Care Home Advanced Clinical Practitioner (ACP)GP Practice

Job summary

The Care Home Advanced Clinical Practitioner (ACP) will operate as

an autonomous, independent and highly

skilled clinician within the Primary Care Network. Who will manage the day-to-day

operations of the Care Home team which covers both reactive care and proactive

care for residents living within care home settings. The post holder will

predominantly provide rapid assessment and treatment of unwell residents

and provide clinical and management support as required to the proactive side

of the team.

Main duties of the job

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 strategic clinical leadership across the care home service and

contribute to service transformation.

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 GP practices, community teams and care home providers to improve

outcomes for residents, reduce avoidable hospital admissions and facilitate

care closer to home.

The postholder will be required to support, supervise and coach staff

within the Care Home Team to develop skills, competency and identify training

needs across the team etc

Review pathways of Care and streamline processes within the PCN

Care home.

About us

The

Lytham St Annes Primary Care Network covers 5 GP Practices, Holland House,

Fernbank, Parcliffe, Poplar, and Ansdell, serving a population of approximately

53,000 registered patients. The PCN serves a diverse population with relatively

low deprivation with a complexity from an above average elderly population and

above average residents in care homes.

The

PCN has a large population that reside in Care/ Nursing Homes with

approximately 36 care homes across the footprint and 900+ residents.

Details

Date posted

05 October 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

Depending on experience

Contract

Permanent

Working pattern

Flexible working

Reference number

A3604-26-0005

Job locations

Lytham Primary Care Centre

Lytham

FY8 5DQ

United Kingdom

Job description

Job responsibilities

Operational Lead for the PCN Care Home Team

Provide day to day oversight of the PCN Care

Home Team, managing demand on a daily basis and assigning visits etc to

the most appropriate Clinician within the team

Clinical

leadership for the Care Home Service across the PCN, acting as an expert

resource, role model and supporting care for complex patient care.

Quality Improvement (QI): Identify, design,

and implement clinical audits and QI projects to enhance the quality,

safety, and efficiency of care home services across the PCN.

Risk Management -support any investigation

that may occur such as, clinical incidents, near-misses, and safeguarding

concerns within care homes, ensuring lessons are learned and embedded into

local practice

Communicate

sensitive/contentious and occasionally highly complex medicine related

information and advice to patients, carers, GPs and other members of the

health care team.

Communicate

on a variety of different levels depending on whether you are dealing with

health professionals or patients. Information may be complex and require

translation into a more patient friendly format.

Advanced Clinical Practice & Acute Response

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.

Clinical Governance and Quality

Lead clinical governance arrangements for the Care Home Service,

ensuring delivery of safe, effective and evidence-based care.

Work collaboratively with GP Clinical Leads 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.

Report incidents on Ulysees and support any investigations that

may occur such as clinical incidents, near misses and safeguarding concerns

within care homes or the PCN service, ensuring lessons are learned and embedded

into practice both locally and within the wider NHS if required.

Education

Act as a clinical supervisor, mentor and educator for trainee

ACPs, nurses, paramedics, physician associates and other healthcare

professionals.

Deliver education, training and competency development programmes

for care home staff and multidisciplinary colleagues.

Support the development of advanced clinical skills within the

workforce through coaching, supervision and reflective practice.

Contribute to induction programmes and ongoing professional

development initiatives across the PCN.

Promote a culture of lifelong learning and evidence-based practice

within care homes and primary care services.

Participate in appraisal, competency assessment and professional

development activities for staff where appropriate.

Research, Audit and Quality Improvement

Critically evaluate and apply emerging evidence, national guidance

and best practice to improve patient care and clinical outcomes.

Lead and participate in clinical audit, quality improvement

programmes and service evaluations across the Care Home Service.

Analyse service data and patient outcomes to identify

opportunities for service improvement and innovation.

Support implementation and evaluation of new models of care for

frail and elderly populations.

Disseminate findings from audits, quality improvement projects and

research activities to clinical teams and stakeholders

Contribute to local, regional and national ACP, frailty and care

home networks, sharing learning and best practice.

Participate in and support research activity where appropriate to

advance care for older adults and care home residents.

Person Specification

Qualifications

Essential

Registered healthcare professional (NMC, HCPC or GPhC) with current professional registration.

MSc Advanced Clinical Practice (or accredited ACP programme meeting HEE/NHS England standards).

Independent Prescriber qualification.

Advanced clinical assessment, diagnostics and clinical decision-making qualification.

Evidence of practice across the four pillars of Advanced Clinical Practice.

Desirable

Fellowship or portfolio credentialing aligned to ACP framework.

Frailty, Urgent Care, Primary Care or Older Adult Care qualification.

Experience

Essential

Significant post-registration experience including primary care, urgent care, community or acute settings.

Experience autonomously managing undifferentiated and complex patients.

Experience leading MDT working, admission avoidance and proactive care.

Experience in service development, audit and quality improvement.

Experience supporting education and supervision of staff.

Desirable

Experience working in care homes.

Experience working within a Primary Care Network or General Practice setting.

Skills and Knowledge

Essential

Advanced clinical assessment and diagnostic reasoning skills.

EMIS Web proficiency.

Ability to formulate and manage complex treatment plans.

Expert understanding of frailty, long-term conditions and older people's healthcare needs.

Ability to undertake holistic assessments incorporating physical, psychological and social factors.

Sound knowledge of Safeguarding regulations and processes, the Mental Capacity Act, Advanced Care planning and decision making along with best interest frameworks.

Excellent communication skills with patients, families, care home staff and multidisciplinary teams.

Strong organisational and prioritisation skills.

Ability to adapt workload in response to fluctuating service demands.

Competence in digital clinical systems and electronic record keeping

Full UK Driving Licence and access to transport.

Desirable

Knowledge of PCN Care Home requirements and Network Contract DES.

Understanding of population health management approaches and integrated care systems.

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

Lytham St Anne’s Primary Care Network

Address

Lytham Primary Care Centre

Lytham

FY8 5DQ

United Kingdom

Employer's website

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

Employer details

Employer name

Lytham St Anne’s Primary Care Network

Address

Lytham Primary Care Centre

Lytham

FY8 5DQ

United Kingdom

Employer's website

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