Advanced Clinical Practitioner (ACP)

NHS Jobs; Preston; On-site; GBP 49,000 - 57,000; Full time

Job summary

Lancashire Teaching Hospital NHS Foundation Trust is seeking an Advanced Nurse/Clinical Practitioner (ACP/ANP) to join a Primary Care Network multidisciplinary team. The role focuses on advanced clinical assessment, diagnosis, treatment planning and prescribing for frail care home residents with complex health needs.

You will work closely with GPs, care home staff and the wider team to reduce hospital admissions, enhance continuity of care and support personalised care planning.

Responsibilities

• Advanced clinical assessment of frail care home residents with complex healthcare needs.
• Triage patients and manage undifferentiated presentations within scope of practice.
• Prescribe safely and in line with national guidance and local care pathways.
• Refer to local services and specialist pathways as appropriate.
• Lead structured care home clinical review sessions and MDT meetings.

Job description

Are you an experienced Advanced Clinical/Nurse Practitioner passionate about improving outcomes for frail older adults living in care homes? We are seeking a highly skilled Advanced Nurse/Clinical Practitioner (ACP/ANP) to work as part of a Primary Care Network (PCN) multidisciplinary team, supporting the delivery of proactive, responsive and person-centred care to care home residents living with frailty, complex health needs and long-term conditions. Working closely with GP practices, care home staff and the wider multidisciplinary team, you will provide advanced clinical assessment, diagnosis, treatment planning and prescribing, helping to reduce avoidable hospital admissions, improve continuity of care and enhance quality of life for a highly complex and vulnerable population. As an Advanced Clinical/Nurse Practitioner (ACP/ANP), you will work as part of the Primary Care Network (PCN) multidisciplinary team to support the delivery of high-quality care to care home residents, undertaking advanced clinical assessment, diagnosis, investigation, prescribing and management of complex clinical presentations within agreed PCN care pathways. The postholder will be employed by Promni Health and embedded within the host PCN team. Clinical activity will be undertaken within the host organisation's governance framework, policies, supervision arrangements and escalation pathways. The service does not operate independent patient lists or standalone clinical pathways. In line with NHS England Advanced Practice standards, the postholder will demonstrate advanced clinical practice capabilities including assessment, diagnosis, investigation, treatment planning and prescribing for patients with complex and undifferentiated presentations. Key Responsibilities Advanced Clinical Practice Undertake advanced clinical assessment of care home residents with complex healthcare needs Assess and triage patients, including urgent presentations where appropriate Manage undifferentiated and undiagnosed presentations within scope of practice Identify red flags and underlying serious pathology and take appropriate action Undertake diagnosis, investigation and management planning Prescribe safely and appropriately in accordance with national guidance, local policies and agreed care pathways Request and interpret investigations relevant to scope of practice Refer appropriately into local services and specialist pathways Use advanced clinical decision-making to support patient management Frailty and Care Home Support Undertake structured care home clinical review sessions Participate in regular MDT meetings and care home reviews Support comprehensive assessments following admission, readmission or clinical deterioration Contribute to the development, implementation and review of Personalised Care and Support Plans Support Advance Care Planning discussions and associated documentation Provide proactive clinical input to frailty pathways Support admission avoidance and early intervention initiatives Work collaboratively with care home staff, families and carers Support continuity of care for residents with complex health needs Leadership, Education and Service Development Provide clinical leadership within the MDT Support education and development of care home staff where appropriate Contribute to quality improvement initiatives Support development of integrated frailty and care home pathways Promote evidence-based practice Clinical Management Focus Areas The postholder will provide advanced clinical support in areas including: Frailty and complex care Long-term condition management Palliative and End of Life Care Dementia and Mental Health Falls prevention and risk reduction Nutrition and hydration Clinical deterioration and admission avoidance Skin integrity and wound care Advance Care Planning Communication and Collaboration The role works in close partnership with: General Practitioners Practice Managers Pharmacists District Nursing Teams Specialist Palliative Care Teams Care Home Staff Residents, Families and Carers Wider multidisciplinary teams This collaborative approach ensures coordinated, person-centred care aligned with patient wishes, clinical needs and local pathways. Data, Documentation and Governance The postholder will: Maintain accurate clinical records within PCN clinical systems Ensure timely and accurate documentation Participate in clinical governance activities Work within agreed policies, protocols and escalation pathways Maintain appropriate professional registration and CPD requirements Travel The role involves travel between care homes and GP practice locations across the PCN footprint.

£49,387 - £56,515 per annum (subject to confirmation)

Lancashire Teaching Hospital NHS Foundation Trust