ARRS GP or ACP (Care Homes Team)

PartnersHealth; Nottingham; On-site; GBP 65,000 - 90,000; Full time

Job summary

PartnersHealth is recruiting an Advanced Clinical Practitioner/GP to join a multidisciplinary team supporting frail older residents in Rushcliffe PCN. You will perform clinical reviews, ward rounds in care homes, and structured medication management in collaboration with the GP practice.

The role focuses on autonomous caseload management, proactive care, and governance, with emphasis on quality improvement and effective team working within a national EHCH framework.

Qualifications

• CPD evidenced ongoing professional development.
• GMC registered and licensed to practice in the UK.
• Master's ACP qualification with digital badge.

Responsibilities

• Autonomously manage caseload delivering primary care across care homes.
• Lead Advanced Care Planning and ReSPECT discussions.
• Conduct structured medication reviews for frail residents.
• Ensure prescribing governance and safe medication management.
• Maintain clear documentation and data for audits.

Skills

Frailty consult

Medicines management

System interoperability

Clinical triage

Autonomy

Education

Master's degree in Advanced Clinical Practice

GMC registration / license to practise

Tools

SystmOne

Ardens templates

Job description

We are seekingan ACP with a digital badge or a GP to join our multidisciplinary care hometeam, which includes a GP Clinical Lead, a paramedic, nurses, a clinicalpharmacist and a care coordinator.

You will workwith the aligned GP practice to carry out resident reviews and ward rounds inolder peoples care homes across Rushcliffe PCN. Your role will includeclinical consultations as part of the weekly ward round, as well as structuredmedication reviews, covert medication plans, ReSPECT planning and generalisedproactive clinical care.

Main duties of the job

If you havean interest in frailty management, this is a great role to further increaseyour knowledge and experience of managing frailty. You will be part of adynamic team, proactively making a clinical difference to residents in carehomes, and improving quality outcomes. The team works closely with the GPpractice and the care home staff as well as NUH community geriatricians todeliver the national Enhanced Healthcare in Care Home Framework.

About us

You will beemployed by PartnersHealth, working alongside the Rushcliffe PCN GP practicesto provide good quality healthcare for frail older people living in residentialcare.

Job responsibilities

JOB DESCRIPTION

Post:ARRS GP /Advanced clinical Practitioner

Reportingto: PCNcare home team operational Manager.

Accountableto: GP Clinical Lead

PURPOSE OF THE ROLE

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

RESPONSIBILITIES

1. Core Clinical Delivery

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

Acute & Proactive Medicine:Formulate accurate diagnoses and safety-netted management plans forcomplex, 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 diseasemonitoring.

Complex Decision-Making: LeadAdvanced Care Planning and ReSPECT (Recommended Summary Plan for EmergencyCare and Treatment) discussions. Navigating complex mental capacityassessments, best-interest decisions, and communication barriers with nextof kin and nursing staff is a daily requirement.

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

Safe Deprescribing:Proactively identify and execute safe deprescribing initiatives tominimize side effects, reduce disease burden, and align treatments withpatient-centered goals.

Prescribing Governance:Manage the processing and signing of acute, repeat, and computer-generatedprescriptions 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 (GPLead, paramedic, nurses, pharmacist, and care coordinator) and externalspecialists, including the NUH community geriatrician team.

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

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

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

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

4. Clinical Governance & RiskManagement

Policy Compliance:Maintain strict adherence to all foundational primary care frameworks,including local PCN prescribing guidelines, information governance, dataprotection 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 theevaluation of service delivery to minimize clinical risk.

Data Security & Documentation:Ensure that the recording of clinical findings, diagnoses, and care plansis contemporaneous, meticulous, and fully standardized to protect patientdata 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 homesettings.

PPE & Specimen Governance: Leadby example in the correct clinical selection and use of PersonalProtective Equipment (PPE). Oversee the safe management of the clinicalspecimen process, ensuring precise collection, labelling, handling,storage, and transport protocols.

Sharps & Waste Disposal:Enforce the safe utilization, secure storage, and correct segregation anddisposal 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 andpandemic-level protocol implementation). Audit working practices acrosssites 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 workingwithin 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 documentationregarding consent, best-interests decisions, and safeguardingvulnerabilities is meticulously executed when residents face communicationbarriers or cognitive decline.

Person Specification

Circumstances & Physical Demands

• 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

• 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.
• 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

• 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.
• 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.
• 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

• 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

• 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.

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.