The Advanced Clinical Practitioner (ACP) role at NUH aligns with the HEE 2017 Advanced Clinical Practice Framework. National strategies including the NHS Long Term Plan and Workforce Plan position ACPs as vital to transforming services, improving capacity, capability, and patient care.
The post holder will join over 200 ACPs at NUH, working within the Palliative Medicine department at the City Hospital campus. They will support the Palliative Medicine Virtual Ward Monday to Friday (with potential future 7-day cover), working alongside a specialty ACP and MDT colleagues.
The ACP will assess, diagnose, and manage patients autonomously, make referrals, and facilitate safe discharges. They must be a registered healthcare professional with an MSc in Advanced Clinical Practice (or equivalent with a digital badge) and demonstrate competence across the four pillars of advanced practice.
As a senior clinician, the ACP may be a Non-Medical Prescriber and will lead in delivering evidence-based, patient-centred care. They will support education, clinical supervision, service development, audit, research, and policy implementation. At least 16% of their role is dedicated to leadership, education, and service improvement. The ACP will act independently within broad protocols and professional boundaries, driving innovation and promoting clinical excellence across NUH.
The ACP practices autonomously within their professional code and scope, using advanced knowledge and clinical reasoning to assess, diagnose, and manage complex patients. They request and interpret investigations, prescribe safely, communicate sensitively, and lead urgent care when needed. The ACP maintains accurate documentation, supports safe discharges, assesses mental health and capacity, and escalates risk as required. They uphold confidentiality and actively contribute to clinical governance.
In leadership, the ACP partners with senior teams to drive service improvement, evaluates team performance, supports recruitment and staff wellbeing, and adapts care in response to changing needs. They contribute to policy, manage conflict, and ensure participation in Trust-wide initiatives while remaining resource conscious.
As educators, ACPs model best practice, identify learning needs, deliver education, and empower patients through health literacy and shared decision-making.
In research, they engage in audits and QI projects, apply evidence to practice, support service development, and build links between clinical care and innovation. A portfolio evidences their competence across all pillars.
Every day, Nottingham University Hospitals NHS Trust (NUH) makes a difference—saving lives, improving lives, and welcoming new ones. With over 20,000 colleagues, we are the largest employer in Nottinghamshire and one of the busiest NHS Trusts nationally, serving more than 2.5 million people locally and up to four million across the East Midlands and beyond.
Our services span Queen’s Medical Centre, Nottingham City Hospital, and Ropewalk House. We offer nationally and internationally recognised specialist services and are leaders in pioneering surgery and research. NUH is home to the East Midlands Major Trauma Centre and Nottingham Children’s Hospital, and, in partnership with the University of Nottingham, hosts a Biomedical Research Centre advancing research into major health conditions.
As a teaching hospital, we help shape the future NHS workforce, working closely with regional universities. While we continue to recover from COVID-19 and address challenges in maternity care and organisational culture, we remain committed to sustained improvement.
Part of the New Hospital Programme, we are planning major redevelopments and are building a new 70-bed rehabilitation facility at Stanford Hall. NUH is also featured in Channel 4’s
24 Hours in A&E, showcasing our teams' skill and dedication.
For further details / informal visits contact: Name: Becky Keller Job title: Advanced Clinical Practitioner Palliative Medicine Email address:
[email protected]Joseph Parker
Medicine Care Group Advanced Clinical Practice Lead
[email protected]
