Frailty Advanced Practitioner

Buckinghamshire Healthcare NHS Trust

The closing date is 11 May 2025

Job summary

This opportunity has risen to be part of a multi- disciplinary frailty team that provides autonomous clinical support to the care of patients undertaking frailty health assessments: diagnoses, treating, and discharging patients within their own competence.

The Advanced Practitioner (AP) will provide expert care and treatment to patients within agreed protocols and clinical guidelines. However, the AP also has the ability to make decisions outside these frameworks, where necessary based on best practice.

The post will be expected to rotate between our acute sites at Stoke Mandeville Hospital, Frailty Same Day Emergency Care (FSDEC), Frailty hospital at home team that delivers acute care in the community, community inpatient areas at Amersham and Buckinghamshire and our day unit at Wycombe General Hospital. We operate 24 hours a day, 365 days a year, and the post holder will be required to work flexibly to accommodate a developing 24hr frailty model of care.

Main duties of the job

Work towards health promotion and prevention and comprehensively assess patients for risk factors and early signs of illness

Draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions, which will include prescribing medication where legally allowed and actively monitoring the effectiveness of therapeutic interventions.

Plan and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, and provide direct support to patients and clients.

Work in partnership with patients and support them to manage and live their lives.

In addition, they will help develop a practice development programme for staff in Frailty Team and Department of Medicine for Older People, who will also be caring for these patients.

About us

Listen to why colleagues think we are a great place to work! - https://bit.ly/3DNEQfD

What does Buckinghamshire Healthcare NHS Trust offer you?

  • As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.
  • We offer flexible and agile workingopportunities,alongside your NHS benefits ofgenerous annual leave entitlement, pension andaccess toNHS discount schemes.
  • We provide a range of health and wellbeing services to promote a healthy, happy workforce.

Why work for us?

  • We'recommitted to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
  • As an employer, we aim to create a workplace where differences are valued, and colleagues treat one another with dignity and respect.
  • Greater diversity withinourBHT familyimprovespositive outcomes for the people and communities we serve.

What do we stand for?

  • Our vision is to provide outstanding care, support healthy communities and be a great place to work.
  • Our mission is to provide personal and compassionate care every time.
  • Our CARE values are collaborate, aspire, respect and enable.

Date posted

25 April 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

434-CR7039843

Job locations

Stoke Mandeville Hospital

Aylesbury

HP21 8AL


Job description

Job responsibilities

For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on bht.recruitment@nhs.net quoting the vacancy reference number.

Job description

Job responsibilities

For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on bht.recruitment@nhs.net quoting the vacancy reference number.

Person Specification

Education, Qualifications & Training

Essential

  • First-level degree (HEI Level 5 or 6) or equivalent in the undergraduate base profession
  • NMC or HCPC registration
  • Masters in Advanced Practice or equivalent, which maps across the 4 pillars
  • Qualified as a non-medical prescriber (if able under professional registration)
  • Evidence of continuing professional development (including further level 7 modules that support practice)

Desirable

  • Accreditation as an Advanced Practitioner of willingness to work towards (including NHSE digital badge)
  • Post-graduate management and/or leadership training
  • Qualification in teaching

Experience

Essential

  • Substantial post-registration experience and three years experience working at band 7 or equivalent.
  • Experience in complex case management
  • Experience working independently at Advanced Practice level
  • Excellent clinical acumen and practical procedural skills (with evidence of competency and capability) as an independent practitioner, as per Job Description for role
  • Demonstrate an in depth knowledge and experience of clinical examination, history taking, pharmacology, pathophysiology, etc.
  • Experience of instigating and interpreting investigations and initiating appropriate plans of care for patients.
  • Experience of multi-agency / multi-disciplinary team working across service interfaces
  • Evidence of teaching and sharing knowledge with others in the MDT or externally to organisation
  • Demonstration of leadership in clinical practice
  • Evidence of involvement of audit/quality improvement/successful change management

