Royal Free London NHS Foundation Trust

Frailty ACP for GEMS and Same Day Acute Frailty (SDAF)

The closing date is 18 July 2025

Job summary

This is an exciting opportunity to join our dynamic Geriatric Emergency Medicine Service (GEMS) at North Middlesex University Hospital as an Advanced Clinical Practitioner (ACP). You will work autonomously and collaboratively across the Emergency Department (ED), Same Day Acute Frailty (SDAF) pathway, and acute frailty ward (Amber) to deliver high-quality, patient-centred care to older people living with frailty.

You will be a clinical expert, responsible for comprehensive assessments, diagnostics, treatment, and discharge planning. As a senior member of the frailty team, you will also lead service development, quality improvement, and education initiatives across the front door and community interface.

Main duties of the job

MAIN DUTIES AND RESPONSIBILITIES

  • Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward
  • Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified).

  • Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT).

  • Lead discharge planning and admission avoidance through liaison with community and social care partners.

  • Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners.

  • Facilitate frailty education and training across acute and community settings.

  • Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy.

  • Participate in service evaluation, workforce development, and governance activity.

  • Act as a professional role model and promote evidence-based, person-centred care

About us

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/

Details

Date posted

04 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,883 to £66,239 a year per ennum inclusive of HCAs (Dependant on experience)

Contract

Permanent

Working pattern

Full-time

Reference number

391-NMUH-7309618

Job locations

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES

  • Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward.

  • Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified).

  • Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT).

  • Lead discharge planning and admission avoidance through liaison with community and social care partners.

  • Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners.

  • Facilitate frailty education and training across acute and community settings.

  • Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy.

  • Participate in service evaluation, workforce development, and governance activity.

  • Act as a professional role model and promote evidence-based, person-centred care

Please see JD and PS for detailed information on job description and main responsibilities.

Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES

  • Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward.

  • Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified).

  • Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT).

  • Lead discharge planning and admission avoidance through liaison with community and social care partners.

  • Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners.

  • Facilitate frailty education and training across acute and community settings.

  • Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy.

  • Participate in service evaluation, workforce development, and governance activity.

  • Act as a professional role model and promote evidence-based, person-centred care

Please see JD and PS for detailed information on job description and main responsibilities.

Person Specification

Royal Free Values

Essential

  • Welcoming, Respectful, Communication, Reassuring

Qualifications

Essential

  • Current registration with NMC or HCPC
  • MSc in Advanced Clinical Practice (or working towards)
  • Non-medical prescribing qualification (V300)
  • Evidence of CPD and portfolio of advanced practice

Desirable

  • Teaching or mentorship qualification

Experience

Essential

  • Significant experience in urgent/emergency or acute medicine
  • Experience working with older adults/frailty
  • Experience in leading service development or QI
  • Supervisory or management experience

Desirable

  • Audit, evaluation or research involvement

Skills and Aptitudes

Essential

  • Expert clinical assessment and diagnostic skills
  • Knowledge of frailty syndromes and CGA principles
  • Excellent communication and interpersonal skills
  • Ability to work autonomously and in MDT
  • Familiarity with NHS systems and frailty pathway

Desirable

  • Understanding of national frailty strategy

Other Requirements

Essential

  • Committed to high-quality, person-centred care
  • Flexible and adaptable to service needs
  • Able to work across sites and attend community meetings
Person Specification

Royal Free Values

Essential

  • Welcoming, Respectful, Communication, Reassuring

Qualifications

Essential

  • Current registration with NMC or HCPC
  • MSc in Advanced Clinical Practice (or working towards)
  • Non-medical prescribing qualification (V300)
  • Evidence of CPD and portfolio of advanced practice

Desirable

  • Teaching or mentorship qualification

Experience

Essential

  • Significant experience in urgent/emergency or acute medicine
  • Experience working with older adults/frailty
  • Experience in leading service development or QI
  • Supervisory or management experience

Desirable

  • Audit, evaluation or research involvement

Skills and Aptitudes

Essential

  • Expert clinical assessment and diagnostic skills
  • Knowledge of frailty syndromes and CGA principles
  • Excellent communication and interpersonal skills
  • Ability to work autonomously and in MDT
  • Familiarity with NHS systems and frailty pathway

Desirable

  • Understanding of national frailty strategy

Other Requirements

Essential

  • Committed to high-quality, person-centred care
  • Flexible and adaptable to service needs
  • Able to work across sites and attend community meetings

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Royal Free London NHS Foundation Trust

Address

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Employer's website

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

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Employer's website

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

Employer contact details

For questions about the job, contact:

Clinical Director

Josephine Arumugam

josephine.arumugam@nhs.net

07471336368

Details

Date posted

04 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,883 to £66,239 a year per ennum inclusive of HCAs (Dependant on experience)

Contract

Permanent

Working pattern

Full-time

Reference number

391-NMUH-7309618

Job locations

North Middlesex University Hospital

Sterling Way

London

N18 1QX


Supporting documents

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