Job summary
Cross Gates Primary Care Network is seeking an Advanced Clinical Practitioner to join our established Proactive Care Team. This is a senior autonomous clinical role focused on prevention, frailty, complex care, care homes and admission avoidance, working as part of an integrated neighbourhood model across East Leeds. The ACP will work closely with the Proactive Care Clinical Lead, GP Lead for Proactive Care, PCN clinicians, Clinical Care Coordinators and wider neighbourhood partners to deliver personalised, preventative and coordinated care.

Main duties of the job
The postholder will provide advanced clinical assessment and management for people at greatest risk of deterioration, avoidable hospital admission or loss of independence, with a particular focus on frailty, multimorbidity, complex health and social care needs and care home residents. The role will include autonomous assessment, diagnosis, investigation, treatment, prescribing, care planning and referral in care homes, patients own homes and other community settings.

About us
Cross Gates PCN brings together Colton Mill and The Grange Medical Centre, Keystone GP Partnership and Family Doctors, working across six sites and serving approximately 33,000 patients. The proactive care team works closely with practice GPs and ACPs, community and mental health services, geriatric medicine, specialist respiratory and cardiology teams, Adult Social Care, Housing, Linking Leeds, the Local Care Partnership and voluntary-sector organisations.

Job responsibilities

• Provide autonomous advanced clinical assessment, examination, diagnosis, investigation, treatment and prescribing for people with complex, undifferentiated or deteriorating presentations.
• Undertake care home ward rounds, acute and planned home visits, proactive frailty reviews and community-based clinical reviews.
• Develop and review holistic personalised care plans, anticipatory care plans and treatment escalation plans with patients, carers and the wider MDT.
• Use population health data, Proactive Care dashboards, PQI reports and clinical judgement to identify people at greatest risk and target proactive intervention.
• Work collaboratively within care home and proactive care MDTs, contributing expert clinical assessment, decision-making, referral and follow-up.
• Support prevention, admission avoidance, medicines optimisation, self-management, independence and timely access to community alternatives to hospital.
• Actively participate in seasonal vaccination programmes for care home, housebound and proactive care cohorts, working with Clinical Care Coordinators and PCN clinicians to improve uptake and prevent avoidable illness.
• Contribute to service evaluation, audit, quality improvement, coding, data quality and delivery of Proactive Care and Enhanced Health in Care Homes requirements.
• Provide clinical advice, teaching and peer support to colleagues within scope of expertise, while participating in regular clinical supervision and continuing professional development.

Essential qualifications

• Masters degree in Advanced Clinical Practice, or equivalent masters-level advanced practice qualification demonstrating the four pillars of advanced practice.
• Current registration with an appropriate UK professional regulator (e.g. NMC or HCPC) relevant to the applicants advanced clinical practice role.
• Independent non-medical prescribing qualification with current prescribing competence.
• Advanced clinical assessment / physical examination qualification at postgraduate or masters level.

Desirable qualifications

• Postgraduate qualification in frailty, older people, long-term conditions, palliative care or a related field.

Essential experience

• Demonstrable experience managing complete episodes of care for undifferentiated, complex and deteriorating patients, including diagnosis, investigation, treatment and referral.
• Experience working with frailty, multimorbidity, complex needs and/or older people in community or primary care settings.
• Experience undertaking home visits and/or care-home clinical reviews or ward rounds.
• Significant experience of multidisciplinary and multi-agency working across health, social care and/or voluntary-sector boundaries.

Desirable experience

• Experience working within Primary Care Networks and/or integrated neighbourhood teams.
• Experience of Enhanced Health in Care Homes delivery.

Essential personal attributes

• Collaborative team member able to work effectively across organisational and professional boundaries.
• Resilient, adaptable and able to work effectively in a changing community and primary care environment.
• Commitment to person-centred care, prevention, health inequalities and improving outcomes for people with complex needs.

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 contact
Business and Development Manager: Steph Sheppard, stephanie.sheppard@nhs.net, 01132951802

Closing date: 08 November 2026

Working pattern: Part-time
Contract: Permanent
Salary: Depending on experience