Frailty Advanced Clinical Practitioner

Job overview

Are you an experienced and highly skilled clinician with a passion for improving outcomes for people living with frailty? We are seeking a motivated Advanced Clinical Practitioner (ACP) to join our dynamic Integrated Frailty Liaison Team.

This is an exciting opportunity to play a key role in delivering high-quality, patient-centred care across the Frimley Health and Care Integrated Care System (ICS), supporting the most vulnerable members of our community.

This role is fixed term until June 2027.

About the Role

As a Frailty ACP, you will spend the majority of your time (minimum 90%) in direct, autonomous clinical practice, managing a cohort of patients with complex frailty needs. You will work across organisational boundaries to provide seamless, coordinated care that promotes independence, prevents unnecessary hospital admissions, and supports timely discharge.

You will also provide clinical leadership and support to colleagues, helping to shape and develop the service in line with best practice and local population needs.

About the Service

The Integrated Frailty Liaison Team delivers a responsive, safe and effective service, designed around the needs of the local community. Working collaboratively across acute, community and primary care settings, the team focuses on:

• Urgent and proactive case management
• Supporting self-care and independence
• Delivering a co-produced approach with patients, carers and service users
• Reducing avoidable admissions and improving patient flow

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• To work alongside the Consultant Practitioner, Consultant Geriatricians, Head of Nursing, Lead Nurses, Head of Therapies, Matrons and external partners to further develop Frailty pathways, including the acute Frailty service in ED, inpatient frailty liaison, community integrated care teams, nursing homes and with the Frimley Health and Care ICS.
• To provide expert high-quality person-centred care which always considers people's safety, privacy and dignity using advanced clinical knowledge that is evidence based.
• As part of a MDT, to practice autonomously, whilst being accountable and self-directed in-line with their relevant code of professional practice.
• To undertake Comprehensive specialist holistic assessments for individuals presenting with frailty within the acute care setting, with the purpose of creating an individualised agreed management plan; incorporating pharmacological considerations, long-term conditions management, frailty syndrome identification, prevention and management, diagnostic reasoning and initiating onward referral to specialist teams as appropriate.
• To provide expert clinical advice, leadership and support ensuring the needs of the service are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision-making skills.
• To lead as a driver for change, to monitor and improve standards through supervision, evidence-based practice, clinical audit, research and education.

Working for our organisation

Frimley Health NHS Foundation Trust is committed to being an inclusive and disability confident employer and has been awarded the Gold for the Armed Forces Employment Recognition Scheme. We provide first class development opportunities for all staff and have a wide range of professional, management and leadership, and clinical skills training available.

Here at Frimley Health NHS Foundation Trust, we know how important it is to have a healthy work life balance; this benefits not only individuals but the patients we care for too.

We encourage applications from people who wish to work on a flexible basis, recognising that flexibility may mean a range of different working patterns and hours, we do our utmost to work with our staff to meet their needs and the needs of our service and its users.

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Detailed job description and main responsibilities

For more information on the main responsibilities of this job please see the attached job description.

Frimley Health NHS Foundation Trust (FHFT) is proud of its strong reputation, record of achievement and ambition for the future. We serve a population of over 900,000 people across Berkshire, Hampshire, Surrey and South Buckinghamshire, and remain committed to improving the health and wellbeing of our communities.

Our new organisational strategy – FHFT 2030 – sets out our ambition to be the best place to receive care and the best place to work in the NHS. Underpinned by our Trust values – Committed to Excellence, Working Together, Facing the Future, and being a modern, compassionate, Healthcare Organisation – we are creating a culture where our people can thrive and patients always come first.

We continue to invest heavily in our services and facilities. This includes the development of a new hospital at Frimley Park, major expansion of diagnostics and inpatient capacity, and the continued transformation of services across our sites. We have already delivered a brand-new £100m state-of-the-art Heatherwood Hospital, a £49m Emergency Assessment Centre at Wexham Park, and a £10m upgrade to maternity services.

We are also committed to sustainability and the NHS Net Zero ambition. Our new hospital and estate developments are being designed to be environmentally responsible, energy efficient, and future-proofed, featuring on-site renewables energy and intelligent energy systems. Through our green plan, we are embedding sustainable practices across all areas of care and operations, ensuring we reduce our environmental impact while improving population health and wellbeing. Our staff are key to helps us deliver on our ambition and to ensure sustainability is a core component of care delivery and our operations.

Alongside estates’ investments, we are embedding a strong focus on digital innovation and quality improvement. Our electronic patient record (Epic), launched in 2024, is already enabling safer, more connected, and more effective care for patients, while giving staff the tools they need to do their best work. Our electronic patient record also supports safe and effective digitised care pathways, savings time and carbon, whilst delivering excellent quality of care.

Everything we do is guided by our values, shaping how we care for patients, support colleagues, and build a sustainable future for healthcare together.