Advanced Clinical Practitioner - Emergency Department

The Advanced Clinical Practitioner (ACP) will deliver autonomous, high-quality emergency care across all areas of the Emergency Department, including Resuscitation, Majors, Minors and the initial assessment and streaming of patients to appropriate services, including Same Day Emergency Care (SDEC).

The post holder will undertake comprehensive clinical assessments, formulate differential diagnoses, request and interpret investigations, initiate evidence-based treatment and develop appropriate management plans for patients presenting with a wide range of undifferentiated medical, surgical, and traumatic conditions. They will demonstrate advanced clinical reasoning, recognise and manage the deteriorating patient, and initiate timely escalation and referral to specialist teams when required.

Working collaboratively with emergency medicine consultants, medical and nursing colleagues, specialty teams and the wider multidisciplinary workforce, the ACP will support effective clinical decision-making, safe patient pathways, and timely patient flow. 

In addition to direct clinical responsibilities, the ACP will contribute to the four pillars of advanced practice through clinical leadership, education, research, and service development. 

The ACP will actively contribute to improving patient safety, experience, and departmental performance, working flexibly across the Emergency Department.

The Advanced Clinical Practitioner (ACP) in the Emergency Department at Manchester Royal Infirmary is an autonomous practitioner responsible for delivering advanced clinical assessment, diagnosis, treatment, and management of patients presenting with undifferentiated and complex emergency conditions.

Working within a busy, high-acuity city-centre emergency department, the ACP provides safe, effective, evidence-based care to patients presenting with medical, surgical, trauma and minor injury conditions, within their individual scope of practice and level of competence. The post holder utilises advanced clinical reasoning and decision-making skills to initiate investigations, develop management plans, prescribe where appropriately qualified, and determine appropriate referral, escalation, admission, or discharge.

Alongside clinical responsibilities, the post holder contributes to the four pillars of advanced practice: clinical practice, leadership and management, education, and research. This includes supporting the development of trainee ACPs, delivering clinical education, contributing to clinical governance and audit, and supporting service improvement initiatives.

The post holder will demonstrate professional leadership, accountability and a commitment to continuous development, patient safety, and the delivery of high-quality emergency care.

• Current registration with the relevant professional regulator (e.g. NMC or HCPC, as applicable to professional background)
• Master’s-level qualification in Advanced Clinical Practice, or evidence of equivalence accepted by the Trust
• Non-medical qualifications(NMP), where relevant to professional background and role
• Evidence of training and assessment appropriate to the agreed scope of Emergency Department practice
• Substantial post-registration clinical experience relevant to acute and emergency care
• Demonstrable experience assessing and managing patients with undifferentiated presentations within an appropriate scope of practice
• Evidence of autonomous decision-making, recognising clinical risk and escalating appropriately
• Evidence of continuing professional development and maintaining a portfolio of competence
• Demonstrates advanced assessment, clinical reasoning, differential diagnosis and management planning
• Able to recognise serious illness, injury, deterioration and time-critical presentations and act promptly
• Able to request, interpret and act on investigations within agreed scope and local policy
• Understands safe admission, referral, discharge and safety-netting processes
• Demonstrates sound knowledge of safeguarding, consent, capacity, confidentiality, infection prevention and medicines safety
• Works within professional scope, recognises limitations and seeks senior advice appropriately
• Prescribing within an authorised scope of practice
• Experience of developing or using clinical pathways and protocols
• Demonstrates professional leadership and acts as a positive role model
• Able to work effectively within a multidisciplinary team and communicate concerns clearly
• ncerns clearly; • Able to identify risks, service gaps and opportunities to improve quality and patient flow
• Demonstrates ability to organise workload, prioritise competing demands and use resources appropriately
• Understands clinical governance, incident reporting, audit and quality improvement
• Demonstrates commitment to learning, reflection and supporting the development of others
• Able to provide clear clinical explanations and constructive feedback
• Willing to contribute to teaching, supervision and induction appropriate to competence and role
• Able to interpret and apply evidence, guidelines and professional standards to clinical practice
• Understands the purpose of audit, evaluation and quality improvement
• Able to reflect on practice and act on learning from incidents, feedback and review
• Excellent verbal and written communication skills
• Able to communicate sensitive or complex information with empathy and clarity
• Able to build effective working relationships with patients, carers and colleagues
• Demonstrates diplomacy, negotiation and constructive conflict resolution
• Able to adapt communication to individual needs and promote shared decisionmaking

• Relevant postgraduate Emergency Medicine, urgent care or specialty qualification
• ALS, APLS,ETC, ALS
• RCEM Credentialing portfolio
• Teaching, clinical supervision or leadership qualification
• Experience across more than one Emergency Department clinical area or urgent care pathway
• Experience supporting trainee ACPs, students or colleagues in clinical practice
• Experience contributing to service improvement, audit or research
• Competence in additional skills relevant to the service and evidenced within the Trust framework
• Evidence of leading a service development, change management or quality improvement project
• Participation in departmental or Trust-wide groups, networks or committees
• Teaching or mentorship qualification
• Experience planning, delivering and evaluating teaching sessions
• Experience providing clinical supervision or supporting ACP development
• Experience leading or participating in research, audit or quality improvement
• Presentations or publications at local, regional or national level
• Contribution to academic or professional education
• Experience presenting clinical or service information to multidisciplinary or wider audiences
• Evidence of ongoing leadership development or participation in a recognised leadership programme

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.