Advanced Clinical Practitioner (ACP)
NEMS Community Benefit Services Ltd
Nottingham, NG2 3AJ · NOTTINGHAM, NG7 2UH · SUTTON-IN-ASHFIELD, NG17 4JL
Salary
£70,643 to £77,584
Contract
Permanent
Hours
Not specified
Closing date
13 September 2026
9 days left
Job description
The Advanced Clinical Practitioner will provide autonomous clinical care across NEMS urgent care services. The role is designed to provide a true mix ...
Clinical Practice and Service
Delivery
Work as an autonomous Advanced Clinical
Practitioner across NEMS urgent care services, providing both telephone and
face-to-face consultations.
Assess, examine, diagnose, treat and safely
discharge or refer patients with undifferentiated urgent care presentations.
Make safe decisions around admission,
transfer, referral, follow-up and safety-netting, working within professional
competence and agreed local pathways.
Recognise and act on serious illness,
clinical deterioration, safeguarding concerns, mental health risk and
presentations that require escalation to another service.
Request and interpret appropriate
investigations, including blood tests, urine tests, ECGs and imaging, in line
with local policy, competence and relevant regulations.
Prescribe, review and advise on medicines
where qualified to do so, or use agreed local medicines mechanisms within
scope.
Maintain clear, accurate and timely clinical
records, including assessment findings, clinical reasoning, advice given,
decisions made and onward plans.
The Advanced Clinical
Practitioner will provide autonomous clinical care across NEMS urgent care
services. The role is designed to provide a true mix of telephone and
face-to-face consultations, supporting patients across Integrated Urgent Care
Services, urgent treatment centres and other agreed service models.
The post holder will be an
experienced registered clinician, able to assess, diagnose, treat, refer and
discharge patients with undifferentiated urgent care presentations. They will
work within their professional registration, agreed scope of practice, NEMS
policies and local clinical pathways.
Telephone consultations will
usually be undertaken within Integrated Urgent Care Services. Following
induction, and where agreed by the service, some telephone consultation work
may be undertaken remotely from home, provided that the post holder is meeting
agreed KPIs, quality standards, governance requirements and information
governance expectations.
Face-to-face work will include
assessment and management of patients presenting to NEMS urgent treatment
services. The post holder will be expected to recognise serious illness,
clinical deterioration, safeguarding concerns, mental health risk and presentations
requiring escalation or transfer to another service.
The post holder will work
flexibly across NEMS sites and services in line with service need. They will
also support clinical supervision, learning, audit, incident review and service
improvement, ensuring that care remains safe, effective, patient centred and
financially sustainable.
The post holder will have
Responsibility for the following areas
o Autonomous telephone and face-to-face
assessment of patients with urgent care needs
o Safe clinical decision-making, including
treatment, discharge, referral, transfer and safety-netting
o Recognition and escalation of serious illness,
clinical risk and safeguarding concerns
o Clinical leadership, supervision and support
for the wider team
o Participation in governance, audit, learning
and service improvement activity
Clinical Practice and Service
Delivery
Work as an autonomous Advanced Clinical
Practitioner across NEMS urgent care services, providing both telephone and
face-to-face consultations.
Assess, examine, diagnose, treat and safely
discharge or refer patients with undifferentiated urgent care presentations.
Make safe decisions around admission,
transfer, referral, follow-up and safety-netting, working within professional
competence and agreed local pathways.
Recognise and act on serious illness,
clinical deterioration, safeguarding concerns, mental health risk and
presentations that require escalation to another service.
Request and interpret appropriate
investigations, including blood tests, urine tests, ECGs and imaging, in line
with local policy, competence and relevant regulations.
Prescribe, review and advise on medicines
where qualified to do so, or use agreed local medicines mechanisms within
scope.
Maintain clear, accurate and timely clinical
records, including assessment findings, clinical reasoning, advice given,
decisions made and onward plans.
Telephone Consultations
Undertake telephone consultations within
Integrated Urgent Care Services, using safe clinical assessment,
decision-making and documentation.
Recognise the limitations of remote
assessment and arrange face-to-face review, ED attendance, ambulance response
or other escalation where clinically required.
Provide clear advice and safety-netting to
patients and carers, ensuring that the plan is understood and documented.
Undertake remote work from home where agreed
after induction, provided that performance, KPIs, quality standards and
information governance requirements are being met.
Face-to-Face Urgent Care
Undertake face-to-face consultations across
NEMS urgent care services, including assessment of minor illness, minor injury
and other appropriate urgent care presentations.
Carry out clinical procedures where trained,
competent and required for patient care.
Provide safe clinical handover to ED,
specialties, GPs, community services or other colleagues where ongoing care is
required.
Support patient flow, streaming and
redirection decisions where this forms part of the service model.
Clinical Leadership and Team
Working
Act as a senior clinical presence on shift,
supporting colleagues and contributing to the safe running of the service.
Provide advice, supervision and support to
trainee ACPs, UCPs, nurses, AHPs, UCAs and non-registered staff.
Support induction, training, clinical
supervision and competency development across the wider team.
Escalate clinical or operational concerns
early, particularly where patient safety, staffing, flow or professional
practice may be affected.
