About this role
Job summary
We are delighted to be recruiting an Advanced Nurse Practitioner to join us one day a week on Wednesdays, supporting frailty and care home residents across the network. This is a rewarding opportunity for an experienced ANP who is passionate about improving outcomes for older adults with complex needs.
In this role, youll use your advanced clinical skills to deliver proactive, personcentred care for care home residents, providing expert assessment, diagnosis, prescribing and management planning. You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff to ensure residents receive timely, coordinated and compassionate care.
This position offers the chance to make a meaningful impact on a highly vulnerable population, helping to prevent avoidable hospital admissions, support personalised care planning and enhance quality of life for residents living with frailty and long term conditions.
As part of Promni Health, you will be joining an award winning organisation recognised nationally for clinical quality, innovation and partnership working. You will be supported by a friendly, collaborative team and work within a culture that values professional development, autonomy and evidence based practice.
Main duties of the job
In this role, you will provide advanced clinical support to care home residents across the PCN, focusing on frailty, complex care and long term condition management. You will carry out comprehensive assessments, make autonomous clinical decisions, prescribe safely and manage undifferentiated presentations, ensuring residents receive timely, person centred care.
You will work closely with GPs, pharmacists, district nurses, palliative care teams and care home staff, contributing to regular MDT meetings, structured care home rounds and proactive reviews. A key part of the role is helping to prevent avoidable hospital admissions by identifying deterioration early, supporting personalised care plans and ensuring continuity for residents with complex needs.
Alongside clinical work, you will provide leadership within the MDT, support quality improvement activity and help strengthen frailty and care home pathways across the PCN. You will also contribute to staff development, promote evidence based practice and ensure high quality documentation and governance.
This role is ideal for an experienced ANP who thrives in a collaborative environment and wants to make a meaningful impact on the care of older adults living in care homes.
About us
Promni Health is one of the UKs leading primary care workforce and service support partners, working with over 1,000 GP practices and supporting a patient population of more than 9 million. Our teams are known for their clinical quality, collaborative approach and commitment to improving access and outcomes across primary and community care.
We are a fastgrowing, awardwinning organisation with a strong reputation for innovation and partnership working. Our culture is supportive, friendly and purposedriven we bring together clinicians, operational teams and PCN partners who share a passion for delivering highquality, personcentred care.
With more than 400 clinicians across advanced practice, FCP, nursing, podiatry, occupational therapy and mental health, we create an environment where people feel valued, trusted and able to grow. We invest in professional development, offer clear progression pathways and ensure our teams have the support they need to deliver safe, effective care.
Joining Promni Health means being part of a team that genuinely cares about making a difference, celebrates good work and works collaboratively to improve services for patients, practices and local communities.
Job description Job responsibilities
Role: Advanced Nurse Practitioner (ANP) Frailty & Care Home Support (PCN Embedded)
Hours: Initially Part Time 8 hours per week, with potential to increase
Contract Type: Permanent
Supporting High-Quality Frailty Care Within Primary Care and Care Home
Are you an experienced Advanced Nurse Practitioner passionate about improving outcomes for frail older adults living in care homes?
We are seeking a highly skilled Advanced Nurse Practitioner (ANP) to work as part of a Primary Care Network (PCN) multidisciplinary team, supporting the delivery of proactive, responsive and person-centred care to care home residents living with frailty, complex health needs and long-term conditions.
Working closely with GP practices, care home staff and the wider multidisciplinary team, you will provide advanced clinical assessment, diagnosis, treatment planning and prescribing, helping to reduce avoidable hospital admissions, improve continuity of care and enhance quality of life for a highly complex and vulnerable population.
Introducing Promni HealthPromni Health is a specialist clinical workforce and service support partner working with the NHS to help meet local workforce and service needs across primary care, community and neighbourhood health systems.
Our services are recognised as best-in-class for our industry, recently winning the 'Best in Primary Care & Diagnostics' LaingBuisson Awards in 2023 and 2025. HSJ Independent Healthcare Provider Finalists in 2025 and 2026, including recognition for Outstanding Contribution to Preventative Care, and HealthInvestor Award Finalists 2026.
We directly employ over 400 clinicians including First Contact Practitioners, Enhanced Practice Nurses, Podiatrists, Occupational Therapists and Advanced Practitioners, supporting over 1,000 GP practices and a patient population exceeding 9 million.
Role Profile
As an Advanced Nurse Practitioner, you will work as part of the Primary Care Network (PCN) multidisciplinary team to support the delivery of high-quality care to care home residents, undertaking advanced clinical assessment, diagnosis, investigation, prescribing and management of complex clinical presentations within agreed PCN care pathways.
The postholder will be employed by Promni Health and embedded within the host PCN team. Clinical activity will be undertaken within the host organisation's governance framework, policies, supervision arrangements and escalation pathways.
The service does not operate independent patient lists or standalone clinical pathways.
In line with NHS England Advanced Practice standards, the postholder will demonstrate advanced clinical practice capabilities including assessment, diagnosis, investigation, treatment planning and prescribing for patients with complex and undifferentiated presentations.
