Job summary
This role is for the Enhanced Practice lead of MS service (Brams). This role will manage caseloads of patients, providing intervention as part of a designated pathway.Registered professional working at an enhanced level is expected to be able to manage discrete activities in complex, challenging and changing situations and environments. They should also be confident to seek further guidance when they reach the boundaries of their competence.Utilise the four pillars of practice (Clinical Practice, Education, Research and Leadership) to support the delivery of the Trust objectives through behaviours which demonstrate the Trust Values. To note, this level is largely clinically focused and is NOT underpinned by an MSc in Advanced Practice, though candidates with an MSc in Advanced Practice are still able to work at this level.This role will involve autonomous, independent clinical practice, as well as senior leadership for this in the department working in enhanced practice roles.The post holder will act as a senior healthcare professional within the MS service (Brams) and provide senior support to the Enhanced Practitioner workforce in Bristol Brain Centre, and be identifiable, highly visible, and accessible to patients, carers and staff for assistance advice and support.

Main duties of the job
The practitioner must have the ability to assess, diagnose, plan, implement, and evaluate patient care using enhanced clinical judgement and evidence-based decision-making. Practitioners are expected to manage complex situations, initiate and adjust treatments (including prescribing where appropriate), and interpret diagnostic investigations.

A strong focus is placed on working collaboratively with multidisciplinary teams (MDT), patients, families, and wider agencies to deliver person-centred care. Practitioners must provide expert advice, communicate effectively, and support shared decision-making.

They are responsible for managing risk, maintaining professional standards, working within their scope of practice, and being accountable for their clinical decisions. Self-awareness, reflection, and recognising personal limitations are key aspects of safe practice.

Additionally, the role includes acting as a clinical leader and role model, contributing to service development, ensuring infection control, and applying specialist knowledge, skills, and behaviours relevant to their field.

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 theSouth Westhas 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 applicationin order toensure we're meeting our pledge.

Details
Date posted: 14 July 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £57,528 to £64,750 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 339-NMSK7330-DJF
Job locations: The Bristol Brain Centre, Southmead Hospital, Bristol, BS10 5NB

Person Specification
Qualifications
Essential

• Hold an independent prescribing qualification
• Specialist qualification in relevant subject

Work Experience
Essential

• Minimum of 10 years experience caring for people with MS
• Experience of leading a multidisciplinary team caring for people with MS

Skills
Essential

• Evidence of using independent prescribing in practice

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).

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

Employer contact details
For questions about the job, contact:
Interim Cluster 3 Matron
Lisa Nikitin
lisa.nikitin@nbt.nhs.uk
01174141604

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