical examination, clinical investigations and interpretation and subsequently the diagnosis and management planning of the differentiated and diagnosed patient as well as the undifferentiated and undiagnosed conditions.

Your role will be integral to patient journey from outpatient assessment, preoperative planning, inpatient, post operative supportive care and outpatient surveillance.

The post holder will work as a highly skilled and experienced autonomous practitioner across the Neurovascular and Skull Base service as part of a well-established specialist MDT spanning inpatient neurosurgical teams, Advanced Clinical Practitioners, Consultant Neurosurgeons, Interventional Radiologists, Gamma Knife Surgery Radiographers and Radiologists, and Allied health professionals. You will be managing and supporting a broad range of complex patient cases with neurovascular pathologies to include cerebral aneurysms, AVMs, dural AV fistulas and Moyamoya disease, undergoing surgery, interventional procedures, Gamma Knife Surgery and surveillance, as well as emergency presentations to include subarachnoid haemorrhage.

About us

North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.

North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Details

Date posted

24 October 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year Training at Band 7 if not already a Band 8a ACP

Contract

Permanent

Working pattern

Full-time

Reference number

339-NMSK5841-KLE

Job locations

North Bristol NHS Trust

Southmead Road

Bristol

BS10 5NB


Job description

Job responsibilities

Demonstrating a high level of expertise within the sub-speciality, you will manage and co-ordinate care pathways for elective patients and acute neurovascular presentations with subarachnoid haemorrhage and will provide autonomous clinical review of all neurovascular patients on the Neurosurgical Ward and Intensive Care Unit, working collaboratively with the MDT to ensure optimal treatment outcomes. You will be working across Neurosurgical and Interventional Neuro-radiology services to enhance continuity of patient care across the inpatients critical care journey or elective pathway. You will have expertise in coordinating patient care pathways, patient education and supporting patients and families on their recovery journey.

Working collaboratively across two NHS Trusts, the post holder will play a key role in ensuring consistency and continuity of care in the development of a newly established Gamma Knife Surgery Service for patients with Arteriovenous Malformations. You will additionally have wider knowledge of Moyamoya disease and will lead on the management and support of these patients undergoing complex bypass surgery with extensive pre-operative work-up and on-going radiological surveillance.

With a strong focus on research and quality improvement, the post-holder will lead and support on Neurovascular research and service development initiatives, promoting a research-based culture to inform practice, influence policy and drive innovation. Working in collaboration with research charities and the existing clinical research team, you will coordinate sub-speciality research trials and contribute to patient experience and audit. Previous active engagement in clinical research is essential for this role.

With Neurosciences experience, you must have undertaken an MSc degree (level 7) in Advanced Clinical Practice (or working towards) and will complete a portfolio of evidence to achieve accreditation/digital badge status. You must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

Your role will involve the independent and autonomous practice of history taking, clinical examination, non-medical prescribing, clinical investigations and interpretation and subsequently the diagnosis and management planning of the differentiated of the diagnosed patient as well as the undifferentiated and undiagnosed conditions.

You will have excellent leadership and clinical skills, as well as evidence of continuing professional development.The ACP role will be integral to the patients journey from outpatient assessment, preoperative planning, the inpatient admission, post operative supportive care and outpatient surveillance.

Job description

Job responsibilities

Demonstrating a high level of expertise within the sub-speciality, you will manage and co-ordinate care pathways for elective patients and acute neurovascular presentations with subarachnoid haemorrhage and will provide autonomous clinical review of all neurovascular patients on the Neurosurgical Ward and Intensive Care Unit, working collaboratively with the MDT to ensure optimal treatment outcomes. You will be working across Neurosurgical and Interventional Neuro-radiology services to enhance continuity of patient care across the inpatients critical care journey or elective pathway. You will have expertise in coordinating patient care pathways, patient education and supporting patients and families on their recovery journey.

Working collaboratively across two NHS Trusts, the post holder will play a key role in ensuring consistency and continuity of care in the development of a newly established Gamma Knife Surgery Service for patients with Arteriovenous Malformations. You will additionally have wider knowledge of Moyamoya disease and will lead on the management and support of these patients undergoing complex bypass surgery with extensive pre-operative work-up and on-going radiological surveillance.

With a strong focus on research and quality improvement, the post-holder will lead and support on Neurovascular research and service development initiatives, promoting a research-based culture to inform practice, influence policy and drive innovation. Working in collaboration with research charities and the existing clinical research team, you will coordinate sub-speciality research trials and contribute to patient experience and audit. Previous active engagement in clinical research is essential for this role.

With Neurosciences experience, you must have undertaken an MSc degree (level 7) in Advanced Clinical Practice (or working towards) and will complete a portfolio of evidence to achieve accreditation/digital badge status. You must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

Your role will involve the independent and autonomous practice of history taking, clinical examination, non-medical prescribing, clinical investigations and interpretation and subsequently the diagnosis and management planning of the differentiated of the diagnosed patient as well as the undifferentiated and undiagnosed conditions.

You will have excellent leadership and clinical skills, as well as evidence of continuing professional development.The ACP role will be integral to the patients journey from outpatient assessment, preoperative planning, the inpatient admission, post operative supportive care and outpatient surveillance.

Person Specification

education/training

Essential

  • Professional registration
  • MSc Advanced Practice working towards successful completion of ACP apprenticeship ( PACR, PADRAP and NMP)
  • Post graduated qualification in specific speciality or equivalent experience
  • Teaching and mentoring recognised qualification
  • Minimum 3 years' experience within Neurosciences - band 7
  • Able to demonstrate specialist knowledge in Neurovascular / Skull base Neurosurger
  • Evidence of ongoing CPD / clinical portfolio
  • Evidence of maintain competence of Advanced Clinical Skills
  • Autonomous clinical reasoning and decision making in inpatient and outpatient setting

Desirable

  • Intermediate / Advanced Life Support qualification or willingness to undertake
  • Evidence of acting as clinical skills assessor
Person Specification

education/training

Essential

  • Professional registration
  • MSc Advanced Practice working towards successful completion of ACP apprenticeship ( PACR, PADRAP and NMP)
  • Post graduated qualification in specific speciality or equivalent experience
  • Teaching and mentoring recognised qualification
  • Minimum 3 years' experience within Neurosciences - band 7
  • Able to demonstrate specialist knowledge in Neurovascular / Skull base Neurosurger
  • Evidence of ongoing CPD / clinical portfolio
  • Evidence of maintain competence of Advanced Clinical Skills
  • Autonomous clinical reasoning and decision making in inpatient and outpatient setting

Desirable

  • Intermediate / Advanced Life Support qualification or willingness to undertake
  • Evidence of acting as clinical skills assessor

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

North Bristol NHS Trust

Address

North Bristol NHS Trust

Southmead Road

Bristol

BS10 5NB


Employer's website

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

Employer details

Employer name

North Bristol NHS Trust

Address

North Bristol NHS Trust

Southmead Road

Bristol

BS10 5NB


Employer's website

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

Employer contact details

For questions about the job, contact:

Skull base ACP's

Ros Taylor or Danielle Kelly

rosalind.taylor@nbt.nhs.uk

01174147534

Details

Date posted

24 October 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £62,682 a year Training at Band 7 if not already a Band 8a ACP

Contract

Permanent

Working pattern

Full-time

Reference number

339-NMSK5841-KLE

Job locations

North Bristol NHS Trust

Southmead Road

Bristol

BS10 5NB


Supporting documents

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