Job Description

An exciting opportunity has arisen in the haematology department for a substantive Lead Advanced Clinical Practitioner for Haematology/ Consultant Practitioner.



The role will support the wards/units, nursing staff, and trainee/qualified ACPs to promote excellence in care to maintain and improve clinical standards and support the flow of patients across the directorate. The post holder will ensure that all patients are treated with compassion, dignity and respect placing value on the diversity of the local community and beyond.



He/she will promote best practice in the prevention of infection through ensuring a clean and safe environment, and that clinical practices are in accordance with Trust policy and best practice guidelines to minimise the risk of infection. The role will ensure that the patient experience is of the highest quality, inspiring patient and public confidence. This will be achieved through high visibility, accessibility, and surveillance.



The post holder will be expected to work clinically for an agreed 20% to 50% of their time, and where required will be a specialist in their clinical area. There is a requirement of the postholder to work across both QEH site and UHL, however mainly at the UHL site as the base site.



The role will report directly to the Head of Nursing, who has overarching responsibility for the operational management and strategic direction of nursing.

Interview date:

5th December 2025



The post holder will be expected to lead the services, ensuring an effective and safe service aligned with the recommended guidelines. Support the ACP in the daily management and auditing processes and interact frequently with external and internal stakeholders. They will play a lead role in service development within the designated area, across the Trust and community.



The Lead Advanced Clinical Practitioner will exercise a high degree of personal professional autonomy and make clinical judgements of the highest order to satisfy the job's expectations and demands.



The post holder will provide key clinical management in the facilitation and expansion of the haematology service. And will be responsible for the contribution to nursing policy and clinical service development within haematology service in line with the Trust's strategic.



The post holder will provide cross-cover with the Lead ACP in Cancer and Oncology/Consultant Practitioner



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



1. Clinical



Work autonomously across professional, organisational and system boundaries To independently assess, order investigations, diagnose and discharge patients from their caseload. Assess patients with undifferentiated and undiagnosed problems and assess their health care needs. To be responsible for ordering necessary investigations and provide treatment and care individually, as part of a team, and through referral to other agencies. Case-find at-risk patients including emergency admissions and post operative complications to identify and manage medical and multidisciplinary complications promptly. Use expert theoretical and practical knowledge to refer on to other departments/services within or outside the Trust. Interpret and analyse complex clinical and non-clinical facts to improve quality of care for older people and facilitate discharge planning. Apply prevention strategies for adverse outcomes such as readmissions and prolonged inpatient stay. To provide a consultancy and clinical leadership function as required. To undertake a wide range of advanced clinical interventions, which include Advanced Life Support Skills and Independent Nurse Prescribing. Support and enable patients and carers to make informed decisions relating to their treatment and management. Review and update the documentation to improve the quality, accuracy and consistency of information recorded ensuring that the Trust is CNST compliant. Negotiate and facilitate the management of change in practices to achieve best practice in services. To develop and implement with nursing and consultant staff new policies and clinical guidance for new procedures. To support and facilitate the development of clinical skills for trainee advanced practitioners and nurses. Line manages the members of the haematology Advanced Clinical Practice team and support team as appropriate including clinical nurse specialists. Coordinate, lead and manage the activities of clinical environment on a day-to-day basis. Establish regular dialogue with local and tertiary referral centres sharing good practice. Participate in professional nursing initiatives as an invited member to the Directorate and trust nursing groups. Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards. To take a workload of the sickle cell clinic and work closely with the Lead Sickle Cell Consultant

