Who are we?


ADPRAC is the only agency that delivers high quality Advanced Clinical Practitioners, Emergency Care Practitioners, Advanced Assessment Nurses, and Emergency Department Assistants to all streams of emergency and non-scheduled care centers.

In 2014 both Greg Markham and Pete Chessum conceived ADPRAC; both are well-respected non-medical clinicians working as Senior/Lead Advanced Clinical Practitioners (ACPs). In 2015 ADPRAC joined forces with Fosse Healthcare LTD a Leicestershire based company with a great reputation for providing agency staff to NHS organisations.

It soon became clear that Fosse and ADPRAC were stronger together with the back room expertise of Fosse and specialist knowledge of advance practice combining to create an agency of highly skilled non-medical clinicians.

We differ from other employment agencies, as ADPRAC is lead by advanced clinicians that appreciate the modern day demands of urgent and emergent care. This means we can get the right member of staff in the right place, at the right time, to help departments on a short term and long term basis.

We are most proud of being flexible to suit the needs of the individual Trust or UCC. It maybe that the Consultant on duty prefers an ‘attending’ model whereby the ACPs will work all patient’s up and present them to Consultant in charge. However, we have found in many Trusts very soon ACPs work at their optimum level: Independently.

“ADPRAC is a company that believes those who dedicate themselves to hard work deserve others to help them realise their potential.

Over the next few months we will be sponsoring 3 of our staff through a complete ENP course, with no cost to that member of staff at all.

If you want to work for a company that values its staff, pays market leading rates and believes in reinvestment in those staff, click on the link and start our simple application”

There’s lots of other agencies you can work for,

but only one you should!

GET £200

ADPRAC couldn’t be simpler we pay the best rates to the worker, at the cheapest rates to the Trusts. We manage this by being a wing of a much larger company; and making our priority being fair to all parties by taking smaller business margins. We also offer £200 to anyone who can refer an ENP/ECP or an ACP to us who gets in the team and works five shifts



ADPRAC became the specialist emergency care division of Fosse healthcare in 2013. Fosse Healthcare is dedicated to providing high quality Nurses, Healthcare Assistants and healthcare professionals to both the NHS and private sector including private hospitals, care homes and home care.



We pride ourselves on being more then a standard agency, our goal is to give back to the NHS and specifically Emergency Care. To this end we have offered several free training days for ENPs/ECPs and become the primary sponsor of a FOAM website called theresusroom.co.uk.

Happy Customers
Books Read
Patients Seen
Bones Fixed

What we can do

Our Services



Starting an Advanced Clinical Practitioner Team?
Historically many trusts have struggled with the inception of an ACP team as there are very few practitioners working at the level required to make a meaningful impact in the department from the get go.We can help convert those staff that have less belief in non-medical practitioners by role modelling with feet on the ground in the Emergency Department.



The role of the Emergency Nurse Practitioner (ENP) has been around for decades and over the years most trusts are now employing nurse practitioners to manage the minors streams.
However, many trusts still use junior locum medical staff to fill gaps in their minor injury service rota if an ENP is off sick or there is a shortfall of staff. This, at least to us, is counter intuitive



We know what you need.
As an employing trust you want a agency member of staff that can stand alone. The sort of nurse that you can deploy to any area of your department, to peads, to resus, to majors or minors. It would be really useful for them to be IV drugs, cannula, catheter, ECG trained;



In Recent years there has been an expansion of paramedics into Emergency Care Practitioners. These are senior paramedics that undertake further exams to be able to differentiate minor illness and injury complaints just as ENPs do. We have found that many paramedics succeed in these roles as the differentiation of illness and injury is a greater part of paramedical science then standard nursing training.

Who Are We

Meet the Team



Clinical Director
Pete is an internationally recognised leader in advanced practice, he’s been a nurse practitioner for over ten years working first as a Medical Nurse Practitioner then moving on to become an ACP and then Lead ACP in ED at a large midlands hospital. Starting at the age of fifteen as a HCA in nursing homes there isn’t really a job within nursing that he hasn’t turned his hand to. He was given an opportunity early on in his career to become a ‘practitioner’ and worked hard to gain the additional knowledge and skills required to walk the line between nursing and medicine.

Pete has worked with the Centre for Workforce Intelligence, Royal College of Emergency Medicine, Royal College of Nursing, and Department of Health to improve understanding of advanced practice. He was one of the leads on the RCEM portfolio for ACP practice and has lectured extensively on mentorship requirements to assist nurses transitioning into clinicians.



Founder – Fosse Adprac
Having joined the NHS in 1997 Greg has developed a solid knowledge base in clinical, managerial and educational systems within healthcare. Working his way up in prehospital care arena Greg became one of the youngest station leads in the west midlands region; responsible for the operation of the local ambulance authority and later in his career the clinical development of hundreds of staff.

As a clinician Greg has a reputation for being dynamic and forward thinking whilst continuing to provide safe and effective care as an Advanced Clinical Practitioner in ED. Greg has many years of experience lecturing at all levels of education from degree to masters level. His approach to adult education has resulted in him gaining a national reputation at some of the top universities and medical schools within the UK.

Greg is passionate about developing and shaping the next generation of ACPs; non medical clinicians that will display strong clinical decision making in an autonomous fashion. He believes that this expansion will benefit all respective professional groups, and improve patient care whilst stabilising the crisis that surrounds emergency medical staffing.

Russell Hardy

Russell Hardy

Executive Chairman
Russell Hardy acquired Fosse Healthcare in 2014. Russell, an economist and accountant by training, has spent the last seven years of his career in the Healthcare market working with NHS, private equity and commercial providers.

He is currently Chairman of Nuffield Health, the largest provider of integrated healthcare services in the UK, and is Chairman of South Warwickshire NHS Foundation Trust. He was previously Chairman of the leading orthopaedic hospital The Robert Jones and Agnes Hunt Foundation Trust.

Russell is committed to providing the highest quality healthcare services possible. He believes that long term success and improved patient outcomes depends on the quality of people, their commitment and their development. He acquired Fosse to help it develop into the leading provider of healthcare staff in the UK.

Volt Sacco

Volt Sacco

Managing Director
Volt joined Fosse Healthcare in February 2017. For the last 10 years, he has worked for one of the largest U.S. bank leading a number of technology and business development initiatives, prior to that Volt held leadership positions across a number of industries from healthcare, engineering, telecoms and technology consulting.

Volt is registered with a number of change management professional bodies having achieved his Masters in 2012 with the University of Manchester and holding professional certification with PRINCE2, PMI, APM, Agile Coach and Scaled Agile Framework (SAFe).


We are expanding fast and need your help. If you want to be a part of the Adprac story then click on the Apply Now button and fill in our application form. We will get back to you asap and hopefully get you working with us soon after

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