This is a senior, advanced-level clinical position providing expert clinical leadership across our 62-bedded hospital. The post-holder will operate with a high degree of autonomy, undertaking comprehensive health assessments, formulating differential diagnoses, initiating and reviewing treatment plans, and independently prescribing medications. A defining feature of this role is the integration of physical and mental health care — ensuring parity of esteem between both — and driving measurable improvements in the physical health outcomes of individuals living with severe mental illness.
2. Job Purpose
Operating at an advanced level of clinical practice, the post-holder will utilise expert knowledge, complex decision-making skills, and advanced diagnostic and therapeutic capabilities to deliver holistic, person-centred care within our 62-bedded independent mental health hospital at Seren Gobaith.
The primary focus of this role is to take an active, hands-on clinical lead in the physical health care of our patients, directly meeting the statutory requirements of the Independent Health Care (Wales) Regulations 2011 and the National Minimum Standards (NMS) for Independent Health Care Services in Wales, as enforced by Healthcare Inspectorate Wales (HIW). You will bridge the gap between mental and physical health care, systematically managing complex physical co-morbidities, addressing the adverse metabolic side-effects of psychotropic treatments, and ensuring that physical health care at Seren Gobaith enjoys true parity of esteem with psychiatric treatment.
Accountable directly to the Hospital Manager (Registered Manager under HIW), you will work in close collaboration with the Astons pharmacy team on medicines optimisation and reconciliation, lead a rolling programme of clinical audits, and ensure rigorous HIW regulatory compliance, operational efficiency, and clinical excellence across the Seren Gobaith site.
Key Working Relationships
Professional Registration & Revalidation
The post-holder must maintain active registration with the Nursing and Midwifery Council (NMC) and comply fully with the NMC Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (2018). Revalidation must be completed every three years in accordance with NMC requirements, and the post-holder is responsible for maintaining a current professional portfolio demonstrating ongoing fitness to practise, continuing professional development (CPD), practice hours, reflective accounts, and feedback.
3. Key Responsibilities
3.1 Advanced Clinical Practice & Physical Health Care
- Comprehensive Assessment & Care Planning:
- Physical-Mental Health Integration:
- Long-Term Condition Management:
- NEWS2 & Early Warning Systems:
- Tissue Viability & Wound Care:
- Falls Prevention & Management:
- Infection Prevention & Control (IPC):
3.2 Independent Prescribing & Medicines Management
- Independent Prescribing (V300):
- Mental Health Act Prescribing:
- STOMP & STAMP:
- High-Risk Drug Monitoring:
- Medication Review & Polypharmacy:
3.3 Pharmacy Collaboration & Medicines Safety
- Pharmacy Partnership:
- Medicines Reconciliation:
- Controlled Drugs (CDs):
3.4 Clinical Governance, Auditing & Quality Improvement
- Clinical Audit Programme:
- Quality Improvement:
- Clinical Effectiveness:
- Performance & Outcomes Data:
3.5 Regulatory Compliance & HIW Inspection Readiness
- HIW Regulatory Framework:
- Inspection Preparedness:
- Registration Requirements:
- Notification of Incidents:
- Data Protection:
3.6 Safeguarding, Patient Safety & Duty of Candour
- Adult Safeguarding:
- Mental Capacity Act & DoLS:
- Duty of Candour:
- Incident Reporting & Learning:
- Restrictive Practice & Physical Intervention:
3.7 Leadership, Education & Workforce Development
- Clinical Leadership:
- Supervision & Mentorship:
- Education & Training:
- Appraisal & Development:
- Research & Evidence-Based Practice:
3.8 Multi-Disciplinary Team Coordination & the Welsh Language
- MDT Integration:
- Discharge Planning:
- Welsh Language (Active Offer):
- Family & Carer Engagement:
4. Professional Accountability & Welsh Legislative Framework
The Advanced Clinical Practitioner at Seren Gobaith must demonstrate a comprehensive working knowledge of, and demonstrable compliance with, the following legislative, regulatory, and professional frameworks.
