Job Description

The Advanced Practitioner (AP) provides high quality, individualised clinical management for patients using advanced clinical assessment and diagnostic reasoning skills to determine and initiate changes to treatment as necessary. The post holder will be a clinical expert in the field and will fulfil the 4 domains of Advanced Practice:



Clinical Practice Leadership and Management Facilitation of Learning and Education Research and Development

Advanced practice is delivered by experienced, registered health and care professionals. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a master's level award that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence. Advanced practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes. This definition therefore requires that health and care professionals working at the level of advanced practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying levels of risk, holding accountability for decisions made.

The proposed interview date is:

3rd September



Act as a clinical expert in a specific area of direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills. To be responsible and accountable for own decisions, actions and omissions at this level of practice Critically reflects on their own practice and acknowledges limitations in knowledge, referring to senior clinicians when scope of practice is reached To appropriately assess, examine, investigate, diagnose and treat patients resulting in the safe management of patients Able to use decision making skills to inform clinical reasoning approaches to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements To assess the effectiveness of interventions and advise ongoing management or refer on to appropriate clinical specialists if necessary Develop scope of advanced clinical skills and practice to meet changing needs of service Prescribe, supply and /or administer medication within appropriate legal frameworks and Trust guidance. Facilitate 'expert' inter-professional care for the patient pathway and their dependants by direction, supervision and example

Additional contract details:

Bank hours variable



We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.



With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region. By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals. As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.



The Advanced Practitioner (AP) provides high quality, individualised clinical management for patients using advanced clinical assessment and diagnostic reasoning skills to determine and initiate changes to treatment as necessary. The post holder will be a clinical expert in the field and will fulfil the 4 domains of Advanced Practice:



Clinical Practice Leadership and Management Facilitation of Learning and Education Research and Development

Advanced practice is delivered by experienced, registered health and care professionals. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a master's level award that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence. Advanced practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes. This definition therefore requires that health and care professionals working at the level of advanced practice will exercise autonomy and decision making in a context of complexity, uncertainty and varying levels of risk, holding accountability for decisions made.



There is an expectation that a maximum of 80% of the post holder's time will be spent in direct clinical practice, having clinical responsibility for a defined cohort of patients and providing leadership for clinicians within this clinical area. The remaining time (a minimum 20%) will be allocated to non-clinical duties in an agreed job plan that meets service and role needs, being reviewed annually, or more frequently as required.



The post holder will contribute to safeguarding and clinical effectiveness within the service by participating in audit and research as part of the MDT in this specialist field. The post holder will also be involved with, and where appropriate collaborate in, national and international research contributing to relevant networks and forums, with the aim of supporting the development of excellence in care and treatment of patients.

Job Purpose:

Assessment of patients on initial presentation, initiation of treatment as appropriate - including prescribing (where required for role and integral to patient management), review of existing treatments and therapies, and ongoing review, as clinically indicated To request and interpret diagnostic investigations, including pathology and radiological imaging (in line with IR(ME)R regulations), using findings to initiate treatment Provide advice, support and education to colleagues Develop and deliver educational programs for staff locally and work with advanced practitioners nationally to develop practice Act as clinical role model / educator for developing and delivering care that is responsive to changing requirements To constructively challenge others and demonstrate receptiveness to challenge Take active part in Clinical Governance, Quality Improvement, research and development initiatives * Facilitate research-based practice and assist in disseminating research findings and influencing change