West London NHS Trust
Senior Enhanced Practitioner
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North Bristol NHS Trust and University Hospitals Bristol and Weston NHS Foundation Trust Merger
North Bristol NHS Trust (NBT) and University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) have merged as of 1st July 2026 to become Bristol NHS Foundation Trust. This creates an exciting future that brings together the best of both organisations. As a single, strong and sustainable organisation, we will not only be able to deliver better outcomes for our patients and fairer care for our population, but it will also provide greater opportunities for our people.
Bristol NHS Foundation Trust recognise the value of a healthy work-life balance. When applying, speak to us about how we might be able to accommodate flexible working, so your work life fits around your home life.
We particularly welcome applications from Black, Asian and minority ethnic candidates as they are under-represented within the Trust.
Our job adverts may close as soon as sufficient applications have been received. Considering this, if you are interested in this role, please do apply as soon as you can.
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Job Overview
An exciting opportunity has become available for a passionate and enthusiastic nurse to join a newly created Acute Response Team at Bristol NHS Foundation Trust, Southmead Site. This team will deliver safe, effective, and timely clinical intervention to adult inpatients who are acutely unwell or at risk of deterioration.
This nurse led team will act with a high degree of autonomy to support high quality care for acutely unwell adult inpatients 24 hours a day, 7 days a week.
Practitioners in this team will respond to acute deterioration at an early stage. They will provide an advanced clinical assessment and initiate investigation and clinical intervention to avert further deterioration. They will work in close collaboration with the parent specialty and ward teams to deliver high quality care and will support education of ward staff across the multi-disciplinary team. They will provide critical care knowledge and skills including routinely reviewing ICU discharges, using non-invasive ventilation, CPAP and High Flow Nasal Oxygen, and supporting emergency intubations occurring outside the ICU.
They will be the effectors of Martha’s Rule within the Trust, responding to patients’ and relatives’ concerns with compassion and sincerity, offering rapid clinical review as required. They will undertake audit and evaluation of their workload and engage actively with clinical governance to ensure patient safety and high-quality outcomes.
Main duties of the job
The Senior Enhanced practitioners will work with a high degree of autonomy. They will work with the support and education of the Advanced Clinical Practitioners but will be able to undertake high quality clinical assessment for patients across a range of specialties and effect early intervention in response to clinical deterioration. This is an exciting opportunity to lead, shape and develop a new service to drive improved care for acutely unwell patients in Bristol NHS Foundation Trust. For further details and a comprehensive list of the main duties of this job please see the attached job description.
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Working for our organisation
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.
With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone’s throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we’re meeting our pledge.
Detailed Job Description And Main Responsibilities
This role will involve working as part of a team, the practitioner will use autonomous practice, make complex decisions and provide high quality care for patients who are acutely unwell.
Using their expertise and decision-making skills the practitioner will need to use clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations.
The practitioner will support the development of the workforce, work as a role model with the trust values, demonstrating a person-centred approach.
The practitioner will demonstrate team leadership, resilience, and determination, manage situations that are complex or unpredictable. Pro-actively initiating and developing effective relationships, working closely with the lead practitioners within the team.
For a more detailed comprehensive outline of the job description and main responsibilities see attached.
Person specification
Education
Essential criteria
- Professional registration
- PACR
- PADRAP
- Non Medical Prescribing
Skills
Essential criteria
- Evidence of ongoing professional development relevant to acute / critical care
- Experience of management of a deteriorating patient
Work Experience
Essential criteria
- Grounded knowledge of the deteriorating patient across a range of settings
- Extensive post registration and current senior experience in acute care
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We hope that you will decide to join us and become part of this exciting journey, helping us to shape our future together.
As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application to ensure we’re meeting our pledge.
The Trust is committed to investing in and caring for all our staff. We will support you in maintaining and improving your health and wellbeing, as well as your career development through management and training support - developing exceptional people for exceptional careers.
BFT is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults.
To comply with Part 7 of the Immigration Act 2016 all applicants must be able to speak fluent English to an appropriate standard which will be assessed at Interview.
If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the UKVI points based system.
The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.
By applying for this post, you are agreeing to Bristol NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.
Please be aware of scams – unless specified above, we will only communicate with you via @recruit.trac.jobs or nhs.net e-mails and we will never ask you for any payments.
Important
Please note that if you apply for a position with this Trust, you may be contacted via Trac or via email. This includes invites for job interviews. We therefore recommend that you regularly check your Trac account and email accounts. We may also contact you by texting the mobile number, if provided, on the application form.
Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore, please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification
Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
As a guide interviews should usually take place within 3 weeks of the closing date.
When providing employment reference details, please provide correct work-related email addresses so references can be sought promptly when we are looking to progress your application. Your referee must all be known to you in a line manager or professional lead capacity.
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