Senior Enhanced Practitioner - Heart Failure

This is an exciting opportunity for an experienced Heart Failure clinician to join our team as a Senior Enhanced Practitioner (Band 7) on a 0.2 WTE basis.

The postholder will predominantly be responsible for delivering an additional Heart Failure Medicines Optimisation Clinic, that will support a new BNSSG wide heart failure diagnostic pathway designed to improve access, safety and personalised Heart Failure management. Working autonomously within an established MDT, you will use enhanced clinical skills, non-medical prescribing and expert Heart Failure knowledge to optimise therapy and improve outcomes.

This role is ideal for clinicians wishing to broaden Heart Failure expertise without committing to full-time hours. Opportunities exist to rotate into the inpatient HF service to consolidate skills and expand practice.

Main duties of the job

• Deliver a dedicated Heart Failure Medicines Optimisation Clinic, providing assessment, diagnosis, prescribing and therapeutic optimisation within an agreed scope of practice.
• Exercise autonomous decision-making using enhanced clinical judgement in complex or evolving situations.
• Work closely with the MDT to support patients through the new diagnostic pathway and ensure safe, high-quality, evidence-based care.
• Provide expert advice to patients, relatives and colleagues across inpatient and outpatient settings.
• Contribute to quality improvement, audit and service evaluation linked to pathway development.
• Maintain professional standards, ensuring adherence to NMC/HCPC codes and Trust policies.

About us

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations,operatingfrom three main sites at Southmead, Bristol citycentreand Weston.

Details

Date posted

02 October 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year

pa pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

339-MED0773-LGG

Job locations

Southmead Hospital

Bristol NHS Trust

Bristol

BS10 5NB

United Kingdom

Job responsibilities

Clinical Practice

• Independently assess, plan, and evaluate treatment for patients with Heart failure within a clinic setting, exercising enhanced clinical judgement in complex and changing clinical situations.
• Initiate, titrate and review medications in line with Heart Failure guidelines, using non-medical prescribing within your scope of practice.
• Interpret diagnostic investigations and integrate findings into management plans to support safe, evidence-based decision making.
• Apply advanced risk assessment skills, managing uncertainty and recognising when to seek senior input to ensure patient safety.
• Provide expert education, advice and emotional support to patients, families, and carers, helping them understand diagnosis, treatment options, and self-management strategies. This includes recognising, addressing and signposting support for the psychological impact of living with Heart Failure, ensuring a compassionate, person-centred approach to care.
• Work collaboratively within the MDT, contributing to seamless care across the diagnostic pathway and wider Heart Failure services.
• Ensure adherence to professional codes of conduct and maintain safe, accountable autonomous practice.

Leadership

• Role-model compassionate, evidence-based practice and contribute to ongoing pathway improvements.
• Support Enhanced Practitioners (Band 6) and contribute to a cohesive team culture.
• Participate in MDT and service evaluation, demonstrating the impact of enhanced practice on the quality of care and patient outcomes.

Education

• Support learning within the team through supervision, coaching, and reflective practice.
• Maintain own professional development across all four pillars of practice.

Research and Audit

• Engage in audit, QI and evaluation activities within the Heart Failure service
• Promote evidence-based practice and support others to contribute to local research activity.

Job responsibilities

Clinical Practice

• Independently assess, plan, and evaluate treatment for patients with Heart failure within a clinic setting, exercising enhanced clinical judgement in complex and changing clinical situations.
• Initiate, titrate and review medications in line with Heart Failure guidelines, using non-medical prescribing within your scope of practice.
• Interpret diagnostic investigations and integrate findings into management plans to support safe, evidence-based decision making.
• Apply advanced risk assessment skills, managing uncertainty and recognising when to seek senior input to ensure patient safety.
• Provide expert education, advice and emotional support to patients, families, and carers, helping them understand diagnosis, treatment options, and self-management strategies. This includes recognising, addressing and signposting support for the psychological impact of living with Heart Failure, ensuring a compassionate, person-centred approach to care.
• Work collaboratively within the MDT, contributing to seamless care across the diagnostic pathway and wider Heart Failure services.
• Ensure adherence to professional codes of conduct and maintain safe, accountable autonomous practice.

