Job summary
- Main area
- Acute Care Response Team
- Grade
- Band 7
- Contract
- Permanent: Minimum 30hrs contract. This is a band 7 Enhanced Practitioner role. However, successful candidates who do not meet all essential criteria, but meet entry requirements would be eligible to be supported to complete relevant training. These candidates will be paid in accordance with Agenda for Change Annex 21/ Annex 30 pay protocol for in-service apprenticeships.
- Hours
- Full time
- Part time
- Job ref
- 318-25-T0640
- Employer
- Gloucestershire Hospitals NHS Foundation Trust
- Employer type
- NHS
- Site
- Gloucestershire Hospitals NHS Foundation Trust
- Town
- Gloucestershire
- Salary
- £47,810 - £54,710 (pro rata if part time)
- Salary period
- Yearly
- Closing
- 24/09/2025 23:59
- Interview date
- 10/10/2025
Employer heading
ACRT Practitioner - Enhanced Level, Band 7
Band 7
At Gloucestershire Hospitals, our people are at the heart of everything we do. As the largest employer in the county, we’re proud to provide outstanding acute, elective, and specialist services to over 650,000 people across our county. Whether you’re just beginning your NHS journey or taking the next step in your career, this is an exciting time to join us. We’re investing in innovation, research, and transformation, with over 100 active clinical studies and major developments underway across our two district hospitals.
You can expect a welcoming and supportive culture and you’ll be supported by passionate colleagues who care deeply about teamwork, development, and delivering exceptional care. We offer structured development programmes, mentoring, and leadership opportunities to help you grow in your career. Gloucestershire has the perfect mix of culture, countryside, and community. With excellent schools, transport links, and access to award-winning green spaces, it’s a great place to live and work.
We value the diversity of our workforce and are committed to creating an environment where everyone feels they belong.
Be part of Gloucestershire Hospitals, explore your future with us today.
Job overview
An exciting opportunity has arisen for an experienced, highly motivated and dynamic professional to join our friendly Acute Care Response Team (ACRT) at Gloucestershire Hospitals NHS Foundation Trust.
We have created a new job role within our experienced team of Advanced Practitioners and are now recruiting for the position of ACRT Practitioner - Enhanced Level.
Enhanced practice is delivered by experienced, registered health care professionals. It is a level of practice characterised by those working with autonomy and working independently in complex areas and managing day to day risks. Enhanced level practice can be a precursor or preparation for advanced level practice but equally it can be valued as a role destination in itself (NHSe 2024).
Complex clinical decision making is needed but may be supported by an overall plan from specialist or advanced clinicians in the area. The ACRT Practitioner provides high quality, individualised clinical management for patients who are acutely unwell or at risk of deterioration.
Applications are welcome from individuals who do not meet the essential criteria for a qualified enhanced practitioner but are committed to undertaking an accredited education programme. The successful candidate will be supported with completion of the required competencies and capabilities.
If there are a significant number of applicants we reserve the right to close applications early.
Main duties of the job
The successful applicant would demonstrate a high level of professional standards; they will be a role model and will work autonomously whilst demonstrating the core trust values. The key duties of the job include:
- Assessment and management of deteriorating patients using clinical assessment and diagnostic reasoning skills to determine and initiate changes to treatment as necessary. This covers all adult in patient areas.
-Key team member of the clinical emergency teams within the trust. We are Advanced Life Support providers therefore excellent leadership qualities are required for this exciting and varied role.
- Provide advice, support and education to medical, nursing and AHP staff.
- If qualified to do so prescribe medication appropriately for specific groups of patients, following Trust guidance where appropriate.
- Work with ACRT Advanced Practitioners to deliver educational programs for staff locally.
- Act as clinical role model / educator for developing and delivering care that is responsive to changing requirements
- Provide a timely, holistic discharge review of patients transitioning from critical care to the wards. In addition, supporting the wards with tracheostomy and laryngectomy patients.
