Senior Enhanced Practitioner | North Bristol NHS Trust
| Posting date: | 10 December 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £47,810 - £54,710 per annum, pro rata for part time |
| Hours: | Full time |
| Closing date: | 09 January 2026 |
| Location: | Bristol, BS10 5NB |
| Company: | North Bristol NHS |
| Job type: | Permanent |
| Job reference: | 7641958/339-ASCR1958-LH |
Summary
An exciting opportunity has arisen to join our dedicated team at the Breast care unit as an Enhanced practitioner. In this pivotal role, you will provide expert, patient-centered care to individuals across the Breast care unit supporting them through screening, diagnosis, treatment and recovery.
Working closely within a Multidisciplinary team, you will deliver compassionate support, tailored education, and clinical expertise to improve outcomes and empower patients and families.
We are seeking practitioners with experience in Breast care to join our team.
• Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions within a set field of practice for patients by virtue of enhanced clinical judgement and close liaison with members of the MDT
• Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses.
• Initiate, evaluate, and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care.
• Provide specialist, expert clinical knowledge to colleagues, patients and carers/relatives both within and outside the Trust.
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers.
• Ensure compliance with their respective code of professional conduct and work within their scope of practice.
North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.
North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.
For a full overview of the Job Description, please refer to the PDF Job Description attached as an additional document to this advert.
Duties mapped across the four pillars of practice.
• Enhanced Clinical Practice Guide
Clinical Practice
• Assess, differentially diagnose, plan, implement and evaluate individual treatment interventions within a set field of practice for patients by virtue of enhanced clinical judgement and close liaison with members of the MDT
• Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses
• Initiate, evaluate, and modify a range of interventions which may include prescribing medicines, therapies, lifestyle advice and care
• Provide specialist, expert clinical knowledge to colleagues, patients and carers/relatives both within and outside the Trust
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families, and carers
• Ensure compliance with their respective code of professional conduct and work within their scope of practice
• Works in conjunction with the MDT to clearly define values, direction and policies impacting upon care
• Work in partnership with individuals, families, and carers, using a range of assessment methods as appropriate
• Be able to demonstrate a critical understanding of their broadened level of responsibility and autonomy. This includes being critically aware of their limits of their own competence and professional scope of practice, including when working with complexity, risk, uncertainty, and incomplete information
• Be responsible and accountable for their decisions, actions, and omissions at this enhanced level of practice
• Utilise professional judgement and maturity, understanding when to seek help
• Demonstrate critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
• Demonstrate effective communication skills, supporting people in making decisions, planning care, or seeking to make positive changes, using Health Education England’s framework to promote person-centred approaches in health and care
• Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across organisations and settings
• Evidence the underpinning subject-specific competencies i.e. knowledge, skills and behaviours relevant to the role setting and scope, and demonstrate application of the capabilities to these, in an approach that is appropriate to the individual role, setting and scope
• Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies, and networks
• To perform clinical breast examinations synthesising information that are pertinent in identifying causes for the patient’s breast symptoms, using advanced clinical skills as per the MSc module
• Exercise professional judgement to manage risk appropriately, especially where there may be complex and unpredictable events and supporting teams to do likewise to ensure safety of individuals, families and carers
• To Work in partnership with individuals, families, and carers, using a range of assessment methods as appropriate (e.g., of history-taking; holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and conducting health needs assessments, physical examination, clinical measurements using advanced clinical skills, detailed medicines history, undertaking and interpreting range of tests / investigations and develop management plan including onward referrals and management plans
• Uses highly developed communication skills to provide guidance, advice, and support to the individual /carer regarding management of their health/illness condition and its impact on individuals/carer’s life
• To present and discuss own patient cases at the multidisciplinary team meetings, regarding diagnostic findings and any further ongoing care that is required.
This advert closes on Sunday 28 Dec 2025