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Job summary

Main area
General Surgery
Grade
NHS AfC: Band 8a
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
391-RFL-8034093
Employer
Royal Free London NHS Foundation Trust
Employer type
NHS
Site
Barnet
Town
Barnet
Salary
£63,665 - £70,887 per annum inclusive of HCAS
Salary period
Yearly
Closing
25/06/2026 23:59

Employer heading

NHS

Band 8A Advanced Nurse Practitioner, ESAC

NHS AfC: Band 8a

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community.  This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role. We recognise that AI tools can support accessibility, equity and confidence for applicants. However, it’s important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey. Further guidance can be found in the NLPSS Applicant Toolkit https://royalfree.pagetiger.com/cuuomnr/1.

Click here to view our video Welcome to the Royal Free

Royal Free London NHS Foundation Trust is committed to fair and transparent recruitment and requires applicants to provide accurate information, as misleading details may affect their application or employment and may be verified in line with the Fraud Act 2006. For further information please visit https://royalfree.pagetiger.com/cuuomnr/1.

 

Job overview

We are excited to offer an exceptional opportunity for an experienced and highly motivated Advanced Nurse Practitioner (ANP) to join our newly established Emergency Surgery Assessment Care Unit (ESACU).

This is a pivotal role within a dynamic, fast-paced environment designed to deliver rapid assessment, diagnosis, and management of patients presenting with acute surgical conditions. You will work at an advanced clinical level, playing a key role in shaping and developing this innovative service.

You will be an experienced ANP with a strong clinical background in emergency, acute, or surgical care. You will demonstrate excellent clinical reasoning, decision-making skills, and the ability to work autonomously in a high-pressure environment.

If you are passionate about advanced practice and excited by the opportunity to help build and develop a high-impact surgical assessment service, we would love to hear from you.

Main duties of the job

Our Emergency Surgery Assessment Care Unit is a new, forward-thinking service focused on:

Rapid triage and assessment of emergency surgical patients
Avoidance of unnecessary admissions
Delivering high-quality, patient-centred care
Enhancing patient flow and improving outcomes

You will have the unique opportunity to shape the culture, processes, and clinical pathways of this developing unit.

Key Responsibilities

Perform advanced clinical assessment, diagnosis, and treatment of patients with acute surgical presentations
Independently manage a defined caseload while working collaboratively within the multidisciplinary team
Request, interpret, and act upon diagnostic investigations
Initiate and evaluate comprehensive management plans, including prescribing where appropriate
Facilitate timely patient flow through the ESACU, supporting same-day emergency care pathways
Provide clinical leadership and expert advice to nursing and junior medical staff
Contribute to service development, quality improvement, and implementation of evidence-based practice
Support education, mentorship, and training within the team

Working for our organisation

The Royal Free London NHS Foundation Trust is one of the UK’s biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top
 
Therapy Services has a high profile within the Trust, being firmly committed to quality improvement, audit, service evaluation and improvement. We undertake yearly presentations of our achievements for the year; undertaking PDSA and QI projects to ensure we are delivering the most effective, safe and high quality service.
 
For more information please follow link https://www.royalfreelondonjobs.co.uk/

Detailed job description and main responsibilities

Please see the attached Job Description document which will provide a more detailed description of role and main responsibilities.

Person specification

Education & professional qualifications

Essential criteria
  • Registered Nurse
  • MSc in Advanced Clinical Practice
Desirable criteria
  • Non-Medical Prescribing Qualification

Experience

Essential criteria
  • Significant post-registration experience in acute/surgical care
  • Experience in advanced assessment and clinical decision-making
  • Experience of managing acutely unwell patients
  • Clinical history taking & examination skills and planning of care
  • Evidence of implementing change in clinical practice

Skills & aptitudes

Essential criteria
  • Advanced clinical examination and diagnostic reasoning skills
  • Ability to work autonomously and manage clinical risk
  • Effective communication and leadership skills
  • Excellent written, verbal, and electronic communication skills demonstrating the use of a variety of media/IT skills
  • Demonstrates effective communication skills in different settings
  • IT literacy and clinical documentation competence.
  • Experience of teaching to a range of staff groups.
  • Good time management and organisational skills.
  • Ability to develop working relationships locally, regionally, and nationally
  • Excellent written, verbal, and electronic communication skills demonstrating the use of a variety of media/IT skills.
  • Demonstrate leadership skills in contexts that are unfamiliar, complex, and unpredictable and provide consultancy services to their own and other professions on therapeutic interventions, practice, and service development
  • Maintains professionalism in all aspects of role.
  • Demonstrates effective communication skills in different settings.
  • Ability to communicate with the general public.
  • Ability to project a professional manner and approach.
  • Excellent interpersonal skills
  • Can assess individual health care needs of the acutely ill surgical patient.

Personal qualities & attributes

Essential criteria
  • Be a positive role model with the ability to demonstrate a credible and professional approach
  • Ability to work as a team and form professional relationships with colleagues
  • Highly motivated and committed to developing the ANP role / service
  • Take responsibility for own professional development
  • Ability to be assertive when necessary and remain calm in stressful situations
  • Flexibility in shift and working patterns to meet the needs of the service.
  • Ability to work constructively within a multi-disciplinary team
  • Ability to reflect upon one’s practice.
  • The vision and focus to continually strive to improve the service for our patients is a key attribute for this and any role within the Royal Free London NHS Foundation Trust.
  • Will be required to hold and respond to a bleep.
  • Audit and research skills

Royal Free World Class Values

Essential criteria
  • Demonstrable ability to meet the Trust Values

Employer certification / accreditation badges

Nursing TimesApprenticeships logoNo smoking policyPositive about disabled peopleDisability confident employerTimewise PartnerCare Quality Commission - Requires improvementEnei MemberArmed Forces Covenant

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

Apply online now

Further details / informal visits contact

Name
Deborah Kirby
Job title
Head of Nursing, Surgery
Email address
[email protected]
Telephone number
07790 989745
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