North Bristol NHS Trust

Advanced Clinical Practitioner - Frailty

The closing date is 03 May 2026

Job summary

We are seeking a motivated and compassionate Advanced Clinical Practitioner to join our Emergency Department In-Reach Team. This is an exciting opportunity to play a pivotal role in improving outcomes for older adults living with frailty, as they enter the acute care pathway.

You will provide expert advanced clinical assessment, rapid decision-making and proactive frailty identification at the front door of the hospital. Working autonomously but collaboratively within a multi-disciplinary team, you will lead early comprehensive geriatric assessment, initiate personalised care plans and facilitate timely, safe alternatives to admission wherever appropriate.

You will be required to liaise with community providers to access alternatives to admissionsuch as frailty@home. Additionally, you may be supporting the complex needs of patients in our wards which includes patients who require on-going support in the community.

The post holder will have completed training to practice as an Advanced Clinical Practitioner. This will have incorporated the progressive development of history taking, clinical examination, clinical investigations & interpretation and subsequently the diagnosis and management planning of the patient, specific to the clinical specialty of frailty and Medicine for Older Persons. The successful applicant will have completed an MSc in Advanced Clinical Practice or equivalent as stipulated by the RCEM ACP Curriculum.

Main duties of the job

Clinical

  • Deliver and participate in high standards of clinical care delivered to patients
  • Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
  • Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
  • Be directly responsible and manage patients as part of their own caseload.
  • Provide supervision and direction to junior members of the clinical and nursing teams.
  • Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
  • Be directly involved in patient experience quality assessment and implementation of improvement strategies.
  • Critically assess patient care and plans and address any issues, which may result in substandard care.
  • Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
  • Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
  • Practice in accordance with specific professional body codes of professional behaviour.
  • Maintain infection control standards.

About us

North Bristol NHS Trust is the largest Trust in the South West region and one of the largest trusts in the country. We provide Medical, Surgical, Neonatal and Maternity Care for the local population of approximately 1 million people in Bristol, South Gloucestershire and North Somerset. We are the Major Trauma Centre for the West Country, house the Regional Stroke Centre providing 24/7 Thrombolysis alongside providing tertiary level care in Neurosciences, Orthopaedics, Pathology, Plastic Surgery and Burns, Renal Medicine, Transplant and Urology,

Per annum, the trust treats over 100,000 inpatients, 35,000 outpatients, 100,000 emergency department patients and help deliver over 6,000 babies. It employs more than 9,500 staff and has approximately 1,050 inpatient beds.

Furthermore, the Trust has University Teaching status and is associated with both the University of Bristol and the University of the West of England. This allows all staff members to actively engage in the teaching of future generations of doctors, nurses, paramedics and many more.

Details

Date posted

17 April 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£57,528 to £64,750 a year per annum, pro rata for part time roles

Contract

Permanent

Working pattern

Part-time, Job share

Reference number

339-MED1585-BAL

Job locations

Southmead Hospital

Southmead Road

Bristol

BS10 5NB


Job description

Job responsibilities

Clinical

  • Deliver and participate in high standards of clinical care delivered to patients
  • Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
  • Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
  • Be directly responsible and manage patients as part of their own caseload.
  • Provide supervision and direction to junior members of the clinical and nursing teams.
  • Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
  • Be directly involved in patient experience quality assessment and implementation of improvement strategies.
  • Critically assess patient care and plans and address any issues, which may result in substandard care.
  • Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
  • Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
  • Practice in accordance with specific professional body codes of professional behaviour.
  • Maintain infection control standards.

Job description

Job responsibilities

Clinical

  • Deliver and participate in high standards of clinical care delivered to patients
  • Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
  • Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
  • Be directly responsible and manage patients as part of their own caseload.
  • Provide supervision and direction to junior members of the clinical and nursing teams.
  • Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
  • Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
  • Be directly involved in patient experience quality assessment and implementation of improvement strategies.
  • Critically assess patient care and plans and address any issues, which may result in substandard care.
  • Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
  • Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
  • Practice in accordance with specific professional body codes of professional behaviour.
  • Maintain infection control standards.

Person Specification

As below

Essential

  • MSc in Advanced Clinical Practice
  • Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
  • Non-medical prescriber

Desirable

  • Expert clinical experience at a senior level in Frailty and Care of the Elderly
  • Expert clinical experience at a senior level in Frailty and Care of the Elderly
  • Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation.
  • Proven leadership experience
Person Specification

As below

Essential

  • MSc in Advanced Clinical Practice
  • Active Professional Registered Qualification with a Professional body e.g., NMC, HCPC
  • Non-medical prescriber

Desirable

  • Expert clinical experience at a senior level in Frailty and Care of the Elderly
  • Expert clinical experience at a senior level in Frailty and Care of the Elderly
  • Evidence of ongoing professional development through maintenance of professional portfolio and registration revalidation.
  • Proven leadership experience

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).

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.

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).

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

North Bristol NHS Trust

Address

Southmead Hospital

Southmead Road

Bristol

BS10 5NB


Employer's website

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

Employer details

Employer name

North Bristol NHS Trust

Address

Southmead Hospital

Southmead Road

Bristol

BS10 5NB


Employer's website

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

Employer contact details

For questions about the job, contact:

Deputy Divisional Director Of Nursing - Medicine

Rory Spanton

rory.spanton@nbt.nhs.uk

Details

Date posted

17 April 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£57,528 to £64,750 a year per annum, pro rata for part time roles

Contract

Permanent

Working pattern

Part-time, Job share

Reference number

339-MED1585-BAL

Job locations

Southmead Hospital

Southmead Road

Bristol

BS10 5NB


Supporting documents

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