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Frome Medical Practice

Nurse Practitioner / Advanced Care Practitioner

The closing date is 26 April 2026

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Job summary

As a Practitioner working within the Community Care Team, you will provide care for patients identified as vulnerable and those with complex physical and/or mental health needs, who are at high risk of hospital admission or readmission, with a focus on reducing avoidable unplanned admissions. The role involves home visits to housebound patients, including those in nursing and residential homes, as well as palliative care patients. There will also be opportunities to see patients at the practice and support chronic disease management for our most vulnerable patients.

As well as working closely with all clinicians across the practice to support these patients, the team maintains excellent partnerships with wider healthcare teams and holds regular multidisciplinary team (MDT) meetings. You will therefore also work closely with district nurses, hospice/palliative care nurses, health connectors, the hospital discharge liaison team.

Main duties of the job

  • Undertake shared decision-making with CCT patients and their carers to ensure holistic care that focuses on what matters most to patients.
  • Work to deliver patient-centred care aimed at preventing hospitalisation, including end-of-life and complex cases, with early intervention for frailty and vulnerability.
  • Act as lead clinician for designated care homes, including undertaking weekly ward rounds.
  • Respond to patients medical problems, including history-taking, examination, investigation, diagnosis, treatment, and referral when appropriate.
  • Produce and maintain accurate and detailed patient records.
  • Provide care to patients in their homes and in care homes, working independently.
  • Support the wider practice in delivering care, including urgent care duties when appropriate.
  • Manage palliative care, end-of-life processes, complex comorbidities, and chronic conditions.
  • Collaborate to review and proactively contact patients recently discharged from hospital, including aligning medications and planning ongoing care.
  • Identify and signpost support services for patients and their carers.
  • Develop, maintain, and promote links with primary and secondary care teams.
  • Attend MDT and team meetings, taking a leadership role as required.
  • Implement proactive case management for all patients.
  • Participate in clinical governance, audit programmes, and quality improvement initiatives.
  • Maintain clinical competence and performance through ongoing educational activity.

About us

Frome Medical Practice is a single site Practice and Primary Care Network with 30,000 patients who live in the attractive market town of Frome and its surrounding villages. We are a recognised Learning Organisation with a strong focus on Clinical education and development, including being a GP Training Practice for Registrars. Frome Medical Practice is based in a fantastic purpose built centre with excellent facilities and a large supportive team. Staff wellbeing is a strong focus and we have an active social committee.

We are co-located with district nurses, an independent pharmacy and cafe all on the premises and our local community hospital is next door. This all supports our active approach to multidisciplinary working.

We are National award winners for our work towards Green Impact initiatives.

We are one of 21 PCNs who have been accepted onto the PCN Pilot Programme working with NHSE.

Details

Date posted

08 April 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A2985-26-0000

Job locations

Frome Medical Centre

Enos Way

Frome

BA11 2FH


Job description

Job responsibilities

Undertake shared decision making with our complex care patients and their carers, to ensure that care delivered is holistic and focuses on what matters most to patients.

Working as part of a team and autonomously to promote individualised patient-centred care to prevent hospitalisation, including end-of-life and complex cases with early intervention for frailty and vulnerability.

Responding to medical problems presented by patients, including history taking, examination, investigation, diagnosis, treatment, and referral where appropriate.

Produce and maintain accurate and detailed patient notes.

Provide care to patients in their homes, as well as in care homes.

To be a lead clinician for designated care homes and undertake weekly ward rounds.

To support the wider practice delivery of care, including supporting urgent care on duty when appropriate.

Management of palliative care, end-of-life processes, complex comorbidities, and chronic conditions.

Working within the team to review and proactively contact those recently discharged from hospital, including alignment of medications and proactive onward care planning.

Proactively identify and signpost support, for patients and their carers.

Develop, maintain, and promote links with primary and secondary care.

Attend MDT/ team meetings and lead as necessary.

Implement proactive case management for all patients.

Participate in clinical governance and audit programmes.

Maintain clinical competence and performance through educational activity.

Job description

Job responsibilities

Undertake shared decision making with our complex care patients and their carers, to ensure that care delivered is holistic and focuses on what matters most to patients.

Working as part of a team and autonomously to promote individualised patient-centred care to prevent hospitalisation, including end-of-life and complex cases with early intervention for frailty and vulnerability.

Responding to medical problems presented by patients, including history taking, examination, investigation, diagnosis, treatment, and referral where appropriate.

Produce and maintain accurate and detailed patient notes.

Provide care to patients in their homes, as well as in care homes.

To be a lead clinician for designated care homes and undertake weekly ward rounds.

To support the wider practice delivery of care, including supporting urgent care on duty when appropriate.

Management of palliative care, end-of-life processes, complex comorbidities, and chronic conditions.

Working within the team to review and proactively contact those recently discharged from hospital, including alignment of medications and proactive onward care planning.

Proactively identify and signpost support, for patients and their carers.

Develop, maintain, and promote links with primary and secondary care.

Attend MDT/ team meetings and lead as necessary.

Implement proactive case management for all patients.

Participate in clinical governance and audit programmes.

Maintain clinical competence and performance through educational activity.

Person Specification

Experience

Essential

  • Advanced post registration experience in a health care setting
  • Evidence of appropriate continuing professional development

Desirable

  • Experience working in primary care setting with evidence of appropriate knowledge base
  • Experience in managing complex chronic disease
  • Experience managing a caseload, complete assessments, plan interventions, implement, and evaluate outcomes according to care plans.

Personal qualities & attributes

Essential

  • Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
  • Demonstrates a flexible approach in order to ensure patient care is delivered
  • Ability to work both independently and as part of a team

Qualifications

Essential

  • Professional Registration with the relevent clinical qualification (e.g. BSc Hons)
  • Membership of a professional body e.g., RCN or HCPC
  • Independent Prescriber or commitment to work towards this on acceptance of the role
  • PACR qualification or equivalent

Desirable

  • Mentoring qualification

Other

Essential

  • Full UK driving licence

Skills & knowledge

Essential

  • Excellent interpersonal and communication skills
  • Good computer skills

Desirable

  • Leadership skills
Person Specification

Experience

Essential

  • Advanced post registration experience in a health care setting
  • Evidence of appropriate continuing professional development

Desirable

  • Experience working in primary care setting with evidence of appropriate knowledge base
  • Experience in managing complex chronic disease
  • Experience managing a caseload, complete assessments, plan interventions, implement, and evaluate outcomes according to care plans.

Personal qualities & attributes

Essential

  • Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
  • Demonstrates a flexible approach in order to ensure patient care is delivered
  • Ability to work both independently and as part of a team

Qualifications

Essential

  • Professional Registration with the relevent clinical qualification (e.g. BSc Hons)
  • Membership of a professional body e.g., RCN or HCPC
  • Independent Prescriber or commitment to work towards this on acceptance of the role
  • PACR qualification or equivalent

Desirable

  • Mentoring qualification

Other

Essential

  • Full UK driving licence

Skills & knowledge

Essential

  • Excellent interpersonal and communication skills
  • Good computer skills

Desirable

  • Leadership skills

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).

Employer details

Employer name

Frome Medical Practice

Address

Frome Medical Centre

Enos Way

Frome

BA11 2FH


Employer's website

https://www.fromemedicalpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Frome Medical Practice

Address

Frome Medical Centre

Enos Way

Frome

BA11 2FH


Employer's website

https://www.fromemedicalpractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Details

Date posted

08 April 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A2985-26-0000

Job locations

Frome Medical Centre

Enos Way

Frome

BA11 2FH


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