Advanced Clinical Practitioner

Advanced Clinical Practitioner (ACP) Frailty & Care Home Team

Employer:

Worcester City PCN Base:
St Martins Gate & Henwick Halt Medical Centre

Hours:

Up to 30 hours per week Salary:
Band 8a (DOE)

Reports to:

PCN Clinical Director & PCN Management Team

The ACP will work as an autonomous, highly skilled clinician across the frailty and care home pathways, supporting the delivery of the Enhanced Health in Care Homes (EHCH) framework.

The post holder will undertake advanced clinical assessments, diagnose and manage complex presentations, support crisis avoidance, and contribute to anticipatory and personalised care planning, including ReSPECT. You will work closely with the multidisciplinary team (MDT) to improve outcomes, reduce avoidable admissions, and enhance quality of life for patients and carers.

• Provide advanced assessment, diagnosis, and management for patients with complex frailty or long term conditions.
• Conduct holistic frailty assessments using recognised tools (e.g., Rockwood CFS). Deliver routine and urgent clinical reviews for care home residents, responding promptly to deterioration.
• Undertake crisis avoidance activity, including rapid assessment and escalation when necessary.
• Request and interpret diagnostics within scope of practice.
• Independently prescribe (V300) and review medications following evidence based guidelines.
• Lead anticipatory care planning, including ReSPECT discussions and personalised escalation plans.
• Support safe discharge and stepdown planning with clear communication and documentation.

• Participate in MDT meetings, including the monthly Palliative Care MDT.
• Liaise with GPs, pharmacists, paramedics, physician associates, community services and care home staff to ensure coordinated, safe care.
• Provide clinical advice and support to colleagues, contributing to a collaborative team culture.

• Record all activity using PCN templates, frailty registers and systems.
• Participate in audit, evaluation and quality improvement to strengthen the PCN frailty pathway.
• Promote evidence based practice and support implementation of service developments.

• Maintain accurate clinical records in line with legislation and organisational policies.
• Adhere to NMC/HCPC standards, safeguarding responsibilities and professional codes.
• Engage fully with supervision, reflective practice and annual appraisal.
• Support training, education and mentorship of colleagues and learners.

• Communicate effectively and compassionately with patients, carers and MDT members.
• Adjust communication methods for individuals with cognitive, sensory or psychological needs.
• Support shared decision making and clear explanation of care plans and clinical findings.

• Maintain strict confidentiality regarding patient and organisational information.
• Uphold the rights, dignity and cultural needs of patients and colleagues.
• Support an inclusive, respectful working environment.

• Band 8a salary (DOE)
• Weekly CPD time (day, pro rata)
• Enhanced annual leave options and ability to purchase additional leave
• Paid volunteer days
• Enhanced parental leave package
• Mentorship, supervision and development opportunities

Jobs are provided by the Find a Job Service from the Department for Work and Pensions (DWP).