Leadership

• Role-model compassionate, evidence-based practice and contribute to ongoing pathway improvements.
• Support Enhanced Practitioners (Band 6) and contribute to a cohesive team culture.
• Participate in MDT and service evaluation, demonstrating the impact of enhanced practice on the quality of care and patient outcomes.

Education

• Support learning within the team through supervision, coaching, and reflective practice.
• Maintain own professional development across all four pillars of practice.

Research and Audit

• Engage in audit, QI and evaluation activities within the Heart Failure service
• Promote evidence-based practice and support others to contribute to local research activity.

Person Specification

Essential

Essential

• Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
• Non-medical prescriber.
• Experience of management of the Heart Failure patient within both an inpatient and outpatient setting.
• Post registration qualifications/CPD in area of practice as a minimum.

Desirable

• Grounded knowledge of the Heart Failure environment.
• Experience of implementing local/specialist objectives
• Able to work within a team and independently

Person Specification

Essential

Essential

• Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
• Non-medical prescriber.
• Experience of management of the Heart Failure patient within both an inpatient and outpatient setting.
• Post registration qualifications/CPD in area of practice as a minimum.

Desirable

• Grounded knowledge of the Heart Failure environment.
• Experience of implementing local/specialist objectives
• Able to work within a team and independently

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 .

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 .

Employer details

Employer name

Bristol NHS Foundation Trust

Address

Southmead Hospital

Bristol NHS Trust

Bristol

BS10 5NB

United Kingdom

Employer's website

https://www.nbt.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Bristol NHS Foundation Trust

Address

Southmead Hospital

Bristol NHS Trust

Bristol

BS10 5NB

United Kingdom

Employer's website

https://www.nbt.nhs.uk/ (Opens in a new tab)

Job responsibilities

Clinical Practice

• Independently assess, plan, and evaluate treatment for patients with Heart failure within a clinic setting, exercising enhanced clinical judgement in complex and changing clinical situations.
• Initiate, titrate and review medications in line with Heart Failure guidelines, using non-medical prescribing within your scope of practice.
• Interpret diagnostic investigations and integrate findings into management plans to support safe, evidence-based decision making.
• Apply advanced risk assessment skills, managing uncertainty and recognising when to seek senior input to ensure patient safety.
• Provide expert education, advice and emotional support to patients, families, and carers, helping them understand diagnosis, treatment options, and self-management strategies. This includes recognising, addressing and signposting support for the psychological impact of living with Heart Failure, ensuring a compassionate, person-centred approach to care.
• Work collaboratively within the MDT, contributing to seamless care across the diagnostic pathway and wider Heart Failure services.
• Ensure adherence to professional codes of conduct and maintain safe, accountable autonomous practice.

Leadership

• Role-model compassionate, evidence-based practice and contribute to ongoing pathway improvements.
• Support Enhanced Practitioners (Band 6) and contribute to a cohesive team culture.
• Participate in MDT and service evaluation, demonstrating the impact of enhanced practice on the quality of care and patient outcomes.

Education

• Support learning within the team through supervision, coaching, and reflective practice.
• Maintain own professional development across all four pillars of practice.

Research and Audit

• Engage in audit, QI and evaluation activities within the Heart Failure service
• Promote evidence-based practice and support others to contribute to local research activity.

Essential

Essential

• Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
• Non-medical prescriber.
• Experience of management of the Heart Failure patient within both an inpatient and outpatient setting.
• Post registration qualifications/CPD in area of practice as a minimum.

Desirable

• Grounded knowledge of the Heart Failure environment.
• Experience of implementing local/specialist objectives
• Able to work within a team and independently