Advanced Clinical Practitioner (ACP)

In this role, you will provide advanced clinical support to care home residents across the PCN, focusing on frailty, complex care and long term condition management. You will carry out comprehensive assessments, make autonomous clinical decisions, prescribe safely and manage undifferentiated presentations, ensuring residents receive timely, person centred care.

You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff, contributing to regular MDT meetings, structured care home rounds and proactive reviews. A key part of the role is helping to prevent avoidable hospital admissions by identifying deterioration early, supporting personalised care plans and ensuring continuity for residents with complex needs.

Alongside clinical work, you will provide leadership within the MDT, support quality improvement activity and help strengthen frailty and care home pathways across the PCN. You will also contribute to staff development, promote evidence based practice and ensure high quality documentation and governance.

This role is ideal for an experienced ACP/ANP who thrives in a collaborative environment and wants to make a meaningful impact on the care of older adults living in care homes.

Are you an experienced Advanced Clinical/Nurse Practitioner passionate about improving outcomes for frail older adults living in care homes?

We are seeking a highly skilled Advanced Nurse/Clinical Practitioner (ACP/ANP) to work as part of a Primary Care Network (PCN) multidisciplinary team, supporting the delivery of proactive, responsive and person-centred care to care home residents living with frailty, complex health needs and long-term conditions.

Working closely with GP practices, care home staff and the wider multidisciplinary team, you will provide advanced clinical assessment, diagnosis, treatment planning and prescribing, helping to reduce avoidable hospital admissions, improve continuity of care and enhance quality of life for a highly complex and vulnerable population.

As an Advanced Clinical/Nurse Practitioner (ACP/ANP), you will work as part of the Primary Care Network (PCN) multidisciplinary team to support the delivery of high-quality care to care home residents, undertaking advanced clinical assessment, diagnosis, investigation, prescribing and management of complex clinical presentations within agreed PCN care pathways.

The postholder will be employed by Promni Health and embedded within the host PCN team. Clinical activity will be undertaken within the host organisation's governance framework, policies, supervision arrangements and escalation pathways.

The service does not operate independent patient lists or standalone clinical pathways.

In line with NHS England Advanced Practice standards, the postholder will demonstrate advanced clinical practice capabilities including assessment, diagnosis, investigation, treatment planning and prescribing for patients with complex and undifferentiated presentations.

Advanced Clinical Practice

• Undertake advanced clinical assessment of care home residents with complex healthcare needs
• Assess and triage patients, including urgent presentations where appropriate
• Manage undifferentiated and undiagnosed presentations within scope of practice
• Identify red flags and underlying serious pathology and take appropriate action
• Undertake diagnosis, investigation and management planning
• Prescribe safely and appropriately in accordance with national guidance, local policies and agreed care pathways
• Request and interpret investigations relevant to scope of practice
• Refer appropriately into local services and specialist pathways
• Use advanced clinical decision-making to support patient management

Frailty and Care Home Support

• Undertake structured care home clinical review sessions
• Participate in regular MDT meetings and care home reviews
• Support comprehensive assessments following admission, readmission or clinical deterioration
• Contribute to the development, implementation and review of Personalised Care and Support Plans
• Support Advance Care Planning discussions and associated documentation
• Provide proactive clinical input to frailty pathways
• Support admission avoidance and early intervention initiatives
• Work collaboratively with care home staff, families and carers
• Support continuity of care for residents with complex health needs

Leadership, Education and Service Development

• Provide clinical leadership within the MDT
• Support education and development of care home staff where appropriate
• Contribute to quality improvement initiatives
• Support development of integrated frailty and care home pathways
• Promote evidence-based practice

Clinical Management Focus Areas

The postholder will provide advanced clinical support in areas including:

• Frailty and complex care
• Long-term condition management
• Palliative and End of Life Care
• Dementia and Mental Health
• Falls prevention and risk reduction
• Nutrition and hydration
• Clinical deterioration and admission avoidance
• Skin integrity and wound care
• Advance Care Planning

Communication and Collaboration

• General Practitioners
• Practice Managers
• Pharmacists
• District Nursing Teams
• Specialist Palliative Care Teams
• Care Home Staff
• Residents, Families and Carers
• Wider multidisciplinary teams

This collaborative approach ensures coordinated, person-centred care aligned with patient wishes, clinical needs and local pathways.

Data, Documentation and Governance

• Maintain accurate clinical records within PCN clinical systems
• Ensure timely and accurate documentation
• Participate in clinical governance activities
• Work within agreed policies, protocols and escalation pathways
• Maintain appropriate professional registration and CPD requirements

Travel

The role involves travel between care homes and GP practice locations across the PCN footprint.

As part of Promni Health, you will be joining an award winning organisation recognised nationally for clinical quality, innovation & partnership working. You will be supported by a friendly, collaborative team & work within a culture that values professional development, autonomy & evidence based practice.

Promni Health is one of the UKs leading primary care workforce & service support partners, working with over 1,000 GP practices & supporting a patient population of more than 9 million. Our teams are known for their clinical quality, collaborative approach & commitment to improving access & outcomes across primary & community care.

We are a fast growing, award winning organisation with a strong reputation for innovation & partnership working. Our culture is supportive, friendly & purpose driven we bring together clinicians, operational teams & PCN partners who share a passion for delivering high quality, person-centred care.

With more than 400 clinicians across advanced practice, FCP, nursing, podiatry, occupational therapy & mental health, we create an environment where people feel valued, trusted & able to grow. We invest in professional development, offer clear progression pathways & ensure our teams have the support they need to deliver safe, effective care.

Joining Promni Health means being part of a team that genuinely cares about making a difference, celebrates good work & works collaboratively to improve services for patients, practices and local communities.

Essential: - Professional registration with the relevant professional body - NMC, HCPC etc.; - Masters degree in advanced practice.; - Demonstrated competence across the four pillars of Advanced Clinical Practice as defined by Health Education England: Clinical Practice, Leadership and Management, Education & Research.; - Evidence of ongoing CPD.

Essential: - Advanced clinical assessment and decision-making skills; - Experience managing frailty and complex care patients; - Experience managing undifferentiated presentations; - Ability to work effectively within multidisciplinary teams; - Ability to work within agreed governance frameworks

Desirable: - Experience working in General Practice/ within Primary Care Networks; - Experience of Enhanced Health in Care Homes (EHCH) models; - Experience of admission avoidance services; - Experience of Advance Care Planning and End of Life Care; - Experience supporting supervision and development of other clinical staff