4.1 Professional Regulation
- NMC Code (2018):
- NMC Revalidation:
- NMC Standards for Prescribing Programmes:
- Advanced Clinical Practice Frameworks:
4.2 Welsh-Specific Legislation & Regulation
- Independent Health Care (Wales) Regulations 2011:
- HIW National Minimum Standards for Independent Health Care Services in Wales:
- Mental Health (Wales) Measure 2010:
- Mental Health Act 1983 (as amended 2007) and Code of Practice for Wales (2016):
- Social Services and Well-being (Wales) Act 2014:
- Well-being of Future Generations (Wales) Act 2015:
- Health and Social Care (Quality and Engagement) (Wales) Act 2020:
- Welsh Language (Wales) Measure 2011 and "More than Just Words" (2022):
- Regulation and Inspection of Social Care (Wales) Act 2016:
- Together for Mental Health (Welsh Government Strategy):
4.3 UK-Wide & Cross-Border Legislation
- Mental Capacity Act 2005 (England and Wales):
- Human Rights Act 1998:
- Equality Act 2010:
- UK GDPR and Data Protection Act 2018:
- Health and Safety at Work etc. Act 1974:
4.4 Clinical Guidance & Standards
- NICE Guidelines (adopted in Wales by AWMSG and WHSSC as appropriate).
- Royal College of Psychiatrists clinical standards and accreditation frameworks.
- Royal College of Nursing standards and professional guidance.
- All Wales Medicines Strategy Group (AWMSG) guidance on medicines use.
- Public Health Wales and Welsh National Poisons Unit guidance.
- MHRA alerts, drug safety updates, and device safety alerts.
- Health and Care Quality Standards (Wales).
- Lester UK Adaptation Positive Cardiometabolic Health Resource.
5. Person Specification
Candidates will be shortlisted and interviewed against the following criteria. "E" denotes Essential criteria; "D" denotes Desirable.
Qualifications & Registration
- Registered Nurse — Mental Health (RNMH/RNLD) or Adult (RN) with current NMC registration and no outstanding fitness-to-practise conditions. MSc in Advanced Clinical Practice (or equivalent postgraduate qualification at Level 7). Independent Nurse Prescriber (V300) qualification with evidence of current prescribing practice. Evidence of ongoing continuing professional development (CPD).
- Leadership, quality improvement, or teaching qualification. Advanced Life Support (ALS) or Immediate Life Support (ILS) certification. Recognised qualification in physical health assessment skills.
Experience
- Significant post-registration experience (normally 5+ years) in mental health, complex care, or psychiatric liaison settings. Demonstrable, recent experience of independently conducting advanced physical health assessments and diagnostic reasoning in a psychiatric or complex-care environment. Proven experience leading clinical audits, root-cause analyses, serious incident investigations, and quality improvement initiatives. Experience of supervising, mentoring, and/or assessing junior clinical staff or students. Experience of working within multi-disciplinary teams, including partnership working with pharmacy, medical, and therapy colleagues.
- Experience working within an independent (private) hospital setting regulated by HIW or an equivalent regulatory body. Experience managing physical health pathways for patients detained under sections of the Mental Health Act 1983. Experience of preparing for and participating in HIW/CQC inspections. Experience of working with the Astons pharmacy team or a similar clinical pharmacy provider.
Skills & Knowledge
- Expert knowledge of the interaction between psychotropic medications and physical health (metabolic, cardiac, endocrine, neurological side-effects). Thorough applied understanding of the Independent Health Care (Wales) Regulations 2011 and HIW National Minimum Standards. Expert knowledge of the Mental Health (Wales) Measure 2010, Mental Health Act 1983, Mental Capacity Act 2005, and Social Services and Well-being (Wales) Act 2014 as they apply to clinical practice. Advanced clinical diagnostic, clinical decision-making, and independent prescribing skills. Competence in history-taking, physical examination, clinical reasoning, and treatment planning. Strong IT literacy, including proficiency with electronic patient records and Microsoft Office. Excellent written and verbal communication skills, including the ability to produce clear, legible, contemporaneous clinical records.
