County Durham & Darlington NHS Foundation Trust
Advanced Nurse Practitioner
The closing date is 21 July 2026
Overview
We are seeking enthusiastic, motivated and dynamic Advanced Nursing Practitioners to join our Acute Frailty Team. The role focuses on the identification, assessment and management of patients living with frailty in their own homes and across the acute hospital setting, supporting high‑quality care in the most appropriate environment.
The Advanced Nurse Practitioner will utilise expert clinical knowledge, advanced assessment skills and critical clinical reasoning to provide specialist support and deliver comprehensive geriatric assessments that inform clinical decision‑making and ongoing management plans. Working within an innovative Hospital@Home model, the role plays a key part in supporting admission avoidance and delivering patient‑centred care closer to home.
You will be part of a supportive and collaborative multidisciplinary team, working alongside Consultant Geriatricians, Advanced Nurse Practitioners and Therapy colleagues to provide holistic and integrated care for patients with complex needs.
Responsibilities
- Provide clinical leadership, specialist expertise and organisational support within the Frailty Service.
- Deliver high‑quality, patient‑centred care to individuals living with frailty across both community and acute settings.
- Conduct Comprehensive Geriatric Assessments (CGA), identifying patient needs, supporting clinical decision‑making and developing holistic, evidence‑based management plans.
- Apply expert clinical knowledge to the assessment and ongoing management of patients with complex frailty needs, ensuring consistent standards of evidence‑based care.
- Continuously develop your clinical knowledge and skills, supporting service improvement and contributing to the development of the Hospital@Home model.
- Manage a defined caseload of patients autonomously, ensuring rapid assessment, intervention and onward planning.
- Assess, diagnose, treat and safely discharge adult patients, providing appropriate clinical advice, health education and referrals to community services.
- Perform autonomous diagnostic and prognostic investigations, using advanced clinical judgement to interpret findings and guide timely clinical decision‑making.
- Work with a high degree of autonomy while maintaining appropriate clinical supervision from a named consultant.
- Respond flexibly to changing clinical demands and unpredictable patterns of workload, prioritising patients according to clinical need and acuity.
- Provide advice, guidance and leadership on the management of frailty, supporting staff across disciplines in delivering safe, effective and consistent care.
- Contribute to education and knowledge sharing within the team, promoting best practice in frailty assessment and management.
- Support the ongoing development and integration of the Frailty Service, working collaboratively with internal departments and external partners.
- Participate in a 7‑day service, covering shifts between 8 am and 8 pm, ensuring consistent delivery of frailty services across the week.
Qualifications
- Registered nurse qualification.
- Masters level qualification or willingness to work towards one.
- Substantial experience at band 6 in an acute medical setting.
- Teaching qualification.
- Independent prescribing or willingness to undertake training.
- Substantial specialist experience of frail patients and understanding of a wide range of approaches to the management of frail elderly patients.
Special Skills & Knowledge
- Accredited clinical skills course.
- Ability to work well under pressure.
- Keen to improve role.
- Experience of working with frail patients.
Special Requirements
- Full UK driving licence.
- Willingness to use own car (business mileage paid).
- Experience working in Frailty.
Experience
- Previous experience in elderly care.
- Clinical knowledge of acute / community nursing.
- Literate and articulate.
- Good communication skills.
- Evidence of undertaking and developing audits to inform practice.
- Clinical skills.
- Substantial experience as a band 6 nurse.
- None medical prescribing.
- Frailty knowledge.
Statutory Registration
- Registered Nurse on part 1 of the NMC register.
- Valid UK NMC PIN.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a submission for Disclosure to the Disclosure and Barring Service to check for any previous criminal convictions.
£49,387 to £56,515 a year (Per Annum Pro Rata)
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