Advanced Clinical Practitioner - Urgent Community Response

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Lewisham and Greenwich NHS Trust Advanced Clinical Practitioner - Urgent Community Response

The closing date is 13 November 2026

Apply for this job

Job summary

An exciting opportunity is now available for a qualified Advanced Clinical Practitioner (ACP) to join the Urgent Community Response TeamatLewisham Hospital.The ACP will practice with a high degree of autonomy supported by the Clinical Leads for Frailty.Under the direction of theFrailty consultant and in conjunction with the UCRteam, the ACP will use expert, evidence-based clinical practice to care forpatients within the community. The ACP will be responsible for the assessment of patients, implementation and completion of agreed clinical management plans, requests and review clinical investigations, prescribe relevant medications and referral to other specialities and tertiary centres.

The successful candidate will work a shift pattern including out of hours and will primarily be based in the community setting. This post holder will be able to evidence the completion of Master level studies in advanced clinical practice. In addition, applicants will have to providea portfolio of evidence with the relevant advanced capabilities demonstrating relevant experience in frailtyor related speciality.

We welcome applications from those interested in developing into therole of ACP. You will initially be employed as a trainee ACP (band 7) and you will be supported through the Trust ACP credentialing program, once all the set elements of the program are completed and signed off, you will automatically progress into ACP Role (band 8a).

Main duties of the job

As an ACP, you will deliver advanced clinical care to acutely unwell patients in the community, undertaking comprehensive assessment, diagnosis, treatment planning and non-medical prescribing. You will work collaboratively across multidisciplinary teams to support admission avoidance, optimise patient outcomes and deliver high-quality, evidence-based care. The role also includes leading service improvement initiatives, supporting clinical governance, education and workforce development, contributing to research and audit, and providing leadership to drive innovation and continuous improvement across the UCR service.

The ACP provides clinical leadership within the multidisciplinary team, supports and supervises junior staff, contributes to workforce development and recruitment, and works collaboratively across services to ensure seamless patient care. The role also supports education and training through clinical supervision and teaching, participates in audit, research and quality improvement activities, and promotes evidence-based practice. In addition, the ACP contributes to resource and risk management by ensuring safe clinical practice, implementing governance processes, monitoring incidents, and supporting continuous service improvement.

About us

Please refer to the Applicant Guide via the link below for key information:- Applying to LGT Guide - Key Information for Applicants

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Details

Date posted

30 October 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £64,750 a year per annum plus HCA

Contract

Permanent

Working pattern

Part-time

Reference number

197-AJ-R-8695a

Job locations

University Hospital Lewisham

Lewisham

SE13 6LH

United Kingdom

Job description

Job responsibilities

• Promote the improvement of quality and clinical effectiveness.

• Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

• Take a critical approach toidentifygaps in the evidence base and its application to practice, alertingappropriate individualsand organisations tothese and how they might be addressed in a safe and pragmatic way.

• Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review

• Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

• Implement practices that areappropriate forpatient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professionaltrendsand developments.

• Identifythe need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.

• Develop and undertake activities tomonitorthe progress and efficiency of the service and owns practice.

• Continually assess and monitor risk in their own and others practice and challenge others if necessary.

• Critically appraise and synthesise the outcomes of relevant research, serviceevaluationand audits, and apply the information whenseekingto improve practice.

Job description

Job responsibilities

• Promote the improvement of quality and clinical effectiveness.

• Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

• Take a critical approach toidentifygaps in the evidence base and its application to practice, alertingappropriate individualsand organisations tothese and how they might be addressed in a safe and pragmatic way.

• Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review

• Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.

• Implement practices that areappropriate forpatient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professionaltrendsand developments.

• Identifythe need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.

• Develop and undertake activities tomonitorthe progress and efficiency of the service and owns practice.

• Continually assess and monitor risk in their own and others practice and challenge others if necessary.

• Critically appraise and synthesise the outcomes of relevant research, serviceevaluationand audits, and apply the information whenseekingto improve practice.

Person Specification

Qualifications and Training

Essential

• NMC Registered RN/RM, GPhC or HCPC registered professional.
• MSc in Advanced Clinical Practice or NHSE digital badge.
• Evidence of a ACP/Frailty portfolio of practice or relevant specialty.
• Teaching/Assessment/Mentorship qualification (supervising and assessing).
• V300 non-medical prescribing qualification.
• Level 7 Advanced physical assessment module.
• ALS

Desirable

• Frailty related level 7 studies.
• Leadership qualification or relevant leadership experience.
• Research in practice qualifications or relevant experience.
• IMER certificate.
• ALS/instructor.
• PGCert in education/Fellowship of higher education (FHEA).

