University Hospitals Dorset NHS Foundation Trust
Lead Advanced Clinical Practitioner – Urgent and Emergency Care
The closing date is 11 June 2026
University Hospitals Dorset NHS Foundation Trust is seeking an exceptional and forward‑thinking Lead Advanced Practitioner to join our Urgent & Emergency Care leadership team at an exciting time of service transformation and workforce development.
This senior clinical leadership role is suited to an experienced Advanced Practitioner with a passion for delivering high‑quality urgent and emergency care and shaping the future of Advanced Practice across UHD.
The successful candidate will provide visible clinical and professional leadership across our Urgent Treatment Centres and front door pathways, supporting safe, effective and patient‑centred care.
Working closely with the Nurse Consultant, Clinical Lead and UTC Service Manager, the post holder will combine expert autonomous clinical practice with leadership of AP workforce development, professional governance, education, supervision, service redesign, operational flow, patient safety, audit and quality improvement.
We are looking for a highly motivated clinician with significant experience in primary, urgent or emergency care, excellent leadership and communication skills, and a strong commitment to developing others and improving services.
This is an exciting opportunity to help shape advanced practice within a progressive and ambitious organisation undergoing significant transformation across Dorset’s urgent and emergency care system.
Interview date: 22nd June 2026
Main duties of the job
To be responsible for the rapid assessment, diagnostics, and treatment of individuals within service using an advanced level of professional accountability, autonomy, and judgement, underpinned by Masters level theory and experience. This includes highly complex decision‑making across a broad range of differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence‑based judgements and/or diagnoses.
To provide clinical leadership to the ACP & ECP team and work with others within the directorate to determine the priority workload of the team across the directorate.
To plan and manage complete episodes of care, working in collaboration with the consultants and others, delegating and referring as appropriate, to ensure timely, effective management and optimise health outcomes, in line with the evidence base and nationally recognised best practice.
To play a key operational role and maintain a pro‑active approach to managing and leading clinical pathways and flow.
Working closely with a multi‑professional team, lead the ACP service in delivery of high quality, performance, and financial frameworks.
To promote and implement service and policy development and redesign, impacting beyond own area and other disciplines, informed by current best practice and evidence‑base, in accordance with values‑based care of the trust.
About us
UHD are investing, developing and transforming Trust services in line with the New Hospital Programme. As part of this, some services may move site this year or next, either temporarily or permanently. Recruiting Managers will be happy to answer any service‑specific questions at interview.
If a role or service relocates as part of a planned move, excess mileage will not be reimbursed. Travel from home to the new work base will be classed as a normal commute. Any other changes will be managed under Trust or national terms and conditions.
UHD has active networks including Women’s, BAME, Pride, EU, Pro Ability, and Armed Forces. We support Disability Confident and Armed Forces Covenant interview schemes.
AI tools may be used, but applications must honestly reflect your own skills and experience. Integrity is key to our recruitment process.
Job responsibilities
Advanced clinical practice and decision‑making
The post holder will work autonomously within their scope of practice, undertaking full clinical assessment, history taking, physical examination, diagnosis, investigation, treatment, referral and discharge. They will use advanced clinical reasoning and complex decision‑making skills to manage patients safely across a broad range of urgent and emergency care presentations.
They will request and interpret relevant investigations, including pathology, ECGs and imaging where appropriately trained, and will prescribe, administer or review medicines within their professional scope of practice. They will recognise and respond to deteriorating patients, clinical emergencies, safeguarding concerns and situations requiring escalation.
Clinical and professional leadership
The post holder will provide visible, credible and compassionate leadership across the UTCs and urgent care pathways. They will act as a professional role model for Advanced Practice, supporting high standards of clinical care, professional behaviour, documentation and patient safety.
They will support the leadership and development of enhanced, trainee and qualified Advanced Practitioners within UHD UTCs, including supervision, appraisal, competency development, mandatory training oversight and support for educational supervisors. The role will include engagement with Higher Education Institutions to support academic modules and workforce development.
Governance, quality and patient safety
The post holder will contribute to robust governance arrangements across urgent care, including the monitoring of clinical risk, incidents, complaints and LERNs. They will support learning from patient safety events, identify areas for improvement and help implement actions to improve quality, safety and patient experience.
They will contribute to the development and review of guidelines, protocols, clinical pathways and standards, ensuring practice is evidence‑based and aligned with local and national policy.
Service development and transformation
The post holder will play a key role in service redesign, pathway development and transformation across Urgent and Emergency Care. They will work with clinical, operational and managerial colleagues to support effective patient flow, efficient use of resources and sustainable models of care.
They will contribute to audits, evaluation, research activity and quality improvement projects, using data and evidence to identify gaps in practice, support innovation and improve outcomes for patients and staff.
Education, supervision and workforce development
The post holder will support a learning culture within the UTCs, developing and delivering education, supervision and competency support for Advanced Practitioners and the wider multidisciplinary team. They will promote reflective practice, clinical supervision, mentorship and coaching, helping staff to develop confidence, competence and professional accountability.
They will support the development of in‑house training and education opportunities linked to urgent and emergency care, advanced practice and service need.
Communication and partnership working
The post holder will use highly developed communication skills to work effectively with patients, carers, colleagues and stakeholders across organisational and professional boundaries. They will communicate complex, sensitive or contentious information clearly and compassionately, adapting their approach to meet individual needs.
They will build strong working relationships across the multidisciplinary team, wider hospital services, external partners and system colleagues to support integrated working, effective escalation and improved patient outcomes.
Resource, performance and operational responsibilities
The post holder will support operational delivery across the UTCs, helping to maintain safe flow, effective prioritisation and appropriate deployment of Advanced Practice capability. They will contribute to workforce planning, service performance, resource use and the monitoring of quality and performance standards.
They will support effective use of equipment, clinical resources and digital systems, and contribute to decisions around service requirements, staffing, training and clinical spend where appropriate.
Overall, the Lead Advanced Practitioner will be expected to demonstrate a high degree of autonomy, accountability, clinical credibility and leadership maturity. They will support the continued development of Advanced Practice within UHD and contribute to the transformation of urgent and emergency care services across Dorset.
Person Specification
Experience
- A minimum of five years’ experience in UEC or relevant speciality.
- Extensive, demonstrable application of advanced clinical skills and experience in relevant specialty.
- Experience managing, supporting, and supervising staff, including supervision and appraisal of junior staff.
- Experience of working with a range of internal and external stakeholders.
- Experience of developing people.
- Governance, quality and service improvement experience.
Qualifications
- Relevant professional registration plus MSc Advanced Clinical Practice, or minimum PGDip including history taking/physical assessment, pharmacology, clinical decision‑making and diagnostics.
- Independent or supplementary prescribing qualification.
- Ionising Radiation (Medical Exposure) Regulation trained.
- ALS, EPALS/APLS, ETC or ATLS.
- Credential with associated speciality.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offences 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.
University Hospitals Dorset NHS Foundation Trust
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