ARRS GP or ACP (Care Homes Team)

PartnersHealth; East Midlands; On-site; GBP 70,000 - 95,000; Full time

Job summary

PartnersHealth invites an Advanced Clinical Practitioner/GP to join the Rushcliffe PCN care home team. The post involves managing a clinical caseload across multiple older-person care homes, performing ward-round style reviews, and delivering proactive primary care under EHCH guidelines.

Responsibilities include structured medication reviews, safe deprescribing, and ReSPECT discussions, with close MDT cooperation and a focus on frailty management and safeguarding in line with NHS GP contracts.

Qualifications

• Evidence of ACP training and digital badge.
• GMC registration with license to practise (GP).
• V300 Non-Medical Prescriber qualification.

Responsibilities

• Deliver comprehensive primary care to residents in care homes.
• Conduct structured medication reviews and deprescribing where appropriate.
• Lead ReSPECT discussions and advanced care planning.
• Collaborate with MDT for continuity of care and immunisation campaigns.

Skills

Frailty care

Autonomous caseload

Prescribing governance

Clinical triage

DoLS knowledge

Education

Master's degree in ACP with digital badge

V300 Non-Medical Prescriber

GMC licensed GP

Tools

TPP SystmOne

Job description

We are seeking an ACP with a digital badge or a GP to join our multidisciplinary care home team, which includes a GP Clinical Lead, a paramedic, nurses, a clinical pharmacist and a care coordinator.

You will work with the aligned GP practice to carry out resident reviews and ward rounds in older peoples care homes across Rushcliffe PCN. Your role will include clinical consultations as part of the weekly ward round, as well as structured medication reviews, covert medication plans, ReSPECT planning and generalised proactive clinical care.

Main duties of the job

If you have an interest in frailty management, this is a great role to further increase your knowledge and experience of managing frailty. You will be part of a dynamic team, proactively making a clinical difference to residents in care homes, and improving quality outcomes. The team works closely with the GP practice and the care home staff as well as NUH community geriatricians to deliver the national Enhanced Healthcare in Care Home Framework.

About us

You will be employed by PartnersHealth, working alongside the Rushcliffe PCN GP practices to provide good quality healthcare for frail older people living in residential care.

Job description

Job responsibilities

JOB DESCRIPTION

Post: ARRS GP / Advanced clinical Practitioner

Reporting to: PCN care home team operational Manager.

Accountable to: GP Clinical Lead

PURPOSE OF THE ROLE

The post-holder will manage a clinical caseload and deal with a wide range of health needs for patients living in a Rushcliffe older persons care home and registered with a Rushcliffe GP practice. Responsibilities will reflect requirements of the NHS GP Contracts, and the Enhanced Health in Care Homes contract and as such may be subject to change as services adapt.

RESPONSIBILITIES

1. Core Clinical Delivery

Autonomous Caseload Management: Deliver comprehensive primary care to residents across 24 older person's care homes via face-to-face visits, telephone consultations, and digital triage.

Acute & Proactive Medicine: Formulate accurate diagnoses and safety-netted management plans for complex, undifferentiated, and undiagnosed presentations.

EHCH Contract Fulfilment: Manage service delivery to meet Enhanced Health in Care Homes (EHCH) requirements. This includes executing timely new-resident assessments, post-hospital discharge reviews, and structured chronic disease monitoring.

Complex Decision-Making: Lead Advanced Care Planning and ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) discussions. Navigating complex mental capacity assessments, best-interest decisions, and communication barriers with next of kin and nursing staff is a daily requirement.

2.Medicines Management

Structured Medication Reviews (SMRs): Conduct clinical, evidence-based medication reviews tailored specifically to a frail, poly-pharmacy demographic.

Safe Deprescribing: Proactively identify and execute safe deprescribing initiatives to minimize side effects, reduce disease burden, and align treatments with patient-centered goals.

Prescribing Governance: Manage the processing and signing of acute, repeat, and computer-generated prescriptions in strict compliance with local practice formularies.

Covert Medication Plans: where appropriate devise and prescribe covert medications plans.

3. MDT & Continuity of Care

Integrated Team Working: Collaborate on a daily basis with the internal multi-disciplinary team (GP Lead, paramedic, nurses, pharmacist, and care coordinator) and external specialists, including the NUH community geriatrician team.

Peer Support & Supervision: to provide support and supervision to colleagues as required.

System Interoperability: Author clear, contemporaneous consultation notes and explicitly articulate action plans across clinical boundaries to ensure aligned GP practices and care home staff remain informed.

National Public Health Programs: Provide clinical support and teamwork to deliver national immunisation campaigns, specifically administering COVID-19 and influenza vaccinations to vulnerable residents.

Clinical Quality Improvement: Actively contribute to read-coding accuracy, service evaluations, clinical standard setting, and regular data collection for audits.

4. Clinical Governance & Risk Management

Policy Compliance: Maintain strict adherence to all foundational primary care frameworks, including local PCN prescribing guidelines, information governance, data protection legislation (GDPR), and health and safety policies.

