This role is listed by an employer that holds a live Home Office sponsor licence on the Skilled Worker route.
This occupation falls under the Health and Care Worker route. Salaries set by national pay scales (NHS bands) at or above the relevant band rate typically meet the occupation's requirement.
Closest occupation match: SOC 2211, Generalist medical practitioners. Pay for this occupation is set by national pay scales (NHS bands), so no single Home Office going rate applies.
Individual eligibility depends on personal circumstances. These figures are public reference information, not advice or a verdict on this job.
Job summary
At West Hertfordshire Teaching Hospitals NHS Trust (WHTH), we are committed to delivering high-quality, compassionate care to patients requiring acute medical services. As part of our continued investment in workforce transformation and advanced clinical practice, we are seeking a highly motivated Advanced Practitioner (Band 8a) to join our Acute Medicine team.
Working as an autonomous practitioner alongside Consultant Acute Physicians and the multidisciplinary team, you will provide expert assessment, diagnosis, treatment and management of patients presenting with acute, complex and undifferentiated medical conditions. You will play a key role in supporting patient flow across the acute medical pathway, including the Emergency Assessment Unit (EAU), Acute Admissions Unit (AAU) and ambulatory care services.This is an exciting opportunity for an experienced practitioner to contribute to clinical excellence, leadership, education, research and service development. The successful candidate will demonstrate advanced practice across the four pillars of advanced practice, helping to deliver innovative, evidence-based care and improve patient outcomes across Acute Medicine.
Applications will also be considered from Trainee Advanced Practitioners. Applicants appointed to a trainee role must enrol on and successfully complete an MSc Advanced Clinical Practice programme delivered by an NHSE-accredited university.
Main duties of the job
The post holder will work as an autonomous practitioner within Acute Medicine, providing expert assessment, diagnosis and management of patients presenting with acute, complex and undifferentiated medical conditions. They will request, interpret and act upon diagnostic investigations, independently prescribe within scope of practice, and work collaboratively with Consultant Acute Physicians and the multidisciplinary team to support timely clinical decision-making, patient flow, admission avoidance and safe discharge planning.
The post holder will recognise and respond to patient deterioration, provide expert clinical leadership and advice, and contribute to education, supervision, audit, research and service improvement activities while maintaining the highest standards of clinical governance, patient safety and patient-centred care.
The role requires flexibility to work across Acute Medicine services and participate in a range of shift patterns, including weekends and public holidays, to meet service needs.
About us
With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking If you have a disability or long-term health condition and should you require support or guidance please contact westherts.recruitment@nhs.net If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form. We reserve the right to close this advert early due to the volume of applicants. Please apply as soon as possible to avoid disappointment. If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.
Details
Date posted
02 November 2026
Pay scheme
Agenda for change
Band
Band 8a
Salary
£59,798 to £67,020 a year inc HCA
Contract
Permanent
Working pattern
Full-time, Flexible working
Reference number
360-F-11978
Job locations
Watford General Hospital
Watford
WD18 0HB
United Kingdom
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