Trained / Trainee Advanced Clinical Practitioner

The Hospital out of Hours Advanced Clinical Practitioner provides a triage role and a clinical role as part of a multi-disciplinary team. The primary responsibility is to provide a clinical review service to undifferentiated patients within the Medical, Surgical, Oncological, Haematological and Palliative Medicine in-patient areas, split over a 2 shift pattern, either, twilights from 16.00 till 00.30 or night shifts from 20.00 till 08.30, 7 days a week on a rotational basis. The qualified ACP role is banded at an 8A AFC grade following completion of a Level 7 academic pathway and successfully evidencing a clinical practice portfolio of workplace based assessments. Currently this is done utilising the NHS e-portfolio mapped to the Acute Medicine Speciality Capabilities Framework. For applicants who have completed the academic pathway then a timeline for completion of a clinical practice portfolio would be discussed. The Trainee ACP role is banded at a band 7 AFC grade for the duration of the training period, (see job description) with progression to an 8A on successful completion of the required academic element of the role and completion of the clinical portfolio of evidence. Non clinical hours are allocated weekly to QACP and TACP staff to support personal and professional development in the role, with an emphasis on Quality Improvement projects and Research.Main duties of the job The Hospital out of Hours ACP role is multi faceted. Shift leadership is undertaken on a rotational basis and involves the review, triage, allocation of the workload or discussion and advice to ward staff using the Nervecentre task management system for referrals made. Currently we receive an average of 11,000 referrals per month through the service. For reference, as of September 2026 all the trust systems will be done through Nervecentre. We also link in with our excellent Critical Care Outreach team and on occasions the expectation is that the HooH shift leader would also support the CCOT team with the "Marthas rule" call for concern calls made out of hours, with appropriate guidance and signposting as required. Whilst the clinical element of the role involves working as part of a multi-disciplinary team we have an expectation of individual, autonomous practice, safe in the knowledge that should escalation of clinical care be needed the team is staffed to support accordingly.

As a trusted organisation at the heart of our communities, we recognise the important role we can play in supporting the public, patients, our own people and local partners in achieving the best of health for the local population and the communities in which they live by providing Exceptional Care Together. Our fundamental Values of Compassion, Openness and Excellence underpin how we intend to work as a Trust and the associated behaviours are becoming embedded in all aspects of how we work. In return we will offer:

• Development opportunities, both professional and leadership development
• On-going support from recruitment to when you join our team and beyond.
• Staff benefits including employee assistance programme, discounted gym membership, onsite fitness classes, car schemes
Key Facts:
• We see on average 4810 OP appointments a day.
• We are the 4th busiest Trauma & Orthopaedic outpatients department in England - an average of 2077 per week.
• An average of 1115 patients are seen in A&Es across our network every day - 3rd largest in the country.
• Our hospitals admit an average of 195 emergency patients daily.
• Last year we undertook almost 33,700 planned surgical operations in our 57 operating theatres.
• We are one of only 7 Trusts nationally with more than 50 operating theatres.
• We carry out more than 140 elective procedures each working day.
• UHDB is a research active University Hospital with a large and varied portfolio of clinical trials and research opportunities for all staff.