Job summary An exciting opportunity has become available for a passionate and enthusiastic nurse to join a newly created Acute Response Team at North Bristol NHS Trust. 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 North Bristol NHS Trust. For further details and a comprehensive list of the main duties of this job please see the attached job description. About us North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialties. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered. We commit to treating each patient as an individual with respect and dignity, aiming to deliver excellent clinical outcomes and a first-class experience for everyone who uses our services. North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups. Date posted 20 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum Contract Permanent Working pattern Full-time Reference number 339-MED8122-LMG Job locations Southmead Hospital Bristol BS10 5NB Job description Job 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. Job description Job 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 Professional registration PACR PADRAP Non Medical Prescribing Skills Essential Evidence of ongoing professional development relevant to acute / critical care Experience of management of a deteriorating patient Work Experience Essential Grounded knowledge of the deteriorating patient across a range of settings Extensive post registration and current senior experience in acute care Person Specification Education Essential Professional registration PACR PADRAP Non Medical Prescribing Skills Essential Evidence of ongoing professional development relevant to acute / critical care Experience of management of a deteriorating patient Work Experience Essential Grounded knowledge of the deteriorating patient across a range of settings Extensive post registration and current senior experience in acute care Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name North Bristol NHS Trust Address Southmead Hospital Bristol BS10 5NB Employer's website https://www.nbt.nhs.uk (Opens in a new tab) Employer details Employer name North Bristol NHS Trust Address Southmead Hospital Bristol BS10 5NB Employer's website https://www.nbt.nhs.uk (Opens in a new tab). Location : Southmead Hospital, BS10 5NB Bristol, United Kingdom