Advanced Clinical Practitioner Frailty - Frailty Team
Central PCN is seeking an experienced and motivated AdvancedNurse Practitioner to join our dynamic Frailty Team. This Band 8arole presents an exciting opportunity to lead and deliver high-quality,advanced clinical care to our growing population of older adults living withfrailty.
As a key member of our integrated multi-disciplinary team,you will be responsible for the comprehensive assessment, diagnosis, andmanagement of patients with frailty, supporting them to live well andindependently in the community. This is a person-centred role focused onimproving outcomes for those experiencing acute exacerbations offrailty-related conditions.
You will also take a leadership role in servicedevelopment, clinical governance, and education within the PCN, helping toshape and improve the delivery of frailty services across the area.
Full clean driving licence, access to own car on a dailybasis for work purposes is essential for this role.
Thisrole is 24 hours to be worked across 3 days.
Interviews will take place on Wednesday 24th September 2025
Main duties of the job
You will be an experienced independent prescriber with an MSc in Advanced Clinical Practice (covering 4 pillars). You will bring advanced clinical skills, excellent communication, and leadership abilities, with a passion for improving care for older adults. Experience working in primary care or community settings, particularly with frail populations, is essential.
* Provide advanced clinical assessment, diagnosis, and management for patients with frailty.
* Lead service development and quality improvement initiatives.
* Collaborate across multi-disciplinary teams to deliver integrated care.
* Provide clinical supervision and support to team members.
* Conducting home and care home visits to carry out holistic, patient-centred assessments
* Making autonomous clinical decisions based on comprehensive evaluation of patient needs
* Working collaboratively with a range of professionals to deliver personalised care plans
* Leading on quality improvement initiatives and contributing to the development of frailty pathways
About us
St Helens Central PCN serves a diverse population of approximately 39,000 patients across eight GP practices. We are a proactive and collaborative team, committed to delivering high-quality healthcare services to the people of St Helens.
Supported by our Clinical Director and dedicated member practices, we pride ourselves on fostering a positive, team-focused environment. Our staff are enthusiastic, innovative, and committed to working together to develop new projects and adopt forward-thinking approaches that address the evolving challenges in Primary Care.
Our PCN is home to a wide range of enhanced services delivered by our multidisciplinary team, including Clinical Pharmacists, First Contact Practitioners, Mental Health Practitioners, Social Prescribers, Health & Wellbeing Coaches and Care Coordinators. We also work closely with community teams and other local healthcare providers, ensuring integrated and person-centred care for our patients.
By joining our network, you will benefit from:
* Regular clinical supervision and peer support
* A supportive and friendly team environment
* Access to a well-established Training Hub for ongoing CPD and development
* Membership of the NHS Pension Scheme
We are passionate about building a resilient, skilled, and compassionate workforce to meet the needs of our community. If you share that vision, wed love to hear from you.
Job responsibilities
The post holder will work across the primary, community, secondary, and social care interface, providing advanced clinical assessment, diagnosis, treatment, prescribing, and proactive care planning for individuals living with frailty. You will respond to referrals from GPs, care homes, and wider Primary Care Team, undertaking comprehensive geriatric assessments and managing acute exacerbations of frailty-related conditions.
You will also support the delivery of the Care Home Directed Enhanced Service, helping practices meet national requirements for frailty management and enhanced health in care homes.
Key Responsibilities:
Clinical Practice
* Deliver advanced clinical assessment and management of frail and complex patients.
* Make autonomous decisions on diagnosis, treatment, referrals, and prescribing.
* Conduct comprehensive frailty assessments using recognised tools (e.g., Clinical Frailty Scale).
* Undertake anticipatory care planning and support patients in managing their future health needs.
* Provide urgent care assessments for patients at risk of hospital admission or requiring supported discharge.
* Facilitate continuity of care through proactive post-discharge reviews.
Leadership & Service Development
* Act as clinical lead within the Frailty Team, championing best practice and continuous improvement.
* Develop, implement, and review clinical protocols and pathways related to frailty care.
* Support quality improvement initiatives, service evaluation, and audits to improve outcomes.
* Contribute to the education, training, and clinical supervision of team members and students.
Operational Management
* Participate in workforce planning, caseload management, and resource allocation within the frailty service.
* Engage in recruitment, appraisal, and performance management where appropriate.
* Analyse service data to support evaluation, reporting, and commissioning requirements.
* Work closely with patients, carers, and the wider multidisciplinary team to ensure person-centred care.
* Lead or participate in MDT meetings, complex case discussions, and care home rounds.
* Build strong working relationships with GPs, social care, community providers, and local care organisations.
Governance & Compliance
* Maintain professional registration and adhere to the NMC Code of Conduct.
* Ensure compliance with NHS policies, safeguarding, clinical governance, and information governance standards.
* Participate in incident reporting, risk management, and ongoing service governance processes.
Person Specification
Skills & Knowledge
* Advanced clinical skills
* Able to work as an autonomous practitioner.
* Able to demonstrate care which reflects evidence based practice.
* Can demonstrate experience of acute disease management and crisis care
* Leadership skills with ability to engage and deliver change through negotiation and partnership working
* Management skills with team building abilities
* Ability to manage complexity and develop and sustain partnership working with both individuals and across organisations
* Ability to manage high pressured situations
* Able to prioritise workload, achieving a balance between clinical and other aspects of role
* Demonstrate knowledge of symptom control and managine the psychological and emotional needs of frail older people and their families.
* To work inclusively with the care home staff.
* IT Skills
* Evidence of recognised knowledge / skills in service improvement.
* Caseload management
Personal Qualities
* Self-motivated and innovative
* Assertive and Confident
* Empathetic and Supportive
* Flexible to meet the needs of the 5 day service.
* Access to a car for business use on a daily basis
* Able to deal with occasional unpleasant working conditions
* Ability to manage and diffuse stressful situations
* A commitment to improving care for frail older people and those in marginalised groups
Experience
* Significant clinical experience, preferably in primary care or community settings
* Experience of identification, assessment, and management of frailty.
* Experience of palliative care and end of life care
* Proven experience of working as an independent practitioner
* Experience of leading, planning and completing audit/research.
* Experience of teaching and mentoring of staff across the multi-disciplinary team.
* Evidence of applying research in practice
Qualifications
* MSc in Advanced Clinical Practice (covering 4 pillars)
* V300 Non-Medical Prescribing Qualification and significant experience
* Registered Nurse (NMC)
* Evidence of recent CPD
* Mentorship qualification and or experience
* Communication / counselling skills training
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.
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