Advanced Nurse Practitioner (Frailty & Complex Care) in Gunnislake

We are seeking an experienced and motivated Advanced Nurse Practitioner (ANP) to join our Frailty and Complex Care service, working across primary care and the Launceston & Tamar Valley Integrated Neighbourhood Team (INT). This is a senior clinical role focused on delivering proactive, person-centred care to patients with frailty, multiple long-term conditions, and complex health and social care needs, including care home residents and housebound patients.

Main duties of the job

• Frailty and complex care assessment and management
• Chronic disease management
• Care home and domiciliary visits
• Proactive care planning and MDT working
• Urgent same-day assessment within the frailty cohort

The Advanced Nurse Practitioner (ANP) will provide autonomous, advanced clinical care to patients within the frailty and complex care cohort, registered with our primary care services and supported through the Launceston & Tamar Valley INT. The role combines clinical assessment, diagnosis, treatment, and care planning with proactive case management, MDT leadership, and close collaboration with health, social care, and voluntary sector partners. A significant proportion of work will involve care home residents and housebound patients, supporting admission avoidance, early intervention, and high-quality end-of-life care where appropriate. The ANP will play a key role in delivering continuity of care, reducing fragmentation, and supporting patients to remain well and independent in their own homes wherever possible.

About us

You will work as part of a multidisciplinary team including GPs, pharmacists, pharmacy technicians, frailty practitioners, paramedics, therapists, care coordinators, community nursing, adult social care, and voluntary sector partners. The role offers extended appointment times, continuity of care, and the opportunity to shape and develop high-quality services for some of our most vulnerable patients.

Job responsibilities

Main Duties and Responsibilities

• Undertake advanced clinical assessment, diagnosis, and management of patients with frailty, multimorbidity, and complex needs.
• Provide holistic, person-centred care including physical, psychological, and social assessment.
• Manage chronic disease within the frailty cohort, including medication optimisation and monitoring.
• Conduct care home ward rounds, domiciliary visits, and reviews of housebound patients.
• Provide urgent and same-day assessment for acutely unwell frail patients, supporting admission avoidance where safe and appropriate.
• Prescribe independently (where qualified) and ensure safe, evidence-based prescribing practice.
• Support palliative and end-of-life care, including advance care planning and coordination with community services.

Continuity and Proactive Care

• Act as a consistent clinical contact for a defined cohort of complex patients, supporting longitudinal continuity of care.
• Contribute to anticipatory care planning, personalised care and support plans, and escalation planning.
• Identify patients at risk of deterioration and intervene early to prevent crisis presentations.
• Liaise with Out-of-hours services in morning hand-overs to support the vision of a cohesive 24/7 frailty service for Cornish residents.

Multidisciplinary Team Working

• Participate actively in MDTs, case discussions, and complex care reviews.
• Work collaboratively with pharmacists, paramedics, therapists, frailty practitioners, and care coordinators to deliver integrated care.
• Liaise closely with adult social care, voluntary sector partners, and community services to address wider determinants of health.

Leadership, Education and Service Development

• Provide clinical support within the frailty and complex care team.
• Contribute to service development, pathway design, and quality improvement initiatives.
• Maintain high standards of clinical governance, documentation, and safeguarding practice.

Professional Responsibilities

• Maintain NMC registration and advanced practice competencies.
• Work within scope of practice, local protocols, and national guidance.

Person Specification

Experience

• Significant experience in primary care, community care, or urgent care.
• Proven experience working with frailty, chronic disease, care home, and housebound patient cohorts.
• Experience working within primary care or within frailty cohorts.
• Experience in dementia care, palliative care, or complex case management.
• Non-medical prescribing experience within frailty pathways.

Qualifications

• Registered Nurse with NMC registration.
• Qualified Advanced Nurse Practitioner (Masters level or equivalent).
• We may consider applications from non-prescribers and those who have not yet completed Level 7 module learning or undertaken a full MSc. We can support new to general practice clinicians with training and learning support, however this will be reflected within the salary range.

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.

£47,800 to £62,700 a year Depending on experience and qualifications.