Advanced Clinical Practitioner

Location: Buckinghamshire:
Across Services Wycombe General Hospital & Stoke Mandeville Hospital

The Advanced Clinical Practitioner (ACP) will provide high-quality, patient-centred assessment, diagnosis, treatment and management of individuals presenting with a wide range of injuries and illnesses within urgent and unscheduled care settings.

Working autonomously, the ACP will deliver safe and effective care within agreed local, national guidelines, drawing on advanced clinical reasoning and evidence-based practice. The role includes independent prescribing, complex decision-making, and holistic patient management across all age groups, from paediatrics to older adults.

The ACP will work collaboratively within a multidisciplinary urgent care team, contributing to service development, quality improvement, and clinical education.

• This is a full-time clinical role, with a minimum commitment of 24 hours per week.
• The urgent care service operates 24 hours a day, 7 days a week, including weekends and bank holidays.
• Clinicians are expected to work days, evenings, nights, and weekends.
• A minimum of one weekend per month is required as part of the rota.
• Shifts are not fixed; flexibility is essential to support safe and effective service coverage.
• Rota schedules are released 12 weeks (3 months) in advance to support work-life balance and planning.
• Requests for flexible working patterns will be considered where possible, in line with service needs.

• Assess, diagnose, treat, and discharge or refer patients with minor illness/injury.
• Manage undifferentiated and complex presentations using advanced reasoning.
• Prescribe and administer medicines within scope and protocols.
• Conduct face-to-face and remote consultations for all ages.
• Request and interpret investigations, including ECGs and imaging.
• Work autonomously while collaborating with medical, nursing, and AHP teams.
• Provide urgent and emergency interventions as required.
• Maintain accurate and timely clinical records.

• Maintain registration (NMC/HCPC) and uphold professional codes.
• Take accountability for evidence-based, patient-centred decisions.
• Follow all Fed Bucks and regulatory policies, including safeguarding and confidentiality.
• Engage in reflective practice, supervision, and ongoing CPD.

• Participate in audit, service evaluation, and incident review.
• Contribute to pathway and guideline development.
• Promote a culture of safety, quality, and compassionate care.
• Support effective communication within the team and with partners.

• Maintain advanced knowledge through CPD.
• Teach, mentor, and supervise junior staff where appropriate.
• Support competency development within the urgent care team.
• Engage in service improvement or research projects.
• Complete all mandatory and role-specific training.

Fed Bucks is a not-for-profit GP federation of 46 GP practices covering a population of over 550,000 patients across Buckinghamshire. Since 2016, we have been committed to representing our member practices and championing primary care by collaborating with local general practice and system partners to deliver community-based healthcare services. As a social enterprise, we prioritise safe and compassionate patient care, continuous quality improvement, and positive health outcomes.

Patients are at the heart of everything we do, and we pride ourselves in our purpose when enabling excellent patient care and supporting general practice.

Fed Bucks is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults. All staff are expected to share this commitment and to uphold the organisations safeguarding policies and procedures at all times.

The successful applicant will be required to undergo an enhanced background check (e.g., DBS) prior to appointment, and regular safeguarding training will be provided and required.

• Bereavement leave
• Company pension
• Employee discount
• Free flu jabs
• Health & wellbeing programme
• On-site parking
• Sick pay
• Store discount

• Assess, diagnose, treat, and discharge or refer patients with minor illness/injury.
• Manage undifferentiated and complex presentations using advanced reasoning.
• Prescribe and administer medicines within scope and protocols.
• Conduct face-to-face and remote consultations for all ages.
• Request and interpret investigations, including ECGs and imaging.
• Work autonomously while collaborating with medical, nursing, and AHP teams.
• Provide urgent and emergency interventions as required.
• Maintain accurate and timely clinical records.

• 5 years post registration experience of which 2 years will have been spent in primary care, ED, unscheduled care, or related field.
• Experience managing both adult and paediatric presentations.

• Previous experience in GP OOHs, walk-in centre, or MIU.
• Experience in clinical guideline or pathway development.