- The ACRT are the responding team to Martha's Rule, a major patient safety initiative providing patients and families with a way to seek a clinical review if their loved ones condition deteriorates.
Working for our organisation
Gloucestershire Hospitals NHS Foundation Trust operates hospitals on our two main sites in Cheltenham and Gloucester, and we're one of the largest NHS trusts in the country.
Our workforce of almost 9,000 staff provides high-quality emergency, elective and specialist care across a range of clinical areas
It is expected that all employees uphold the values of the organisation as our values underpin everything we do and describe the way we expect our staff to behave towards our patients, families and carers and between each other.
Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that:
· 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question.
76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region.
81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64%.
Detailed job description and main responsibilities
Please see the detailed Job description attached in documents section. The main duties of the role are described in the advert and job description.
Minimum 30hrs per week. 24hours/7 day. GHNHSFT (Trust wide - GRH/CGH cross site working).
Expected interview date: 10/10/2025
Additional information:
It is recommended that applicants visit the team prior to application, if you would like to arrange a date and time to visit us please contact us via email: [email protected]
Person specification
Qualifications
Essential criteria
- Current registered health care professional registered with NMC or HCPC holding significant experience in an acute specialty
- BSc (Hons) or equivalent from a recognised institution of higher education or its equivalent in a relevant subject area
- Post graduate qualification; Physical assessment and clinical reasoning or equivalent. (Or willing to complete in trainee capacity)
- Post graduate qualification; Pathophysiology and diagnostic reasoning or equivalent (Or willing to complete in trainee capacity)
- Recognised teaching qualification or relevant experience as educator, supervisor, coach and mentor
- Clinical experience in managing acutely unwell adults and associated complications
- Evidence of continued professional development
- Grade C/4 or above in GCSE English and Mathematics or Functional Skills Level 2 in English and Mathematics or equivalent
- As part of university entry requirements if English is not your first spoken language, then you will need evidence that you have reached a sufficient standard eg IELTS 6.5 or equivalent
- Non-medical prescribing with evidence of updated knowledge appropriate for prescribing range (Or willing to complete in trainee capacity)
- ALS provider certification (or willing to complete in post)
Desirable criteria
- ILS provider certification
Skills
Essential criteria
- Evidence of working within an acute specialty with interest in acutely unwell or deteriorating patients
- To act as a specialist clinical expert in direct contact care, able to make high level skills decisions, informed by advanced diagnostic, assessment and treatment skills
- Demonstrate a critical understanding of own level of responsibility, including when working with complexity, risk, uncertainty and incomplete information
- Ability to manage differentiated and undifferentiated presentations and complex situations to make evidence-based judgements
- Demonstrate enhanced aptitude/ intentional desire to learn the required skills to initiate, evaluate and modify a range of interventions in relation to the management of deteriorating patients.
- Ability to interpret and evaluate national and international guidelines and apply to local protocols and practice as appropriate.
- Evidence of continuing professional development
- Critically appraise and synthesise the outcome of relevant research, evaluation and audit
- Ability to complete ACRT capabilities in trainee capacity.
Desirable criteria
- Experience in autonomous practice role
Personal Attributes
Essential criteria
- Excellent communication skills for within a variety of healthcare setting with heath care professionals, patients, and visitors/family. Ability to effectively communicate highly complex and sensitive information
- Ability to prioritise and organise workload effectively
- Evidence of strong leadership skills, resilience, determination and ability to manage conflict
- High level of self-motivation drive for performance and improvement
- Flexibility in approach and attitude
- Able to demonstrate self- reflection within practice
- Ability to remain calm in rapidly changing and stressful situations
Employer certification / accreditation badges
Applicant requirements
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.
Documents to download
Further details / informal visits contact
- Name
- Nicola Jackson
- Job title
- Clinical Lead ACRT
- Email address
- [email protected]
- Telephone number
- 0300 422 2340
- Additional information
It is recommended that applicants visit the team prior to application, if you would like to arrange a date and time to visit us please contact us via email: [email protected]
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