Advanced Clinical Practitioner - Interim Wait Unit
We are seeking enthusiastic and dynamic individuals for qualified ACP posts within the Interim Wait Unit (IWU) on Victoria ward at Whittington Health, based at the main hospital site in Archway. After a successful pilot in 2023/2024, we are now establishing a permanent unit to support ongoing demand for patients who do not meet the Criteria to Reside. The IWU will be nursing and AHP led with a nominated Consultant responsible for patients transferred to the ward. The level of support to be provided on the unit is expected to be equivalent to the level of care provided in a community bed or a residential level care. This new ACP post will provide day-to-day senior clinical support 7 days per week, with out-of-hours medical support provided by the current on-call doctor arrangements for acute wards. We welcome applications from qualified ACPs from a variety of professional backgrounds including nursing, AHPs, and pharmacy. Main duties of the job
As a key member of our multidisciplinary team, the post holder will collaborate closely with consultants, GPs, pharmacists, nurses, therapists, and healthcare support workers. The role requires a high level of autonomy and complex decision-making, supported by a master's level qualification encompassing clinical practice, leadership, management, education, and research. The post holder will manage clinical care in partnership with individuals, families, and carers, analyzing complex problems to devise innovative solutions that enhance outcomes and experiences. Some expected activities would include daily board round with MDT input to progress active discharge plans, assessment of deteriorating patients, regular and stat prescriptions, preparation of discharge summaries and responding to emergencies on the unit. The role emphasizes the delivery of consistent, high-quality, person-centred care through advanced clinical judgment and critical thinking, aligning with the National Framework for Advanced Clinical Practice and embracing the four pillars of clinical practice: leadership and management, education, and research. Job responsibilities
Job summary:
Work independently, demonstrating a high degree of professional autonomy, making critical judgments, and providing advice where precedence or protocols do not apply or exist. Collaborate within multidisciplinary teams, utilizing clinical judgment and autonomous decision-making. Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice. Demonstrate a critical understanding of their broadened level of responsibility and autonomy, recognizing the limits of their own competence and professional scope of practice, especially when dealing with complexity, risk, uncertainty, and incomplete information. Act on professional judgment about when to seek help, demonstrating critical reflection on their own practice, self-awareness, emotional intelligence, and openness to change. Work in partnership with individuals, families, and carers, utilizing a range of appropriate assessment methods (e.g., history-taking, holistic assessment, identifying risk factors, mental health assessments, requesting, undertaking, and/or interpreting diagnostic tests, and conducting health needs assessments). Demonstrate effective communication skills, supporting individuals in making decisions, planning care, or seeking positive change. Utilize expertise and decision-making skills to apply clinical reasoning in complex situations, synthesizing information from multiple sources for evidence-based judgments and diagnoses. Initiate, evaluate, and modify a range of interventions, which may include prescribing medicines, therapies, lifestyle advice, and care. Exercise professional judgment to manage risks effectively in complex and unpredictable cases. Continually respect people’s privacy, dignity, and individuality, aiming to provide care in an environment appropriate to the wishes of the person and their current physical and emotional needs. Leadership and management
Exercise effective leadership to inspire colleagues and enhance patient care quality. Advise on clinical governance to ensure a comprehensive approach and influence peers positively. Lead development and implementation of evidence-based guidelines. Proactively build effective team relationships, clarifying roles for productive collaboration. Model organizational values with a person-centred approach to service delivery. Evaluate own practice and contribute to multi-disciplinary service and team evaluations, showcasing the impact of advanced clinical practice on service effectiveness and quality. Engage in peer review and implement strategies for continuous learning and improvement. Lead practice and service redesign initiatives based on feedback and evaluation, expanding influence and collaboration. Solicit and incorporate feedback from stakeholders to enhance service delivery. Apply advanced clinical expertise to influence practice, reduce variation, and promote best practices. Demonstrate leadership, resilience, and determination in complex situations, fostering confidence in others. Stay updated on changing population health needs and emerging trends. Embrace and provide constructive challenge to improve safety and well-being. Negotiate scope of practice within legal, ethical, and professional guidelines, prioritizing risk management and safety. Education, training, and development
Develop and deliver specific and relevant teaching programmes for all disciplines and grades of staff within the Trust in relation to their area of expertise. Review and evaluate teaching programmes and lead on the development of new programmes when a need is identified. Act as mentor/preceptor and resource person for other clinical staff, as appropriate to the role. Ensure the clinical environment is conducive to supporting the education and learning of all staff and students. Research
