Advanced Clinical Practitioner - Frailty

We are seeking a motivated and compassionate Advanced Clinical Practitioner to join our Emergency Department In-Reach Team. This is an exciting opportunity to play a pivotal role in improving outcomes for older adults living with frailty, as they enter the acute care pathway.
You will provide expert advanced clinical assessment, rapid decision-making and proactive frailty identification at the front door of the hospital. Working autonomously but collaboratively within a multi-disciplinary team, you will lead early comprehensive geriatric assessment, initiate personalised care plans and facilitate timely, safe alternatives to admission wherever appropriate.
You will be required to liaise with community providers to access alternatives to admission such as frailty@home. Additionally, you may be supporting the complex needs of patients in our wards which includes patients who require on-going support in the community.
The post holder will have completed training to practice as an Advanced Clinical Practitioner. This will have incorporated the progressive development of history taking, clinical examination, clinical investigations & interpretation and subsequently the diagnosis and management planning of the patient, specific to the clinical specialty of frailty and Medicine for Older Persons. The successful applicant will have completed an MSc in Advanced Clinical Practice or equivalent as stipulated by the RCEM ACP Curriculum., Clinical
+ Deliver and participate in high standards of clinical care delivered to patients
+ Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
+ Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
+ Be directly responsible and manage patients as part of their own caseload.
+ Provide supervision and direction to junior members of the clinical and nursing teams.
+ Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
+ Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
+ Be directly involved in patient experience quality assessment and implementation of improvement strategies.
+ Critically assess patient care and plans and address any issues, which may result in substandard care.
+ Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
+ Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
+ Practice in accordance with specific professional body codes of professional behaviour.
+ Maintain infection control standards., + Deliver and participate in high standards of clinical care delivered to patients
+ Ensure all aspects of practice are undertaken with obtained informed consent where applicable, in accordance with local policy, professional body guidance and law.
+ Be able to undertake advanced and comprehensive assessment based on a body of specialist knowledge.
+ Be directly responsible and manage patients as part of their own caseload.
+ Provide supervision and direction to junior members of the clinical and nursing teams.
+ Whilst working within the professional boundaries of an ACP, assess, examine, investigate, diagnose and treat patients resulting in the safe management, which may consist of further management, referral to another specialty or discharge.
+ Contribute and assist in safe and efficient patient flow and become involved in potential areas of improvement within this area.
+ Be directly involved in patient experience quality assessment and implementation of improvement strategies.
+ Critically assess patient care and plans and address any issues, which may result in substandard care.
+ Be familiar and implement trust and national policy, guidelines and recommendations to facilitate a standardised approach.
+ Ensure accurate and legible documentation and records are maintained in accordance with the Data Protection Act 1998.
+ Practice in accordance with specific professional body codes of professional behaviour.
+ Maintain infection control standards.

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North Bristol NHS Trust (NBT) and University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) are working towards merging as one organisation from July 2026.
This will create an exciting future that brings together the best of both organisations. As a single, strong and sustainable organisation, we will not only be able to deliver better outcomes for our patients and fairer care for our population, but it will also provide greater opportunities for our people.
Should you join NBT as an employee prior to our organisations merging, your employment will be automatically transferred across to UHBW. Should your employment begin after our two Trusts merge, you will be employed directly by UHBW and therefore UHBW terms and conditions of service will apply, North Bristol NHS Trust is the largest Trust in the South West region and one of the largest trusts in the country. We provide Medical, Surgical, Neonatal and Maternity Care for the local population of approximately 1 million people in Bristol, South Gloucestershire and North Somerset. We are the Major Trauma Centre for the West Country, house the Regional Stroke Centre providing 24/7 Thrombolysis alongside providing tertiary level care in Neurosciences, Orthopaedics, Pathology, Plastic Surgery and Burns, Renal Medicine, Transplant and Urology,
Per annum, the trust treats over 100,000 inpatients, 35,000 outpatients, 100,000 emergency department patients and help deliver over 6,000 babies. It employs more than 9,500 staff and has approximately 1,050 inpatient beds.
Furthermore, the Trust has University Teaching status and is associated with both the University of Bristol and the University of the West of England. This allows all staff members to actively engage in the teaching of future generations of doctors, nurses, paramedics and many more., If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful.
Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.
If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel .
North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.
The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.
At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT's workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.