Job Description

What matters to me, is what matters to us.

Calling all frailty-minded practitioners... and generalists

Are you

Advanced Clinical Practitioner (or a training ACP)

interested in older people's care, frailty or palliative care? Are you frustrated at not having the time or capability to sort out complex problems properly? Do you often get the feeling that you could be doing more to improve quality of care for our most experienced members of society?

If so, come and find your tribe at the One Weston Care Home Hub in North Somerset, based at 168 Medical.

Pier Health Group are transforming the care of older people. We are leading this charge with the development of a centralised Care Home Hub, servicing the healthcare needs of our 65 care homes. Yes, that's a lot, isn't it? We are hungry with ambition, and after our first year of success which saw us featured as a national exemplar, and our second year as finalists for a prestigious HSJ Award. Join our existing team of dynamic ACPs and clinicians in a multidisciplinary environment. This is no ordinary service; we are building a legacy for our population, and for our primary care workforce.

If you are tired of dealing with problems "on the day" and not having time to address the real issues, if you are feeling increasingly lonely working in primary or community care and missing the sense of team camaraderie, if you find yourself increasingly "hands off" rather than "hands on", then this is the job for you.

Salary: 47,810 to 62,682 pro rata

Advanced Nurse Practitioners

Advanced Clinical Practitioners

Enhanced Clinical Practitioners

And those on one of the above training pathway are encouraged to apply.

This is a weekday, in-hours service with no weekend or evening commitments.

Full or part-time hours, or job share, will be considered.

Closing date: Thursday 9th October, 2025.

We may close applications early if sufficient high quality applications are received.

APPLICATIONS BY CV AND ACCOMPANYING LETTER PREFERRED

sent to the address below

For informal enquiry contact:

Runa.Ahmed@nhs.net

Pier Health Head of People

Care Home Hub Advanced Clinical Practitioner

September 2025

Who?

An opportunity has arisen for an experienced, compassionate Advanced Clinical Practitioner (or training ACP) to join our award-winning, growing, multi-disciplinary team at the One Weston Care Home Hub. If you are passionate about providing high quality care for older peopleand would enjoy practicing holistic medicine within a friendly, supportive team then this job would suit you. The right candidate will have outstanding communication skills, alongside commitment to lifelong learning and clinical excellence. We seek a reflective, adaptive, collaborative practitioner with enthusiasm for team working. This unique role would suit a curious professional who thrives when working autonomously but with peer support. Experience of palliative care, multimorbidity, care of older people or those living with dementia or learning difficulties would be valuable. Understanding of the needs of our local Weston community would be advantageous.
*and those living with learning difficulties

What?

The One Weston Care Home Hub is a true multidisciplinary team, established in 2021, bringing together a range of allied health professionals and GP's to work towards a common goal of improving care for care home residents in Weston Super Mare. Working alongside a friendly, dedicated team of GP's and allied health professionals (pharmacists, community nurses, advanced nurse practitioners, a paramedic and a mental health nurse) this innovative project is transforming community care in some of the most deprived wards in the country. Excellent admin support enables clinicians to focus on clinical matters.

The role of the ACP within the team is as follows:

To provide clinical assessment of care home residents, via a mix of preventative (proactive) and acute (reactive) medicine.

To undertake holistic assessment of residents needs and devise creative solutions, utilising the skills of the MDT to best effect.

To produce a dynamic personalised care plan for healthcare professionals and care staff to follow, which includes treatment escalation planning and a detailed, realistic ReSPECT form in keeping with the wishes of patients and their families where appropriate.

To provide continuity of care to resident, family and care home staff.

To provide support for complex decision making when clinical lead of the day.

To take clinical responsibility for decisions and ongoing management of your patients, drawing on the skills of the MDT as needed.

To contribute to peer learning and education, via significant event analysis, case based discussions and other formats.

To provide support, clinical advice, supervision and feedback to students and other members of the MDT.

To be actively involved in promoting adult safeguarding.

To advocate for high quality, appropriate, patient-centred care for older or vulnerable adults.