Implement research findings appropriate to practice. Evaluate clinical practice through audit of service and quality improvement activities. Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity, and value for money. Demonstrate knowledge of current research in all aspects of their work and to advise others on the implementation of relevant research findings. Critically appraise and synthesize the outcome of relevant research, evaluation, and audit, using the results to underpin own practice and to inform that of others. Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organizations to these and how they might be addressed in a safe and pragmatic way. Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical, and other active researchers. This is an outline of the post holder's duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department. Values
The post holder will uphold and display the Trust values of Innovation, Compassion, Accountability, Respect, and Excellence. Person Specification
Education & Qualifications
Current professional registration MSc in Advanced Clinical Practice Evidence of ongoing continuing professional development IRMER certification Teaching or mentoring qualification Advanced Life Support certification Experience and knowledge
Extensive demonstrable experience in a community, emergency, or acute care setting Evidence of excellent clinical record and wide-ranging clinical experience Evidence of working autonomously and independently as an ACP Evidence of undertaking a trainee ACP post Evidence of participation in audit and quality improvement Ability to utilize research Experience of discharge planning and pathways Evidence of presentations at local, regional, or national level Skills & Abilities
Ability to assess and identify deteriorating patients and recognize early symptoms of disease exacerbation Ability to assess adult patients and formulate management plans independently, from the straightforward to the complex Demonstrate broad range of knowledge relating to multiple specialties Independent interpretation of clinical data and diagnostics Undertake clinical skills appropriate to the role as required - including phlebotomy, IV cannulation, urethral catheterization Demonstrate the ability to work in a highly demanding environment Excellent verbal and written communication skills Competent in use of IT packages and electronic patient care records Able to articulate personal development needs Ability and knowledge to undertake audit Experience of providing supervision and feedback Evidence of participation in research projects Evidence of continued leadership development Personal attributes
Highly motivated team player who strives for excellence and is innovative and forward-thinking Flexible and dynamic working, adaptable and responsive to changing needs of the service Able to accept wide responsibility and use own initiative Able to cope with and confidently work in adverse situations, being able to rapidly appraise and manage situations. 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. £61,927 to £68,676 a year per annum inclusive of HCAs
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We are seeking enthusiastic and dynamic individuals for qualified ACP posts within the Interim Wait Unit (IWU) on Victoria ward at Whittington Health, based at the main hospital site in Archway. After a successful pilot in 2023/2024, we are now establishing a permanent unit to support ongoing demand for patients who do not meet the Criteria to Reside. The IWU will be nursing and AHP led with a nominated Consultant responsible for patients transferred to the ward. The level of support to be provided on the unit is expected to be equivalent to the level of care provided in a community bed or a residential level care. This new ACP post will provide day-to-day senior clinical support 7 days per week, with out-of-hours medical support provided by the current on-call doctor arrangements for acute wards. We welcome applications from qualified ACPs from a variety of professional backgrounds including nursing, AHPs, and pharmacy. Main duties of the job
As a key member of our multidisciplinary team, the post holder will collaborate closely with consultants, GPs, pharmacists, nurses, therapists, and healthcare support workers. The role requires a high level of autonomy and complex decision-making, supported by a master's level qualification encompassing clinical practice, leadership, management, education, and research. The post holder will manage clinical care in partnership with individuals, families, and carers, analyzing complex problems to devise innovative solutions that enhance outcomes and experiences. Some expected activities would include daily board round with MDT input to progress active discharge plans, assessment of deteriorating patients, regular and stat prescriptions, preparation of discharge summaries and responding to emergencies on the unit. The role emphasizes the delivery of consistent, high-quality, person-centred care through advanced clinical judgment and critical thinking, aligning with the National Framework for Advanced Clinical Practice and embracing the four pillars of clinical practice: leadership and management, education, and research. Job responsibilities
Job summary:
Work independently, demonstrating a high degree of professional autonomy, making critical judgments, and providing advice where precedence or protocols do not apply or exist. Collaborate within multidisciplinary teams, utilizing clinical judgment and autonomous decision-making. Practice in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions, and omissions at this level of practice. Demonstrate a critical understanding of their broadened level of responsibility and autonomy, recognizing the limits of their own competence and professional scope of practice, especially when dealing with complexity, risk, uncertainty, and incomplete information. Act on professional judgment about when to seek help, demonstrating critical reflection on their own practice, self-awareness, emotional intelligence, and openness to change. Work in partnership with individuals, families, and carers, utilizing a range of appropriate assessment methods (e.g., history-taking, holistic