Advanced Clinical Practitioner

Location: Buckinghamshire : Across Services Wycombe General Hospital & Stoke Mandeville Hospital

The Advanced Clinical Practitioner (ACP) will provide high-quality, patient-centred assessment, diagnosis, treatment and management of individuals presenting with a wide range of injuries and illnesses within urgent and unscheduled care settings.

Working autonomously, the ACP will deliver safe and effective care within agreed local, national guidelines, drawing on advanced clinical reasoning and evidence-based practice. The role includes independent prescribing, complex decision-making, and holistic patient management across all age groups, from paediatrics to older adults.

The ACP will work collaboratively within a multidisciplinary urgent care team, contributing to service development, quality improvement, and clinical education.

Working Pattern and Expectations

• This is a full-time clinical role, with a minimum commitment of 24 hours per week.
• The urgent care service operates 24 hours a day, 7 days a week, including weekends and bank holidays.
• Clinicians are expected to work days, evenings, nights, and weekends.
• A minimum of one weekend per month is required as part of the rota.
• Shifts are not fixed; flexibility is essential to support safe and effective service coverage.
• Rota schedules are released 12 weeks (3 months) in advance to support worklife balance and planning.
• Requests for flexible working patterns will be considered where possible, in line with service needs.

Main duties of the job

Clinical Practice

• Assess, diagnose, treat, and discharge or refer patients with minor illness/injury.
• Manage undifferentiated and complex presentations using advanced reasoning.
• Prescribe and administer medicines within scope and protocols.
• Conduct face-to-face and remote consultations for all ages.
• Request and interpret investigations, including ECGs and imaging.
• Work autonomously while collaborating with medical, nursing and AHP teams.
• Provide urgent and emergency interventions as required.
• Maintain accurate and timely clinical records.

Professional Standards

• Maintain registration (NMC/HCPC) and uphold professional codes.
• Take accountability for evidence-based, patient-centred decisions.
• Follow all FedBucks and regulatory policies, including safeguarding and confidentiality.
• Engage in reflective practice, supervision, and ongoing CPD.

Governance, Quality & Safety

• Participate in audit, service evaluation and incident review.
• Contribute to pathway and guideline development.
• Promote a culture of safety, quality and compassionate care.
• Support effective communication within the team and with partners.

Education & Development

• Maintain advanced knowledge through CPD.
• Teach, mentor and supervise junior staff where appropriate.
• Support competency development within the urgent care team.
• Engage in service improvement or research projects.
• Complete all mandatory and role-specific training.

About us

WE ARE NOW RECRUITING SELF-EMPLOYED ACP'S

FedBucks is a not-for-profit GP federation of 46 GP practices covering a population of over 550,000 patients across Buckinghamshire. Since 2016, we have been committed to representing our member practices and championing primary care by collaborating with local general practice and system partners to deliver community-based healthcare services. As a social enterprise, we prioritize safe and compassionate patient care, continuous quality improvement and positive health outcomes.

Patients are at the heart of everything we do, and we pride ourselves in our purpose when enabling excellent patient care and supporting general practice.

FedBucks is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. All staff are expected to share this commitment and to uphold the organisations safeguarding policies and procedures at all times.

The successful applicant will be required to undergo an enhanced background check (e.g. DBS) prior to appointment, and regular safeguarding training will be provided and required.

Work Benefits

• Bereavement leave
• Company pension
• Employee discount
• Free flu jabs
• Health & wellbeing programme
• On-site parking
• Sick pay
• Store discount

Job responsibilities

Kindly refer to the job description attached for full details of the responsibilities and requirements for this role.

Person Specification Experience Essential

• 5 years post registration experience of which 2 years will have been spent in primary care, ED, unscheduled care, or related field.
• Experience managing both adult and paediatric presentations.

Desirable

• Previous experience in GP OOHs, walk-in centre, or MIU.
• Experience in clinical guideline or pathway development.

Skills and Knowledge Essential

• Advanced assessment, diagnostic and decision-making skills.
• Excellent communication, documentation and digital literacy.
• Competence in both illness and injury management.
• Knowledge of clinical governance, safeguarding and infection control.
• Ability to work autonomously and collaboratively within an MDT.
• Self motivated, adaptable and professional.
• Flexible to meet service needs, including weekends and evenings.
• Committed to evidence based, patient centred care.

Desirable

• Project management or research skills.

Qualifications Essential

• Registered Clinician with NMC/HCPC.
• Masters degree in advanced clinical or Nursing Practice (equivalent or higher).
• Minor Injuries and illness qualification.
• Independent prescriber.

Desirable

• Doctoral level studies.
• Teaching and assessing qualification.

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 (opens in a new window).

Employer details Employer name

FedBucks Ltd

Address

Wycombe General Hospital
Queen Alexandra Road
High Wycombe
Buckinghamshire
HP11 2TT

Employer's website

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