Job summary
Harrow East Primary Care Network (PCN) is seeking an enthusiastic, experienced and highly motivated Advanced Frailty Practitioner (Advanced Nurse Practitioner or Advanced Paramedic Practitioner) to join our established multidisciplinary team.

This is an exciting opportunity for an autonomous clinician with a passion for frailty care, proactive case management and improving outcomes for older and vulnerable patients.

The successful candidate will play a key role in delivering our frailty service across three GP practices, providing comprehensive clinical assessments, personalised care planning and timely interventions to support patients in remaining safe, independent and well within their own homes and communities.

We are looking for a confident, compassionate practitioner who enjoys collaborative working, can manage complex clinical presentations and is committed to delivering high-quality, patient-centred care while helping reduce avoidable hospital admissions.

Main duties of the job
The postholder will work autonomously within their professional scope of practice, providing advanced clinical assessment, diagnosis, treatment and ongoing management for patients with frailty, multiple long-term conditions and complex health and social care needs.

Key responsibilities include undertaking comprehensive frailty assessments, conducting home visits, developing personalised care plans and proactively case managing patients at risk of deterioration or hospital admission.

The role will involve independent prescribing, where clinically appropriate, and working closely with GPs, community services, hospitals, social care professionals and the wider multidisciplinary team to ensure coordinated, effective and responsive patient care.

The successful candidate will also support the assessment and management of minor illnesses and long-term conditions, contribute to multidisciplinary team discussions and support the ongoing development and improvement of our frailty service.

About us
Harrow East Primary Care Network is a collaborative network of three GP practices dedicated to delivering accessible, innovative and high-quality healthcare to our local population.

We are a forward-thinking, patient-centred organisation with an established multidisciplinary workforce, bringing together GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants and wider healthcare professionals.

Our PCN has a strong focus on proactive care, frailty management, long-term conditions and integrated working with community and secondary care services.

We offer a supportive and collaborative working environment, access to established clinical systems including EMIS Web, Docman and AccuRx, and opportunities to contribute to service development and quality improvement.

We value clinical autonomy, professional development and multidisciplinary collaboration, and are committed to supporting our teams in delivering compassionate, coordinated and effective care.

Location: Stanmore, Harrow, London
Working pattern: Full-time
Salary: Competitive, dependent on qualifications and experience (£50,000)
Accountable to: PCN Clinical Director

Key responsibilities

• Undertake comprehensive clinical assessments of patients presenting with complex health needs, frailty and multiple long-term conditions.
• Exercise advanced clinical reasoning and decision-making to assess, diagnose, treat and manage patients independently within professional competence.
• Develop, implement and regularly review evidence-based management and treatment plans.
• Prescribe medications safely and appropriately in accordance with independent prescribing qualifications, professional standards and local prescribing guidance.
• Recognise clinical deterioration, red flags and safeguarding concerns, escalating appropriately.
• Proactively identify and manage patients living with moderate and severe frailty.
• Undertake planned and clinically indicated home visits for housebound, frail and vulnerable patients.
• Work collaboratively with GPs, Advanced Practitioners, Clinical Pharmacists, care coordinators and wider PCN teams.
• Maintain accurate, timely and comprehensive clinical records using the practice's electronic clinical systems.
• Contribute to the ongoing development of the PCN frailty service, supporting proactive, coordinated and person-centred models of care.

Professional responsibilities
The postholder will be expected to exercise sound professional judgement, demonstrate accountability for their clinical practice and work effectively both independently and as part of a multidisciplinary team.

They must maintain professional registration with the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC), as appropriate, and practise within their demonstrated competencies and professional scope of practice.

Essential Knowledge and Skills

• Advanced clinical assessment, diagnostic reasoning and decision-making skills
• Safe and effective independent prescribing skills
• Excellent communication, organisational and clinical documentation skills
• Ability to work collaboratively across primary, community and secondary care

Essential Qualifications

• Registered Nurse (NMC) or Paramedic (HCPC) with current UK registration
• Recognised advanced clinical practice qualification at postgraduate level, or equivalent evidenced advanced practice training and competence
• Independent prescribing qualification (V300 or recognised equivalent) with appropriate prescribing annotation

Essential Experience

• Significant post-registration clinical experience, including autonomous advanced clinical practice
• Experience managing frail, older or vulnerable patients
• Experience working within multidisciplinary healthcare teams
• Experience of safeguarding and clinical risk management

Desirable

• Experience delivering a dedicated frailty service
• Experience undertaking home visits and community-based clinical assessments
• Experience using EMIS Web, Docman or AccuRx

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.

Questions about the job
Clinical Director: Meena Thakur, meena.thakur@nhs.net, +442082041363

Closing date: 06 November 2026
Apply through our website