Job summary
- Main area
- ACP
- Grade
- NHS AfC: Band 8A/Band 7
- Contract
- Permanent
- Hours
- Part time - 30 hours per week
- Job ref
- 197-AJ-R-8695a
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- Site
- University Hospital Lewisham
- Town
- Lewisham
- Salary
- £49,387 - £64,750 per annum plus HCA
- Salary period
- Yearly
- Closing
- 13/11/2026 23:59
Employer heading
Advanced Clinical Practitioner - Urgent Community Response
NHS AfC: Band 8A/Band 7
Please refer to the Applicant Guide via this link for key information:- Applying to LGT Guide - Key Information for Applicants
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
An exciting opportunity is now available for a qualified Advanced Clinical Practitioner (ACP) to join the Urgent Community Response Team at Lewisham Hospital. The ACP will practice with a high degree of autonomy supported by the Clinical Leads for Frailty. Under the direction of the Frailty consultant and in conjunction with the UCR team, the ACP will use expert, evidence-based clinical practice to care for patients within the community. The ACP will be responsible for the assessment of patients, implementation and completion of agreed clinical management plans, requests and review clinical investigations, prescribe relevant medications and referral to other specialities and tertiary centres.
The successful candidate will work a shift pattern including out of hours and will primarily be based in the community setting. This post holder will be able to evidence the completion of Master level studies in advanced clinical practice. In addition, applicants will have to provide a portfolio of evidence with the relevant advanced capabilities demonstrating relevant experience in frailty or related speciality.
We welcome applications from those interested in developing into the role of ACP. You will initially be employed as a trainee ACP (band 7) and you will be supported through the Trust ACP credentialing program, once all the set elements of the program are completed and signed off, you will automatically progress into ACP Role (band 8a).
Main duties of the job
As an ACP, you will deliver advanced clinical care to acutely unwell patients in the community, undertaking comprehensive assessment, diagnosis, treatment planning and non-medical prescribing. You will work collaboratively across multidisciplinary teams to support admission avoidance, optimise patient outcomes and deliver high-quality, evidence-based care. The role also includes leading service improvement initiatives, supporting clinical governance, education and workforce development, contributing to research and audit, and providing leadership to drive innovation and continuous improvement across the UCR service.
The ACP provides clinical leadership within the multidisciplinary team, supports and supervises junior staff, contributes to workforce development and recruitment, and works collaboratively across services to ensure seamless patient care. The role also supports education and training through clinical supervision and teaching, participates in audit, research and quality improvement activities, and promotes evidence-based practice. In addition, the ACP contributes to resource and risk management by ensuring safe clinical practice, implementing governance processes, monitoring incidents, and supporting continuous service improvement.
Working for our organisation
Please refer to the Applicant Guide via the link below for key information:- Applying to LGT Guide - Key Information for Applicants
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
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Promote the improvement of quality and clinical effectiveness.
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Evaluate and audit own and others’ clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
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Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
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Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review
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Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
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Implement practices that are appropriate for patient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professional trends and developments.
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Identify the need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.
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Develop and undertake activities to monitor the progress and efficiency of the service and owns practice.
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Continually assess and monitor risk in their own and others practice and challenge others if necessary.
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Critically appraise and synthesise the outcomes of relevant research, service evaluation and audits, and apply the information when seeking to improve practice.
Person specification
Qualifications and Training
Essential criteria
- NMC Registered RN/RM, GPhC or HCPC registered professional.
- MSc in Advanced Clinical Practice or NHSE digital badge.
- Evidence of a ACP/Frailty portfolio of practice or relevant specialty.
- Teaching/Assessment/Mentorship qualification (supervising and assessing).
- V300 non-medical prescribing qualification.
- Level 7 Advanced physical assessment module.
- ALS
Desirable criteria
- Frailty related level 7 studies.
- Leadership qualification or relevant leadership experience.
- Research in practice qualifications or relevant experience.
- IMER certificate.
- ALS/instructor.
- PGCert in education/Fellowship of higher education (FHEA).
Experience
Essential criteria
- Extensive previous clinical experience in the acute care of adults.
- Senior experience of leadership within a service including the management of a group of staff.
- Experience in the development of staff.
- Experience of working with a high degree of autonomy in line with a scope of practice. Able to weigh evidence, clinical guidance and occupational policies and seek advice from peers and senior members of the clinical teams when required.
- Ability to interpret highly complex and/or sensitive information demonstrating negotiating empathic skills to achieve outcomes with patients or health professionals.
- Evidence of implementing policies related to own area of work
- Evidence on the delivery of specialist training to nurses, doctors and AHPs.
- Evidence of leading on conducting audit/research.
- Experience in the management of physical illness in patients presenting mental health complaints.
Desirable criteria
- Experience managing own service budget.
- Significant experience in a range of patients in acute care settings.
- Experience in the management of adults presenting safeguarding concerns.
- Experience in teaching and assessment in clinical practice to nurses/doctors/CNS.
- Evidence of participating in academic publications.
Knowledge and Skills
Essential criteria
- Advanced knowledge in Frailty or related speciality underpinned by relevant experience
- Relevant experience obtaining a clinical history of the patient and conducting a focal physical assessment of the patient and underpinned by assessment models (ie medical consultation models, focal systems assessment).
- Able to record healthcare generated information and maintain accurate record keeping.
- Experience of participating and conducting appraisals.
- Evidence of conducting own research and publications.
Desirable criteria
- Evidence of ongoing professional development across the 4 pillars of advanced practice.
Personal Qualities and Skills
Essential criteria
- Able to plan and prioritise own workload in line with complex activities and plans which require adjustment in line with a changing workplace environmentable to contribute and participate in multidisciplinary/multi-agency team working.
- Self-motivated towards own practice and development.
Desirable criteria
- Demonstrate commitment to support national and Trust strategies and objectives for Advanced Clinical Practice.
- Evidence of involvement in national multi agency programs.
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.
Application numbers
We recommend applying as early as possible to avoid missing out. All applications received before the cap is reached will be considered equally and assessed against the person specification.
Documents to download
Further details / informal visits contact
- Name
- Trevor Long
- Job title
- Service Lead - UCR & NHS@Home Service
- Email address
- [email protected]
- Telephone number
- 07900594383
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