Advanced Clinical Practitioner (ACP-NMC/HCPC/GPhC) - Care Homes (ARRS)

Henmore Health; Ashbourne CP; On-site; GBP 45,000 - 55,000; Full time

Job summary

A multi-site primary care provider is seeking an Advanced Clinical Practitioner to deliver proactive, person-centred care in care homes. The role involves comprehensive clinical assessments, managing complex cases, and leading multidisciplinary team reviews. Ideal candidates will be NMC, HCPC, or GPhC registered professionals with relevant postgraduate experience. This position offers the opportunity to positively impact patient outcomes in a supportive environment.

Benefits

CPD support and mentorship

Supportive clinical governance

Qualifications

• Registered Healthcare Professional required.
• Postgraduate modules in pertinent fields preferred.
• Experience in primary care and managing complex cases essential.

Responsibilities

• Deliver autonomous clinical care in care homes.
• Conduct weekly in-person ward rounds.
• Lead urgent clinical reviews and coordinate escalation pathways.

Skills

Advanced history and examination

Clinical reasoning

Excellent communication

Non-medical prescribing

IT skills (SystmOne preferred)

Teaching and coaching

Education

Registered Healthcare Professional (nurse, paramedic, pharmacist)

Postgraduate modules in frailty or palliative care

Tools

SystmOne

Job description

Advanced Clinical Practitioner (ACP-NMC/HCPC/GPhC) - Care Homes (ARRS)

Care Home Service (EHCH) -Additional Roles Reimbursement Scheme (ARRS) funded

0.6WTE (Tuesday Wednesday Thursday delivery days)

We are recruiting an ACP to deliver proactive,person-centred care to residents across our care homes. Applications arewelcomed from NMC registered Advanced Nurse Practitioners, HCPC registeredParamedic ACPs and GPhC registered Pharmacists who can assess, diagnose, treatand prescribe autonomously within primary/community care.

You'll join a small, supportive team working closely with GPs, PCN colleauges, community services and carehome staff to improve outcomes, reduce avoidable admissions and provide high quality end of life and anticipatory care.

Main duties of the job

Provideautonomous sameday / urgentand proactiveclinical care in carehomes (in person and virtual).

• Comprehensive clinical assessment, differential diagnosis,treatment and independentprescribing(V300)within scope.
• Undertake frailty reviews, medication optimisation,long term condition management, and advancecare planning (ReSPECT/DNACPR).
• Lead daily MDT huddles / ward rounds, liaising with GPs,community nursing/therapy, pharmacy, mental health, and social care.
• Arrange investigationsand interpret results;coordinate referrals/escalation where indicated.
• Contribute to safety, audit, QI and teaching(incl. upskilling carehomestaff); support service development and reporting.
• Maintain accurate recordson SystmOne, ensuring informationgovernance and coding standards.
• Travelacross the locality (caruser essential).

About us

Henmore Health is a multi-site provider of primary care and community services. Our Care Home Service is values led and MDT-focused, delivering EHCH with an emphasis on prevention, continuity and personalised care.

• Supportive clinical governance and GP clinical leads.
• CPD support and mentorship for advanced practice consolidation.
• Friendly admin and digital team; pragmatic approach to service improvement.

Job responsibilities

Core Purpose

To deliver safe, effective, and person-centred clinical care to care home residents, ensuring compliance with PCN DES and CQC requirements. The ACP will lead in-person care home visits, participate in multidisciplinary team (MDT) board rounds, and coordinate urgent/acute reviews and escalation pathways.

Key Responsibilities

Clinical Delivery

• Conduct weekly in-person ward rounds for all designated care homes, ensuring every resident is reviewed at least once every 7 days.
• Undertake reviews of new admissions within 7 days.
• Lead urgent/acute clinical reviews and coordinate escalation to attending GP or Team Up as required.
• Participate in daily virtual MDT board rounds (09:00, MS Teams) with the Triage Coordinating GP.
• Attend Thursday escalation clinics for face-to-face GP reviews and treatment planning.
• Ensure personalised care and support planning, medication reviews, and anticipatory care for all residents.

Documentation & Data

• Record all visits, reviews, and outcomes in SystmOne on the day of encounter.
• Ensure accurate coding and summarisation of clinical activity, including escalation decisions and treatment plans.
• Communicate clinical decisions and outcomes to care home staff, residents, and families as appropriate.

Quality & Governance

• Contribute to service KPIs (e.g., weekly visits, new admission reviews, urgent response, MDT completion, medication reviews, escalation plans).
• Participate in monthly Quality Team reviews, quarterly service review meetings, and annual appraisals.
• Engage in regular audits and continuous improvement activities.

Supervision & Professional Development

• Receive scheduled 1:1 clinical supervision (minimum monthly) with a GP or senior clinician.
• Participate in weekly MDT board rounds, Thursday escalation clinics, and monthly team learning meetings.
• Access ad hoc supervision for complex or deteriorating cases.
• Maintain a professional development plan, including annual appraisal, CPD, and support for independent prescribing (if not already qualified).
• Attend weekly debrief sessions and contribute to shared learning.

Information Governance

• Comply with Derbyshire Dales PCN Data Sharing Agreement and Henmore Health policies.
• Adhere to NHS information governance standards and GDPR requirements.

Person Specification

Qualifications

• Registered Healthcare Professional (nurse, paramedic, pharmacist)
• Postgraduate modules in frailty, care of older people, palliative care, or longterm conditions

Experience

• Recent primary care, community or urgent care experience at advanced level.
• Managing complex multimorbidity, polypharmacy, and carehome or domiciliary caseloads.
• Leading MDTs, service coordination and escalation across providers.
• Quality improvement, audit, and teaching.
• Service development within EHCH/PCN models.

Knowledge and Skills

• Advanced history and examination, clinical reasoning and risk management.
• Safe non-medical prescribing and medicines optimisation in older adults with frailty.
• Familiarity with EHCH specification, anticipatory care, personalised care and endoflife principles.
• Proficient IT skills (SystmOne preferred), accurate documentation and coding.
• Excellent communication, negotiation and relationshipbuilding with carehome teams and families.
• Full UK driving licence and access to a vehicle for work.
• Use of ReSPECT, advance care planning tools, and local urgent community response pathways.
• Teaching and coaching skills for carehome workforce development.

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.