Job summary

Advanced Practitioner Join a Team That Cares as Much as You Do!

Are you an experienced and compassionate Advanced Practitioner looking for your next challenge in an organisation that values clinical excellence, innovation, and team spirit?

At DHU Healthcare, were proud to provide urgent and emergency care that truly makes a difference and were looking for skilled professionals like you to help us raise the bar even higher.

Location: Royal Derby Hospital, Uttoxeter Road, Derby, DE22 3NE

Contract Type: BANK

Salary: Band 8b (£62,484 - £72,865) with 30% evening enhancements and 45% weekend enhancements

Region / Division: Urgent Treatment Centre

Why DHU?

At DHU, we live by our Ethos: For you, For them, With us. Our CARE values Compassionate, Accomplished, Respectful, Encouraging shape everything we do.

You'll be joining a multi disciplinary team of ambitious professionals who are not only committed to patient care but also to each others growth and wellbeing. Were a place where your voice is heard, your skills are recognised, and your impact is felt daily.

We invest in our people because we believe exceptional care starts with an empowered workforce.

Main duties of the job

What You'll Be Doing:

In this autonomous, clinically advanced role, youll be at the frontline of patient triage making fast, informed decisions that directly influence outcomes.

Every shift, youll:

• Assess, diagnose, treat, or refer patients with a wide range of conditions.
• Lead on safe, effective, evidence based care in a triage setting.
• Conduct and interpret diagnostic investigations.
• Liaise with specialist services and ensure appropriate handovers/referrals.
• Maintain meticulous records in line with governance and best practice.
• Stay at the forefront of evidence-based practice and CPD.

What Were Looking For:

• Professional Registration (NMC, HCPC, or GPhC).
• Independent Prescriber (non-medical prescribing certification).
• Postgraduate Education: Minimum of two Level 7 modules, including Clinical Assessment Skills.
• Demonstrated experience in autonomous clinical decision making.
• Ability to work effectively as part of a diverse, high performing team.
• Confidence, compassion, and clarity under pressure.

About us

What's in It for You?

• Generous annual leave: 25 days + bank holidays, rising to 33 days + bank holidays with service.
• Attractive enhancements: 30% evenings / 45% weekends.
• Health & Wellbeing package
• Support for dental, optical, and therapy expenses.
• Car Lease Scheme: Including eco-friendly options via NHS Fleet Solutions.
• Enhanced Maternity/Paternity Leave: Because family matters.
• NHS Pension Scheme & Service Transfer: Your benefits move with you.
• Referral Scheme: Get rewarded for helping talented colleagues join us.

DHU Healthcare values diversity and inclusion, welcoming applicants from all backgrounds. We are also a forces friendly employer, supporting veterans, reservists, and military families. For more information about our recruitment process, reach out to our Talent Acquisition team at Careers@DHUHealthCare.nhs.uk

At DHU Healthcare, we take pride in our diversity and foster an environment where every person feels valued, respected, and empowered to bring their authentic selves to work, free from discrimination or bias. We warmly welcome applications from all individuals, reflecting the rich diversity of the communities we serve.

Job responsibilities

Clinical:

• To practice autonomously without direct supervision
• To utilise advanced clinical skills to assess, diagnose, treat and refer patients requiring the clinical service
• To recognise the need for, initiate and where appropriate interpret relevant diagnostic investigations
• To recognise the need for and initiate where appropriate advice of relevant specialisms
• To exhibit excellent nonverbal and verbal communication skills when dealing with patients and carers. To have the ability to make clear decisions with confidence and communicate these effectively
• To maintain appropriate clinical records in line with current practice guidelines.
• To work within the parameters of your skills and knowledge, recognising the limitations to your own practice and to work within the bounds of your training and capability according to regulatory codes of conduct
• To maintain an awareness of developments in clinical practice
• To optimise evidence based practice
• To work effectively as part of a multi professional team in collaboration with other members of the service
• To adhere to performance measures
• To provide health promotion/accident prevention advice for patients and carers
• To promote the protection of children and vulnerable adults in accordance with local safeguarding procedures
• To adhere to the Infection Prevention and Control policy for the service being provided
• To prescribe medication and work within the limitations of current extended Non-Medical Prescribing legislation
• Discharge or refer patients as appropriate to internal or external clinical pathways
• The ordering, storage, administration and disposal of medicines in a safe, secure manner in accordance with current policy and legislation.

