Chelsea and Westminster Hospital NHS Foundation Trust
Advanced Nurse Practitioner Critical Care Outreach
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Advanced Clinical Practitioner (ACP) for Critical Care Outreach
The Advanced Clinical Practitioner (ACP) for Critical Care Outreach is a senior clinical and leadership position responsible for delivering expert autonomous assessment, diagnosis and management of acutely deteriorating adult patients across West Middlesex University Hospital. The post holder will provide advanced clinical practice within the Critical Care Outreach Team (CCOT), supporting the early recognition, treatment and escalation of deteriorating patients whilst improving patient safety and clinical outcomes.
Working as an experienced ACP, the post holder will provide clinical leadership across the deteriorating patient agenda, including development of escalation pathways, implementation of Martha's Rule, delivery of the Trust's deteriorating patient strategy and support of the NHS Sepsis Framework. The role combines 50% direct clinical practice with 50% leadership, education, workforce development, quality improvement and service transformation responsibilities.
The ACP will work collaboratively with Critical Care, Acute Medicine, Emergency Care and ward teams to ensure timely intervention for patients at risk of deterioration, reduce avoidable cardiac arrests and unplanned critical care admissions, optimise critical care capacity and improve patient flow across the organisation. The post holder will provide professional leadership for the CCOT workforce and contribute to strategic development of services aligned to Trust and national priorities.
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Main Duties
- Provide expert autonomous clinical assessment, diagnosis and management of acutely deteriorating adult patients.
- Lead and support the delivery of the Trust's deteriorating patient strategy.
- Act as a senior clinical decision-maker within the Critical Care Outreach Team.
- Lead implementation, monitoring and evaluation of Martha's Rule within clinical areas.
- Support the development and delivery of deteriorating patient escalation pathways for patients, families and staff.
- Lead improvements in sepsis recognition and management in line with national guidance.
- Provide expert advice and support regarding critical illness, escalation planning, treatment limitation decisions and end-of-life care.
- Independently prescribe and manage treatment plans within scope of practice.
- Support safe admission to and discharge from Critical Care services.
- Lead quality improvement, governance, audit and patient safety programmes relating to deterioration and critical illness.
- Provide line management, professional leadership and workforce development for CCOT staff.
- Deliver education, training and competency programmes for healthcare professionals across the Trust.
- Contribute to service development, policy development and implementation of evidence-based practice.
- Participate in a 24/7 outreach service, including nights, weekends and bank holidays.
About Our Trust
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
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Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
Contact Information
For further details / informal visits contact:
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Name: Elaine Manderson
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Job title: Deputy Divisional Director of Nursing
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Email address: elaine.manderson@nhs.net
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Telephone number: 07585880441
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Consultant Nurse for ACP: Misha Virtudazo
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Email address: misha.virtudazo@nhs.net
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