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Frailty Advanced Clinical Practitioner

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
£43,742 to £57,349 a year pa pro rata (Trainee Band 7, Qualified Band 8a)
Closing date
28 Jul 2024

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Other Health Profession
Band 7
Contract Type
Full Time
As a frailty advanced clinical practitioner you will work across various areas of the hospital including the award winning GEMS service based in ED, OPAU and frailty SDEC. You will perform highly advanced assessments of the frail older patient, with diverse presentations and highly complex physical and psychological conditions, utilising a comprehensive geriatric assessment, to determine a diagnosis, formulate and deliver an appropriate, individualised treatment programme. You will also act as a clinical and professional lead within acute frailty and geriatric medicine among a multidisciplinary team. You will act as a lead contributor to the development of the acute frailty service as a whole. You will also have an expert working knowledge of community services to avoid admission and facilitate discharge while also continuing to build key stakeholder relationships to further improve patient pathways, outcomes and experiences. A trainee opportunity is also available for candidates who do not fully meet the essential criteria. This trainee opportunity will include an MSc apprenticeship where appropriate and progress to Band 8a when qualified.

2 X Full time positions available - Frailty Advanced Clinical Practitioner B8a / Trainee Frailty Advanced Clinical Practitioner B7 (Depending up on the qualifications)

Main duties of the job

  • To undertake a comprehensive, holistic assessment of patients including those with highly complex presentations/multi pathologies, using highly advanced clinical reasoning, analytical and investigative skills and highly developed specialist manual assessment techniques to provide an accurate diagnosis.
  • Have an expert working knowledge of the comprehensive geriatric assessment.
  • Actively lead the development of care planning and admission avoidance initiatives through advanced clinical skills.
  • Lead the development of clinically effective, multidisciplinary team of practitioners to enable the implementation of effective admission avoidance initiatives
  • Support/ lead on development of integrated working an integrated pathways with Primary and Secondary care colleagues and frailty services
  • Be responsible for the development and delivery of a consistently high quality service, promoting frailty care as a positive place for staff experience and development.
  • Act as an expert practitioner and a role model to and on behalf of the whole team, to ensure greater integration of the frailty pathways into health & social care admission avoidance initiatives.
  • Working in partnership the post holder communicates effectively with patients and their carers, the primary health care team, Secondary Care, Care Home and voluntary sector and other key stakeholders on a range of complex health care matters, issues, ideas & situations

(Cont'd under detailed job description and main responsibilities)

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description

Job responsibilities

(Main duties of the job cont.)
  • Ensures effective liaison and communication with other professional groups and stakeholders, acting as an information source and works in partnership in the interest of patients
  • Acts as an information resource for patients, multi-disciplinary colleagues and other stakeholders.
  • Maintain high visibility to patients, carers and other professionals including patients requiring long term condition managemen
  • Use advanced skills and expert knowledge to clinically lead the delivery of best practice across the health economy.
  • Keeps accurate, contemporaneous records and provide written reports, as required.
  • To lead service development projects and new ways of working.
  • To manage and prioritise workload to ensure deadlines are met and a high standard of service is provided Evaluate care provided within teams and support to improve where required in terms of quality and efficiency to maximise cost effectivenes
  • Ensure optimum use of all resources within the teams and proactively ensure that services within the business unit are delivered on target and within budget.
  • Ensure Risk Management strategies are effectively utilised within the team.
  • Ensure the service is delivered in line with all relevant legislation and statutory requirements as well as Trust policies, protocols and guidance.
  • Contribute to the compliance of Care Quality Commission requirements, regulations and standards and Trust quality improvement initiatives where appropriate.
  • Lead on delegated projects as required and requested Demonstrate the ability to function as a clinical leader.
  • Have the skills necessary to deliver both theoretical and practical clinical training on topics related to the service. Acknowledge and support the roles and functions of other team members
  • Undertake advanced physical assessment and history taking in order to reach diagnosis and management plan for healthcare problems and conditions

For a more detailed job description, main responsibilities, and person specification, please refer to the job description document attached to this vacancy.

Person Specification

Qualifications and Training


  • Registered Health Care Professional (NMC/HCPC/GCP/GPhC)
  • Evidence of formal ongoing professional development
  • Teaching Qualification or equivalent experience


  • Completed Advanced Practice Masters and equivalent mapped to apprenticeship standard
  • IRMER Education
  • NMP
  • Older People Advanced Practice Credential
  • RCEM or Acute Medicine Credential or alternative capability qualification

Knowledge and Experience


  • -Recent significant experience at band 7 or equivalent in a frailty clinical setting
  • -Proven leadership and management experience in a frailty setting
  • -Proven evidence of educational support to others
  • -Demonstrated ability to support colleagues
  • -Experience or sound knowledge of change management as part of a leadership role
  • -Ability to organise and prioritise own workload effectively
  • -Clinical expert in care of the older person and complex needs
  • -Change management and ability to present ideas effectively
  • -Familiar with current local and national issues
  • -Clinical experience in Acute or Emergency Medicine


  • -Undertaken research as a chief or principle investigator
  • -Experience of developing advanced practice guidelines, governance and audit

Skills and Abilities


  • Resilience
  • Assertiveness
  • Demonstrated ability to take overall responsibility and accountability
  • Good communication
  • Being Fair
  • Dynamic
  • Flexible
  • Enthusiastic and motivated
  • Pro-active
  • Personal insight and awareness
  • Being a good team player
  • Innovative



  • -Function autonomously to achieve the strategic developments working without direct supervision. Identify and critically appraise contemporary evidence, develop and promote best practice, ensuring strong clinical leadership.
  • -Participate in the development, implementation and evaluation of protocols, policies and integrated care pathways in line with current best evidence.
  • -Possess the skills and wide range of clinical knowledge to work as an autonomous practitioner to undertake independent, direct consultation and provision of care.

Employer details

Employer name

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)


Weston General Hospital

Grange Rd, Uphill,


BS23 4TQ

Any attachments will be accessible after you click to apply.


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