Job description

Job responsibilities

Are you an experienced Advanced Clinical/Nurse Practitioner passionate about improving outcomes for frail older adults living in care homes?

We are seeking a highly skilled Advanced Nurse/Clinical Practitioner (ACP/ANP) to work as part of a Primary Care Network (PCN) multidisciplinary team, supporting the delivery of proactive, responsive and person-centred care to care home residents living with frailty, complex health needs and long-term conditions.

Working closely with GP practices, care home staff and the wider multidisciplinary team, you will provide advanced clinical assessment, diagnosis, treatment planning and prescribing, helping to reduce avoidable hospital admissions, improve continuity of care and enhance quality of life for a highly complex and vulnerable population.

As an Advanced Clinical/Nurse Practitioner (ACP/ANP), you will work as part of the Primary Care Network (PCN) multidisciplinary team to support the delivery of high-quality care to care home residents, undertaking advanced clinical assessment, diagnosis, investigation, prescribing and management of complex clinical presentations within agreed PCN care pathways.

The postholder will be employed by Promni Health and embedded within the host PCN team. Clinical activity will be undertaken within the host organisation's governance framework, policies, supervision arrangements and escalation pathways.

The service does not operate independent patient lists or standalone clinical pathways.

In line with NHS England Advanced Practice standards, the postholder will demonstrate advanced clinical practice capabilities including assessment, diagnosis, investigation, treatment planning and prescribing for patients with complex and undifferentiated presentations.

Key Responsibilities

Advanced Clinical Practice

• Undertake advanced clinical assessment of care home residents with complex healthcare needs
• Assess and triage patients, including urgent presentations where appropriate
• Manage undifferentiated and undiagnosed presentations within scope of practice
• Identify red flags and underlying serious pathology and take appropriate action
• Undertake diagnosis, investigation and management planning
• Prescribe safely and appropriately in accordance with national guidance, local policies and agreed care pathways
• Request and interpret investigations relevant to scope of practice
• Refer appropriately into local services and specialist pathways
• Use advanced clinical decision-making to support patient management

Frailty and Care Home Support

• Undertake structured care home clinical review sessions
• Participate in regular MDT meetings and care home reviews
• Support comprehensive assessments following admission, readmission or clinical deterioration
• Contribute to the development, implementation and review of Personalised Care and Support Plans
• Support Advance Care Planning discussions and associated documentation
• Provide proactive clinical input to frailty pathways
• Support admission avoidance and early intervention initiatives
• Work collaboratively with care home staff, families and carers
• Support continuity of care for residents with complex health needs

Leadership, Education and Service Development

• Provide clinical leadership within the MDT
• Support education and development of care home staff where appropriate
• Contribute to quality improvement initiatives
• Support development of integrated frailty and care home pathways
• Promote evidence-based practice

Clinical Management Focus Areas

The postholder will provide advanced clinical support in areas including:

• Frailty and complex care
• Long-term condition management
• Palliative and End of Life Care
• Dementia and Mental Health
• Falls prevention and risk reduction
• Nutrition and hydration
• Clinical deterioration and admission avoidance
• Skin integrity and wound care
• Advance Care Planning

Communication and Collaboration

The role works in close partnership with:

• General Practitioners
• Practice Managers
• Pharmacists
• District Nursing Teams
• Specialist Palliative Care Teams
• Care Home Staff
• Residents, Families and Carers
• Wider multidisciplinary teams

This collaborative approach ensures coordinated, person-centred care aligned with patient wishes, clinical needs and local pathways.

Data, Documentation and Governance

The postholder will:

• Maintain accurate clinical records within PCN clinical systems
• Ensure timely and accurate documentation
• Participate in clinical governance activities
• Work within agreed policies, protocols and escalation pathways
• Maintain appropriate professional registration and CPD requirements

Travel

The role involves travel between care homes and GP practice locations across the PCN footprint.

Person Specification

Qualifications

Essential

• Professional registration with the relevant professional body - NMC, HCPC etc.
• Masters degree in advanced practice.
• Demonstrated competence across the four pillars of Advanced Clinical Practice as defined by Health Education England: Clinical Practice, Leadership and Management, Education & Research.
• Evidence of ongoing CPD.

