Advanced Clinical Nurse Practitioner - Surgery
Job overview
We have an exciting opportunity for an Advanced Clinical Nurse Practitioner to join our Surgical and Urology team at Frimley Park Hospital. This is a primarily clinical role focused on the assessment, diagnosis, and management of patients within the Acute Surgical setting, working in our developing Surgical & Urology Same Day Emergency Care (SDEC) unit. Our aim is to provide rapid senior assessment, timely decision‑making, urgent investigations, and early treatment to avoid unnecessary admissions and improve the patient pathway.
We are seeking a qualified Advanced Clinical Nurse Practitioner who can independently assess and treat a wide range of surgical presentations and contribute clinical expertise to the development and enhancement of the service. The role requires autonomous practice, advanced clinical judgement, and leadership within a fast‑paced SDEC environment.
The postholder will be part of a clinical rota covering the Surgical & Urology SDEC unit and participating in Surgical Emergency Team rounds, ensuring consistent senior review, safe decision‑making, and effective patient flow across the acute surgical pathway.
Due to the current trainee‑heavy structure within the ACP team, this vacancy cannot be appointed as a trainee ACP. We require a fully qualified nurse practitioner who can provide senior clinical decision‑making, support service development, and offer supervision and leadership within the Surgical & Urology SDEC unit.
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The Advanced Clinical Nurse Practitioner is a senior autonomous clinician who works across traditional professional boundaries, undertaking complex assessment, diagnosis, treatment and management of patients within the Acute Surgical and Urology pathways. The role provides expert clinical leadership, advanced decision‑making and high‑quality holistic care within the Surgical & Urology SDEC unit and the Surgical Emergency Team rounds.
The ACNP will independently assess, investigate, diagnose, plan and implement care for a wide range of acute and chronic surgical presentations. They will demonstrate advanced clinical skills, critical thinking and safe, evidence‑based decision‑making, ensuring timely senior review and effective patient flow across the acute surgical pathway.
Working within nationally and locally agreed protocols, the ACNP will practise across the Four Pillars of Advanced Practice—clinical practice, leadership and management, education, and research. They will contribute specialist expertise to service development, support innovation within the SDEC model, and ensure that evidence‑based practice underpins all aspects of care.
The ACNP will act as a clinical leader and role model, supporting the education, development and supervision of nursing, midwifery, AHP and medical colleagues. They will work collaboratively within the multidisciplinary team to enhance patient pathways, improve outcomes and strengthen the delivery of high‑quality surgical emergency care.
Working for our organisation
Why Join Frimley Health NHS Foundation Trust?
At Frimley Health NHS Foundation Trust, our people are at the heart of everything we do.
As a Disability Confident Employer and recipient of the Gold Award in the Armed Forces Employer Recognition Scheme, we actively champion equality, diversity and inclusion, creating opportunities for people from all backgrounds to build rewarding careers within the NHS.
We also recognise the importance of a healthy work-life balance. By supporting flexible working arrangements wherever possible, we enable our colleagues to balance their professional and personal commitments while continuing to deliver outstanding care to our patients. Whether flexibility means adjusted hours, part-time working, hybrid arrangements or alternative working patterns, we work in partnership with our staff to meet both individual and service needs.
Join Us
Whether you're at the start of your career or looking for your next challenge, Frimley Health offers the opportunity to be part of a inclusive, forward-thinking organisation that is committed to excellence, innovation and compassionate care. Together, we can shape the future of healthcare and make a real difference to the lives of the communities we serve.
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Detailed job description and main responsibilities
The Advanced Clinical Nurse Practitioner will deliver high‑quality clinical care to patients attending Frimley Health, providing autonomous assessment, investigation, diagnosis, treatment and management across the Acute Surgical and Urology pathways. Working within the Surgical & Urology SDEC unit and participating in Surgical Emergency Team rounds, the ACNP will ensure timely senior decision‑making and safe, effective patient flow.
The postholder will prioritise patient health needs, intervene appropriately, and practise with full professional and legal accountability in line with Trust policies and the standards of their regulatory body. They will demonstrate advanced clinical reasoning, specialist knowledge at academic Level 7, and expert judgement in managing undifferentiated, differentiated and complex presentations.
The ACNP will ensure patients are fully informed and that consent is obtained prior to assessment, investigation or treatment. They will take responsibility for managing their own caseload and contribute to the supervision, support and development of junior members of the multidisciplinary team.
Practising across the Four Pillars of Advanced Practice—clinical practice, leadership and management, education, and research—the ACNP will act as a clinical leader and role model. They will support service development, champion evidence‑based practice, and work collaboratively with nursing, midwifery, AHP and medical colleagues to enhance patient pathways and improve outcomes.
Frimley Health NHS Foundation Trust (FHFT) is proud of its strong reputation, record of achievement and ambition for the future. We serve a population of over 900,000 people across Berkshire, Hampshire, Surrey and South Buckinghamshire, and remain committed to improving the health and wellbeing of our communities.
Our new organisational strategy – FHFT 2030 – sets out our ambition to be the best place to receive care and the best place to work in the NHS. Underpinned by our Trust values – Committed to Excellence, Working Together, Facing the Future, and being a modern, compassionate, Healthcare Organisation – we are creating a culture where our people can thrive and patients always come first.
We continue to invest heavily in our services and facilities. This includes the development of a new hospital at Frimley Park, major expansion of diagnostics and inpatient capacity, and the continued transformation of services across our sites. We have already delivered a brand-new £100m state-of-the-art Heatherwood Hospital, a £49m Emergency Assessment Centre at Wexham Park, and a £10m upgrade to maternity services.
We are also committed to sustainability and the NHS Net Zero ambition. Our new hospital and estate developments are being designed to be environmentally responsible, energy efficient, and future-proofed, featuring on-site renewables energy and intelligent energy systems. Through our green plan, we are embedding sustainable practices across all areas of care and operations, ensuring we reduce our environmental impact while improving population health and wellbeing. Our staff are key to helps us deliver on our ambition and to ensure sustainability is a core component of care delivery and our operations.
Alongside estates’ investments, we are embedding a strong focus on digital innovation and quality improvement. Our electronic patient record (Epic), launched in 2024, is already enabling safer, more connected, and more effective care for patients, while giving staff the tools they need to do their best work. Our electronic patient record also supports safe and effective digitised care pathways, savings time and carbon, whilst delivering excellent quality of care.
Everything we do is guided by our values, shaping how we care for patients, support colleagues, and build a sustainable future for healthcare together.