Advanced Clinical Practitioner; And Emergency Care

Closing date: 04 February 2026

South Western Ambulance Service NHS Foundation Trust (SWASFT) is recruiting Advanced Practitioners in Urgent and Emergency Care (AP-UEC) to join our Specialist Practitioner team, supporting a 24/7 rota within Wiltshire.

This is a senior, autonomous AP role with a strong clinical focus. Approximately 80% of the working week is clinical, centred on the assessment and management of primary and urgent care presentations typically encountered in Primary Care, Out of Hours and Urgent Treatment Centre settings.

Of this clinical time, around 40% is spent undertaking remote clinical assessment, providing expert decision making support to operational crews and delivering robust remote consultations to ensure patients receive the right care, first time. The remaining 40% is spent deployed on a Rapid Response Vehicle receiving direct clinician referrals, responding to self-identified incidents and attending Category 1 emergencies (including cardiac arrest, maternity emergencies and major trauma).

The remaining 20% of the role supports activity across the remaining pillars of advanced practice, including education and supervision of Specialist Practice teams, clinical audit and research activity, and contribution to clinical guideline development. AP-UECs act as senior clinical leaders, providing advice and support to ambulance staff and volunteers across the service.

This role requires demonstrable autonomous practice within community urgent and emergency care settings.

A summary of the main roles and responsibilities are displayed here, please review the full job description and person specification for additional information.

• To fulfill the expectations and core capabilities of an AP as set out in the Trust AP job description. Working autonomously to an advanced level providing high quality patient care.
• Utilise the four pillars of advanced practice to support delivery of Trust objectives keeping with Trust values.
• To provide remote senior clinical assessment for patients and their families/carers when presenting to the ambulance service and/or when deployed and working as part of a care coordination hub.
• To manage patients presenting to the ambulance service completing full episodes of care through hear and treat or referring to alternative services as required e/g ambulance face to facce, ED or GP.
• To provide senior clinical support, supervision and clinical validation to operational colleagues, for instance registered and non registered clinicians and volunteers.
• To see, treat, discharge and/or refer patients presenting with undifferentiated presentations across the lifespan and acuity of primary, urgent and emergency care including responding to the full array of 999 presentations as determined by the EOC and local management teams, where required in response to internal and external pressures.
• To provide senior clinical visibility for EOC colleagues and trainee or qualified Specialist Practitioners in Emergency and Urgent care

At South Western Ambulance Service NHS Foundation Trust (SWASFT) we have a culture where everyone is valued for being themselves. Our aim is to work together to promote the most inclusive environment possible, which attracts people from the widest range of backgrounds and experiences to enrich the work that we do together, for the benefit of all of our employees, our patients and the communities we serve.

We offer flexible working opportunities, inclusive policies and a range of feedback mechanisms to support individuals and to enable a positive, welcoming environment where our people and their careers can thrive in.

We employ over 5,000 employees mainly clinical, operational and emergency response staff as well as supporting roles. We also employ Doctors and volunteers which include community first responders and fire co-responders.

We take all the steps needed to provide the most compassionate patient care possible whilst also providing an enjoyable and safe place to work. We actively promote a positive set of behaviours as being key to our performance both…