Advanced Clinical Practitioner: Sponsorship Available

Nottinghamshire Healthcare NHS Foundation Trust

Job summary

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.

Person Specification

Values

Essential

  • All colleagues are expected to demonstrate that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values: Trust Honesty Respect Compassion Teamwork
  • All colleagues are expected to demonstrate an understanding of and commitment to Equality, Diversity and Inclusion (EDI) and how it applies to their role. The Trust’s expectations are highlighted within our EDI Policy, and associated EDI and Human Rights legislation

Qualifications – Academic / Professional

Essential

  • Recognised NMC or HCPC Degree/diploma
  • V300 Non-Medical prescribing
  • Recognised ACP Masters (or completion of the HEE supported portfolio route) qualification

Desirable

  • Postgraduate qualification in Frailty, Long-Term Conditions, Urgent Care or Clinical Assessment
  • Qualification in Quality Improvement, Service Improvement or Project Management
  • Leadership or Management qualification (e.g. ILM, NHS Leadership Academy programmes, PGCert Leadership).

Training

Essential

  • Portfolio of relevant post qualification CPD including highly specialist clinical knowledge and evidence of competencies spanning all 4 pillars of Advanced Practice
  • Evidence of management/leadership training and development

Desirable

  • Long term conditions management

Experience

Essential

  • Experience and expertise in of assessing and managing complex caseloads
  • Experience of leading service development
  • Experience of effective multidisciplinary/agency working and established interpersonal and negotiation skills
  • Experience of MDT teams
  • Experience in using research evaluation / audit tools and demonstrating need
  • Experience of managing and clinically supervising others

Desirable

  • Virtual Ward Experience
  • Experience of virtual care
  • Two years experience working as an ACP
  • Experience of managing patients on admission avoidance and/or early supported discharge pathways
  • Experience of working across organisational boundaries with acute, community and primary care services.
  • Experience of developing clinical pathways, standard operating procedures or policies
  • Experience presenting service developments or performance information to senior leaders, boards or system partners

Knowledge

Essential

  • Expertise in knowledge of Virtual Ward
  • Knowledge of National Policy and guidance
  • Applied leadership knowledge

Desirable

  • Knowledge of community care challenges
  • Understanding of national Virtual Ward and Hospital at Home models
  • Understanding of NHS urgent and emergency care recovery and transformation programmes
  • Knowledge of community-based alternatives to admission and Home First principles
  • Understanding of demand, capacity and flow within urgent and emergency care systems

Skills

Essential

  • Ability to manage own wellbeing with access to supervision to sustain this
  • Reflective practitioner
  • Autonomous and able to work without direct supervision
  • Team builder and team member
  • Motivated and a motivator
  • Leadership skills
  • Good reasoning skills
  • Well organised
  • Excellent written and oral communication skills
  • Empathetic and psychologically minded

Desirable

  • Highly specialist skill in working with people
  • Experience of leading service development
  • Experience of supporting other staff and students
  • Experience of managing a project or service initiative
  • Ability to interpret service data and use it to support quality improvement and operational decision-making.
  • Experience of leading quality improvement, audit or research projects
  • Experience supervising trainee ACPs or supporting advanced clinical practice development
  • Confident user of digital health technologies, remote monitoring platforms and virtual consultation methods

Contractual Requirements

Essential

  • A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
  • Flexible working as required by post – 7 day service

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).

Closing Date: 4 October 2026

To apply for this job please visit apps.trac.jobs.