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Job summary

Main area
Acute Medicine
Grade
Band 8a: Annexe 21
Contract
Secondment: 12 months (Trainee Position: Annexe 21)
Hours
Full time - 37.5 hours per week (7 day service. Variable shift pattern, 8-4, 1-9 and long days 7.30-21:00. Minimum of 1 weekend per month)
Job ref
287-RMED-55-26
Employer
Liverpool University Hospitals NHS Foundation Trust
Employer type
NHS
Site
Royal Liverpool Univeristy Hospital
Town
Liverpool
Salary
Annexe 21: dependant on experience
Closing
20/02/2026 23:59

Employer heading

Liverpool University Hospitals NHS Foundation Trust logo

Trainee Advanced Practitioner - Acute Medicine

Band 8a: Annexe 21

Job overview

We’re excited to offer a fantastic opportunity for a nurse or AHP with at least five years’ acute medicine experience to join our team of Advanced Practitioners in the Acute Medicine Department at the Royal Liverpool Hospital. You’ll be joining a supportive group of eight qualified Advanced Practitioners and four trainees who are passionate about high‑quality patient care.

If you’re a dynamic, forward‑thinking clinician who’s eager to deepen your clinical expertise and pursue a master’s degree in advanced health care practice, we’d love to hear from you.

This post is aimed at clinicians who already hold a minimum of 20 Level 7 credits relevant to advanced practice and who are motivated to complete their MSc through a supported two‑ or three‑year programme, undertaken alongside a structured clinical portfolio.

Essential Criteria

  • Minimum of five years’ post‑qualification experience relevant to acute medicine.
  • Trainee ACP:
    • Applicants working towards the ACP apprenticeship or those who can demonstrate recent Level 7 study will be considered.
    • A minimum of clinical examination and diagnostics is required
    • Clinicians will be employed under Annexe 21 until all academic and clinical requirements are completed, with the expectation that these will be achieved within a three‑year timeframe.

Main duties of the job

The ACP role within Acute Medicine is predominantly clinical, with approximately 15% dedicated to leadership, education, and research. This position offers the opportunity to work as an integral part of the medical team. You will contribute to daily ward rounds, support clinics, and clerk patients referred to the Acute Medicine service.

In this role, you will develop the skills to perform comprehensive clinical assessments, request and interpret appropriate investigations, and confidently initiate individualised treatment plans. You will manage patients within the acute inpatient setting while also delivering care through established ambulatory pathways or virtual review services in the outpatient environment.

During your training, you will be fully supported to develop a robust clinical portfolio that evidences your progression across all four pillars of Advanced Practice. 

As a qualified Advanced Practitioner, you will work autonomously within your scope of practice, delivering high‑quality, safe, and effective clinical care. Your practice will align with the standards outlined in the Multi‑Professional Framework for Advanced Clinical Practice in England, as well as the NMC Principles of Advanced Practice where applicable. You will also be expected to maintain and continue developing a professional portfolio once qualified.

Working for our organisation

Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.

We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women’s NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.

UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond. 

For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.

Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women’s Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK’s largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.

For roles at Liverpool Women’s, visit their careers page.

Detailed job description and main responsibilities

Clinical Practice

 

As a trainee you will, under appropriate supervision:

  • Undertake structured clinical assessments, including history‑taking, examinations, and development of differential diagnoses.
  • Request and interpret investigations with increasing independence as competency is achieved.
  • Contribute to the development of individualised treatment plans, escalating to senior clinicians when required.
  • Participate in daily Acute Medicine ward rounds, contributing to clinical decision‑making, documentation, and multidisciplinary discussion.
  • Assessing and clerking patients referred to Acute Medicine, identifying acuity and escalating promptly when concerns arise.
  • Develop skills in recognising and managing deteriorating patients, with support from senior clinicians during emergency situations.
  • Support safe patient flow through high‑quality documentation, early escalation, and collaborative working.

Your level of independence will increase as you meet the competencies outlined in your training pathway.

 

Leadership and Management

With guidance and supervision, you will:

  • Contribute to quality improvement projects and audits within the Acute Medicine service and Same Day Emergency Care
  • Develop leadership behaviours through role modelling, reflective practice, and participation in team activities.
  • Contribute to creating a positive learning environment.
  • Participate in governance processes to build understanding of risk, safety, and quality within the department.

 

Education and Training

 

As part of your trainee development, you will:

  • Engage in a structured training plan aligned to your MSc in Advanced Clinical Practice and the requirements of the ACP Framework.
  • Participate in supervised clinical sessions to develop your assessment, diagnostic, and decision‑making skills.
  • Participate in teaching activities for students and junior staff.
  • Maintain regular meetings with your clinical supervisor and academic mentors to support your progression.

 

Research and Evidence‑Based Practice

With support, you will:

  • Apply evidence‑based practice to your clinical reasoning.
  • Contribute to audits, evaluations, and service improvement projects.
  • Begin to develop skills in reviewing and implementing clinical guidelines and pathways.

 

Professional Portfolio and Governance

 

As a trainee ACP, you will be expected to:

  • Maintain a comprehensive clinical portfolio, demonstrating your progression across the four pillars of Advanced Practice.
  • Work toward meeting the competencies required for ACP qualification.
  • Engage in regular supervision, work-based assessments, and formal review of your academic and clinical development.
  • Adhere to the Multi‑Professional Framework for Advanced Clinical Practice and, where applicable, the NMC Principles of Advanced Practice.

 

Communication and Team Working

 

You will:

  • Communicate effectively with patients, carers, and colleagues, seeking support when dealing with complex or sensitive situations.
  • Contribute to handovers and maintain accurate clinical documentation.
  • Develop strong working relationships across Acute Medicine, ED, specialty teams, and community services to support continuity of care.

 

 

 

Person specification

Qualifications

Essential criteria
  • Clinical Professional Qualification. Degree level with appropriate registration
  • Masters Degree or equivalent in relevant discipline.
  • Teaching and assessing qualification
  • Relevant post registration qualification/equivalent
  • Prescriber
  • Evidence of participation in audit and research

Experience

Essential criteria
  • Demonstrable relevant experience within the speciality
  • Evidence of effective management
  • Evidence of effective leadership skills
  • Evidence of staff development
  • Evidence of change management
  • Evidence of application of current clinical service issues and developments

Knowledge

Essential criteria
  • Understanding and application of healthcare governance

Skills

Essential criteria
  • Excellent communication skills
  • Committed to delivering high standards of patient care
  • Basic IT skills, including e-mail and word processing

Other

Essential criteria
  • Supportive of colleagues
  • Enthusiastic and motivated with the ability to motivate the team
  • High level of personal and professional credibility
  • Act as role model for staff

Employer certification / accreditation badges

Fair Employment Charter Status - Aspiring LevelNHS Pastoral Care Quality AwardTrust IDVeteran AwareApprenticeships logoNo smoking policyPositive about disabled peopleInvestors in PeopleArmed Forces Covenant Gold AwardMindful employer.  Being positive about mental health.Carer confident logo, the employers for carers confident schemeDisability confident committedStep into health

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.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

Documents to download

Apply online now

Further details / informal visits contact

Name
Paul Scott
Job title
Lead Advanced Nurse Practitioner (Acute Medicine)
Email address
[email protected]
Telephone number
0151 706 3512
Additional information

If you would like further information regarding this role or wish to arrange an informal visit please contact Paul Scott via email. 

Other Contact 

Sheryl Snelson: Interim Group Lead ACP LUHFT and LWH  [email protected]