Experience

Essential

• Advanced clinical assessment and decision-making skills
• Experience managing frailty and complex care patients
• Experience managing undifferentiated presentations
• Ability to work effectively within multidisciplinary teams
• Ability to work within agreed governance frameworks

Desirable

• Experience working in General Practice/ within Primary Care Networks
• Experience of Enhanced Health in Care Homes (EHCH) models
• Experience of admission avoidance services
• Experience of Advance Care Planning and End of Life Care
• Experience supporting supervision and development of other clinical staff

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 (opens in a new window).

Employer details

Employer name

Promni Health

Address

Riverside Medical Centre

194 Victoria Road

Walton-Le-Dale

Preston

PR5 4AY

United Kingdom

Employer's website

https://www.promnihealth.co.uk (Opens in a new tab)

Job description

Job responsibilities

What You Will Do

Clinical Practice

• Independently assess, diagnose, and manage MSK presentations, including complex cases.
• Request investigations such as imaging and blood tests, and make appropriate referrals.
• Create tailored selfmanagement plans that support behavioural change and longterm recovery.
• Use your full scope of practice, including prescribing and injection therapy (where qualified).
• Record utilisation data daily and collect Patient Satisfaction Questionnaires (PSQs).

Collaboration & Development

• Work as part of a GPbased MDT and build strong, positive relationships with practice staff.
• Educate colleagues on MSK triage pathways and provide informal clinical guidance.
• Support clinical audits and contribute to service improvement initiatives.
• Help shape and refine local MSK care pathways.

Leadership & Learning

• Participate in supervision and peerreflection sessions.
• Continue progressing against the HEE Roadmap to Practice.
• Contribute to clinical governance and mentoring where appropriate.

What Were Looking For

Essential

• HCPC and CSP registered Physiotherapist.
• Minimum 5 years postgraduate clinical experience.
• Minimum 3 years MSK clinical experience.
• Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework.
• Active CPD portfolio aligned to the four pillars of advanced practice.

Desirable

• MSc Level 7 modules.
• Prior FCP or MSK triage experience (NHS or private sector).
• Experience working in GP practices.
• Experience using EMIS or SystmOne.
• Qualified in injection therapy and/or Independent Prescribing.

Key Skills

• Confident, friendly, and collaborative, with the ability to integrate smoothly into GP practice teams.
• Able to build strong working relationships with GPs, reception teams, nurses, and MDT colleagues.
• Excellent communication and clinical reasoning skills.
• Calm, resilient, and proactive in a fastpaced and evolving healthcare environment.
• Comfortable using digital tools and modern clinical systems.
• Committed to high standards of ethical, professional, and patientcentred care.

What We Offer

• 12.5+ days protected CPD time annually.
• Fully funded training in Injection Therapy and Independent Prescribing.
• 25 days annual leave + Bank Holidays (rising to 33 with service).
• Enhanced sick pay scheme.
• Corporate private healthcare cash plan via Medicash.
• Electric Vehicle Salary Sacrifice Scheme.
• Cycle2Work and TechScheme salary sacrifice options.
• Flexible workplace pension.
• Referafriend bonus scheme.
• A friendly, inclusive, and supportive team culture.

Equality, Diversity and Inclusion

Primary Care Physio welcomes applications from all backgrounds and is committed to fair and inclusive recruitment. We are happy to provide reasonable adjustments and support throughout the recruitment process. If you require assistance due to a disability or longterm health condition, please contact [email protected].

This supports:

• Equality Act 2010 (reasonable adjustments duty)
• NHS People Promise (Belonging, Compassionate and Inclusive)
• CQC WellLed domain (inclusive culture, fair treatment)

Person Specification

Qualifications

Essential

• - HCPC and CSP registered Physiotherapist
• - A degree in Physiotherapy

Desirable

• - Completion of some level 7 MSc learning (HEE Roadmap Stage 1 & 2)
• - Qualified independent prescriber
• - Qualified injection therapist

Experience

Essential

• - Minimum 5 years post-graduate clinical experience
• - Minimum 3 years MSK clinical experience
• - Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework
• - Active CPD portfolio aligned to the 4 pillars of advanced practice
• - Where possible, reasonable adjustments will be considered to enable applicants to meet the requirements of the role.