assessment, identifying risk factors, mental health assessments, requesting, undertaking, and/or interpreting diagnostic tests, and conducting health needs assessments). Demonstrate effective communication skills, supporting individuals in making decisions, planning care, or seeking positive change. Utilize expertise and decision-making skills to apply clinical reasoning in complex situations, synthesizing information from multiple sources for evidence-based judgments and diagnoses. Initiate, evaluate, and modify a range of interventions, which may include prescribing medicines, therapies, lifestyle advice, and care. Exercise professional judgment to manage risks effectively in complex and unpredictable cases. Continually respect people’s privacy, dignity, and individuality, aiming to provide care in an environment appropriate to the wishes of the person and their current physical and emotional needs. Leadership and management
Exercise effective leadership to inspire colleagues and enhance patient care quality. Advise on clinical governance to ensure a comprehensive approach and influence peers positively. Lead development and implementation of evidence-based guidelines. Proactively build effective team relationships, clarifying roles for productive collaboration. Model organizational values with a person-centred approach to service delivery. Evaluate own practice and contribute to multi-disciplinary service and team evaluations, showcasing the impact of advanced clinical practice on service effectiveness and quality. Engage in peer review and implement strategies for continuous learning and improvement. Lead practice and service redesign initiatives based on feedback and evaluation, expanding influence and collaboration. Solicit and incorporate feedback from stakeholders to enhance service delivery. Apply advanced clinical expertise to influence practice, reduce variation, and promote best practices. Demonstrate leadership, resilience, and determination in complex situations, fostering confidence in others. Stay updated on changing population health needs and emerging trends. Embrace and provide constructive challenge to improve safety and well-being. Negotiate scope of practice within legal, ethical, and professional guidelines, prioritizing risk management and safety. Education, training, and development
Develop and deliver specific and relevant teaching programmes for all disciplines and grades of staff within the Trust in relation to their area of expertise. Review and evaluate teaching programmes and lead on the development of new programmes when a need is identified. Act as mentor/preceptor and resource person for other clinical staff, as appropriate to the role. Ensure the clinical environment is conducive to supporting the education and learning of all staff and students. Research
Implement research findings appropriate to practice. Evaluate clinical practice through audit of service and quality improvement activities. Critically engage in research activity, adhering to good research practice guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity, and value for money. Demonstrate knowledge of current research in all aspects of their work and to advise others on the implementation of relevant research findings. Critically appraise and synthesize the outcome of relevant research, evaluation, and audit, using the results to underpin own practice and to inform that of others. Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organizations to these and how they might be addressed in a safe and pragmatic way. Facilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical, and other active researchers. This is an outline of the post holder's duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department. Values
The post holder will uphold and display the Trust values of Innovation, Compassion, Accountability, Respect, and Excellence. Person Specification
Education & Qualifications
Current professional registration MSc in Advanced Clinical Practice Evidence of ongoing continuing professional development IRMER certification Teaching or mentoring qualification Advanced Life Support certification Experience and knowledge
Extensive demonstrable experience in a community, emergency, or acute care setting Evidence of excellent clinical record and wide-ranging clinical experience Evidence of working autonomously and independently as an ACP Evidence of undertaking a trainee ACP post Evidence of participation in audit and quality improvement Ability to utilize research Experience of discharge planning and pathways Evidence of presentations at local, regional, or national level Skills & Abilities
Ability to assess and identify deteriorating patients and recognize early symptoms of disease exacerbation Ability to assess adult patients and formulate management plans independently, from the straightforward to the complex Demonstrate broad range of knowledge relating to multiple specialties Independent interpretation of clinical data and diagnostics Undertake clinical skills appropriate to the role as required - including phlebotomy, IV cannulation, urethral catheterization Demonstrate the ability to work in a highly demanding environment Excellent verbal and written communication skills Competent in use of IT packages and electronic patient care records Able to articulate personal development needs Ability and knowledge to undertake audit Experience of providing supervision and feedback Evidence of participation in research projects Evidence of continued leadership development Personal attributes
Highly motivated team player who strives for excellence and is innovative and forward-thinking Flexible and dynamic working, adaptable and responsive to changing needs of the service Able to accept wide responsibility and use own initiative Able to cope with and confidently work in adverse situations, being able to rapidly appraise and manage situations. 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. £61,927 to £68,676 a year per annum inclusive of HCAs
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