Job summary
At St George's Hospital, no two nights are ever quite the same. As an Advanced Clinical Practitioner within our ENT, Maxillofacial and Plastics team, you'll play a key role in assessing and managing complex surgical cases in a supportive and collaborative environment.

Your shift might begin with a patient arriving via air ambulance with facial trauma, or a potential airway emergency presenting in ED.

As one of our ACPs, you'll take the lead on assessments, request urgent imaging, and carry out minor surgical procedures. You'll make independent clinical decisions and prescribe treatment with the support of a wider multidisciplinary team.

Working alongside you are two other experienced ACPs, each covering their own specialty. You'll share knowledge, provide mutual support, and hand over as a team at the end of your shift.

This role offers variety, challenge and the chance to work at the top of your scope. From minor procedures to major trauma, you'll develop your clinical expertise in a team that values innovation, professional growth, and high-quality patient care.

Main duties of the job
This role places you at the heart of advanced clinical practice within ENT, Maxfax and Plastics. You'll be part of a team of six ACPs providing overnight cover and playing a key role in assessing and managing patients arriving in the emergency department.

You'll need to have:

• Completed your MSc in Advanced Clinical Practice
• Hold a non-medical prescribing qualification
• Be confident in requesting and interpreting diagnostics as well as performing clinical procedures within your scope

Please note: To be considered for this role, you must have experience working in an ED or as a Nurse Practitioner, or paramedic with exposure to acute surgical patients. While this is a night-shift position, your first six months will be spent working alongside the doctors during daytime hours as part of your induction and training period.

What makes this role different?
Variety

• You'll be the first to assess patients referred overnight -- from airway emergencies to complex trauma. You'll make clinical decisions, carry out interventions, and work closely with on-call team

A great ACP team

• Each night, you'll work alongside two other ACPs. We support each other, collaborate across specialties, and maintain a strong culture of communication and trust.

About us
Cutting-edge environment

• As one of London's largest teaching hospitals and a regional specialist centre, we treat some of the most complex cases in the region. We have a helipad, hyper-acute stroke and cardiac services, and are one of the city's four major trauma centres.

We know starting a new role at a new hospital can feel daunting, but from day one, you'll be fully supported. That support goes beyond your day-to-day responsibilities. We're committed to your development, and open to new ideas.

Details
Date posted: 16 October 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £66,274 to £73,496 a year per annum inc HCAS (pro-rata)
Contract: Permanent
Working pattern: Full-time
Reference number: 200-7575321-GO-ND-G

Job responsibilities
Please see the attached supporting job description and person specification document, which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification.

Specialty requirements
ENT:

• Throat infections: Tonsillitis/quinsy and epiglottitis
• Foreign body in ear, nose or throat
• Ear infection
• Head/neck trauma
• Elective head/neck admission for surgery

PLASTICS:

• Hand trauma/infections
• Wound assessment and management

MAX FAX:

• Facial trauma (facial fractures)
• Dental infections
• Infected wounds

Person Specification
Essential

• Registered clinical professional
• MSc level in Advanced Clinical Practice or equivalent (Minimum PGDip)
• Independent or supplementary non-medical prescriber (where relevant)
• 7 years post-registration experience, of which at least 5 years includes speciality experience
• Demonstration of experience in all four pillars of advanced clinical practice (clinical practice, leadership and management, research, education)
• Participation in audit and research

Desirable

• Completed portfolio of supervised practice in speciality
• Certified speciality courses
• Relevant NHS leadership qualification or working towards
• Experience as clinical Leader
• Experience in an autonomous practice role
• Previous experience in an advanced practice role
• Experience of service development
• NMC registered Independent prescriber or meets criteria to undertake within 6 months of appointment.
• Previous specialist nursing/Hospital at night experience
• Advanced clinical assessment skills/ANP qualification
• Experience of running research and audit programmes
• Completed a recognised leadership development programme

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.

Employer contact details
For questions about the job, contact: Surgical Matron, Aoife Boylan, aoife.boylan@stgeorges.nhs.uk, 02087251836

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