Care Home Advanced Practitioner in Market Overton

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.

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.
• 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 arena. These 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.