Job summary
We are seeking an experienced and motivated Advanced Nurse Practitioner and/or Paramedic Practitioner to join our Integrated Neighbourhood Frailty Team.

The post-holder will work autonomously within a supportive GP practice environment while being fully integrated into the wider community multidisciplinary team. The role supports the INT Frailty team objectives by improving the care of our frailty patients, reducing hospital admissions and stay at home care to deliver high-quality, patient-centred care.

The role includes undertaking home visits, managing urgent and same-day demand, and supporting patients over 65 with acute and long-term conditions. The post-holder will also be responsible for managing their own clinical workload, including referrals and results.

Please note that we reserve the right to close this vacancy early should a sufficient number of suitable applications be received. We therefore encourage interested applicants to submit their application as soon as possible.

Main duties of the job

• Undertake advanced clinical assessment, diagnosis, treatment and management of patients from primary care
• Support delivery of PCN priorities and improved access in line with PCN DES requirements
• Carry out planned and urgent home visits across the PCN population
• Prescribe independently and safely within scope of practice and competence
• Initiate, manage and follow up referrals, ensuring appropriate onward care
• Review, action and communicate investigation results in a timely and clinically appropriate manner
• Manage acute, urgent and complex clinical presentations autonomously
• Work collaboratively with GPs, nurses, pharmacists and other ARRS-funded roles
• Maintain accurate, timely and high-quality clinical records
• Contribute to service development, transformation and continuous improvement

About us
Coastal Primary Care Network (PCN) is a partnership of four practices: Carnon Downs Surgery, Chacewater Surgery, Perranporth Surgery and St Agnes Surgery. Together, we provide high-quality, patient-centred care to our local population and are committed to developing innovative services that deliver the right care, in the right place, at the right time.

We are excited to be establishing a new Integrated Neighbourhood Team Frailty Service, created to provide proactive, coordinated support for people living with frailty across our communities. Working closely with GPs, community services, social care and voluntary sector partners, the service will focus on improving patient outcomes, supporting independence, reducing avoidable hospital admissions and helping people remain well in their own homes for longer.

This is a unique opportunity to join a brand-new service. The successful candidate will be involved in establishing and shaping the Frailty Team from the outset, helping to develop pathways, processes and ways of working that will support the long-term success of the service. As part of a MDT, you will contribute to service innovation, collaborative working and the delivery of high-quality care for some of the most vulnerable people. The post is offered on a fixed-term basis for and would suit an individual who thrives in a developing environment, enjoys building new services and is passionate about improving care for older people and those living with frailty.

Details
Date posted: 05 November 2026
Pay scheme: Other
Salary: Depending on experience
Contract: Fixed term
Duration: 18 months
Working pattern: Full-time, Part-time, Compressed hours
Reference number: A3328-26-0014

Essential Knowledge and Abilities

• Advanced clinical assessment, examination and diagnostic skills
• Ability to manage acute and long-term conditions
• Safe and effective independent prescribing within scope of practice
• Ability to initiate, follow up and appropriately manage referrals
• Ability to review, action and communicate investigation results
• Excellent verbal and written communication skills
• Strong organisational skills and ability to manage own workload
• Knowledge of clinical governance, safeguarding and risk management
• Understanding of referral pathways and escalation processes
• Awareness of patient safety and duty of candour
• Understanding of the role of PCNs and multidisciplinary working

Desirable Knowledge and Abilities

• Leadership or service development skills
• Ability to contribute to quality improvement or service transformation
• Knowledge of PCN DES priorities
• Awareness of local community services and care pathways

Essential Personal Qualities

• Professional, accountable and reflective practitioner
• Patient centred approach to care
• Flexible and adaptable to service needs
• Ability to work collaboratively within a team
• Commitment to equality, diversity and inclusion

Desirable Personal Qualities

• Evidence of resilience and adaptability in a changing healthcare environment

Essential Experience

• Experience working at an advanced clinical practice level
• Ability to work autonomously, making safe, effective clinical decisions
• Experience managing undifferentiated presentations
• Experience of managing own referrals, investigations and clinical results
• Experience managing acute, urgent and complex clinical presentations

Desirable Experience

• Experience working in primary care, community or PCN settings
• Experience working within a multidisciplinary team
• Previous experience in an ARRS-funded role

Essential Other Requirements

• Willing and able to undertake home visits
• Ability to work across PCN/practice systems as required
• Right to work in the UK

Desirable Other Requirements

• Experience using primary care clinical systems (SystmOne)

Essential Qualifications

• Registered Nurse (NMC) or Registered Paramedic (HCPC)
• Independent Prescriber qualification and annotation on professional register
• Meets NHS England ARRS eligibility criteria for the relevant role
• MSc in Advanced Clinical Practice (or equivalent) or demonstrable advanced practice experience (including working towards qualification where appropriate)

Desirable Qualifications

• Additional relevant postgraduate qualifications (e.g. minor illness, urgent care, long term conditions)
• Evidence of recent and relevant CPD

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.

Employer details
Employer name: Carnon Downs Surgery
Employer's website: https://www.carnondownssurgery.co.uk/index.aspx

Employer contact details
For questions about the job, contact: Operations Lead, Helen Perkin, helen.perkin@nhs.net

To apply: Send your CV and covering letter to helen.perkin@nhs.net

Carnon Downs Surgery's privacy notice is available on request.