Cwm Taf Morgannwg University Health Board
Senior Advanced Clinical Practitioner (fully qualified or Annex 21)

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Emergency Medicine: Senior Advanced Clinical Practitioner
We have an exciting development opportunity for a suitably qualified and experienced professional who would like to extend their scope of practice to an advanced level.
Where required, the post holder will be expected to undertake a four-year training programme under Annex 21 (Band 8a) working towards achieving a level 7 qualification in advanced practice and local consultant sign-off as an EM:ACP.
Annex 21 remuneration applies (60% of the top of Band 8a pay for Year 1, 65% of the top of Band 8a pay for Year 2, 70% of the top of Band 8a pay for Year 3, 75% of the top of Band 8a pay for Year 4).
Note: No financial detriment if the successful candidate is an existing NHS Wales employee.
Those candidates who fulfil the full role criteria are welcome to apply, and they would be eligible for appointment at Band 8a.
The post holder will work as part of the clinical team in the ED and will be committed to a pathway of training and education aligned to registration with RCEM as an EM-ACP.
- Within the ED there is substantial exposure to the breadth of EM cases ranging from seriously ill or injured adults and children to minor injuries with ample opportunities to develop EM procedural skills
- Weekly departmental training is provided to support knowledge & skill acquisition and progress your training needs. You will also be allocated a consultant clinical supervisor and a qualified ACP mentor to support your transition into the department
- Your role will have an 80/20 split with clinical time and protected SPA time to support your growth across all 4 pillars of advanced practice.
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The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.
About the Organisation
Cwm Taf Morgannwg (CTM) University Health Board, part of NHS Wales, serves a large population across a diverse and beautiful region, steeped in history and heritage. With nearly 13,500 staff, our health board is one of Wales’s largest employers.
Together, we are Team CTM; a workforce dedicated to offering excellent patient care and support to the 450,000 people across our three regions, Bridgend, Merthyr Tydfil, and Rhondda Cynon Taf. We operate three District General hospitals, several community hospitals, primary and community care facilities.


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CTM’s location offers the best of South Wales, just 20 minutes from Cardiff’s vibrant city life, the natural beauty of the Brecon Beacons, and the serene coastline at Ogmore. Whether you enjoy lively urban amenities, peaceful countryside, or seaside escapes, our location makes an ideal setting for both work and personal life.
Our CTM 2030 Strategy—Our Health, Our Future—focuses On Uniting Our Region Around Shared Health And Wellbeing Goals. Our Values Guide Us Daily
- We listen, learn, and improve
- We treat everyone with respect
- We work together as one team
CTM employees enjoy benefits including; a leading pension, generous leave, flexible work, career growth, and access to ongoing learning and development.
At CTM, you’ll find a welcoming, team-oriented workplace that values diversity and compassion, where you can take pride in your work and the difference it makes.
Contact Information
For further details / informal visits contact:
- Name: Johnathan George
- Job title: Lead Advanced Clinical Practitioner
- Email address: johnathan.george@wales.nhs.uk
- Telephone number: 01443 443 443
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