Desirable

  • Experience working with older people and long-term conditions

Skills, Abilities & Knowledge

Essential

  • Excellent effective verbal and written communication skills
  • Highly motivated and have the ability to motivate others
  • Ability to effectively prioritise workload
  • Ability to educate and clinical supervise others in the promotion of high standards of patient care
  • Commitment to training and continuous development of self and others
  • Ability to appraise evidence, using analytical and problem-solving skills to inform decision-making and ability to respond to sudden unexpected demands
  • Demonstrable evidence of research capability or the application of research evidence to own clinical practice
  • Ability to communicate highly complex information situations including where there are barriers to understanding
  • Ability to identify, develop and implement risk management and clinical governance systems at an expert level
  • Computer literate - word, excel, PowerPoint

Special Circumstances

Essential

  • Ability to travel cross site and to community
  • Ability to work internal rotation, involving 24/7 cover
  • Enhanced level DBS
Person Specification

Education, Qualifications & Training

Essential

  • First-level degree (HEI Level 5 or 6) or equivalent in the undergraduate base profession
  • NMC or HCPC registration
  • Masters in Advanced Practice or equivalent, which maps across the 4 pillars
  • Qualified as a non-medical prescriber (if able under professional registration)
  • Evidence of continuing professional development (including further level 7 modules that support practice)

Desirable

  • Accreditation as an Advanced Practitioner of willingness to work towards (including NHSE digital badge)
  • Post-graduate management and/or leadership training
  • Qualification in teaching

Experience

Essential

  • Substantial post-registration experience and three years experience working at band 7 or equivalent.
  • Experience in complex case management
  • Experience working independently at Advanced Practice level
  • Excellent clinical acumen and practical procedural skills (with evidence of competency and capability) as an independent practitioner, as per Job Description for role
  • Demonstrate an in depth knowledge and experience of clinical examination, history taking, pharmacology, pathophysiology, etc.
  • Experience of instigating and interpreting investigations and initiating appropriate plans of care for patients.
  • Experience of multi-agency / multi-disciplinary team working across service interfaces
  • Evidence of teaching and sharing knowledge with others in the MDT or externally to organisation
  • Demonstration of leadership in clinical practice
  • Evidence of involvement of audit/quality improvement/successful change management

Desirable

  • Experience working with older people and long-term conditions

Skills, Abilities & Knowledge

Essential

  • Excellent effective verbal and written communication skills
  • Highly motivated and have the ability to motivate others
  • Ability to effectively prioritise workload
  • Ability to educate and clinical supervise others in the promotion of high standards of patient care
  • Commitment to training and continuous development of self and others
  • Ability to appraise evidence, using analytical and problem-solving skills to inform decision-making and ability to respond to sudden unexpected demands
  • Demonstrable evidence of research capability or the application of research evidence to own clinical practice
  • Ability to communicate highly complex information situations including where there are barriers to understanding
  • Ability to identify, develop and implement risk management and clinical governance systems at an expert level
  • Computer literate - word, excel, PowerPoint

Special Circumstances

Essential

  • Ability to travel cross site and to community
  • Ability to work internal rotation, involving 24/7 cover
  • Enhanced level DBS

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

Buckinghamshire Healthcare NHS Trust

Address

Stoke Mandeville Hospital

Aylesbury

HP21 8AL


Employer's website

https://careers.buckshealthcare.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Buckinghamshire Healthcare NHS Trust

Address

Stoke Mandeville Hospital

Aylesbury

HP21 8AL


Employer's website

https://careers.buckshealthcare.nhs.uk/ (Opens in a new tab)


For questions about the job, contact:

General Manager

Fiona Pinches

fiona.pinches@nhs.net

07767355365

Date posted

25 April 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£53,755 to £60,504 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

434-CR7039843

Job locations

Stoke Mandeville Hospital

Aylesbury

HP21 8AL


Supporting documents

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