Advanced Nurse Practitioner Critical Care Outreach

Job Advert Skip to main content Cookies on NHS Jobs We've put some small files called cookies on your device to help us make improvements to our site. To improve our site we'd also like to use cookies which will send information to Google Analytics. You can read more about our cookies before you choose. Accept analytics cookies Do not accept analytics cookies Jobs Menu Sign in Create an account English Cymraeg Menu Close menu Search Sign in Create an account Display in Welsh (Cymraeg) Search Sign in Create an account Display in Welsh (Cymraeg) BETA Your feedback will help us to improve this service. Chelsea and Westminster Hospital NHS Foundation Trust Advanced Nurse Practitioner Critical Care Outreach The closing date is 19 October 2026 Apply for this job Job summary The Advanced Clinical Practitioner (ACP) for Critical Care Outreach is a senior clinical and leadership position responsible for delivering expert autonomous assessment, diagnosis and management of acutely deteriorating adult patients across West Middlesex University Hospital. The post holder will provide advanced clinical practice within the Critical Care Outreach Team (CCOT), supporting the early recognition, treatment and escalation of deteriorating patients whilst improving patient safety and clinical outcomes. Working as an experienced ACP, the post holder will provide clinical leadership across the deteriorating patient agenda, including development of escalation pathways, implementation of Martha's Rule, delivery of the Trust's deteriorating patient strategy and support of the NHS Sepsis Framework. The role combines 50% direct clinical practice with 50% leadership, education, workforce development, quality improvement and service transformation responsibilities. The ACP will work collaboratively with Critical Care, Acute Medicine, Emergency Care and ward teams to ensure timely intervention for patients at risk of deterioration, reduce avoidable cardiac arrests and unplanned critical care admissions, optimise critical care capacity and improve patient flow across the organisation. The post holder will provide professional leadership for the CCOT workforce and contribute to strategic development of services aligned to Trust and national priorities. Main duties of the job Main Duties Provide expert autonomous clinical assessment, diagnosis and management of acutely deteriorating adult patients. Lead and support the delivery of the Trust's deteriorating patient strategy. Act as a senior clinical decision-maker within the Critical Care Outreach Team. Lead implementation, monitoring and evaluation of Martha's Rule within clinical areas. Support the development and delivery of deteriorating patient escalation pathways for patients, families and staff. Lead improvements in sepsis recognition and management in line with national guidance. Provide expert advice and support regarding critical illness, escalation planning, treatment limitation decisions and end-of-life care. Independently prescribe and manage treatment plans within scope of practice. Support safe admission to and discharge from Critical Care services. Lead quality improvement, governance, audit and patient safety programmes relating to deterioration and critical illness. Provide line management, professional leadership and workforce development for CCOT staff. Deliver education, training and competency programmes for healthcare professionals across the Trust. Contribute to service development, policy development and implementation of evidence-based practice. Participate in a 24/7 outreach service, including nights, weekends and bank holidays. About us Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&