Advanced Clinical Practitioner

Job overview

An exciting opportunity has arisen for an experienced and motivated ACP to join our growing Virtual Ward Service.

The Virtual Ward operates virtual beds across Nottinghamshire, delivering hospital-level care in patients' own homes through both admission avoidance and early supported discharge pathways. Working in partnership with Nottingham University Hospitals NHS Trust, Sherwood Forest Hospitals NHS Foundation Trust, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, NEMS and primary care colleagues, the service plays a vital role in supporting system flow and reducing unnecessary hospital admissions.

As an ACP, you will work autonomously as an expert clinician, managing a complex caseload of patients who would otherwise require acute hospital admission. You will provide advanced assessment, diagnosis, treatment and clinical decision-making whilst working as part of a highly skilled multidisciplinary team.

This role offers a unique opportunity to influence the future development of Virtual Wards across Nottinghamshire, contributing to service improvement, education, leadership and research whilst delivering outstanding patient care.

Main duties of the job

Independently assess, diagnose, treat and manage patients with acute and complex healthcare needs within your scope of practice.

Undertake advanced clinical assessment and decision-making for patients admitted to Virtual Ward pathways.

Prescribe, review and optimise treatment plans in accordance with non-medical prescribing qualifications and professional standards.

Manage patients across both admission avoidance and early supported discharge pathways.

Use remote monitoring technology, clinical assessment and diagnostic reasoning to identify deterioration and initiate appropriate interventions.

Participate in consultant-led multidisciplinary team discussions and support clinical decision making.

Provide clinical leadership, advice and support to members of the wider multidisciplinary team.

Support the development of evidence-based pathways, policies and clinical standards.

Lead and contribute to quality improvement, audit, research and service evaluation activities.

Support education, supervision and development of colleagues across the Virtual Ward workforce.

Develop strong working relationships with acute, community, primary care and ambulance service partners to ensure integrated patient care.

Detailed job description and main responsibilities

The successful candidate will provide advanced clinical leadership within the Virtual Ward service, acting as an autonomous practitioner responsible for the assessment, diagnosis, treatment and ongoing management of patients receiving acute care in their own homes.

The post holder will manage a complex caseload of patients admitted through admission avoidance and early supported discharge pathways, working closely with acute hospital consultants, General Practitioners, community services and the wider multidisciplinary team to ensure safe and effective care.

Using advanced clinical assessment skills, independent prescribing and complex decision-making, the ACP will develop and implement management plans, monitor treatment response, identify deterioration and coordinate escalation where required. The role requires a high degree of professional autonomy, supported by effective multidisciplinary working and strong clinical governance arrangements.

Alongside clinical practice, the ACP will contribute to the four pillars of advanced practice through leadership, education, research and service development activities. The post holder will support workforce development, supervise and educate colleagues, lead quality improvement initiatives and contribute to the ongoing evolution of Virtual Ward services across Nottinghamshire.

The role offers an exciting opportunity to influence the development of innovative models of care that improve patient outcomes, reduce avoidable hospital admissions and support high-quality care closer to home.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.