Job summary
An exciting opportunity is now available for a qualified Advanced Clinical Practitioner (ACP) to join the Urgent Community Response Team at Lewisham Hospital. The ACP will practice with a high degree of autonomy supported by the Clinical Leads for Frailty. Under the direction of the Frailty consultant and in conjunction with the UCR team, the ACP will use expert, evidence-based clinical practice to care for patients within the community. The ACP will be responsible for the assessment of patients, implementation and completion of agreed clinical management plans, requests and review clinical investigations, prescribe relevant medications and referral to other specialities and tertiary centres.

The successful candidate will work a shift pattern including out of hours and will primarily be based in the community setting. This post holder will be able to evidence the completion of Master level studies in advanced clinical practice. In addition, applicants will have to provide a portfolio of evidence with the relevant advanced capabilities demonstrating relevant experience in frailty or related speciality.

We welcome applications from those interested in developing into the role of ACP. You will initially be employed as a trainee ACP (band 7) and you will be supported through the Trust ACP credentialing program, once all the set elements of the program are completed and signed off, you will automatically progress into ACP Role (band 8a).

Main duties of the job
As an ACP, you will deliver advanced clinical care to acutely unwell patients in the community, undertaking comprehensive assessment, diagnosis, treatment planning and non-medical prescribing. You will work collaboratively across multidisciplinary teams to support admission avoidance, optimise patient outcomes and deliver high-quality, evidence-based care. The role also includes leading service improvement initiatives, supporting clinical governance, education and workforce development, contributing to research and audit, and providing leadership to drive innovation and continuous improvement across the UCR service.

The ACP provides clinical leadership within the multidisciplinary team, supports and supervises junior staff, contributes to workforce development and recruitment, and works collaboratively across services to ensure seamless patient care. The role also supports education and training through clinical supervision and teaching, participates in audit, research and quality improvement activities, and promotes evidence-based practice. In addition, the ACP contributes to resource and risk management by ensuring safe clinical practice, implementing governance processes, monitoring incidents, and supporting continuous service improvement.

Job responsibilities

• Promote the improvement of quality and clinical effectiveness.
• Evaluate and audit own and others clinical practice, selecting and applying valid, reliable methods, then acting on the findings.
• Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed in a safe and pragmatic way.
• Develop and implement robust governance systems and systematic documentation processes, keeping the need for modifications under critical review.
• Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence.
• Implement practices that are appropriate for patient and service need through understanding the wider implications of epidemiological, demographic, social, political, legislative, and professional trends and developments.
• Identify the need for change and proactively generate practice innovations to implement solutions to better meet the needs of patient and the service.
• Develop and undertake activities to monitor the progress and efficiency of the service and owns practice.
• Continually assess and monitor risk in their own and others practice and challenge others if necessary.
• Critically appraise and synthesise the outcomes of relevant research, service evaluation and audits, and apply the information when seeking to improve practice.

Qualifications and Training
Essential

• NMC Registered RN/RM, GPhC or HCPC registered professional.
• MSc in Advanced Clinical Practice or NHSE digital badge.
• Evidence of a ACP/Frailty portfolio of practice or relevant specialty.
• Teaching/Assessment/Mentorship qualification (supervising and assessing).
• V300 non-medical prescribing qualification.
• Level 7 Advanced physical assessment module.
• ALS

Desirable

• Frailty related level 7 studies.
• Leadership qualification or relevant leadership experience.
• Research in practice qualifications or relevant experience.
• IMER certificate.
• ALS/instructor.
• PGCert in education/Fellowship of higher education (FHEA).

Experience
Essential

• Extensive previous clinical experience in the acute care of adults.
• Senior experience of leadership within a service including the management of a group of staff.
• Experience in the development of staff.
• Experience of working with a high degree of autonomy in line with a scope of practice. Able to weigh evidence, clinical guidance and occupational policies and seek advice from peers and senior members of the clinical teams when required.
• Ability to interpret highly complex and/or sensitive information demonstrating negotiating empathic skills to achieve outcomes with patients or health professionals.
• Evidence of implementing policies related to own area of work.
• Evidence on the delivery of specialist training to nurses, doctors and AHPs.
• Evidence of leading on conducting audit/research.
• Experience in the management of physical illness in patients presenting mental health complaints.

Desirable

• Experience managing own service budget.
• Significant experience in a range of patients in acute care settings.
• Experience in the management of adults presenting safeguarding concerns.
• Experience in teaching and assessment in clinical practice to nurses/doctors/CNS.
• Evidence of participating in academic publications.

Knowledge and Skills
Essential

• Advanced knowledge in Frailty or related speciality underpinned by relevant experience.
• Relevant experience obtaining a clinical history of the patient and conducting a focal physical assessment of the patient and underpinned by assessment models (ie medical consultation models, focal systems assessment).
• Able to record healthcare generated information and maintain accurate record keeping.
• Experience of participating and conducting appraisals.
• Evidence of conducting own research and publications.

Desirable

• Evidence of ongoing professional development across the 4 pillars of advanced practice.

Personal Qualities and Skills
Essential

• Able to plan and prioritise own workload in line with complex activities and plans which require adjustment in line with a changing workplace environment, able to contribute and participate in multidisciplinary/multi-agency team working.
• Self-motivated towards own practice and development.

Desirable

• Demonstrate commitment to support national and Trust strategies and objectives for Advanced Clinical Practice.
• Evidence of involvement in national multi agency programs.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Salary £49,387 to £64,750 a year per annum plus HCA
Working pattern: Part-time
Contract: Permanent
Band: Band 7
Pay scheme: Agenda for change
Reference number: 197-AJ-R-8695a
Closing date: 13 November 2026

Employer details
Employer name: Lewisham and Greenwich NHS Trust
Address: University Hospital Lewisham, Lewisham, SE13 6LH, United Kingdom
Employer's website: Apply through our website

For questions about the job, contact:
Service Lead - UCR and NHS@Home Service, Trevor Long, trevor.long@nhs.net, 07900594383

Equality, Diversity and Inclusion: the Trust works to improve representation at senior levels, widen access and employability, improve the experience of staff with disability, improve EDI literacy and confidence through training, and make equalities mainstream.