Advanced Nurse Practitioner Critical Care Outreach


Company:	NHS Jobs
Salary:	£63,665 to £70,887 a year
Hours:	Full-time
Location:	Isleworth, TW7 6TJ
Job type:	Contract
Posting date:	8 Oct 2026
Closing date:	19 Oct 2026

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Summary

Clinical Practice The post holder will: Provide advanced autonomous clinical assessment, diagnosis and management of patients experiencing acute deterioration or recovering from critical illness. Undertake comprehensive patient assessments including physical, psychological, social and environmental factors influencing health outcomes. Interpret and act upon complex clinical information including diagnostic investigations, arterial blood gases, imaging and laboratory results. Develop and implement evidence-based management plans for patients with complex and unpredictable healthcare needs. Independently manage a caseload of outreach patients within agreed Trust protocols and professional scope of practice. Prescribe medications and treatments as an Independent Prescriber. Support clinical teams with management of sepsis, respiratory failure, tracheostomy emergencies, non-invasive ventilation and high-flow oxygen therapies. Provide expert clinical advice regarding treatment escalation plans, DNACPR discussions and end-of-life decision-making. Promote early recognition and timely escalation of clinical deterioration through NEWS2 and other deterioration pathways. Respond to and support Martha's Rule activations, ensuring timely senior clinical review and escalation where concerns are identified. Contribute to reducing avoidable cardiac arrests, unplanned ICU admissions and critical incidents associated with delayed recognition of deterioration. Maintain accurate, contemporaneous patient records and documentation. Leadership and Management The post holder will: Provide professional leadership for the Critical Care Outreach Team. Line manage Outreach Practitioners and support staff, undertaking appraisal, performance management, attendance management and development reviews. Lead workforce planning, succession planning and capability development within CCOT. Act as a visible clinical leader and role model for advanced practice across the organisation. Promote effective multidisciplinary working between Critical Care, ward teams, medical staff and allied health professionals. Lead service improvement initiatives that deliver measurable improvements in patient safety and clinical outcomes. Represent Critical Care Outreach at Trust, divisional and governance meetings. Support investigation of incidents, complaints and patient safety events in accordance with Trust policies. Contribute to strategic planning and future development of outreach services. Deteriorating Patient Strategy and Martha's Rule The post holder will: Lead implementation and ongoing development of the Trust's deteriorating patient strategy. Ensure delivery of robust pathways for recognition, escalation and management of deteriorating patients. Support organisational compliance with Martha's Rule and associated patient safety requirements. Develop escalation routes for patients, relatives and healthcare professionals who have concerns regarding deterioration. Monitor key performance indicators relating to deterioration, critical care referrals, cardiac arrests and emergency escalations. Support organisational learning from deterioration-related incidents and reviews. Drive improvements in early intervention and patient-centred escalation processes. Education and Workforce Development The post holder will: Lead and support competency-based education programmes for nurses, medical staff and allied health professionals. Deliver education relating to recognition and management of deteriorating patients, sepsis and critical illness. Act as an expert resource and mentor for trainees, ACPs and clinical staff. Develop and facilitate outreach education programmes across the organisation. Support continuing professional development and advanced practice development within the Trust. Promote excellence in patient assessment, escalation and clinical decision-making. Quality Improvement, Governance and Research The post holder will: Lead and participate in quality improvement projects relating to deterioration, sepsis, outreach and critical care. Monitor and evaluate outreach activity, patient outcomes and service performance. Develop, review and implement policies, procedures and clinical guidelines. Participate in audit programmes and ensure implementation of learning from findings. Support data collection, analysis and reporting relating to outreach services and patient outcomes. Critically evaluate evidence and translate research findings into clinical practice. Contribute to publications, presentations and dissemination of best practice where appropriate. Professional Responsibilities The post holder will: Practice in accordance with the four pillars of Advanced Clinical Practice. Maintain professional registration and comply with relevant professional standards and codes of conduct. Demonstrate accountability for autonomous clinical decision-making. Maintain competence through continuous professional development and education. Promote equality, diversity and inclusion in all aspects of practice. Act as an advocate for patients, relatives and staff. Uphold the Trust's PROUD values and contribute to the delivery of outstanding patient care.

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