The Proactive Care Team at Cross Gates Primary Care Ltd needs an Advanced Clinical Practitioner for a senior, autonomous role. The post centres on preventing deterioration and avoidable admission for frail and multimorbid patients, many of them in care homes, and covers assessment, prescribing and care planning in homes and community settings. It sits within an integrated neighbourhood model working alongside GP leads, community teams and social care partners. Applicants need a masters-level advanced practice qualification, independent non-medical prescribing and a current UK professional registration.
What the job involves
- Provide autonomous advanced clinical assessment, examination, diagnosis, investigation, treatment and prescribing for complex or deteriorating patients
- Run care home ward rounds, acute and planned home visits, frailty reviews and community clinical reviews
- Write holistic, anticipatory and treatment escalation care plans with patients, carers and the MDT
- Use population health data, dashboards and PQI reports to identify people at greatest risk
- Work within care home and proactive care MDTs, contributing clinical decisions, referral and follow-up
- Support prevention, admission avoidance, medicines optimisation, self-management and community alternatives to hospital
- Take part in seasonal vaccination programmes for care home, housebound and proactive care cohorts
- Contribute to service evaluation, audit, quality improvement, coding, data quality and Proactive Care and Enhanced Health in Care Homes requirements
- Give clinical advice, teaching and peer support, and take part in clinical supervision and CPD
What’s required
Qualifications
- Masters in Advanced Clinical Practice, or equivalent masters-level advanced practice qualification covering the four pillars
- Independent non-medical prescribing qualification with current prescribing competence
- Postgraduate or masters-level advanced clinical assessment and physical examination qualification
Registration & licences
- Current registration with an appropriate UK professional regulator, such as NMC or HCPC
Experience
- Managing complete episodes of care for undifferentiated, complex and deteriorating patients, including diagnosis, investigation, treatment and referral
- Working with frailty, multimorbidity, complex needs or older people in community or primary care
- Undertaking home visits, care home clinical reviews or ward rounds
- Significant multidisciplinary and multi-agency working across health, social care and/or voluntary-sector boundaries
Other
- Working effectively across organisational and professional boundaries as a collaborative team member
- Resilience and adaptability in a changing community and primary care environment
- Commitment to person-centred care, prevention, health inequalities and better outcomes for people with complex needs
Nice to have
- Postgraduate qualification in frailty, older people, long-term conditions, palliative care or a related field
- Experience working within Primary Care Networks and/or integrated neighbourhood teams
- Experience of Enhanced Health in Care Homes delivery