Advanced Clinical Practitioner (Urgent And Emergency Care)

Closing date: 04 February 2026

Advanced Clinical Practitioner (Urgent And Emergency Care)

South Western Ambulance Service NHS Foundation Trust (SWASFT) is recruiting Advanced Practitioners in Urgent and Emergency Care (AP-UEC) to join our Specialist Practitioner team, supporting a 24/7 rota within Wiltshire.

This is a senior, autonomous AP role with a strong clinical focus. Approximately 80% of the working week is clinical, centred on the assessment and management of primary and urgent care presentations typically encountered in Primary Care, Out of Hours and Urgent Treatment Centre settings.

Of this clinical time, around 40% is spent undertaking remote clinical assessment, providing expert decision making support to operational crews and delivering robust remote consultations to ensure patients receive the right care, first time. The remaining 40% is spent deployed on a Rapid Response Vehicle receiving direct clinician referrals, responding to self-identified incidents and attending Category 1 emergencies (including cardiac arrest, maternity emergencies and major trauma).

The remaining 20% of the role supports activity across the remaining pillars of advanced practice, including education and supervision of Specialist Practice teams, clinical audit and research activity, and contribution to clinical guideline development. AP-UECs act as senior clinical leaders, providing advice and support to ambulance staff and volunteers across the service.

This role requires demonstrable autonomous practice within community urgent and emergency care settings.

Main duties of the job

A summary of the main roles and responsibilities are displayed here, please review the full job description and person specification for additional information.

• To fulfill the expectations and core capabilities of an AP as set out in the Trust AP job description. Working autonomously to an advanced level providing high quality patient care.
• Utilise the four pillars of advanced practice to support delivery of Trust objectives keeping with Trust values.
• To provide remote senior clinical assessment for patients and their families/carers when presenting to the ambulance service and/or when deployed and working as part of a care coordination hub.
• To manage patients presenting to the ambulance service completing full episodes of care through hear and treat or referring to alternative services as required e/g ambulance face to facce, ED or GP.
• To provide senior clinical support, supervision and clinical validation to operational colleagues, for instance registered and non registered clinicians and volunteers.
• To see, treat, discharge and/or refer patients presenting with undifferentiated presentations across the lifespan and acuity of primary, urgent and emergency care including responding to the full array of 999 presentations as determined by the EOC and local management teams, where required in response to internal and external pressures.
• To provide senior clinical visibility for EOC colleagues and trainee or qualified Specialist Practitioners in Emergency and Urgent care

About us

At South Western Ambulance Service NHS Foundation Trust (SWASFT) we have a culture where everyone is valued for being themselves. Our aim is to work together to promote the most inclusive environment possible, which attracts people from the widest range of backgrounds and experiences to enrich the work that we do together, for the benefit of all of our employees, our patients and the communities we serve. We offer flexible working opportunities, inclusive policies and a range of feedback mechanisms to support individuals and to enable a positive, welcoming environment where our people and their careers can thrive in.

We employ over 5,000 employees mainly clinical, operational and emergency response staff as well as supporting roles. We also employ Doctors and volunteers which include community first responders and fire co-responders.

We take all the steps needed to provide the most compassionate patient care possible whilst also providing an enjoyable and safe place to work. We actively promote a positive set of behaviours as being key to our performance both individually and collectively. Our recruitment, selection and screening processes are designed to uphold these standards and we invite all our candidates to actively share with us through these processes how they will bring these behaviours to life.

Job responsibilities

Please see the attached Job description for full details of this roles main responsibilities and the criteria required.

Essential: HCPC, NMC or GPhC registration; MSc in Advanced Clinical Practice (or equivalent); independent prescribing qualification. Applicants without an NHSE Digital Badge will be required to enrol if appointed. This post is for fully qualified APs only; trainees or those nearing completion are not eligible.

Person Specification Education and Qualifications

• Statutory Professional Registration with either the HCPC, NMC or GPhC
• Masters Degree in Advanced Practice or equivalent (ie NHSE Advanced Practice Digital Badge)
• Independent non-medical prescribing annotation
• Contemporary portfolio displaying competencies in line with skills and attributes required for Urgent and Emergency Care
• Clean Driving License
• Commitment to work towards an NHSE Advanced Practice Digital Badge, where this is not already held within 2 years
• Diploma in Primary and Urgent Care or willingness to undertake within 2 years of employment
• ALS Provider
• Level 7 Remote Clinical Decision Making Module

Previous Experience

• Minimum of 2 years experience within an ambulance service, emergency department, primary care or out of hours service
• Extensive experience as a senior clinician managing undifferentiated medical and trauma emergencies
• Minimum of 5 years post registration experience with a contemporary clinical practice portfolio
• Excellent clinical and practical skills across the lifespan
• Experience of education and supervision
• Recent experience in clinical audit and quality improvement
• Providing remote clinical advice and support to junior colleagues
• Providing remote clinical assessment to patients on the telephone or through video consultation
• Multi-professional supervision

Skills, Knowledge and Ability

• Evidence of relevant, recent study and continuing professional development
• A commitment to upskilling in practical skills and training where the full array of urgent and emergency care skills are not held (e.g wound care, catheterisation) through a Personal Development Plan

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.

South Western Ambulance Service NHS Foundation Trust

£55,690 to £62,682 a yearPer annum (Indicative)