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As an Advanced Clinical Practitioner, you’ll be part of our valued team in our West Wiltshire Locality Hospital at Home service. You will be based in our Trowbridge Hospital location but work with the integrated community health & care services and people’s homes. Service hours run from 8am-8pm, 7 days a week. As an ACP, you will play a pivotal role in providing expert clinical assessment, diagnosis, treatment, and management of patients within your area of specialty. You will lead by example, supporting colleagues, championing best practice, and helping drive forward innovation in patient pathways.
Job Responsibility:
Deliver a confident, compassionate ACP service that supports crisis response, admission avoidance, and care for people living with frailty.
Provide thoughtful assessment and management for patients on the virtual ward, helping them remain safely at home.
Use advanced clinical skills to reach timely diagnoses and arrange investigations and treatments, working closely with partner agencies for seamless care.
Act as a visible and approachable clinical expert, offering direct patient care alongside guidance and support to colleagues.
Place patients at the centre of all decisions, respecting their preferences and supporting shared decision‑making.
Work collaboratively with patients, carers, and professionals to plan care and make appropriate referrals.
Offer supportive leadership to Nursing and AHP colleagues within the Community Team.
Provide high‑quality care and contribute to ongoing quality improvements.
Help prevent unnecessary hospital transfers by offering safe and effective alternatives.
Be a positive, accessible leader within the Community Team, promoting joined‑up working across nursing and therapy teams.
Work closely with primary care to support safe planning of care at home and reduce readmissions.
Communicate effectively with inpatient teams to support safe discharge and clear follow‑up.
Maintain professional accountability and uphold all relevant codes, standards, and organisational policies.
Keep clear, accurate, and up‑to‑date clinical records.
Support organisational goals, including participating in screening and assessments where needed.
Provide guidance to colleagues involved in health promotion and chronic disease management.
Stay up to date with research, sharing learning and helping embed evidence‑based practice.
Identify risks or opportunities for service development and share recommendations with the line manager.
Take responsibility for ongoing professional development to maintain and enhance clinical competence.
Support the effective use of resources and contribute to budget discussions with the Community Team Business Manager.
Build strong, positive relationships with internal colleagues and external partners across health and social care.
Contribute to shaping and evolving the ACP role as service needs change.
Take part in audits, data collection, and benchmarking to inform future service improvement.
Requirements:
First level nursing, Physiotherapy, Occupational therapy, or Paramedic degree
Recognised teaching or mentorship qualification equivalent to level 3
History Taking and Physical Assessment module at Masters level
Diagnostics module at Masters level
MSc in Advanced Clinical Practice
Previous experience in gerontology or a relevant medical specialty at band 6 or above.
Evidence in challenging clinical practice and leading in the development of new pathways of care and delivering best practice
Evidence of successfully resolving complex problems
Experience in carrying out clinical audit and risk assessment
Proven skills in leading, managing and developing teams
Evidence of successful resource management.
Highly specialist clinical and technical skills in managing a range of clinical conditions and end of life care
Strong analytical and judgement skills, with the ability to interpret complex situations and make appropriate decisions.
Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and relatives.
Excellent written and verbal communication skills
Ability to develop and deliver training packages to a wide range of staff
Ability to work autonomously without supervision
Ability to meet deadlines and work under pressure
Ability to adapt to the demands of a constantly changing environment
Good IT skills
IT literate
Willingness to work in other areas of the service as and when required to do so.
Current full driving license and use of a car during working hours.
Nice to have:
Independent Non-Medical Prescriber Qualification
Completion of required modules for Band 7 Clinical leadership
Experience as an Advanced Clinical Practitioner/ Clinical Lead.
Strong IT Skills – including excel and power-point
Knowledge of national NHS drivers and initiatives
Advanced clinical practice skills such as interpretation of ECG
X-rays.
Presentation skills
Ability to plan and manage resources within allocated budget effectively
Knowledge of national and local NHS healthcare agenda, standards, research and its implications. Active in national clinical networks, involving care of older people
What we offer:
NHS Pension and full Agenda for Change terms and conditions
Membership of My Reward Hub, giving you access to discounts on everyday purchases like grocery shopping as well as cashback and voucher offers for treats for you and those special to you
Access to your wages as you earn them to help cover life’s emergencies and avoid overdraft fees or high interest rates
Online and face to face help with your mental and physical wellbeing – from healthy recipes and activity challenges through to post trauma support, legal, debt and life management help, as well career coaching and counselling
Access to eLearning, bespoke career pathways and opportunities for continuing professional development through our ‘Outstanding’ learning and development team, The Learning Enterprise
An open, just culture where you’re encouraged to have and implement ideas which can help us deliver our purpose: changing lives through transforming health and care – backed up by at least £100,000 of ringfenced innovation funding each year
The pride of working for an organisation committed to the highest clinical and quality standards: with a majority of our rated services holding “good” or “outstanding” ratings from the Care Quality Commission.