Address unsafe practice or poor behaviour in
a professional and proportionate way, escalating concerns where required.
Governance, Quality and
Service Improvement
Contribute to a culture where incidents,
complaints, audit, feedback and day-to-day operational learning are used to
improve care.
Take part in incident reviews, significant
event analysis, complaint responses and shared learning activity where
required.
Support audit, quality improvement and
service evaluation work across NEMS urgent care services.
Contribute to the development and review of
clinical guidelines, SOPs, pathways and local standards, ensuring they are
practical, evidence-based and relevant to the way services are delivered.
Use available data, feedback and clinical
experience to support improvements in patient flow, clinical quality,
productivity and patient experience.
Education and Professional
Development
Maintain professional registration, mandatory
training, clinical supervision, CPD and revalidation requirements.
Maintain an up-to-date portfolio showing
competence, scope of practice, reflective learning and prescribing practice
where applicable.
Share learning with colleagues through
teaching, case discussion, supervision, peer review and practical shift-based
support.
Support students, trainees and developing
practitioners in a safe and constructive way, recognising their competence and
learning needs.
Professional Responsibilities
Work within relevant NMC, HCPC or equivalent
code of conduct NEMS policies and agreed scope of practice.
NEMS Community Benefit Services (NEMS) is a not-for-profit social enterprise and a Company Limited by Guarantee. It has been operating in Nottinghamshire for over 25 years, now providing a population of more than 1.2 million with urgent primary health care services. It operates out of 2 registered locations and four bases and deploys a team of more than 370 healthcare professionals, including 150+ sessional GPs, 90+ substantive staff, 30+ agency workers, and 140+ non-healthcare staff.
NEMS provides services to a population of circa 1.2 million under the following service portfolio headings;
- Care Co-ordination and non-clinical call handling
- Clinical Assessment and Care Navigation
- Support to Primary Care including General Practice Out-of-Hours and Urgent Treatment Centres
- Outbreak Management
The Board of Directors comprises non-executive Member directors and executive directors and is responsible for overall strategy and governance of the organisation. The Board of Directors is supported by two sub-committees Quality and People Committee and Finance and Performance Committee. An Operational Executive Team, comprising Executive Board Directors, together with other senior leaders, is being established to oversee the smooth running of the day-to-day activities of NEMS.
Values
Essential
- Values and respects others, treats everyone as an individual, is non-judgemental
- Motivated to be genuinely kind and caring
- Helps and co-operates with colleagues
- Pro-active and takes responsibility
- Willing to learn, open to change
- Motivated to make a difference
Experience
Essential
- Experience of working clinically in a primary, community, urgent care, emergency care or out-of-hospital setting
- Experience of autonomous assessment and management of undifferentiated patients
- Experience of telephone or remote clinical assessment
- Experience of face-to-face urgent care consultations
- Experience of supervising, supporting or teaching other clinical staff or students
Desirable
- Experience working in Urgent Treatment Centres, GP Out-of-Hours, Clinical Assessment Services or Emergency Departments
- Experience of acting as shift lead, clinical co-ordinator or senior clinician on duty
Knowledge
Essential
- NMC, HCPC or equivalent professional standards
- Medico-legal aspects of advanced practice
- Assessment and management of urgent care presentations, including recognition of red flags and clinical deterioration
- Safeguarding adults and children
- Mental capacity, consent and mental health risk
- Confidentiality and information governance
- Clinical governance, audit, incident learning and quality improvement
Desirable
- Knowledge of NEMS services, local urgent care pathways and system partners
- National standards relevant to urgent care, out-of-hours and clinical assessment services
Qualifications
Essential
- Current professional registration with NMC, HCPC or equivalent professional body
- Evidence of working at an advanced level of clinical practice
- Masters level qualification in Advanced Clinical Practice, or equivalent evidence of advanced practice capability
- Independent non-medical prescribing qualification, or willingness to complete where required for the role
- Evidence of continuing professional development
Desirable
- Minor illness or minor injury qualification
- IR(ME)R / imaging requesting training where relevant
- ILS, ALS or equivalent urgent care training
Other
Essential
- Full driving licence and the ability to travel between locations
- The ability to work flexibly when required in line with the demands of the role
- Ability to work across NEMS sites and services, including telephone and face-to-face clinical work
- Ability to work remotely for telephone consultations where agreed following induction, and where KPIs and quality standards are being met
Skills & Abilities
Essential
- Able to make safe, autonomous clinical decisions and recognise when to seek advice or escalate
- Able to undertake safe telephone and face-to-face clinical assessment
- Explains complex situations in ways that are accessible to patients, carers and colleagues
- Maintains clear, accurate and timely clinical records
- Able to work under pressure and manage competing clinical priorities
- Able to work collaboratively with teams across professional and organisational boundaries
- Flexible and adaptable to changing service needs
- Commitment to patient centred care and safe service delivery
Desirable
- Competent in the use of Adastra, SystmOne, EMIS, Nervecentre or other relevant clinical systems
- Able to contribute to audit, service improvement and pathway development
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
3 September 2026
Last checked
4 September 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
Explore related