Managerial:

• Take part in clinical audits
• To attend professional meetings and participate in team meetings
• The Clinician will work within guidelines and policies and will support the implementation of policies in own work area and participate in working groups as required
• To lead and participate in clinical audit cycle as required
• Participate in inductions for newly appointed staff
• Responsible for day-to-day supervision, delegation and co-ordination of staff making the best use of their abilities as appropriate
• To participate in the appraisal process for themselves and others as appropriate
• To identify, report and address poor performance issues
• To diffuse challenging behavior, ensuring that the situation is managed in a sensitive way
• To ensure efficient and effective use of material resources/supplies
• To identify any problems with resource use/availability and make recommendations for corrective action

Clinical Governance:

• To participate in the clinical governance requirements within the work of the organisation
• To practice with the parameters of company policies, protocols and guidelines
• To participate in quality improvement within the organisation
• To assess and evaluate outcomes of own practice, service intervention and treatment and identifies any short falls in service reporting to relevant managers
• To provide mentorship leadership and training to other team members
• To ensure the requirements of Health and Safety policy and legislation are maintained
• To participate in research and development activities of DHU Health Care

Education Practice Development:

• To participate in the clinical supervision framework for health care professionals within the company
• To offer appropriate advice to health and social care professions on care practices, delivery and service development within the parameters of the role and scope of practice
• To participate in the ongoing individual professional development within the organisation
• To mentor and role model as appropriate in the development of triage consultation, the mentorship of junior staff and students
• To complete the mandatory training programme to ensure compliance at all times

Professional:

• To work within the regulatory requirements, codes and Professional Standards of practice of the NMC/HCPC/GPhC
• To maintain professional and clinical competence through mechanisms of continuing professional development
• To act in such a manner at all times to promote confidence and public trust and uphold the reputation and image of DHU Health Care CIC

Communications and Working Relationships:

• Director of Nursing and Quality and other Executive Directors
• Divisional Clinical Director and Managing Director
• Divisional Heads of Clinical Services
• Divisional Operations and Corporate Teams
• DHU Health Care CIC Governance Team
• DHU Health Care CIC Clinical Training Team
• Clinical and managerial staff within participating Clinical Commissioning Groups (CCG)
• Clinical staff in local primary and secondary care services
• Other related services within the local health economy
• Social Services and local intermediate Care Services

Person Specification

Experience

• Substantial Autonomous practice working and multi-professional team
• Can show evidence of using autonomous physical examination and assessment skills in practice
• Can demonstrate a broad and sound knowledge of complex and common conditions in primary care in both adults and children
• Has experience in one of the following: nurse led clinics, emergency care centres ,out of hours facilities or walk in centres
• Consolidated Independent Prescribing experience

Qualifications

• Registered Adult Nurse registered with the Nursing & Midwifery Council (NMC), Paramedic registered with the Health Care Professions Council (HCPC) or Pharmacist registered with the General Pharmaceutical Council (GPhC) - Registered as an independent non-medical prescriber
• A minimum of 2 modules at Level 7. 1 X module must have included assessment of clinical examination skills

Knowledge and Skills

• Can complete a concise clinical history and physical examination
• Consolidated telephone triage experience
• Can formulate a differential diagnosis and management plan
• Prepared to participate in service development
• Demonstrable awareness of accountability in clinical practice
• Can give evidence of using effective communication skills within practice
• Must have excellent verbal and written skills
• Computer literate
• Is able to use negotiation skills
• Skills employing critical thinking
• Ability to identify individual client needs
• Able to prioritise with effective time management
• Commitment to lifelong learning
• Counselling and communication skills
• Facilitation and negotiation skills
• Aware of current structures and developments in out-of-hours care, health and social care
• Specialist clinical/technical skills
• Proven team player
• Able to work autonomously
• Committed to continuing professional development
• Positive attitude and effect
• High level of interpersonal skills
• Willingness to continue with additional training to achieve a full MSc in Advanced Clinical Practice

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.

Applicants must have current UK professional registration.