Experience

Essential

• Extensive previous clinical experience in the acute care of adults.
• Senior experience of leadership within a service including the management of a group of staff.
• Experience in the development of staff.
• Experience of working with a high degree of autonomy in line with a scope of practice. Able to weigh evidence, clinical guidance and occupational policies and seek advice from peers and senior members of the clinical teams when required.
• Ability to interpret highly complex and/or sensitive information demonstrating negotiating empathic skills to achieve outcomes with patients or health professionals.
• Evidence of implementing policies related to own area of work
• Evidence on the delivery of specialist training to nurses, doctors and AHPs.
• Evidence of leading on conducting audit/research.
• Experience in the management of physical illness in patients presenting mental health complaints.

Desirable

• Experience managing own service budget.
• Significant experience in a range of patients in acute care settings.
• Experience in the management of adults presenting safeguarding concerns.
• Experience in teaching and assessment in clinical practice to nurses/doctors/CNS.
• Evidence of participating in academic publications.

Knowledge and Skills

Essential

• Advanced knowledge in Frailty or related speciality underpinned by relevant experience
• Relevant experience obtaining a clinical history of the patient and conducting a focal physical assessment of the patient and underpinned by assessment models (ie medical consultation models, focal systems assessment).
• Able to record healthcare generated information and maintain accurate record keeping.
• Experience of participating and conducting appraisals.
• Evidence of conducting own research and publications.

Desirable

• Evidence of ongoing professional development across the 4 pillars of advanced practice.

Personal Qualities and Skills

Essential

• Able to plan and prioritise own workload in line with complex activities and plans which require adjustment in line with a changing workplace environmentable to contribute and participate in multidisciplinary/multi-agency team working.
• Self-motivated towards own practice and development.

Desirable

• Demonstrate commitment to support national and Trust strategies and objectives for Advanced Clinical Practice.
• Evidence of involvement in national multi agency programs.

Person Specification

Qualifications and Training

Essential

• NMC Registered RN/RM, GPhC or HCPC registered professional.
• MSc in Advanced Clinical Practice or NHSE digital badge.
• Evidence of a ACP/Frailty portfolio of practice or relevant specialty.
• Teaching/Assessment/Mentorship qualification (supervising and assessing).
• V300 non-medical prescribing qualification.
• Level 7 Advanced physical assessment module.
• ALS

Desirable

• Frailty related level 7 studies.
• Leadership qualification or relevant leadership experience.
• Research in practice qualifications or relevant experience.
• IMER certificate.
• ALS/instructor.
• PGCert in education/Fellowship of higher education (FHEA).

Experience

Essential

• Extensive previous clinical experience in the acute care of adults.
• Senior experience of leadership within a service including the management of a group of staff.
• Experience in the development of staff.
• Experience of working with a high degree of autonomy in line with a scope of practice. Able to weigh evidence, clinical guidance and occupational policies and seek advice from peers and senior members of the clinical teams when required.
• Ability to interpret highly complex and/or sensitive information demonstrating negotiating empathic skills to achieve outcomes with patients or health professionals.
• Evidence of implementing policies related to own area of work
• Evidence on the delivery of specialist training to nurses, doctors and AHPs.
• Evidence of leading on conducting audit/research.
• Experience in the management of physical illness in patients presenting mental health complaints.

Desirable

• Experience managing own service budget.
• Significant experience in a range of patients in acute care settings.
• Experience in the management of adults presenting safeguarding concerns.
• Experience in teaching and assessment in clinical practice to nurses/doctors/CNS.
• Evidence of participating in academic publications.

Knowledge and Skills

Essential

• Advanced knowledge in Frailty or related speciality underpinned by relevant experience
• Relevant experience obtaining a clinical history of the patient and conducting a focal physical assessment of the patient and underpinned by assessment models (ie medical consultation models, focal systems assessment).
• Able to record healthcare generated information and maintain accurate record keeping.
• Experience of participating and conducting appraisals.
• Evidence of conducting own research and publications.

Desirable

• Evidence of ongoing professional development across the 4 pillars of advanced practice.

Personal Qualities and Skills

Essential

• Able to plan and prioritise own workload in line with complex activities and plans which require adjustment in line with a changing workplace environmentable to contribute and participate in multidisciplinary/multi-agency team working.
• Self-motivated towards own practice and development.

Desirable

• Demonstrate commitment to support national and Trust strategies and objectives for Advanced Clinical Practice.
• Evidence of involvement in national multi agency programs.

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).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham

SE13 6LH

United Kingdom

Employer's website

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

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham

SE13 6LH

United Kingdom

Employer's website

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

Employer contact details

For questions about the job, contact:

Service Lead - UCR & NHS@Home Service

Trevor Long

[email protected]

07900594383

Details

Date posted

30 October 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £64,750 a year per annum plus HCA

Contract

Permanent

Working pattern

Part-time

Reference number

197-AJ-R-8695a

Job locations

University Hospital Lewisham

Lewisham

SE13 6LH

United Kingdom

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