Overview
We continue to grow as a recognised and respected multi‑professional frailty and urgent care response service, and we are excited to be advertising our last Multi‑Professional Advanced Clinical Practitioner (ACP) position. The successful candidate will join an established ACP team with a wealth of experience and knowledge in frailty / urgent care delivery and be supported by the Nurse Consultant, Chief of service, Consultant Geriatricians, Visiting GP’s and wider directorate senior management team.
Managing patients with frailty is a complex business. It requires a diverse knowledge base and experience. We are looking for an experienced band 7 Nurse who has worked within a variety of clinical settings and specialities, who can demonstrate a broad breadth clinical acumen, autonomy and professional standards but also transformational service change initiatives and the leadership qualities the team will wish to follow. You will also be experienced and comfortable navigating uncertain clinical and strategic terrain and be solution‑focused.
Responsibilities
* To work closely with the Consultant Geriatrician, Consultant Nurse for Older People, Advanced Clinical / Nurse Practitioners and administrative team to provide rapid response services and professional, high‑quality patient care to patients & families in the community setting.
* To undertake comprehensive specialist holistic assessments for individuals presenting with an acute frailty crisis in their own homes / community setting, to reduce or avoid hospital admission and promote patient choice in their place of treatment.
* The purpose of creating and implementing an individualised agreed treatment / management plan; incorporating pharmacological considerations, long‑term conditions management, frailty syndrome prevention and management, diagnostic reasoning and initiating onward referral to specialist teams as appropriate.
* To provide advanced clinical advice, leadership and support ensuring the needs of the service are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision‑making skills.
* To manage change, to monitor and improve standards through supervision, evidence‑based practice, clinical audit, research and education.
* To promote and demonstrate best practice by integrating evidence into practice.
* To be responsible for the assessment, planning, implementation and evaluation of evidence‑based care recognising individual patient needs and preferences without direct supervision.
* To provide advanced assessment and care planning, including history taking and medication.
* Understand and meet the physical and psychological needs of the person liaising with the hospital at home MDT and other healthcare teams when participating in the care and support of the patient, enabling them to be cared for at home.
* To ensure patient care needs are met through maintaining their information needs, promoting their wishes and beliefs, and addressing their concerns in discussion with family or carers, when appropriate.
* To act at all times in the UCR/ VFW/ hospital or home within the policies and procedures of Frimley Health NHS FoundationTrust and also The Code (2018) and in a manner which promotes the reputation of the Trust.
* To act as an excellent clinical role model and exercise leadership within sphere of practice in the management of patients requiring home care.
* To lead discharge planning and assessment of a patient’s needs, ensuring detailed communication with ongoing care providers and safe discharge for the patient and carers.
* To promote health and prevention of illness, providing information to individuals to prevent or reduce deconditioning and adopt health‑promoting behaviours.
Benefits
Frimley Health NHS Foundation Trust is committed to being an inclusive and disability confident employer and has been awarded the Gold for the Armed Forces Employment Recognition Scheme. We provide first‑class development opportunities for all staff and have a wide range of professional, management and leadership, and clinical skills training available.
Here at Frimley Health NHS Foundation Trust, we know how important it is to have a healthy work life balance; this benefits not only individuals but the patients we care for too.
We encourage applications from people who wish to work on a flexible basis, recognising that flexibility may mean a range of different working patterns and hours; we do our utmost to work with our staff to meet their needs and the needs of our service and its users.
This advert closes on Sunday 26 Oct 2025
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