Advanced Clinical Practitioner (Acp)

Promni Health; Rishton; On-site; GBP 40,000 - 52,000; Full time

Job summary

Promni Health is seeking an experienced Advanced Clinical/Nurse Practitioner to join the Primary Care Network, delivering proactive, person-centred care to care home residents living with frailty and complex health needs. You will perform advanced clinical assessments, provide diagnosis, prescribing and management within PCN pathways, collaborating with GPs, pharmacists and district nurses.

The role focuses on reducing avoidable hospital admissions, improving continuity of care and supporting

Qualifications

• Masters degree in advanced practice is essential.
• Proven advanced clinical practice across clinical governance and CPD.
• Experience delivering proactive, person-centred care in care homes.

Responsibilities

• Provide advanced clinical assessment and autonomous decision-making for frail care home residents.
• Prescribe safely within PCN care pathways and local policies.
• Lead and support MDT meetings and care home rounds.
• Contribute to Personalised Care Plans and Advance Care Planning.
• Promote governance, documentation and quality improvement.

Skills

Advanced clinical assessment

Autonomous decision-making

Care home frailty experience

Education

Masters degree in advanced practice

Job description

Job summary

6 month contract to start at short notice on a full-time basis. Are you an experienced advanced nurse/clinical practitioner (ACP/ANP) with a passion for improving patient outcomes? This is a rewarding opportunity for an experienced ACP/ANP who is passionate about improving outcomes for older adults with complex needs. You must have completed a masters degree in advanced practice. You will work as part of the Primary Care Network (PCN) multidisciplinary team, supporting the delivery of proactive, responsive, and person-centred care within community and home-based settings supporting frailty and care home residents across the network. In this role, you will use your advanced clinical skills to deliver proactive, person-centred care for care home residents, providing expert assessment, diagnosis, prescribing and management planning. You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff to ensure residents receive timely, coordinated and compassionate care. This position offers the chance to make a meaningful impact on a highly vulnerable population, helping to prevent avoidable hospital admissions, support personalised care planning and enhance quality of life for residents living with frailty and long term conditions.

Main duties of the job

In this role, you will provide advanced clinical support to care home residents across the PCN, focusing on frailty, complex care and long term condition management. You will carry out comprehensive assessments, make autonomous clinical decisions, prescribe safely and manage undifferentiated presentations, ensuring residents receive timely, person centred care. You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff, contributing to regular MDT meetings, structured care home rounds and proactive reviews. A key part of the role is helping to prevent avoidable hospital admissions by identifying deterioration early, supporting personalised care plans and ensuring continuity for residents with complex needs. Alongside clinical work, you will provide leadership within the MDT, support quality improvement activity and help strengthen frailty and care home pathways across the PCN. You will also contribute to staff development, promote evidence based practice and ensure high quality documentation and governance. This role is ideal for an experienced ACP/ANP who thrives in a collaborative environment and wants to make a meaningful impact on the care of older adults living in care homes.

About us

As part of Promni Health, you will be joining an award winning organisation recognised nationally for clinical quality, innovation & partnership working. You will be supported by a friendly, collaborative team & work within a culture that values professional development, autonomy & evidence based practice. Promni Health is one of the UKs leading primary care workforce & service support partners, working with over 1,000 GP practices & supporting a patient population of more than 9 million. Our teams are known for their clinical quality, collaborative approach & commitment to improving access & outcomes across primary & community care. We are a fast growing, award winning organisation with a strong reputation for innovation & partnership working. Our culture is supportive, friendly & purpose driven we bring together clinicians, operational teams & PCN partners who share a passion for delivering high quality, person-centred care. With more than 400 clinicians across advanced practice, FCP, nursing, podiatry, occupational therapy & mental health, we create an environment where people feel valued, trusted & able to grow. We invest in professional development, offer clear progression pathways & ensure our teams have the support they need to deliver safe, effective care. Joining Promni Health means being part of a team that genuinely cares about making a difference, celebrates good work & works collaboratively to improve services for patients, practices and local communities.

Job responsibilities

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

• 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

• 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

• General Practitioners
• Practice Managers
• Pharmacists
• District Nursing Teams
• Specialist Palliative Care Teams
• Care Home Staff
• Residents, Families and Carers
• Wider multidisciplinary teams

Data, Documentation and Governance

• 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.

Person Specification

Qualifications

Essential

• Professional registration with the relevant professional body - NMC, HCPC etc.
• Masters degree in advanced practice.
• Demonstrated competence across the four pillars of Advanced Clinical Practice as defined by Health Education England: Clinical Practice, Leadership and Management, Education & Research.
• Evidence of ongoing CPD.

Experience

Essential

• Advanced clinical assessment and decision-making skills
• Experience managing frailty and complex care patients
• Experience managing undifferentiated presentations
• Ability to work effectively within multidisciplinary teams
• Ability to work within agreed governance frameworks

Desirable

• Experience working in General Practice/ within Primary Care Networks
• Experience of Enhanced Health in Care Homes (EHCH) models
• Experience of admission avoidance services
• Experience of Advance Care Planning and End of Life Care
• Experience supporting supervision and development of other clinical staff

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: Promni Health

Address: Riverside Medical Centre, 194 Victoria Road, Walton-Le-Dale, Preston, PR5 4AY, United Kingdom

Employer's website: https://www.promnihealth.co.uk

Contact: Sarah Boxall, Recruitment Specialist, [e-mail], 07506037738

Closing date: 12 November 2026

Location: Riverside Medical Centre, 194 Victoria Road, Walton-Le-Dale, Preston, PR5 4AY

Duration: 6 months

Working pattern: Full-time

Contract: Fixed term