- Familiarity with Welsh Health Board structures, local shared-care protocols, and electronic prescribing platforms. Ability to communicate in the Welsh language (written and/or spoken). Knowledge of the Well-being of Future Generations (Wales) Act 2015 and its relevance to healthcare. Competence in advanced clinical skills such as venepuncture, cannulation, ECG recording and interpretation, and NEWS2. Publication or presentation record in a relevant clinical field.
Personal Attributes
- Demonstrable alignment with Seren Gobaith values: Compassion & Kindness, Clinical Excellence, Collaboration & Integrity, and Empowerment & Recovery. Strong collaborative skills to unify pharmacy, nursing, medical, and therapy disciplines across the hospital. Accountable, reflective professional with demonstrable passion for clinical governance, patient safety, and quality improvement. Resilient under pressure, with the ability to manage competing clinical priorities calmly and effectively. Commitment to anti-discriminatory practice, equality, diversity, and inclusion.
- Highly organised, proactive, and adaptive to evolving statutory, legislative, and regulatory requirements. Innovative thinker with the ability to identify and implement service improvements. Confident and articulate, with the ability to represent Seren Gobaith at external forums and with regulatory bodies.
Additional Requirements
- Satisfactory enhanced Disclosure and Barring Service (DBS) check (with Barred List check for Adults). Right to work in the United Kingdom. Ability to participate in the on-call senior clinical rota where required. Occupational health clearance.
- Full UK driving licence and access to a vehicle for occasional off-site meetings. Membership of a relevant professional body (e.g., RCN, RCPsych Associate, AAPE UK).
6. Terms & Conditions of Employment
Job Title: Advanced Clinical Practitioner (Nursing)
Location: Seren Gobaith Independent Mental Health Hospital, Wales
Reports To: Clinical Director / Lead Clinician
Accountable To: Hospital Manager (Registered Manager under HIW)
Salary: Competitive, commensurate with experience and qualifications.
Hours of Work: Full-time (40 hours per week).
Annual Leave: 5.6 weeks per year calculated pro rata to your contracted hours in accordance to the working time regulations 1998.
Notice Period: Within the first month -1 weeks’ notice. After the first month but before end of the third month -2 weeks. From the third month to the end of probation -3 weeks’ notice after successful probation period it will be 4 weeks’ notice.
Probationary Period: Six months, subject to review.
Pension: Workplace pension scheme available.
Disclosure Check: This post is subject to an enhanced DBS check with Adult Barred List check.
6.1 Key Employment Policies
The post-holder will be required to comply with all Seren Gobaith employment policies including, but not limited to: Health and Safety Policy, Data Protection and Confidentiality Policy, Equal Opportunities and Dignity at Work Policy, Safeguarding Policy, Sickness Absence Policy, Disciplinary and Grievance Procedures, and the Code of Conduct. A full policy schedule will be provided upon appointment.
6.2 Flexible Working
Seren Gobaith is committed to supporting flexible working arrangements where they are compatible with the needs of the service.
6.3 Equality, Diversity & Inclusion
Seren Gobaith is an equal opportunities employer. We welcome applications from all suitably qualified individuals regardless of age, disability, gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sex, or sexual orientation. Applications are particularly welcomed from Welsh speakers and from individuals with lived experience of mental health challenges.
Seren Gobaith is committed to safeguarding and promoting the welfare of adults at risk.
All appointments are subject to satisfactory pre-employment checks, including an enhanced DBS disclosure.
"A Beacon of Hope — A Trusted Pathway to Recovery"
Pay: £50,000.00 per year
Benefits:
- On-site gym
- On-site parking
Work Location: In person
