Advanced Nurse Practitioner; Frailty & Complex Care

Advanced Nurse Practitioner (Frailty & Complex Care)

We are seeking an experienced and motivated Advanced Nurse Practitioner (ANP) to join our Frailty and Complex Care service
,working across primary care and the Launceston & Tamar Valley Integrated Neighbourhood Team (INT).

This is a senior clinical role focused on deliveringproactive, person-centred care to patients with frailty, multiple long-termconditions, and complex health and social care needs
, including carehome residents and housebound patients
.

Key areas of practice include:

• Frailty and complex care assessment and management
• Chronic disease management
• Care home and domiciliary visits
• Proactive care planning and MDT working
• Urgent same-day assessment within the frailty cohort

The Advanced Nurse Practitioner (ANP) will provide autonomous,advanced clinical care to patients within the frailty and complex carecohort
, registered with our primary care services and supported through the Launceston & Tamar Valley INT.

The role combines clinical assessment, diagnosis,treatment, and care planning with proactive case management, MDTleadership, and close collaboration with health, social care, and voluntarysector partners. A significant proportion of work will involve care homeresidents and housebound patients
, supporting admission avoidance, early intervention, and high-quality end-of-life care where appropriate.

The ANP will play a key role in delivering continuityofcare
, reducing fragmentation, and supporting patients to remain well and independent in their own homes wherever possible.

You will work as part of a multidisciplinary team
including GPs, pharmacists, pharmacy technicians, frailty practitioners,paramedics, therapists, care coordinators, community nursing, adult social care, and voluntary sector partners. The role offers extended appointment times, continuity of care, and the opportunity to shape and develop high-quality services for some of our most vulnerable patients.

Main Duties and Responsibilities

Clinical Practice

• Undertake
  advanced clinical assessment
  , diagnosis, and management of patients with frailty, multimorbidity, and complex needs.
• Provide
  holistic, person-centred care
  including physical, psychological, and social assessment.
• Manage
  chronic disease
  within the frailty cohort, including medication optimisation and monitoring.
• Conduct
  care home ward rounds
  , domiciliary visits, and reviews of housebound patients.
• Provide
  urgent and same-day assessment
  for acutely unwell frail patients, supporting admission avoidance where safe and appropriate.
• Prescribe independently (where qualified) and ensure safe, evidence-based prescribing practice.
• Support
  palliative and end-of-life care
  , including advance care planning and coordination with community services.

Continuity and Proactive Care

• Act as a consistent clinical contact for a defined cohort of complex patients, supporting
  longitudinal continuity of care
  .
• Contribute to
  anticipatory care planning
  , personalised care and support plans, and escalation planning.
• Identify patients at risk of deterioration and intervene early to prevent crisis presentations.

Liaise with Out-of-hours services in morning hand-overs to support the vision of a cohesive 24/7 frailty service for Cornish residents.

Multidisciplinary Team Working

• Participate actively in
  MDTs
  , case discussions, and complex care reviews.
• Work collaboratively with pharmacists, paramedics, therapists, frailty practitioners, and care coordinators to deliver integrated care.
• Liaise closely with adult social care, voluntary sector partners, and community services to address wider determinants of health.

Leadership, Education and Service Development

• Provide clinical support within the frailty and complex care team.
• Contribute to service development, pathway design, and quality improvement initiatives.
• Maintain high standards of clinical governance, documentation, and safeguarding practice.

Professional Responsibilities

• Maintain NMC registration and advanced practice competencies.
• Work within scope of practice, local protocols, and national guidance.

• Significant experience in primary care, community care, or urgent care
• Proven experience working with frailty, chronic disease, care home, and housebound patient cohorts
• Experience working within primary care or within frailty cohorts
• Experience in dementia care, palliative care, or complex case management
• Non-medical prescribing experience within frailty pathways

• Registered Nurse with NMC registration
• Qualified Advanced Nurse Practitioner (Masters level or equivalent)
• We may consider applications from non-prescribers and those who have not yet completed Level 7 module learning or undertaken a full MSc. We can support new to general practice clinicians with training and learning support, however this will be reflected within the salary range.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as…