Medical Nurse Practitioner

Our Ambulatory Emergency Care (AEC) Unit receives adult medical referrals from ED, GPs and WMAS. The core principle of AEC is that many patients requiring urgent assessment can be safely managed the same day, avoiding unnecessary admission or limiting hospital stay to a few hours.

The Band 6 Medical Nurse Practitioner (MNP) is a specialist acute clinician responsible for the autonomous assessment, examination, investigation, diagnosis and management of patients presenting with acute and often undifferentiated medical conditions. The post holder must make timely, high‑level clinical decisions to support safe same‑day care, appropriate escalation or admission where required.

This role demands advanced clinical assessment skills and recent, demonstrable experience within acute medicine, AMU, AEC/SDEC or emergency care settings. The MNP must be competent in interpreting diagnostics, managing complex and deteriorating patients, and initiating evidence‑based care without direct supervision in a high‑acuity, fast‑paced environment.

The role provides senior clinical leadership, supports patient flow and admission avoidance, and ensures safe, timely care aligned with acute medicine standards. This is a specialist acute post and cannot be undertaken safely without current, relevant acute competence and proven autonomous practice experience.

• The post holder will be a clinically based competent practitioner who will take a supportive role in strengthening the nursing contribution to patients and service users within the speciality across the organisation.
• In partnership with the medical team and the senior nursing team the post holder will assist in developing, implementing and evaluating a seamless service to patients within the Elective Division.
• Using enhanced nursing skills, the post holder will contribute to the management of patients which may include assessing patients, ordering investigations, reviewing results, undertaking clinical procedures, administering medications utilising patient group directives and completing discharge summaries, all within the scope of enhanced nursing competence.
• The post holder will contribute to the ongoing development of innovative practice, standards of care and strategies to ensure practice development.

• Advanced clinical assessment skills and recent, demonstrable experience within acute medicine, AMU, AEC/SDEC or emergency care settings.
• Competency in interpreting diagnostics, managing complex and deteriorating patients and initiating evidence‑based care without direct supervision in a high‑acuity, fast‑paced environment.
• Ability to autonomously assess, examine, investigate, diagnose and manage patients presenting with acute and often undifferentiated medical conditions.
• Experience in senior clinical leadership and patient flow support within an acute medicine setting.