Care Home Advanced Practitioner

North Rutland Health Partnership; Oakham, Market Overton; On-site; GBP 45,000 - 60,000; Full time

Benefits offered by this job

NHS Pension

Job summary

North Rutland Health Partnership is recruiting a Care Home Advanced Clinical Practitioner to visit local care homes and provide advanced clinical assessment, diagnosis, prescribing, and management for residents with complex needs.

The ACP will lead complex case management, support admission avoidance, and contribute to end‑of‑life planning while working with Practice teams and community services to deliver high‑quality care closer to home.

Qualifications

• Substantial autonomous practice in a multi-professional setting.
• Evidence of autonomous physical examination and assessment in practice.
• Broad knowledge of complex and common conditions in primary care (adults and children).
• Experience of prescribing and undertaking medication reviews.

Responsibilities

• Operate as an autonomous, independent clinician within the Practice team.
• Use advanced clinical assessment and prescribing to manage residents with acute, chronic and complex needs.
• Lead complex case management and support end‑of‑life care, improving outcomes and reducing hospital admissions.
• Provide clinical leadership and governance, reviewing risk and quality improvement activities.
• Develop and review care pathways, protocols and standard operating procedures.
• Collaborate with care homes, GP practices, and community teams to ensure safe, effective care.

Skills

Excellent communication skills

Strong IT skills

Teamwork and autonomy

Problem solving

Clinical governance understanding

Education

NMC/HCPC/GPhC registration

Postgraduate diploma or degree (Advanced Practice Qualification)

Independent non-medical prescriber

Tools

SystmOne

Office & Outlook

Job description

Job summary

Oakham Medical Practice and Market Overton and Somerby Surgeries have an exciting opportunity to recruit a Care Home Advanced Clinical Practitioner.

The Care Home Advanced Clinical Practitioner (ACP) plays an essential role in supporting residents to live as comfortably, safely, and independently as possible. As a highly skilled and autonomous clinician, they provide both day-to-day reactive care and proactive health management, ensuring residents receive the right care at the right time. By working in partnership with residents, families, care home staff, and healthcare professionals, the ACP helps deliver holistic, personalised care that makes a real difference to people's lives.

Main duties of the job

Employed by the GP Practice, the Care Home Advanced Clinical Practitioner (ACP) will visit our local care homes to provide advanced clinical assessment, diagnosis, treatment and management for our registered care home patients with acute, chronic and complex health needs. The role involves leading complex case management, supporting admission avoidance, end-of-life care and personalised care planning, while working collaboratively with the Practice team, community services and care home providers to improve resident outcomes. The ACP will also provide clinical leadership, oversee governance and quality improvement activities, and ensure the delivery of safe, effective and evidence-based care.

About us

Oakham Medical Practice is based in a thriving market town in the beautiful county of Rutland. Market Overton is a picturesque village in the North of Rutland with a branch surgery in the village of Somerby just across the border in Leicestershire. The Practices serve 20,000 patients.

We are part of Rutland Health PCN and work collaboratively and effectively with our local partners in general practice, the community and social care.

We are a dynamic, creative and forward-thinking Partner led team. We are incredibly lucky to have a wonderful and supportive Practice team to work with. We pride ourselves upon being a learning and teaching Practice.

Details

Closing date: 27 November 2026

Pay scheme: Other

Salary: Depending on experience NHS Pension

Contract: Permanent

Working pattern: Full-time

Reference number: A5710-26-0009

Job responsibilities

• The Care Home Advanced Clinical Practitioner (ACP) will operate as an autonomous, independent and highly skilled clinician within the Practice team. They will manage the day-to-day care which covers both reactive care and proactive care for residents living within care home settings locally.
• Using advanced clinical assessment, diagnostic reasoning and independent prescribing skills, the ACP will assess, diagnose, treat and manage residents with acute, chronic and complex needs, supporting admission avoidance and high-quality care closer to home.
• The ACP will provide expert clinical decision making for undifferentiated presentations, lead complex case management, review high acuity patients with complex needs and support end-of-life care, and work collaboratively with the Practice team, community teams and care home providers to improve outcomes for residents, reduce avoidable hospital admissions and facilitate care closer to home.
• Participate in multidisciplinary reviews of high-risk residents to optimise health outcomes and reduce avoidable deterioration.
• Develop personalised care and support plans in partnership with residents, families, care home staff and GP Practices.
• Facilitate advance care planning and DNACPR discussions with residents and families.
• Support residents with frailty, dementia, multiple long-term conditions and complex healthcare needs.
• Provide clinical leadership for multidisciplinary discussions relating to high-risk residents.
• Support residents to remain within their preferred place of care wherever appropriate.
• Enable residents approaching end of life to receive care within their care home where this reflects their wishes and clinical needs.
• Lead clinical governance arrangements, ensuring delivery of safe, effective and evidence-based care.
• Work collaboratively with the Practice Team and Care Home Managers to review quality, outcomes and clinical risks.
• Lead investigations into incidents, complaints, safeguarding concerns and significant events, ensuring relevant safety systems are used to report and monitor incidents for quality improvements.
• Ensure learning from governance activity is embedded into clinical practice and service delivery.
• Monitor standards of prescribing, record keeping and clinical documentation.
• Develop, implement and review care pathways, protocols and standard operating procedures.
• Lead and participate in clinical audit and quality improvement programmes to improve resident outcomes.
• Ensure compliance with professional, regulatory and organisational standards.

Person Specification

Experience

Essential

• Substantial autonomous practice working in a multi-professional team
• Can show evidence of using autonomous physical examination and assessment skills in practice.
• Can demonstrate a broad and sound knowledge of complex and common conditions in primary care in both adults and children.
• Experience of prescribing and undertaking medication reviews.

Desirable

• Experience of working in a primary care environment
• Experience of telephone triage

Clinical Knowledge and Skills

Essential

• Requesting pathology tests and processing the results advising patients accordingly
• Understands the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of health promotion strategies

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arenaThese skills would be useful in the role
• ALS or PALS
• Venepuncture
• ECG recording and interpretation
• Suturing and wound closure
• X-Ray interpretation
• Pathology interpretation

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• SystmOne user skills
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Experience with audit and able to lead audit programmes
• Experience with clinical risk management

Qualifications

Essential

• Registered Adult Nurse registered with the Nursing and Midwifery Council (NMC), Paramedic registered with the Health and Care Professions Council (HCPC) or Pharmacist registered with the General Pharmaceutical Council (GPhC).
• Post graduate diploma or degree (Advanced Practice Qualification)
• Registered as an independent non-medical prescriber.
• A minimum of 2 modules at Level 7. One module must have included assessment of clinical examination skills.

Desirable

• Mentorship Qualification

Other Requirements

Essential

• Flexibility to work outside of core office hours to meet service needs
• Enhanced Disclosure Barring Service (DBS) check
• Occupational Health Clearance
• Full UK driving licence and use of a reliable vehicle for business travel

Employer contact details

For questions about the job, contact: Practice Manager, Claire Southerington, [e-mail], [phone]

Job locations

Cold Overton Road, Oakham, Rutland, LE15 6NT, United Kingdom

Market Overton and Somerby Surgeries, Thistleton Road, Market Overton, Oakham, Rutland, LE15 7PP, United Kingdom

Somerby Branch Surgery, Oakham Road, Somerby, Melton Mowbray, Leicestershire, LE14 2QF, United Kingdom

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

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