2. Quality and Development



Work closely with the appropriate clinical leads and service managers to ensure all local, corporate, and national initiatives and targets related to speciality are met. Leading a national working party across multiple disciplines to ensure the same researched and evidence-based treatment and care is given to complex patients at other centres throughout England. Involved in leading the implementation of nursing developments/ initiatives introduced by the National Network or bodies. To utilise information systems to aid regular clinical role audits and provide an activity analysis and specialist report every quarter. To provide expert input to the Trust's quality strategy by expressing the patient's needs via a whole systems approach rather than a uni-professional view. Experience facilitating change by collaborating with stakeholders within the specialist areas, across other professions, and intra- and inter-organisations to produce innovative practice and service development that shows improved patient outcomes. Perform and report on quality assurance measurements of the new initiatives relating to service within the Trust and relevant agencies. Identify and take forward the specific contribution nurse Practitioners within the service can make to the future development of the service. Lead in the development of nursing practice guidelines, policies Coordinate ongoing data collection, audit and quality assurance, providing service feedback. Provide a high documentation standard according to the trust's documentation policy and the NMC guidance on standards for good record-keeping and information governance standards.

3. Management and Leadership



Implement development programs for the specialist service, act as a change agent, and facilitate the change process while encouraging others to be innovative and adaptable in their approach to change. Work across professional, organisational and system boundaries to develop and sustain new partnerships and networks to influence and improve health, outcomes, and healthcare delivery systems. Review and update documentation and policies specially required by the team. To be conversant with all the relevant Trust policies and procedures and ensure they are correctly implemented. Lead the team in establishing and maintaining effective communication channels with the stakeholders, multi-disciplinary team, patients, their careers, and external agencies. To collaborate with representatives of other clinical areas, disciplines and services to provide a seamless care pathway . Coordinate, lead and manage the clinic activities on a day-to-day basis. Assisting with the investigation of complaints and leading in developing action plans to address areas of concern. To lead in the recruitment, selection and retention of staff in the haematology service. To represent the Trust on National forums related to the role and Advanced Clinical Practice and Haematology. Prioritise, organise and manage own workload in a manner that maintains and promotes safety and quality. To work with the Head of Nursing in relation to governance in the service and other tasks delegated within the haematology service.

4. Information management



Adhere to confidentiality at all times with sensitive personal data. Responsible for systematically monitoring investigations and appointments in collaboration with administration and managerial staff. Ensure compliance with care pathways and service development. Provide reports of the statistics, service and practice developments when required. Provide high standards of documentation by the Trust documentation policy.

5. Education and training



Be a key stakeholder in developing and delivering national educational programs to support workforce development and staff retention. Provide education and role modelling for medical and surgical teams as required, including professional development. Enable patients/clients to learn by designing and coordinating the implementation of plans appropriate to their preferred approach to learning, motivation and developmental stage. Develop robust governance systems by contributing to developing and implementing evidence-based protocols, documentation processes, standards, policies and clinical guidelines through interpreting and synthesising information from various sources and promoting their use in practice. Work in collaboration with others to plan and deliver interventions to meet the learning and development needs of their own and other professions. Advocate and contribute to developing an organisational culture that supports continuous learning and development, evidence-based practice and succession planning. Embrace the current awareness of local regional, national and international perspectives in clinical speciality. Provide training and education opportunities with the team, within the trust, local and national areas. Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan. Assess educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements by the NMC.

6. Audit and research



Contribute/assist in the development of multidisciplinary research and clinical audit in the haemoglobinopathy and haematology service and, implementing effective and evidence-based practice. To enhance research skills within the department and provide support and appropriate implementation strategies for changes in clinical practice. Participate and contribute to any ongoing regional and national research to evaluate the effectiveness of care strategies related to the patient experience within emergency and unscheduled care. To share best practices through publications and attendance/presentation opportunities at the conference level.

7. Resource Management



To apply sound financial evaluation to proposed service developments. Maintain accurate records in relation to equipment used and maintained by the haemophilia and haematology service team.

8. Risk Management



To ensure that systems are in place to manage, reduce and prevent clinical risk to self and others within the RDC department. To monitor incidents highlighted by emergency team members and communicate to appropriate areas to address risk issues. * Promote best practice in health & safety, utilising unit and Trust policies.