Trainee Advanced Clinical Practitioner in Emergency General Surgery
| Posting date: | 02 June 2026 |
|---|---|
| Salary: | £49,387.00 to £56,515.00 per year |
| Additional salary information: | £49387.00 - £56515.00 a year |
| Hours: | Full time |
| Closing date: | 21 June 2026 |
| Location: | Warwick, CV34 5BW |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9203-26-0312 |
Summary
Key Result Areas: Clinical Practice Works within agreed, evolving scope of practice under named supervisors; escalates to senior decisionmakers as per local escalation policy; practice is guided by Trust policies and specialty protocols Deliver evidence-based personalised and compassionate care which places quality at the heart of clinical practice. Care will be responsive to individual patient needs and reflect current local protocols and national guidelines. Utilise appropriate levels of autonomy and advocacy, analytical reasoning skills in undertaking differential diagnosis to ensure the delivery of high-quality care, developing their own and others knowledge within the speciality. Manage their own caseload of delegated patients including comprehensive clinical review, requesting diagnostics, reviewing results, analysing complex data, weighing risk/benefit and make timecritical decisions within supervised scope of practice. Evidenced based independent prescribing (when registered as non-medical prescriber) including discharge medications, within evolving scope of practice, current legislative and local frameworks. Support development and implementation of personalised care pathways for the speciality through holistic needs assessment, planning and evaluation of care and all care interventions. Implement pathways of care, adapting to patients emerging needs by ensuring a planned and co-ordinated approach to care, supporting enhanced recovery and reducing inappropriate admissions to improve patient experience and safety. Refer directly to other health care professionals and specialist departments as necessary, to ensure optimal efficiency and quality of care. Act as a patient advocate to facilitate the process of shared decision-making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers to build confidence. Ensure that patients individual needs are expressed and valued, and individual management plans are understood. Advise on diagnosis and symptom management for patients within the speciality. Evaluate response to interventions and advise on the adaptation of management and discharge plans. Empower patients to self-manage their condition, undertaking risk stratification to determine those who can self-manage following education, those who will need guided support to self-manage and those who will need ongoing face-to-face support. Act as a resource, providing clinical expertise, specialist advice and support across service boundaries to ensure optimum liaison and co-ordination of care. Undertake clinical competencies relevant to this specialist service to develop autonomous expertise. Actively integrate theory and practice. Leadership (and Management) Provide clinical advice and leadership to others across the organisation, acting as a role-model and demonstrating high standards of holistic care. Prioritise an unpredictable caseload; coordinating clinical duties and planning supervised learning time. Contribute to annual improvement plans and continuously review their own performance against these plans, taking action or escalating where appropriate. Promote an ethos of continual service improvement and lead delegated projects, monitoring progress in terms of milestones and key measures of performance. Strive to motivate and involve others in developments in the speciality. Contribute to the clinical governance agenda. Attend team meetings and contribute to the agenda where required. Education Utilise educational strategies to deliver complex information to patients and carers. Contribute to the development of patient training to support self-management and health promotion activities. Contribute, where required, to Trust-wide specialist education and training. Deliver formal and informal teaching initiatives as part of the Trusts education strategy as agreed with the appropriate senior staff to ensure practice development, staff empowerment and improved care for patients. Act as a mentor/clinical supervisor where appropriate. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engage with learning and development opportunities. Utilise a professional e-portfolio to develop advanced clinical skills to deliver service within speciality. Develop and monitor skills using best available evidence to support development. RESEARCH (INCLUDING QUALITY, AUDIT, INNOVATION) Work within their own professions code of professional conduct. Contribute to the development of policies and clinical guidelines within the specialty. Collaborate with other members of the multi-disciplinary team to develop and update multi-professional Trust operational policies and guidelines. Maintain accurate patient records and ensure effective documentation to reflect the activity and delivery of specialist services. Use creative reasoning, experience and vision to advance care. Develop new skills in response to emerging knowledge and techniques. Attend local Advanced Practice forums to network and share learning to enhance professional development and service delivery. Support the development of a research-based culture within the clinical area and act as a resource to others in relation to evidence-based acute Surgical care. Ensure research findings are utilised as a basis for best practice. Contribute to the development of clinical audit in their own specialist area. Contribute to the identification of patients eligible for clinical trial entry. Provide support to patients considering entry to clinical trials in relation to informed consent and advocacy. Develop links and systems to seek the views of patient and carers to ensure service development is in line with user need. Communication Communicate complex and sensitive clinical information to patients, families and the multi-disciplinary team (MDT), frequently managing barriers to understanding (e.g., anxiety, language, cognition, health literacy) and using negotiation, persuasion and reassurance to support shared decisions. Deescalate conflict professionally; and documents conversations and agreed plans clearly. Refer to other health professionals and outside agencies to ensure optimum care and ongoing support for individual patients/carers, and to ensure the seamless transition between primary and secondary care appropriate to patients individual needs and circumstances. Develop and maintain links with local and national organisations which support the care of patients within this speciality. Create, manage and maintain robust links with inpatient specialities and community services to ensure patients are identified and moved swiftly into optimal care pathways to improve flow and patient outcomes.