Record data and assessments in patient records systems promptly and accurately and to agreed standards ensuring appropriate use of read codes and templates, with awareness of QOF targets and local DES specifications.

To compile and issue computer-generated acute and repeat prescriptions, prescribing in accordance with BNSSG prescribing formulary whenever this is clinically appropriate, working with our pharmacy hub.

To instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports at a level that is appropriate for the patient's degree of frailty and their treatment escalation.

To contribute and bring ideas for continuous improvement including developing / improving care pathways for older people and contributing to QIP and audit.

To review medication using a Structured Medication Review, alongside team pharmacists.

Lead and/or participate in specialist MDT meetings dementia/mental health, palliative care or complex care with support of the team and our community mental health and geriatrician colleagues.

To provide outreach input to cases in any of our care homes across the PCN identified as in need, to support teams working across Pier Health. This may in cases of a home recognised to be in difficulty or to support our local safeguarding processes, or due to practice need for enhanced support.

How?

Each day starts with a whole team check-in either in person or via Microsoft Teams to check on wellbeing, discuss problems and ideas, share updates and to distribute workload.

Clinical lead of the day is assigned during this meeting.

The practitioner may then have a ward round in a care home, be completing comprehensive geriatric assessments, producing care plans and ReSPECT forms, liaising with families and other partners such as hospitals or district nurses, or dealing with requests for acutely unwell care home residents. There is protected time for learning activities, teaching, supervision, quality improvement work and meetings. This work takes place via a variety of formats - telephone, video, email and face to face. Career and personal development is promoted through regular 1:1 meetings with the team leads.

We also have regular complex MDT input from a geriatrician and from our mental health colleagues at AWP.

Where?

This work mainly takes place from our town centre Care Home Hub in a newly built surgery and in the surrounding care homes. There is scope to work remotely at times.

Person Specification: ACP

Essential

Desirable

QUALIFICATIONS

Registration with health Governing Body (eg NMC, HCPC)

Nursing or AHP related degree

Postgraduate courses related to end of life care or recognising unwell patients

Independent/ Non-medical Prescriber V300 (or willingness to work towards this)

Advanced Practice MSc

Diploma of Geriatric Medicine

Adult Safeguarding Level 3

EXPERIENCE

At least 5 years experience of working with older people in a community or emergency healthcare setting at Band 6 AfC equivalence or above.

Substantial experience with complexity

Autonomous working (within scope of 4 pillars of advanced practice)

Primary Care, Community nursing and therapies, or emergency care practitioner background

Experience teaching students, team members and peers

Experience of multidisciplinary working

Leading caseloads and MDTs

Knowledge of current clinical evidence-based practice

Audit and continuous improvement experience

PERSONAL QUALITIES

Planning and Organising

Motivated and Proactive

High degree of integrity

Flexible and co-operative

Ability to work within a team under pressure

SKILLS

Experience working with Frailty

(includes holistic assessments of patients, history taking, problem listing and management plan formation)

Additional experience in:

Palliative Care

Mental Health

Learning Disability

Dementia

IT literate (MS Teams, EMIS,MS office)

Enhanced use of Microsoft Office suite, EMIS data searches,

Power BI

Good interpersonal skills

Effective time management

(Planning and organising, prioritisation and handover)

Attention to detail.

Excellent communication and interpersonal skills (including emotional intelligence to deal effectively with sensitive patient information, distressed or aggressive patients or those with impaired understanding)

Resilience

Evidenced team leadership

Forward thinking and planning

Influencing beyond your role; working with care home staff, owners, and managers

Understands Mental Capacity Act and process for best interests' decision- making and other ethical and legal frameworks

OTHER REQUIREMENTS

Willingness to travel and work across community locations and in care homes

Flexibility around working days and annual leave dates to ensure safe levels of clinical cover are maintained

Job Types: Full-time, Part-time

Pay: 47,000.00-62,000.00 per year

Expected hours: 18 - 37.5 per week

Work Location: In person

Application deadline: 09/10/2025