Imperial College Healthcare NHS Trust

Advanced Clinical Practitioner - Frailty

The closing date is 20 February 2026

Job summary

An exciting opportunity has arisen for an advanced clinical practitioner to join the evolving Acute Frailty Team. The Acute Frailty Team currently provide an in-reach service into the Emergency Departments (ED) at both our St Mary's and Charing Cross hospitals, assessing patients using a comprehensive geriatric assessment (CGA) framework, with the aim of admission avoidance. The service is looking to expand its service by providing rapid access clinics for complex case management and admission avoidance.

The successful applicant will have experience working with frail patients, ideally within specific frailty services. The role will involve specialist assessments to expertly meet the needs of this complex cohort of patients. Most importantly, the successful applicant will have a passion for older people's care.

Please note that this position requires the successful applicant to be able to cover both the St Mary's and Charing Cross sites. Currently the service does not operate at weekends and bank holidays. This is subject to change as the service expands.

Main duties of the job

o Act as an autonomous ACP undertaking Comprehensive Geriatric Assessments (CGA) for patients with frailty, where needs are highly complex. Lead the assessment, formulation, and coordination of person-centred care plans in collaboration with the multidisciplinary team and people who are important to the patient - relatives, carers etc.

o Act as a senior source of clinical and theoretical knowledge for staff across all grades and disciplines, as well as for patients and carers, providing specialist support, advice, and guidance based on evidence-based practice and research.

o To participate and assist with any Trust approved research projects conducted within the department including identification of suitable patients.o To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested.

o To have an excellent working knowledge of key Trust targets and prioritises in terms of operational/strategic plan for the service and related initiatives; to actively support the Trust in delivering high quality care and maintaining Care Quality Commission Compliance.

o The role will be performed within agreed rules, policies, procedures and standards of the Trust.

About us

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.

Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.

Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview. .

Details

Date posted

09 February 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£64,156 to £71,148 a year pa inclusive

Contract

Permanent

Working pattern

Full-time

Reference number

290-MIC-1981

Job locations

St Mary's and Charing Cross

London

W6 8RF


Job description

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role and the person specification outlines the qualifications, skills, experience and knowledge required.

For both overviews, please view the Job Description attachment with the job advert.

Job description

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role and the person specification outlines the qualifications, skills, experience and knowledge required.

For both overviews, please view the Job Description attachment with the job advert.

Person Specification

Education/ qualifications

Essential

  • BSc in Nursing or other relevant profession
  • Registration with the appropriate healthcare governing body
  • MSc in Advanced Clinical Practice

Desirable

  • Certificated speciality courses
  • Quality improvement course
  • Leadership course

Experience

Essential

  • Clear and demonstrable evidence of advanced, autonomous practice working with the older adult population
  • Experience in co-ordinating and leading comprehensive geriatric assessments with the older adult population living with Frailty
  • Experience of managing investigations and resolving complaints
  • Experience in leading or contributing to change management initiatives, using audit, national guidance, or Trust quality improvement projects to improve patient care and service delivery

Desirable

  • Experience of managing and running clinics

Skills/knowledge/ abilities

Essential

  • Ability to work independently within sphere of competence / authority
  • Advanced theoretical and practical knowledge of elderly medicine, with a wide range of approaches to the management of complex frail patients
  • Able to demonstrate advanced clinical reasoning through comprehensive patient assessments for risk factors and early signs of illness
  • Ability to draw on a diverse range of knowledge in their decision making to determine evidence based therapeutic interventions
  • Critically appraise research outcomes and translate into practice and care pathways across the MDT as appropriate
  • Ability to organise self and others through effective self-management, delegation and allocation of activities.
  • Ability to lead a team of healthcare professionals.
  • Experience of running audits and implementing innovative practices
  • Confident in the use of computer systems, spread sheets, databases, data collection, word processing and report writing

Desirable

  • Clinical leadership at a senior level in an acute setting including people and change management
Person Specification

Education/ qualifications

Essential

  • BSc in Nursing or other relevant profession
  • Registration with the appropriate healthcare governing body
  • MSc in Advanced Clinical Practice

Desirable

  • Certificated speciality courses
  • Quality improvement course
  • Leadership course

Experience

Essential

  • Clear and demonstrable evidence of advanced, autonomous practice working with the older adult population
  • Experience in co-ordinating and leading comprehensive geriatric assessments with the older adult population living with Frailty
  • Experience of managing investigations and resolving complaints
  • Experience in leading or contributing to change management initiatives, using audit, national guidance, or Trust quality improvement projects to improve patient care and service delivery

Desirable

  • Experience of managing and running clinics

Skills/knowledge/ abilities

Essential

  • Ability to work independently within sphere of competence / authority
  • Advanced theoretical and practical knowledge of elderly medicine, with a wide range of approaches to the management of complex frail patients
  • Able to demonstrate advanced clinical reasoning through comprehensive patient assessments for risk factors and early signs of illness
  • Ability to draw on a diverse range of knowledge in their decision making to determine evidence based therapeutic interventions
  • Critically appraise research outcomes and translate into practice and care pathways across the MDT as appropriate
  • Ability to organise self and others through effective self-management, delegation and allocation of activities.
  • Ability to lead a team of healthcare professionals.
  • Experience of running audits and implementing innovative practices
  • Confident in the use of computer systems, spread sheets, databases, data collection, word processing and report writing

Desirable

  • Clinical leadership at a senior level in an acute setting including people and change management

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Imperial College Healthcare NHS Trust

Address

St Mary's and Charing Cross

London

W6 8RF


Employer's website

https://www.imperial.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Imperial College Healthcare NHS Trust

Address

St Mary's and Charing Cross

London

W6 8RF


Employer's website

https://www.imperial.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Advanced Clinical Practitioner

Katie Farr

Katie.farr@nhs.net

Details

Date posted

09 February 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£64,156 to £71,148 a year pa inclusive

Contract

Permanent

Working pattern

Full-time

Reference number

290-MIC-1981

Job locations

St Mary's and Charing Cross

London

W6 8RF


Supporting documents

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