Job Description

Advanced Nurse Practitioner (ANP) Frailty Team Lead

Location: Primary Care Network (PCN) / Community


Reports to: PCN Clinical Director / Business Development Manager


Contract: 37.5 hours per week, 18-month fixed-term

Job Overview

We are looking for a motivated and experienced Advanced Nurse Practitioner (ANP) to lead our innovative Frailty Team. This is an exciting opportunity to shape and deliver proactive, high-quality care for individuals with mild to moderate frailty across our Primary Care Network (PCN). The role combines clinical leadership, autonomous practice, care coordination, and multi-agency collaboration. Youll be at the forefront of delivering patient-centred, preventative care within community settings and will play a vital role in driving service improvement.

Key Responsibilities

Lead the PCN Frailty Team and champion evidence-based interventions. Conduct comprehensive geriatric assessments using appropriate tools. Develop and deliver individualised care plans based on clinical need and patient goals. Provide independent prescribing for frailty-related conditions within scope of practice. Monitor medication use and adjust treatment plans as required. Work closely with GPs, Occupational Therapists, Care Coordinators, Social Prescribers, and community nursing teams. Attend and lead MDT meetings and case reviews. Support patients and families in understanding and managing frailty. Promote lifestyle and self-management strategies to optimise health and independence. Identify patients in need of palliative support and facilitate advance care planning discussions.

Operational & Governance Responsibilities

Ensure compliance with local and national frailty care guidelines. Maintain high-quality documentation and accurate coding of frailty status. Contribute to the development and implementation of frailty pathways within the PCN. Actively participate in audit and quality improvement initiatives. Track and report KPIs including patient outcomes, frailty identification and coding accuracy, and intervention effectiveness. Provide monthly reports and lead regular team meetings.

Professional Development

Engage in ongoing CPD activities related to frailty and older adult care. Act as a clinical mentor within the frailty team and wider PCN.

Person Specification

Essential:

Registered Nurse with current NMC registration. MSc Advanced Clinical Practice or equivalent. Independent Prescriber. Proven experience working with older adults or in frailty services. Ability to work autonomously and collaboratively. Strong leadership and communication skills.

Desirable:

Experience in service development and quality improvement. Familiarity with frailty assessment tools (e.g., Rockwood, eFI). Knowledge of community and social care pathways.

How to Apply

To apply, please submit your CV and covering letter to: grace.bowker@nhs.net


Closing date : 8th May 2025