Advanced Clinical Practitioner - FrailtyGP Practice

Job summary

We are looking

for an ACP to join our innovative Ageing Well Team across the PCN. The post

holder will provide proactive, person-centered care for people living with

moderate frailty, including undertaking and coordinating Comprehensive

Geriatric Assessments (CGA) to identify medical, functional, psychological and

social needs and agree individualised care plans.

This is an

exciting opportunity for an enthusiastic, motivated ACP (who could be from a nursing

or therapy background), working closely with our O/T, physio & care

coordinators to provide proactive care for the moderately and severely frail. This

role is integral to the assessment of patient frailty levels & assisting

with review of patients to allow the best access to care required for their

support. You will be an autonomous practitioner who is adaptable, has a

flexible can-do attitude with a passion for excellence & ability to work

well both on their own & as part of a team.

This is a

community-based role, which predominantly requires assessment of patients in

their own home, therefore applicants must have a full driving license &

access to a vehicle daily.

Main duties of the job

The successful candidate

should be an experienced practitioner who will

work in partnership with other health professionals in supporting frail

patients and providing holistic patient care. They will act within their

professional boundaries and competencies, assessing, planning &

implementing patient care.

They will participate in

MDT meetings to discuss patients that the Ageing Well Team are supporting. As

a result, they must have high level

communication/interpersonal skills to negotiate & establish collaborative

partnerships with patients & care professionals and have enthusiasm &

the ability to use their own initiative.

About us

Employed by Selby Prime Care Ltd but subcontracted to Selby Town PCN,

this is a role to support patients across Selby Town PCN.

The PCN

works over four practice sites (Beech Tree Surgery, Escrick Surgery,

Posterngate Surgery and Scott Road Medical Centre) a local voluntary sector

site & our local community hospital.

The PCN

has a Clinical Director, two Clinical Lead GPs and is managed by the PCN

Operations Manager & Business Manager. We work in increasingly

collaborative partnerships across several workstreams, which include important

priority areas of mental health, frailty, urgent care and health inequalities.

Our team consists of a diverse multi-professional workforce which includes

pharmacists, MSK practitioners, mental health workers, care coordinators,

social prescribing link workers, a frailty therapy team, an urgent care

coordinator, UCPs, paramedics, ACPs, a transformation lead, a digital lead,

health & wellbeing coach.

Details

Date posted

08 October 2026

Pay scheme

Other

Salary

£29.42 an hour

up to

Contract

Permanent

Working pattern

Part-time

Reference number

W0052-26-0006

Job locations

68 Doncaster Road

Selby

N. Yorks

YO8 9AJ

United Kingdom

Job description

Job responsibilities

To visit clients who meet the Frailty assessment

criteria within their usual place of residence.

To assess and identify the health needs of

patients who are frail and who may have long-term conditions.

To undertake and coordinate Comprehensive

Geriatric Assessments (CGA), within professional competence, covering physical

health, medicines, cognition, mood, mobility, falls risk, nutrition,

continence, functional ability, social circumstances and future care wishes.

To use CGA findings to develop, document and

review person-centered, strengths-based care and support plans with patients,

carers and the multidisciplinary team, escalating clinical concerns

appropriately.

To provide clinical leadership, guidance and

support to care coordinators, including advice on patient care, risk

management, escalation and effective multidisciplinary working within agreed

professional boundaries.

To assess, plan, implement and evaluate

programmes of care to address the identified needs of patients identified as

being frail and/or those with long-term conditions.

To support the development of patients

individual Personal Health and Social Care Plans.

Develop disease specific patient information

and education to support patients self care.

Participate in education &

staff development, including specialised CPD relevant to Frailty and Dementia

and actively participate in regular supervision.

Participate in regular MDT

meetings and complex case management discussions.

Person Specification

Other requirements

Essential

Please see attached for full job description and person specification.

Experience

Essential

Significant post-registration clinical experience, including recent experience working autonomously in an advanced or senior clinical role.

Experience of delivering patient education and promoting self-directed care

Experience of working with people living with frailty and long-term conditions in community or primary care settings

Experience of working autonomously within professional boundaries and competence

Experience of assessing, planning, implementing and evaluating person-centered care for people living with frailty

Experience of undertaking or contributing to Comprehensive Geriatric Assessment, including physical health, medicines, cognition, mood, mobility, falls risk, nutrition, continence, functional ability and social circumstances.

Experience of translating assessment findings into coordinated strengths-based care and support plans including, completing Advanced Care Plans and RESPECT documentation.

Experience of multidisciplinary working and contributing effectively to MDT meetings

Experience of providing clinical leadership, guidance or support to care coordinators or other members of a multidisciplinary team

Experience of identifying and managing clinical risk, escalating concerns appropriately and safeguarding adults

Experience of using the Rockwood Clinical Frailty Scale

Desirable

Experience in primary care, urgent care, general practice or a Primary Care Network setting.

Experience of working across multiple sites or within a multidisciplinary team.

Experience of audit, quality improvement, service development or clinical supervision.

Qualifications

Essential

Registered healthcare professional with current NMC or HCPC registration.

Advanced Clinical Practitioner qualification or evidence of working towards an accredited advanced practice qualification.

Independent prescribing qualification.

Evidence of continuing professional development relevant to advanced clinical practice.

Desirable

Masters level qualification in Advanced Clinical Practice.

NHSE Centre for Advancing Practice recognition/digital badge or working towards this.

Teaching, mentorship, supervision or assessor qualification.

Willingness to develop skills in medication review and de-prescribing

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

Selby Town PCN

Address

68 Doncaster Road

Selby

N. Yorks

YO8 9AJ

United Kingdom

Employer's website

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

Employer details

Employer name

Selby Town PCN

Address

68 Doncaster Road

Selby

N. Yorks

YO8 9AJ

United Kingdom

Employer's website

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