Job summary
Training at Band 7 until completion of ACP training then move to Band 8a (Skull Base )

We are currently undergoing an expansion of our Advanced Clinical Practitioner workforce and looking for a driven, enthusiastic, dynamic individual to join the team of expanding ACP within Neurosurgery. We are looking for a motivated ACP to join our Skull base service working alongside Consultant Neurosurgeons, ENT, Endocrinology, Interventional Radiology and Allied health professionals in a well-established and supportive MDT. You will be supporting patients undergoing surgery and surveillance of skull base pathologies such as vestibular schwannomas, meningiomas, pituitary tumours, chondrosarcoma and Neurofibromatosis.

The post holder will need to have Neurosciences experience and have undertaken Msc degree (level 7) in Advanced Clinical Practice or equivalent. You must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

The candidates will have excellent leadership and clinical skills, as well as evidence of continuing professional development. The candidate will have drive, ambition, passion, a flexible approach and be dedicated to working in a fast paced, challenging but exciting environment.

Main duties of the job
Your role will involve the independent and autonomous practice of history taking, clinical examination, clinical investigations and interpretation and subsequently the diagnosis and management planning of the differentiated and diagnosed patient as well as the undifferentiated and undiagnosed conditions.

Demonstrating a high level of expertise within the sub-speciality, you will manage and co-ordinate care pathways for elective surgical patients and acute skull base presentations with pituitary apoplexy, tumour progression and post-operative complications and will be expected to provide autonomous clinical review of skull base patients on the Neurosurgical Ward and Intensive Care Unit. You will have expertise in coordinating patient care pathways, patient education and supporting patients and families on their recovery journey.

With a strong focus on quality improvement, the post-holder will lead and support on service development initiatives within the service to include education, research and audit promoting patient safety and patient experience. Within the role, there will be opportunity to develop autonomous Nurse Led clinics providing comprehensive clinical assessment to improve symptom management, patient education and overall patient-centred care.

Your role will be integral to patient journey from outpatient assessment, preoperative planning, inpatient, post operative supportive care and outpatient surveillance.

About us
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.

With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer.

Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Details
Date posted: 27 August 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £64,750 a year
Training Band 7 if not already a Band 8a ACP.
Contract: Permanent
Working pattern: Full-time
Reference number: 339-NSMK8788-BAL
Job locations: Bristol NHS Trust, Southmead Road, Bristol, BS10 5NB, United Kingdom

Job responsibilities
With Neurosciences experience you must have undertaken an MSc degree (level 7) in Advanced Clinical Practice (or working towards) and will complete a portfolio of evidence to achieve accreditation/digital badge status. You must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

Your role will involve the independent and autonomous practice of history taking, clinical examination, non-medical prescribing, clinical investigations and interpretation and subsequently the diagnosis and management planning of the differentiated of diagnosed patient as well as the undifferentiated and undiagnosed conditions.

You will have excellent leadership and clinical skills, as well as evidence of continuing professional development. The ACP role will be integral to patient journey from outpatient assessment, preoperative planning, inpatient admission, post operative supportive care and outpatient surveillance.

Person Specification
education/training
Essential

• Professional registration
• MSc Advanced Practice working towards successful completion of ACP apprenticeship ( PACR, PADRAP and NMP)
• Post graduated qualification in specific speciality or equivalent experience
• Teaching and mentoring recognised qualification
• Minimum 3 years' experience within Neurosciences - band 7
• Able to demonstrate specialist knowledge in Neurovascular / Skull base Neurosurgery
• Evidence of ongoing CPD / clinical portfolio
• Evidence of maintain competence of Advanced Clinical Skills
• Autonomous clinical reasoning and decision making in inpatient and outpatient setting

Desirable

• Intermediate / Advanced Life Support qualification or willingness to undertake
• Evidence of acting as clinical skills assessor

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: Bristol NHS Foundation Trust
Address: Bristol NHS Trust, Southmead Road, Bristol, BS10 5NB, United Kingdom
Employer's website: https://www.nbt.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact: Skull base ACP's, Ros Taylor or Danielle Kelly, rosalind.taylor@nbt.nhs.uk, 01174147534

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.
Applicants must have current UK professional registration.