Advanced Nurse Practitioner (Care Home and Frailty)

Job description

Job responsibilities

Clinical Practice

• Provide advanced clinical assessment, diagnosis, and treatment for patients in care homes and those identified as frail in the community.

• Undertake proactive frailty reviews and personalised care planning in collaboration with patients, families, and the multidisciplinary team (MDT).

• Conduct regular ward rounds in allocated care homes, ensuring continuity and quality of care.

• Prescribe and review medications safely in line with best practice and prescribing guidelines.

• Recognise and respond to the acutely unwell patient, initiating timely interventions.

• Support end-of-life care planning, advance care plans, and DNACPR discussions where appropriate.

• Utilise and interpret appropriate investigations to inform decision-making.

• Lead on the development, implementation, and evaluation of the practices care home and frailty strategy.

• Act as the key liaison between the practice, care homes, community services, and secondary care.

• Champion evidence-based practice and contribute to quality improvement initiatives.

• Provide mentorship, advice, and clinical support to colleagues and students.

• Contribute to the development of practice policies and protocols related to frailty and care home services.

• Provide training and support to care home staff in clinical skills, frailty management, and recognising deterioration.

• Maintain and develop own clinical expertise through CPD, reflection, and peer review.

• Participate in clinical supervision and appraisal processes.

• Work within the scope of the NMC Code and relevant advanced practice frameworks.

• Maintain accurate, timely, and complete patient records in line with legal and professional standards.

• Adhere to safeguarding procedures for vulnerable adults and children.

• Uphold confidentiality at all times.

Person Specification

Qualifications

Essential

• Registered Nurse with MSc-level Advanced Practice qualification (or equivalent experience).
• Independent Nurse Prescriber (V300).

Experience

Essential

• Significant experience in managing complex, frail, and elderly patients.
• Excellent assessment, diagnostic, and decision-making skills.
• Ability to work autonomously and collaboratively within a multidisciplinary team.
• Strong communication skills and a compassionate, patient-centred approach.

Desirable

• Previous experience working in primary care.
• Knowledge of frailty tools (e.g. Rockwood Clinical Frailty Scale, eFI).
• Experience in service development and quality improvement.

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

Spirit Primary Care Limited

Address

Rushey Mead Health Centre

8 Lockerbie Walk

Leicester

LE4 7ZX