Care Home Advanced Practitioner

The Care Home Advanced Clinical Practitioner (ACP) will operate as an autonomous, independent and highly skilled clinician within the Practice team. They will manage the day-to-day care which covers both reactive care and proactive care for residents living within care home settings locally. Using advanced clinical assessment, diagnostic reasoning and independent prescribing skills, the ACP will assess, diagnose, treat and manage residents with acute, chronic and complex needs, supporting admission avoidance and high-quality care closer to home. The ACP will provide expert clinical decision making for undifferentiated presentations, lead complex case management, review high acuity patients with complex needs and support end-of-life care, and work collaboratively with the Practice team, community teams and care home providers to improve outcomes for residents, reduce avoidable hospital admissions and facilitate care closer to home. Participate in multidisciplinary reviews of high-risk residents to optimise health outcomes and reduce avoidable deterioration. Develop personalised care and support plans in partnership with residents, families, care home staff and GP Practices. Facilitate advance care planning and DNACPR discussions with residents and families. Support residents with frailty, dementia, multiple long-term conditions and complex healthcare needs. Provide clinical leadership for multidisciplinary discussions relating to high-risk residents. Support residents to remain within their preferred place of care wherever appropriate. Enable residents approaching end of life to receive care within their care home where this reflects their wishes and clinical needs. Lead clinical governance arrangements, ensuring delivery of safe, effective and evidence-based care. Work collaboratively with the Practice Team and Care Home Managers to review quality, outcomes and clinical risks. Lead investigations into incidents, complaints, safeguarding concerns and significant events. ensuring relevant safety systems are used to report and monitor incidents for quality improvements Ensure learning from governance activity is embedded into clinical practice and service delivery. Monitor standards of prescribing, record keeping and clinical documentation. Develop, implement and review care pathways, protocols and standard operating procedures. Lead and participate in clinical audit and quality improvement programmes to improve resident outcomes. Ensure compliance with professional, regulatory and organisational standards.