Job summary
We are seeking an experienced and motivated Advanced
Nurse Practitioner (ANP) to join our Frailty and Complex Care service,
working across primary care and the Launceston & Tamar Valley Integrated
Neighbourhood Team (INT).
This is a senior clinical role focused on delivering
proactive, person-centred care to patients with frailty, multiple long-term
conditions, and complex health and social care needs, including care
home residents and housebound patients.
Main duties of the job
Key areas of practice include:
- Frailty and complex care assessment and management
- Chronic disease management
- Care home and domiciliary visits
- Proactive care planning and MDT working
- Urgent same-day assessment within the frailty cohort
The Advanced Nurse Practitioner (ANP) will provide autonomous,
advanced clinical care to patients within the frailty and complex care
cohort, registered with our primary care services and supported through the
Launceston & Tamar Valley INT.
The role combines clinical assessment, diagnosis,
treatment, and care planning with proactive case management, MDT
leadership, and close collaboration with health, social care, and voluntary
sector partners. A significant proportion of work will involve care home
residents and housebound patients, supporting admission avoidance, early
intervention, and high-quality end-of-life care where appropriate.
The ANP will play a key role in delivering continuity of
care, reducing fragmentation, and supporting patients to remain well and
independent in their own homes wherever possible.
About us
You will work as part of a multidisciplinary team
including GPs, pharmacists, pharmacy technicians, frailty practitioners,
paramedics, therapists, care coordinators, community nursing, adult social
care, and voluntary sector partners. The role offers extended appointment
times, continuity of care, and the opportunity to shape and develop
high-quality services for some of our most vulnerable patients.
Job description
Job responsibilities
Main Duties and Responsibilities
Clinical Practice
- Undertakeadvanced clinical assessment, diagnosis, and management of patients with frailty, multimorbidity, and complex needs.
- Provideholistic, person-centred careincluding physical, psychological, and social assessment.
- Managechronic diseasewithin the frailty cohort, including medication optimisation and monitoring.
- Conductcare home ward rounds, domiciliary visits, and reviews of housebound patients.
- Provideurgent and same-day assessmentfor acutely unwell frail patients, supporting admission avoidance where safe and appropriate.
- Prescribe independently (where qualified) and ensure safe, evidence-based prescribing practice.
- Supportpalliative and end-of-life care, including advance care planning and coordination with community services.
Continuity and Proactive Care
- Act as a consistent clinical contact for a defined cohort of complex patients, supportinglongitudinal continuity of care.
- Contribute toanticipatory care planning, personalised care and support plans, and escalation planning.
- Identify patients at risk of deterioration and intervene early to prevent crisis presentations.
Liaise with Out-of-hours services in morning hand-overs to support the vision of a cohesive 24/7 frailty service for Cornish residents.
Multidisciplinary Team Working
- Participate actively inMDTs, case discussions, and complex care reviews.
- Work collaboratively with pharmacists, paramedics, therapists, frailty practitioners, and care coordinators to deliver integrated care.
- Liaise closely with adult social care, voluntary sector partners, and community services to address wider determinants of health.
Leadership, Education and Service Development
- Provide clinical support within the frailty and complex care team.
- Contribute to service development, pathway design, and quality improvement initiatives.
- Maintain high standards of clinical governance, documentation, and safeguarding practice.
Professional Responsibilities
- Maintain NMC registration and advanced practice competencies.
- Work within scope of practice, local protocols, and national guidance.
Job description
Job responsibilities
Main Duties and Responsibilities
Clinical Practice
- Undertakeadvanced clinical assessment, diagnosis, and management of patients with frailty, multimorbidity, and complex needs.
- Provideholistic, person-centred careincluding physical, psychological, and social assessment.
- Managechronic diseasewithin the frailty cohort, including medication optimisation and monitoring.
- Conductcare home ward rounds, domiciliary visits, and reviews of housebound patients.
- Provideurgent and same-day assessmentfor acutely unwell frail patients, supporting admission avoidance where safe and appropriate.
- Prescribe independently (where qualified) and ensure safe, evidence-based prescribing practice.
- Supportpalliative and end-of-life care, including advance care planning and coordination with community services.
Continuity and Proactive Care
- Act as a consistent clinical contact for a defined cohort of complex patients, supportinglongitudinal continuity of care.
- Contribute toanticipatory care planning, personalised care and support plans, and escalation planning.
- Identify patients at risk of deterioration and intervene early to prevent crisis presentations.
Liaise with Out-of-hours services in morning hand-overs to support the vision of a cohesive 24/7 frailty service for Cornish residents.
Multidisciplinary Team Working
- Participate actively inMDTs, case discussions, and complex care reviews.
- Work collaboratively with pharmacists, paramedics, therapists, frailty practitioners, and care coordinators to deliver integrated care.
- Liaise closely with adult social care, voluntary sector partners, and community services to address wider determinants of health.
Leadership, Education and Service Development
- Provide clinical support within the frailty and complex care team.
- Contribute to service development, pathway design, and quality improvement initiatives.
- Maintain high standards of clinical governance, documentation, and safeguarding practice.
Professional Responsibilities
- Maintain NMC registration and advanced practice competencies.
- Work within scope of practice, local protocols, and national guidance.
Person Specification
Experience
Essential
- Significant experience in primary care, community care, or urgent care
- Proven experience working with frailty, chronic disease, care home, and housebound patient cohorts
Desirable
- Experience working within primary care or within frailty cohorts
- Experience in dementia care, palliative care, or complex case management
- Non-medical prescribing experience within frailty pathways
Qualifications
Essential
- Registered Nurse with NMC registration
- Qualified Advanced Nurse Practitioner (Masters level or equivalent)
- Independent Prescriber (V300)
- We may consider applications from non-prescribers and those who have not yet completed Level 7 module learning or undertaken a full MSc. We can support new to general practice clinicians with training and learning support, however this will be reflected within the salary range.
Person Specification
Experience
Essential
- Significant experience in primary care, community care, or urgent care
- Proven experience working with frailty, chronic disease, care home, and housebound patient cohorts
Desirable
- Experience working within primary care or within frailty cohorts
- Experience in dementia care, palliative care, or complex case management
- Non-medical prescribing experience within frailty pathways
Qualifications
Essential
- Registered Nurse with NMC registration
- Qualified Advanced Nurse Practitioner (Masters level or equivalent)
- Independent Prescriber (V300)
- We may consider applications from non-prescribers and those who have not yet completed Level 7 module learning or undertaken a full MSc. We can support new to general practice clinicians with training and learning support, however this will be reflected within the salary range.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).