Advanced Clinical Practitioner | Central and North West London NHS Foundation Trust

An exciting opportunity has arisen for a multiprofessional Advanced Clinical Practitioner to join the Home 1st Unplanned Care Service within Milton Keynes Community Health Services. This role directly supports national priorities to:

• Strengthen hospital‑to‑home pathwaysby expanding community‑based care and reducing pressure on acute services
• Shift care closer to homethrough enhanced community provision and reduced reliance on hospital admission

You will provide clinical cover across the inpatient pathway – Windsor Intermediate Care Unit (WICU) and the Seacole Community Hospital - as well as supporting Virtual Ward and Urgent Community Response. There will be a strong focus on admission avoidance.

The ideal candidate will have demonstrable experience working as an autonomous practitioner and a strong understanding of Home First and intermediate care principles.

The post holder will provide advanced clinical expertise within the Home 1st Unplanned Care Services, supporting the safe management of frailty and sub‑acute conditions within the community. They will undertake autonomous assessment, diagnosis and treatment, offering clinical recommendations, advice and escalation guidance for inpatient settings.

Work in our Milton Keynes community and mental health services on Vimeo​

The Advanced Clinical Practitioner (ACP) will use highly specialist knowledge and skills to provide healthcare autonomously to patients within their sphere of practice.

The ACP is accountable for independent clinical assessment, diagnosis and treatment of patients with undiagnosed and undifferentiated conditions.

In addition to this, the ACP is also responsible for appropriately referring

patients to relevant specialities for any necessary inpatient or outpatient investigations.

The ACP will practice at an advanced level, demonstrating in-depth knowledge and competence in aspects which may include acute medicine, community services and mental health; encompassing enhanced assessment, critical thinking, intervention planning and delivery and clinical management skills that are evidence-based.

The ACP will deliver high-quality patient-centred care.

The ACP will be responsible for promoting clinical excellence in the care of patients who present within their service and providing clinical advice and support to nursing / AHP staff and other health care professionals.

They will provide professional and independent clinical care, which enables the coordination of a multi-professional seamless service for patients.

There’s a place for you at CNWL.

We’re passionate about delivering first-class, patient-centred, safe and effective care, whether in a hospital setting, a community clinic or the patient’s own home. Patients are at the heart of everything we do.

Providing top-quality care depends on our ability to employ the best people.

We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust.

With every new employee, we’re hoping to find our future leaders, and we’ll support our staff by providing opportunities to develop their careers.

With a diverse culture and equally diverserange of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more – whatever stage of your career you're at, there's always a place for you at CNWL.

Clinical Duties

• Use specialist clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients with complex undifferentiated or undefined presentations.
• Undertake comprehensive knowledge and skills of systematic history taking and clinical examination of patients who have complex needs, developing a co-produced management plan.
• Perform clinical procedures appropriate to the history and clinical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision, where indicated.
• Requests investigations such as blood, urine and other laboratory tests, electrocardiographs (ECGs), ultrasound scans, X-Rays and computed tomography (CT) scans in accordance with IR(ME)R regulations as local policy allows.
• Utilise clinical reasoning and decision-making skills to make differential diagnosis and provide rationales for patients’ management plans continuously reflecting and evaluating practice findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.
• Prioritise health problems and intervene appropriately in complex, deteriorating, urgent and emergency situations, including initiation and leadership of resuscitation.
• Manage regularly clinical events involving patients often requiring unpredictable and high levels of physical effort according to the patient’s dependency and clinical need.
• Work as an autonomous professional, within ethical codes and legal frameworks, being responsible and accountable for their decisions, actions and omissions at this level of practice.
• Act as specialist and a resource to all staff in the delivery of clinical care to patients.
• Advocate high quality care for people, act as a champion for people by

representing/supporting the person’s interests at team meetings, during hospital care, home care and when interfacing with statutory and non-statutory service providers.

• Empower patients and their families through appropriate support and education.
• Influence, support and take an active role in Public Health/ Self-care of the individual and community.
• Collect, collate, evaluate and report clinical information, maintain accurate patient records related to assessment and care planning.
• Develop clinical protocols and guidelines within own area of practice to ensure quality of care at all times.
• Where appropriate review medication/act as a resource to other colleagues for medication advice and support. Discuss side effects and where appropriate prescribe within own NMP formulary and competencies relevant medication and liaise with Pharmacy, medical team and relevant steering groups of any changes to NMP formulary.
• Where appropriate prescribe and review medication (as an independent prescriber) for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence based practice and national and local protocols and within the role’s scope of practice and legal framework.
• Where appropriate deliver psychological therapies appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the role’s scope of practice and supervision framework.
• Regularly evaluate practice to ensure continuous improvement. Work with clinicians and management in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.
• Enable effective and comprehensive admission, transfers and discharge of care (where indicated in scope).
• Will provide advanced practice and ensure effective assessment, advice, treatment and management for patients physiological and psychological needs
• Be responsible for implementation, monitoring and training of infection control and health and safety policies and procedures.
• Responsible for audits as required by the organisations and participate in research.
• Strategic responsibility for Clinical pathway or clinical supervision to other ACPs working on the same treatment pathway (where strategic responsibility in this pillar is indicated)

Education

• Effectively utilise a range of evidence-based educational strategies/interventions to support person centred care with individuals, their families and carers, and other health care colleagues.
• Critically assess and address individual learning needs that reflects the breadth of ongoing professional development across the four pillars of advanced clinical practice.
• To present case studies/audit/classic papers at relevant senior meetings.
• Ensure own compliance with mandatory training programmes and own ongoing professional development and development of the advanced practitioner role.
• Engage in clinical supervision and self-reflection to develop own clinical standards and work practices. Take lead role in implementing/monitoring supervision of colleagues.
• Lead the teaching, development, planning and implementation of a range of specialist educational and training programmes for all healthcare professionals, patients and carers.
• Participate in pre and post registration training for staff from multi professional backgrounds.
• Undertakes health promotion across organisational boundaries.
• Participate in the training and supervision of other ACPs
• Supervise students, learners and trainees in placement including their assessment, training and appraisal
• Strategic responsibility for education for a clinical pathway or educational supervision of ACPs (where strategic responsibility in this pillar is indicated)

Research, QI and Development

• Carry out research/QI or development work as part of role.
• Critically appraise available research and apply this knowledge to current clinical practice.
• Use audit and research skills to examine existing practice ensuring it is based on current best evidence.
• Work with other clinicians in examining episodes of care delivery, critical incidents and individual care plans to improve and develop services.
• Implement and evaluate new ways of working through planned programmes of care.
• Participate in research programme being undertaken in the department.
• Strategic responsibility for research in service. (where strategic responsibility in this pillar is indicated)

This advert closes on Thursday 4 Jun 2026

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