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Job overview
At St George’s Hospital, no two nights are ever quite the same. As an Advanced Clinical Practitioner within our ENT, Maxillofacial and Plastics team, you’ll play a key role in assessing and managing complex surgical cases in a supportive and collaborative environment.
Your shift might begin with a patient arriving via air ambulance with facial trauma, or a potential airway emergency presenting in ED.
As one of our ACPs, you’ll take the lead on assessments, request urgent imaging, and carry out minor surgical procedures. You’ll make independent clinical decisions and prescribe treatment with the support of a wider multidisciplinary team.
Working alongside you are two other experienced ACPs, each covering their own specialty. You’ll share knowledge, provide mutual support, and hand over as a team at the end of your shift.
This role offers variety, challenge and the chance to work at the top of your scope. From minor procedures to major trauma, you’ll develop your clinical expertise in a team that values innovation, professional growth, and high-quality patient care.
Main duties of the job
This role places you at the heart of advanced clinical practice within ENT, Maxfax and Plastics. You’ll be part of a team of six ACPs providing overnight cover and playing a key role in assessing and managing patients arriving in the emergency department.
You’ll need to have:
- Completed your MSc in Advanced Clinical Practice
- Hold a non-medical prescribing qualification
- Be confident in requesting and interpreting diagnostics as well as performing clinical procedures within your scope
Please note: To be considered for this role, you must have experience working in an ED or as a Nurse Practitioner, or paramedic with exposure to acute surgical patients. While this is a night-shift position, your first six months will be spent working alongside the doctors during daytime hours as part of your induction and training period.
What makes this role different?
Variety
- You’ll be the first to assess patients referred overnight — from airway emergencies to complex trauma. You’ll make clinical decisions, carry out interventions, and work closely with on-call team
A great ACP team
- Each night, you’ll work alongside two other ACPs. We support each other, collaborate across specialties, and maintain a strong culture of communication and trust.
Detailed job description and main responsibilities
***Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification***Specialty requirements
ENT:
Throat infections: Tonsillitis/quinsy and epiglottitis
Foreign body in ear, nose or throat
Ear infection
Head/neck trauma
Elective head/neck admission for surgery
PLASTICS:
Hand trauma/infections
Wound assessment and management
MAX FAX:
Facial trauma (facial fractures)
Dental infections
Infected wounds
Person specification
Desirable
Desirable
- NMC registered Independent prescriber or meets criteria to undertake within 6 months of appointment.
- Previous specialist nursing/Hospital at night experience
- Advanced clinical assessment skills/ANP qualifitcation
- Experience of running research and audit programmes
- Completed a recognized leadership development programme
Essential
Essential
- Registered clinical professional
- MSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
- Independent or supplementary non-medical prescriber (where relevant)
- 7 years post-registration experience, of which at least 5 years includes speciality experience
- Demonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
- Participation in audit and research
Desirable
- Completed portfolio of supervised practice in speciality
- Certified speciality courses
- Relevant NHS leadership qualification or working towards
- Experience as clinical Leader
- Experience in an autonomous practice role
- Previous experience in an advanced practice role
- Experience of service development
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Applying for this NHS job
This advert is for Surgical Advanced Nurse Practitioner - ENT, Maxfax and Plastics (SNAP) with St George's University Hospitals NHS Foundation Trust in London, London, England. It is listed as a Band 8 Nurse practitioner role. The advertised salary is £66,274 - £73,496 per annum inc HCAS (pro-rata). The contract type is Permanent. The application deadline is 30 Jul 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (16 Jul 2026) to decide whether this role fits your current NHS job search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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