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Advanced Clinical Practitioner, Band 8a

Gloucestershire Hospitals NHS Foundation Trust

Location
Salary
£55,690 - £62,682 (pa pro rata if part-time)
Profession
Nurse practitioner
Grade
Band 8
Deadline
10 Mar 2026
Contract Type
Permanent
Posted Date
24 Feb 2026

Job overview

Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice

Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information

Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians when scope of practice is reached

To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients

Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements

To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary

Develop scope of advanced clinical skills and practice to meet changing needs of service

Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance.

Main duties of the job

Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice

Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review

Manage daily patient caseload in a specific area of advanced clinical practice

Detailed job description and main responsibilities

Clinical Responsibilities/Key Responsibilities

Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed  by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice

Demonstrate a critical understanding of their broadened level of responsibility and autonomy and the limits of  own competence and professional scope of practice, including when working with complexity, risk, uncertainty  and incomplete information

Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians  when scope of practice is reached

To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management  of patients

Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and  undifferentiated presentations and complex situations to make evidence-based judgements

To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical  specialists if necessary

Develop scope of advanced clinical skills and practice to meet changing needs of service

Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance.

Facilitate ‘expert’ inter-professional care for the patient pathway and their dependants by direction, supervision and example

Critically apply advanced clinical expertise in appropriate facilitator ways to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted

Work in all areas of the ED, minors, majors, paediatrics and the resuscitation area variation and promote the sharing and adoption of best practice

Maintain accurate and contemporaneous patient records

Evaluate own practice, participate in multi-disciplinary service and team evaluation and engage in peer review

Manage daily patient caseload in a specific area of advanced clinical practice