Admission Prevention Nurse

This is an exciting new post within our Primary Care Network, focused on supporting patients to remain well and independent in their own homes.

The Admission Prevention Nurse will provide a proactive, preventative and responsive nursing service for patients at greatest risk of deterioration, urgent care use and unplanned hospital admission. The role will have a particular focus on the PCNs highest-risk population, including patients identified within the top 1% risk of admission.

Using population health intelligence, clinical judgement and referrals from primary care and neighbourhood partners, the postholder will identify patients who may benefit from early intervention. They will provide holistic assessment, proactive care planning, clinical intervention and monitoring, helping patients maintain their health, independence and wellbeing at home wherever clinically appropriate.

Working closely with GPs, community and frailty teams, social care, pharmacy, mental health, secondary care and other neighbourhood partners, the postholder will help coordinate care and reduce fragmentation for patients with complex needs.

The role supports the NHS ambition to shift care from hospital to community and from sickness to prevention, strengthening neighbourhood working and reducing avoidable deterioration and hospital admission.

As this is a new role, we have flexibility to shape the working pattern around both the needs of the service and the successful candidate.

The Admission Prevention Nurse will provide proactive, personalised care to patients at greatest risk of deterioration and hospital admission, working with patients, carers and their wider support networks to understand what matters to them and support independence at home.

As a senior autonomous clinician, you will undertake holistic assessment, identify emerging risks, develop proactive care plans and coordinate appropriate clinical interventions. You will work closely with GPs and wider primary, community, secondary and social care teams to ensure patients with complex needs receive joined-up care and timely support.

You will provide clinical oversight for admission prevention within the PCN, acting as a clinical resource for colleagues and supporting the development of effective pathways across organisational boundaries. You will identify gaps, duplication and barriers within existing services and contribute to strengthening integrated neighbourhood working.

As this is a developing service, you will also play an important role in shaping and evaluating the model. This will include monitoring patient outcomes and urgent care use, maintaining accurate activity data, contributing to audit and quality improvement, gathering feedback and using case learning and data to demonstrate impact and continually improve the service.

Healthier West Wirral Primary Care Network is an ambitious and forward-thinking organisation serving over 70,000 patients across five GP practices on the west side of the Wirral Peninsula.

We are committed to delivering high-quality, patient-centred care by developing innovative services that meet the changing needs of our local population. Our focus is on providing proactive, integrated care closer to home, improving patient outcomes while supporting the sustainability of primary care.

Our multidisciplinary team includes GPs, nurses, clinical pharmacists, pharmacy technicians, physician associates, care coordinators and social prescribers, all working collaboratively to deliver seamless care across our communities.

As the NHS continues its shift towards neighbourhood healthcare, we are proud to be developing new models of care and creating opportunities for clinicians to shape services, develop specialist interests and make a real difference. If you're looking for a role where you can innovate, collaborate and influence the future of primary care, we'd love to hear from you.

• Use available population health, risk-stratification and clinical information to identify patients at greatest risk of deterioration and unplanned hospital admission.
• Maintain a particular focus on the PCN's highest-risk cohort, including patients identified within the top 1% risk of admission.
• Accept and clinically triage referrals from GPs, PCN clinicians, community teams and other appropriate neighbourhood partners.
• Proactively contact patients rather than…