Job summary

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.

Main duties of the job

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.

About us

Join Manchester University NHS Foundation Trust (MFT) and become part of a 30,000 plus strong team, delivering exceptional care to over 1 million people every year. As the largest provider of specialist services, and our Oxford Road Campus in Manchester, the largest health academic campus in Europe, we are forward-thinking, committed to clinical excellence and driven to deliver innovation, and continuous improvement.Whether you're beginning your career or taking the next step, MFT offers a stimulating and supportive environment where your contribution truly matters. Our Hive Electronic Patient Record system enables safer, smarter, and more efficient ways of working - empowering you to deliver the best possible outcomes for our patients.You'll be part of a collaborative, multi-disciplinary community, working alongside professionals from a wide range of clinical backgrounds. Together, we push boundaries, share knowledge, and deliver care that transforms lives.At MFT, you'll find a workplace where everyone is respected, supported, and encouraged to thrive. We offer clear clinical pathways for professional development, helping you grow your skills and achieve your ambitions.Your journey at MFT is more than a job - it's an opportunity to make a lasting impact. We'll support you as you shape the future of healthcare, one patient at a time.

Details

Date posted

06 November 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£57,528 to £64,750 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

349-MRI-8363274-RL4

Job locations

Manchester Royal Infirmary

oxford Road

Manchester

M13 9WL

United Kingdom

Job description

Job responsibilities

IMPORTANT CANDIDATE INFORMATION

To find out more about the key responsibilities and the specific skills and experience youll need for this role, take a look at the Job Description & Person Specification attachments under the Documents to download heading.

Explore Inside MFT Your Candidate Place

To help you feel confident, prepared and fully informed before you apply, we invite you to explore Inside MFT Your Candidate Place. This welcoming onestop hub gives you a real sense of who we are, what we stand for, how we reward and support you, and the many ways we care for you as you care for others. Youll also find practical hints and tips for submitting a great application, along with the essential information you need to know before you apply.

To access Inside MFT Your Candidate Place, simply click on the relevant PDF document under the Documents to download heading and once opened, you can either scan QR code or click on the link provided.

Closing vacancy listings early

We welcome applications from a wide range of backgrounds and experiences.To help us manage applications fairly and give each one the time it deserves, our adverts may close early if we receive a high level of interest. Early applications are therefore encouraged.

Diversity MattersMFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, please contact the manager named below.

Use of Artificial Intelligence (AI) in your application

Here at Manchester University NHS Foundation Trust, were proud to be ALL HERE FOR YOU, for our patients, our communities, and each other.As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your application, especially personal statements and responses to role specific questions is written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone.

Thank you for helping us uphold the values that make our Trust a place where people belong, grow, and thrive. We look forward to receiving your application.

Disclosure and Barring Service (DBS) check

As part of our commitment to safeguarding patients and staff, many roles at Manchester University NHS Foundation Trust (MFT) require a Disclosure and Barring Service (DBS) check. This is a standard process across the NHS and helps us ensure a safe environment for everyone.

What is a DBS Check?

A DBS check is a background check that reveals any criminal convictions, cautions, reprimands, or warnings. The level of check required depends on the role:

Standard DBS: Checks for spent and unspent convictions, cautions, reprimands, and final warnings.

Enhanced DBS: Includes the above, plus any additional information held by local police thats considered relevant to the role.

Enhanced with Barred Lists: Includes all of the above, plus checks against the childrens and/or adults barred lists.

Who Needs a DBS Check

Most roles involving direct patient contact, working with children or vulnerable adults, or access to sensitive information will require a DBS check. The job advert and recruitment team will let you know if this applies to your role.

The Costs for a DBS

At Manchester University NHS Foundation Trust (MFT), roles that require a DBS check are subject to a cost recovery policy. This means that the cost of submitting and processing a DBS application if you are successful and join us, will be deducted from your salary within the first three months of employment. If, however, you withdraw from a conditional offer after the DBS process has begun, you will still be liable for the cost incurred.

For more information about the cost of the various types of DBS, please visit: https://www.gov.uk/government/news/dbs-fees-are-changing-in-december

DBS Update Service

Candidates are also expected to register with the DBS Update Service which must be completed within 30 days of the certificate being issued. This helps streamline future employment checks and supports safer recruitment practices. For more information, please visit the DBS Update Service.