Desirable

• - Prior FCP or MSK triage experience (private or NHS)
• - Experience working in GP practices
• - Experience using EMIS or SystmOne

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 (opens in a new window).

Employer details

Employer name

Promni Health

Address

Springfield Medical Centre

Bennetts Road South

COVENTRY

CV6 2FL

United Kingdom

Employer's website

https://www.promnihealth.co.uk (Opens in a new tab)

Job description

Job responsibilities

What You Will Do

Clinical Practice

• Independently assess, diagnose, and manage MSK presentations, including complex cases.
• Request investigations such as imaging and blood tests, and make appropriate referrals.
• Create tailored selfmanagement plans that support behavioural change and longterm recovery.
• Use your full scope of practice, including prescribing and injection therapy (where qualified).
• Record utilisation data daily and collect Patient Satisfaction Questionnaires (PSQs).

Collaboration & Development

• Work as part of a GPbased MDT and build strong, positive relationships with practice staff.
• Educate colleagues on MSK triage pathways and provide informal clinical guidance.
• Support clinical audits and contribute to service improvement initiatives.
• Help shape and refine local MSK care pathways.

Leadership & Learning

• Participate in supervision and peerreflection sessions.
• Continue progressing against the HEE Roadmap to Practice.
• Contribute to clinical governance and mentoring where appropriate.

What Were Looking For

Essential

• HCPC and CSP registered Physiotherapist.
• Minimum 5 years postgraduate clinical experience.
• Minimum 3 years MSK clinical experience.
• Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework.
• Active CPD portfolio aligned to the four pillars of advanced practice.

Desirable

• MSc Level 7 modules.
• Prior FCP or MSK triage experience (NHS or private sector).
• Experience working in GP practices.
• Experience using EMIS or SystmOne.
• Qualified in injection therapy and/or Independent Prescribing.

Key Skills

• Confident, friendly, and collaborative, with the ability to integrate smoothly into GP practice teams.
• Able to build strong working relationships with GPs, reception teams, nurses, and MDT colleagues.
• Excellent communication and clinical reasoning skills.
• Calm, resilient, and proactive in a fastpaced and evolving healthcare environment.
• Comfortable using digital tools and modern clinical systems.
• Committed to high standards of ethical, professional, and patientcentred care.

What We Offer

• 12.5+ days protected CPD time annually.
• Fully funded training in Injection Therapy and Independent Prescribing.
• 25 days annual leave + Bank Holidays (rising to 33 with service).
• Enhanced sick pay scheme.
• Corporate private healthcare cash plan via Medicash.
• Electric Vehicle Salary Sacrifice Scheme.
• Cycle2Work and TechScheme salary sacrifice options.
• Flexible workplace pension.
• Referafriend bonus scheme.
• A friendly, inclusive, and supportive team culture.

Equality, Diversity and Inclusion

Primary Care Physio welcomes applications from all backgrounds and is committed to fair and inclusive recruitment. We are happy to provide reasonable adjustments and support throughout the recruitment process. If you require assistance due to a disability or longterm health condition, please contact [email protected].

This supports:

• Equality Act 2010 (reasonable adjustments duty)
• NHS People Promise (Belonging, Compassionate and Inclusive)
• CQC WellLed domain (inclusive culture, fair treatment)

Person Specification

Qualifications

Essential

• - HCPC and CSP registered Physiotherapist
• - A degree in Physiotherapy

Desirable

• - Completion of some level 7 MSc learning (HEE Roadmap Stage 1 & 2)
• - Qualified independent prescriber
• - Qualified injection therapist

Experience

Essential

• - Minimum 5 years post-graduate clinical experience
• - Minimum 3 years MSK clinical experience
• - Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework
• - Active CPD portfolio aligned to the 4 pillars of advanced practice
• - Where possible, reasonable adjustments will be considered to enable applicants to meet the requirements of the role.

Desirable

• - Prior FCP or MSK triage experience (private or NHS)
• - Experience working in GP practices
• - Experience using EMIS or SystmOne

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 (opens in a new window).

