Care Home Advanced Clinical Practitioner

NHS; Weston-super-Mare; Hybrid; GBP 40,000 - 55,000; Full time

Job summary

A healthcare organization in Weston-super-Mare is looking for an Advanced Clinical Practitioner focused on providing high-quality care for older people. The role includes working in a multidisciplinary team to manage complex care, conducting holistic assessments, and supporting quality improvements. Applicants must have extensive experience in community healthcare and appropriate qualifications, with an emphasis on lifelong learning and clinical excellence.

Qualifications

• At least 5 years’ experience working with older people in a healthcare setting.
• Autonomous working within the 4 pillars of advanced practice.
• Experience in holistic assessments.

Responsibilities

• Provide clinical assessment of care home residents with proactive medicine.
• Devise patient-centred care plans including escalation planning.
• Support complex decision making when clinical lead is required.

Skills

Experience working with Frailty

Good interpersonal skills

Excellent communication skills

IT literate (MS Teams, EMIS, MS Office)

Emotional intelligence

Resilience

Education

Nursing or AHP related degree

Registration with a health Governing Body (e.g., NMC, HCPC)

Postgraduate courses related to end-of-life care

Tools

Power BI

EMIS

MS Office

Job description

Overview

What matters to me, is what matters to us.

Calling all frailty-minded practitioners and generalists. Are you Advanced Clinical Practitioner or a training ACP interested in older people’s care, frailty or palliative care? Do you often feel you could do more to improve quality of care for older people?

Join the One Weston Care Home Hub in North Somerset, based at 168 Medical. This is an opportunity to work within a multi-disciplinary team dedicated to high-quality care for older people, with a focus on holistic medicine, collaboration, and continual learning.

This role may offer a hybrid arrangement with the primary care team at 168 Medical Group, blending generalist skills with specialist practice.

Primary responsibilities

• Provide clinical assessment of care home residents with proactive and reactive medicine, in collaboration with the MDT.
• Undertake holistic assessments and devise creative, patient-centred solutions; develop dynamic, personalised care plans including treatment escalation planning and ReSPECT forms where appropriate.
• Ensure continuity of care for residents, families and care home staff; support complex decision making when clinical lead of the day is required.
• Take clinical responsibility for decisions and ongoing management, drawing on MDT support as needed.
• Contribute to peer learning and education through significant event analysis, case discussions and other formats; provide supervision and feedback to students and MDT members.
• Promote adult safeguarding and advocate for high-quality, patient-centred care for older or vulnerable adults.
• Record data and assessments promptly in patient records systems; ensure appropriate use of read codes and templates with awareness of QOF targets and local DES specifications.
• Manage prescriptions in line with BNSSG formulary, in collaboration with the pharmacy hub.
• Initiate and interpret invasive and non-invasive diagnostics, tailored to the patient’s degree of frailty and treatment escalation plans.
• Contribute to continuous improvement and development of care pathways for older people; participate in QIP and audits; review medications via Structured Medication Reviews with pharmacists.
• Lead or participate in specialist MDT meetings (dementia/mental health, palliative care, complex care) as part of the MDT and with community colleagues.
• Provide outreach input to care home cases across Pier Health PCN as needed, supporting safeguarding processes and practice needs.

How we work

Daily routine includes a whole-team check-in (in person or via Microsoft Teams) to discuss wellbeing, problems, ideas and workload. The clinical lead of the day is assigned during this meeting.

Typical activities include ward rounds in care homes, comprehensive geriatric assessments, care planning, engaging with families and other partners, and managing acutely unwell residents. There is protected time for learning, teaching, supervision, quality improvement, and meetings, conducted via telephone, video, email or face-to-face. Regular 1:1 development meetings support career progression. We also receive regular MDT input from a geriatrician and mental health colleagues at AWP.

Where

Most work takes place at our town centre Care Home Hub in a newly built surgery and in surrounding care homes, with scope to work remotely at times.

Role details

• Job title: Care Home Hub Advanced Clinical Practitioner
• Line manager: Care Home Hub Service Lead
• Hours per week: Full or part-time, or job share considered
• Job summary: As above; passionate about high-quality care for older people and holistic medicine, with emphasis on lifelong learning and clinical excellence

Location & employer

Pier Health Group Ltd — 168 Medical Group, 168 Locking Road, Weston-super-Mare, Avon, BS23 3HQ.

Employer’s website: https://www.grahamroadsurgery.nhs.uk

Person specification

Experience (Essential):

• At least 5 years’ experience working with older people in a community or emergency healthcare setting at Band 6 AfC equivalence or above
• Substantial experience with complexity
• Autonomous working within the 4 pillars of advanced practice

Experience (Desirable):

• Primary Care, Community nursing and therapies, or emergency care practitioner background
• Additional experience in: Palliative Care, Mental Health, Learning Disability, Dementia

Qualifications (Essential):

• Registration with a health Governing Body (e.g., NMC, HCPC)
• Nursing or AHP related degree
• Postgraduate courses related to end-of-life care or recognising unwell patients
• Independent/ Non-medical Prescriber V300 (or willingness to work towards)

Qualifications (Desirable):

• Advanced Practice MSc
• Diploma of Geriatric Medicine

Skills (Essential):

• Experience working with Frailty and conducting holistic assessments
• IT literate (MS Teams, EMIS, MS Office)
• Good interpersonal skills, effective time management, planning, prioritisation and handover
• Excellent communication and interpersonal skills, emotional intelligence, resilience
• Understanding of Mental Capacity Act and related ethical/legal frameworks

Skills (Desirable):

• Advanced IT skills (Power BI, EMIS data searches), team leadership, forward planning
• Ability to influence beyond your role with care home staff, owners, and managers

Other requirements (Essential):

• Willingness to travel and work across community locations and care homes
• Flexible around working days and annual leave to maintain safe clinical cover
• Disclosure and Barring Service (DBS) check

Regulatory

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires an DBS submission. Applicants must have current UK professional registration. For further information see the NHS Careers website.

Employer details

Pier Health Group Ltd

168 Medical Group, 168 Locking Road, Weston-super-Mare, Avon, BS23 3HQ

Employer’s website: https://www.grahamroadsurgery.nhs.uk