Key Responsibilities
Advanced Clinical Practice
Undertake advanced clinical assessment of care home residents with complex healthcare needs Assess and triage patients, including urgent presentations where appropriate Manage undifferentiated and undiagnosed presentations within scope of practice Identify red flags and underlying serious pathology and take appropriate action Undertake diagnosis, investigation and management planning Prescribe safely and appropriately in accordance with national guidance, local policies and agreed care pathways Request and interpret investigations relevant to scope of practice Refer appropriately into local services and specialist pathways Use advanced clinical decision-making to support patient management Frailty and Care Home Support
Undertake structured care home clinical review sessions Participate in regular MDT meetings and care home reviews Support comprehensive assessments following admission, readmission or clinical deterioration Contribute to the development, implementation and review of Personalised Care and Support Plans Support Advance Care Planning discussions and associated documentation Provide proactive clinical input to frailty pathways Support admission avoidance and early intervention initiatives Work collaboratively with care home staff, families and carers Support continuity of care for residents with complex health needs Leadership, Education and Service Development
Provide clinical leadership within the MDT Support education and development of care home staff where appropriate Contribute to quality improvement initiatives Support development of integrated frailty and care home pathways Promote evidence-based practice Clinical Management Focus Areas
The postholder will provide advanced clinical support in areas including:
Frailty and complex care Long-term condition management Palliative and End of Life Care Dementia and Mental Health Falls prevention and risk reduction Nutrition and hydration Clinical deterioration and admission avoidance Skin integrity and wound care Advance Care Planning Communication and Collaboration
The role works in close partnership with:
General Practitioners Practice Managers Pharmacists District Nursing Teams Specialist Palliative Care Teams Care Home Staff Residents, Families and Carers Wider multidisciplinary teams This collaborative approach ensures coordinated, person-centred care aligned with patient wishes, clinical needs and local pathways.
Data, Documentation and Governance
The postholder will:
Maintain accurate clinical records within PCN clinical systems Ensure timely and accurate documentation Participate in clinical governance activities Work within agreed policies, protocols and escalation pathways Maintain appropriate professional registration and CPD requirements Travel
The role involves travel between care homes and GP practice locations across the PCN footprint.
Essential Qualifications and Experience
Applicants must demonstrate:
Professional Registration
Registered Nurse with current NMC registration Advanced Practice Requirements
Evidence of recognised preparation for Advanced Practice in line with NHS England Centre for Advancing Practice standards through one of the following:
Graduated from a Centre for Advancing Practice accredited MSc Advanced Practice programme; or Completed the Centre for Advancing Practice ePortfolio (Supported) Route; or Currently enrolled on a Centre for Advancing Practice accredited MSc Advanced Practice programme; or Currently enrolled on and progressed beyond the Learning Needs Analysis stage of the Centre for Advancing Practice ePortfolio (Supported) Route Clinical Requirements
Independent Prescribing Qualification (V300) Working at Master's level or equivalent Advanced clinical assessment skills Advanced clinical decision-making skills Experience managing frailty and complex care patients Experience working with care home residents
Experience managing undifferentiated presentations Ability to identify red flags and serious pathology Ability to work effectively within multidisciplinary teams Ability to work within agreed governance frameworks Desirable Experience
Experience working within Primary Care Networks Experience working in General Practice Experience of Enhanced Health in Care Homes (EHCH) models Experience of admission avoidance services Experience of Advance Care Planning and End of Life Care Experience supporting supervision and development of other clinical staff NHS England Advanced Practice Expectations
The postholder will demonstrate capability across the four pillars of Advanced Practice:
Clinical Practice Leadership and Management Education Research General Terms
This role profile is not exhaustive and the postholder may be required to undertake other duties consistent with the scope and seniority of the role.
The postholder will:
Adhere to all Promni Health policies and procedures Maintain professional registration and mandatory training Safeguard children and adults at risk Work in accordance with professional standards and codes of conduct Support equality, diversity and inclusion in all aspects of practice
Person Specification
Qualifications Essential
- Registered Nurse (RN) with current registration with the Nursing and Midwifery Council (NMC) - Independent Prescribing qualification (V300) must be active and valid - Demonstrated competence across the four pillars of Advanced Clinical Practice as defined by Health Education England: - Clinical Practice - Leadership and Management - Education - Research
Experience Essential
* Advanced clinical assessment skills * Advanced clinical decision-making skills * Experience managing frailty and complex care patients * Experience working with care home residents * Experience managing undifferentiated presentations * Ability to identify red flags and serious pathology * Ability to work effectively within multidisciplinary teams * Ability to work within agreed governance frameworks
Desirable
* Experience working within Primary Care Networks * Experience working in General Practice * Experience of Enhanced Health in Care Homes (EHCH) models * Experience of admission avoidance services * Experience of Advance Care Planning and End of Life Care * Experience supporting supervision and development of other clinical staff
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 Promni Health
Address Riverside Medical Centre
194 Victoria Road
Walton-Le-Dale
Preston
PR5 4AY
United Kingdom
Employer's website https://www.promnihealth.co.uk (Opens in a new tab)