Evidence-Based Practice: Benchmark all clinical decisions against national and local guidelines. Actively participate in clinical standard setting, risk reporting, and the evaluation of service delivery to minimize clinical risk.

Data Security & Documentation: Ensure that the recording of clinical findings, diagnoses, and care plans is contemporaneous, meticulous, and fully standardized to protect patient data and maintain robust medico-legal records.

5. Infection Prevention and Control (IPC)

Clinical Environment & Hygiene: Uphold exemplary hand hygiene standards and maintain clean, safe, and sterile working environments across multiple external care home settings.

PPE & Specimen Governance: Lead by example in the correct clinical selection and use of Personal Protective Equipment (PPE). Oversee the safe management of the clinical specimen process, ensuring precise collection, labelling, handling, storage, and transport protocols.

Sharps & Waste Disposal: Enforce the safe utilization, secure storage, and correct segregation and disposal of clinical sharps and hazardous medical waste.

Outbreak & Incident Management: Manage immediate clinical responses to accidental exposures, needle-stick injuries, or infectious outbreaks (including routine and pandemic-level protocol implementation). Audit working practices across sites to identify and elevate IPC weaknesses.

6. Safeguarding & Lone Working

Lone Working Protocol: Actively operate in accordance with community lone working policies, maintaining personal safety awareness while traveling between and working within independent residential and nursing facilities.

Mental Capacity & Vulnerable Adults: Navigate the legal complexities of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). Ensure that documentation regarding consent, best-interests decisions, and safeguarding vulnerabilities is meticulously executed when residents face communication barriers or cognitive decline.

Person Specification

Circumstances & Physical Demands

Essential

• Valid UK driving license and a car owner with exclusive access to a vehicle for daily community care home visits.
• Capability to work safely and autonomously in isolated community primary care settings.
• Flexibility to participate in shared advice, support networks, or required out-of-hours service commitments.
• Physically and mentally capable of undertaking the full operational duties of the post (including occasional moderate physical effort to meet flexible service needs)

Qualifications

Essential

• Essential:
• Evidence of continuous professional development (CPD).
• Clear, enhanced DBS check.
• ACP Specific Essential:
• Master's degree level Advanced Clinical Practitioner qualification with a formal digital badge.
• Valid Non-Medical Prescriber (V300) qualification.
• GP Specific Essential:
• GMC Registered with a license to practise (not subject to suspension).
• Fully qualified General Practitioner included on the NHS Performers List.

Clinical Knowledge, Skills & Experience

Essential

• Frailty Consultation: Ability to provide holistic consultations for a frail older patient cohort, including history taking, clinical observations, physical examination, diagnosis, risk screening, and proactive care planning.
• Undifferentiated Presentations: Experience assessing and managing acute, sub-acute, and long-term conditions with complex, undifferentiated, or undiagnosed problems.
• Medicines Management: Competence in clinical prescribing, safe deprescribing, and conducting structured medication reviews (SMRs).
• Clinical Judgment: Ability to apply autonomous clinical judgment in complex situations requiring the interpretation and comparison of multiple treatment options.
• System Interoperability: Experience working within multi-disciplinary teams (MDT) and navigating across organizational boundaries (e.g., social care, community services, acute care).
• Clinical Triage: Proven ability to deliver appropriate, safe, and effective telephone advice and triage.
• Evidence-Based Practice: Ability to make clinical decisions aligned with the latest evidence, local/national guidelines, and practice formularies.
• Ability to present complex patient cases to allow a comprehensive and thorough clinical debrief with a GP as required.
• Experience request-ordering diagnostic investigations and interpreting findings within an acute or primary care setting.
• Experience of clinical supervision.

Desirable

• Deep experience working directly with older people living in residential or nursing care home environments.
• Strong working knowledge of the national Enhanced Health in Care Homes (EHCH) contract specification.
• Experience delivering immunisation campaigns (e.g., administering COVID-19 and influenza vaccinations).

Core Capabilities & Digital Skills

Essential

• System Competence: Proficiency in navigating TPP SystmOne and utilizing Ardens templates, alongside general IT skills (Word, Excel, Email).
• Clinical Records: Meticulous approach to recording clear, contemporaneous, and standard-compliant electronic consultation notes.
• Workload Management: Excellent organizational, planning, and prioritization skills, with the ability to manage clinical ledgers and flex between urgent and routine tasks.
• Autonomy: Ability to work on own initiative while remaining strictly aware of the boundaries of own professional competencies.

Communication & Values

Essential

• Value Alignment: Behaviours consistently mirroring organizational standards and PartnersHealth values.
• Complex Communication: Highly developed written and verbal communication skills; empathetic capability to deliver difficult medical updates regarding clinical deterioration or prognosis to distressed relatives and carers.
• Patient Advocacy: Strong interpersonal skills with the ability to influence, collaborate, and professionally challenge differing opinions as a patient advocate.

Governance & Safety

Essential

• Deep understanding of clinical governance, clinical audits, standard setting, and their direct impact on safe practice.
• Strict comprehension of patient confidentiality, data protection protocols, and GDPR legislation.
• Clear commitment to equality, diversity, and inclusion principles.