Employer details

Employer name

Promni Health

Address

The Surgery

Relocation Of Bishops Waltham Surgery, Lower Lane

Bishops Waltham

SOUTHAMPTON

SO32 1GR

United Kingdom

Employer's website

https://www.promnihealth.co.uk (Opens in a new tab)

Job description

Job responsibilities

What You Will Do

Clinical Practice

• Independently assess, diagnose, and manage MSK presentations, including complex cases.
• Request investigations such as imaging and blood tests, and make appropriate referrals.
• Create tailored selfmanagement plans that support behavioural change and longterm recovery.
• Use your full scope of practice, including prescribing and injection therapy (where qualified).
• Record utilisation data daily and collect Patient Satisfaction Questionnaires (PSQs).

Collaboration & Development

• Work as part of a GPbased MDT and build strong, positive relationships with practice staff.
• Educate colleagues on MSK triage pathways and provide informal clinical guidance.
• Support clinical audits and contribute to service improvement initiatives.
• Help shape and refine local MSK care pathways.

Leadership & Learning

• Participate in supervision and peerreflection sessions.
• Continue progressing against the HEE Roadmap to Practice.
• Contribute to clinical governance and mentoring where appropriate.

What Were Looking For

Essential

• HCPC and CSP registered Physiotherapist.
• Minimum 5 years postgraduate clinical experience.
• Minimum 3 years MSK clinical experience.
• Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework.
• Active CPD portfolio aligned to the four pillars of advanced practice.

Desirable

• MSc Level 7 modules.
• Prior FCP or MSK triage experience (NHS or private sector).
• Experience working in GP practices.
• Experience using EMIS or SystmOne.
• Qualified in injection therapy and/or Independent Prescribing.

Key Skills

• Confident, friendly, and collaborative, with the ability to integrate smoothly into GP practice teams.
• Able to build strong working relationships with GPs, reception teams, nurses, and MDT colleagues.
• Excellent communication and clinical reasoning skills.
• Calm, resilient, and proactive in a fastpaced and evolving healthcare environment.
• Comfortable using digital tools and modern clinical systems.
• Committed to high standards of ethical, professional, and patientcentred care.

What We Offer

• 12.5+ days protected CPD time annually.
• Fully funded training in Injection Therapy and Independent Prescribing.
• 25 days annual leave + Bank Holidays (rising to 33 with service).
• Enhanced sick pay scheme.
• Corporate private healthcare cash plan via Medicash.
• Electric Vehicle Salary Sacrifice Scheme.
• Cycle2Work and TechScheme salary sacrifice options.
• Flexible workplace pension.
• Referafriend bonus scheme.
• A friendly, inclusive, and supportive team culture.

Equality, Diversity and Inclusion

Primary Care Physio welcomes applications from all backgrounds and is committed to fair and inclusive recruitment. We are happy to provide reasonable adjustments and support throughout the recruitment process. If you require assistance due to a disability or longterm health condition, please contact [email protected].

This supports:

• Equality Act 2010 (reasonable adjustments duty)
• NHS People Promise (Belonging, Compassionate and Inclusive)
• CQC WellLed domain (inclusive culture, fair treatment)

Person Specification

Qualifications

Essential

• - HCPC and CSP registered Physiotherapist
• - A degree in Physiotherapy

Desirable

• - Completion of some level 7 MSc learning (HEE Roadmap Stage 1 & 2)
• - Qualified independent prescriber
• - Qualified injection therapist

Experience

Essential

• - Minimum 5 years post-graduate clinical experience
• - Minimum 3 years MSK clinical experience
• - Understanding of the HEE Roadmap to Practice and the MSK Core Capabilities Framework
• - Active CPD portfolio aligned to the 4 pillars of advanced practice
• - Where possible, reasonable adjustments will be considered to enable applicants to meet the requirements of the role.

Desirable

• - Prior FCP or MSK triage experience (private or NHS)
• - Experience working in GP practices
• - Experience using EMIS or SystmOne

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 (opens in a new window).

Employer details

Employer name

Promni Health

Address

Charlton Medical Centre

Lion Street

Oakengates

TELFORD

Shropshire

TF2 6AQ

United Kingdom

Employer's website

https://www.promnihealth.co.uk (Opens in a new tab)