Job description Job responsibilities IMPORTANT CANDIDATE INFORMATION To find out more about the key responsibilities and the specific skills and experience youll need for this role, take a look at the Job Description & Person Specification attachments under the Documents to download heading. Explore Inside MFT Your Candidate Place To help you feel confident, prepared and fully informed before you apply, we invite you to explore Inside MFT Your Candidate Place. This welcoming onestop hub gives you a real sense of who we are, what we stand for, how we reward and support you, and the many ways we care for you as you care for others. Youll also find practical hints and tips for submitting a great application, along with the essential information you need to know before you apply. To access Inside MFT Your Candidate Place, simply click on the relevant PDF document under the Documents to download heading and once opened, you can either scan QR code or click on the link provided. Closing vacancy listings early We welcome applications from a wide range of backgrounds and experiences.To help us manage applications fairly and give each one the time it deserves, our adverts may close early if we receive a high level of interest. Early applications are therefore encouraged. Diversity MattersMFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, please contact the manager named below. Use of Artificial Intelligence (AI) in your application Here at Manchester University NHS Foundation Trust, were proud to be ALL HERE FOR YOU, for our patients, our communities, and each other.As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your application, especially personal statements and responses to role specific questions is written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone. Thank you for helping us uphold the values that make our Trust a place where people belong, grow, and thrive. We look forward to receiving your application. Disclosure and Barring Service (DBS) check As part of our commitment to safeguarding patients and staff, many roles at Manchester University NHS Foundation Trust (MFT) require a Disclosure and Barring Service (DBS) check. This is a standard process across the NHS and helps us ensure a safe environment for everyone. What is a DBS Check? A DBS check is a background check that reveals any criminal convictions, cautions, reprimands, or warnings. The level of check required depends on the role: Standard DBS: Checks for spent and unspent convictions, cautions, reprimands, and final warnings. Enhanced DBS: Includes the above, plus any additional information held by local police thats considered relevant to the role. Enhanced with Barred Lists: Includes all of the above, plus checks against the childrens and/or adults barred lists. Who Needs a DBS Check Most roles involving direct patient contact, working with children or vulnerable adults, or access to sensitive information will require a DBS check. The job advert and recruitment team will let you know if this applies to your role. The Costs for a DBS At Manchester University NHS Foundation Trust (MFT), roles that require a DBS check are subject to a cost recovery policy. This means that the cost of submitting and processing a DBS application if you are successful and join us, will be deducted from your salary within the first three months of employment. If, however, you withdraw from a conditional offer after the DBS process has begun, you will still be liable for the cost incurred. For more information about the cost of the various types of DBS, please visit: https://www.gov.uk/government/news/dbs-fees-are-changing-in-december DBS Update Service Candidates are also expected to register with the DBS Update Service which must be completed within 30 days of the certificate being issued. This helps streamline future employment checks and supports safer recruitment practices. For more information, please visit the DBS Update Service.

Person Specification

Qualifications and professional registration

Essential

• 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

Desirable

• Relevant postgraduate Emergency Medicine, urgent care or specialty qualification
• ALS, APLS,ETC, ALS
• RCEM Credentialing portfolio
• Teaching, clinical supervision or leadership qualification

Experience

Essential

• 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

Desirable

• 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

Clinical knowledge and skills

Essential

• 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

Desirable

• Competence in additional skills relevant to the service and evidenced within the Trust framework

Leadership and service development

Essential

• Demonstrates professional leadership and acts as a positive role model
• Able to work effectively within a multidisciplinary team and communicate concerns clearly
• ncerns clearly; o 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

Desirable

• Evidence of leading a service development, change management or quality improvement project
• Participation in departmental or Trust-wide groups, networks or committees

Education and supervision

Essential

• 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

Desirable

• Teaching or mentorship qualification
• Experience planning, delivering and evaluating teaching sessions
• Experience providing clinical supervision or supporting ACP development

Research, audit and evidencebased practice

Essential

• 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

Desirable

• 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

Communication and interpersonal skills

Essential

• 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

Desirable

• Experience presenting clinical or service information to multidisciplinary or wider audiences

Personal attributes

Desirable

• Evidence of ongoing leadership development or participation in a recognised leadership programme

Person Specification Qualifications and professional registration Essential 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 Desirable Relevant postgraduate Emergency Medicine, urgent care or specialty qualification ALS, APLS,ETC, ALS RCEM Credentialing portfolio Teaching, clinical supervision or leadership qualification Experience Essential 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 Desirable 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 Clinical knowledge and skills Essential 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 Desirable Competence in additional skills relevant to the service and evidenced within the Trust framework Leadership and service development Essential Demonstrates professional leadership and acts as a positive role model Able to work effectively within a multidisciplinary team and communicate concerns clearly ncerns clearly; o 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 Desirable Evidence of leading a service development, change management or quality improvement project Participation in departmental or Trust-wide groups, networks or committees Education and supervision Essential 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 Desirable Teaching or mentorship qualification Experience planning, delivering and evaluating teaching sessions Experience providing clinical supervision or supporting ACP development Research, audit and evidencebased practice Essential 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 Desirable 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 Communication and interpersonal skills Essential 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 Desirable Experience presenting clinical or service information to multidisciplinary or wider audiences Personal attributes Desirable Evidence of ongoing leadership development or participation in a recognised leadership 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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

Manchester University NHS Foundation Trust

Address

Manchester Royal Infirmary

oxford Road

Manchester

M13 9WL

United Kingdom

Employer's website

https://mft.nhs.uk/careers/ (Opens in a new tab)

Employer details

Employer name

Manchester University NHS Foundation Trust

Address

Manchester Royal Infirmary

oxford Road

Manchester

M13 9WL

United Kingdom

Employer's website

https://mft.nhs.uk/careers/ (Opens in a new tab)