ARRS GP or ACP (Care Homes Team)

NHS Jobs; Nottingham; On-site; GBP 42,000 - 54,000; Full time

Job summary

NHS Jobs in Nottinghamshire is seeking an ARRS GP/Advanced Clinical Practitioner to manage a clinical caseload for residents in 24 Rushcliffe older-person care homes under a Rushcliffe GP practice.

The post involves autonomous clinical delivery, medicines management, MDT collaboration, and governance with focus on EHCH contracting and safeguarding. You’ll work within the PCN care home team to provide high‑quality primary care across multiple sites.

Responsibilities

• Deliver comprehensive primary care to residents across 24 older persons care homes via face-to-face visits, telephone consultations and digital triage.
• Conduct structured medication reviews and safe deprescribing for frail, polypharmacy patients.
• Collaborate daily with the multi-disciplinary team and external specialists to ensure continuity of care.
• Maintain governance, risk management, data protection and clinical record standards.
• Lead Infection Prevention and Control practices, PPE use, specimen handling and outbreak response.
• Navigate safeguarding, lone-working policies and MCA/DoLS considerations in patient care.

Job description

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-interests 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 mitigate 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.