Job summary This is an exciting opportunity to join our dynamic Geriatric Emergency Medicine Service (GEMS) at North Middlesex University Hospital as an Advanced Clinical Practitioner (ACP). You will work autonomously and collaboratively across the Emergency Department (ED), Same Day Acute Frailty (SDAF) pathway, and acute frailty ward (Amber) to deliver high-quality, patient-centred care to older people living with frailty. You will be a clinical expert, responsible for comprehensive assessments, diagnostics, treatment, and discharge planning. As a senior member of the frailty team, you will also lead service development, quality improvement, and education initiatives across the front door and community interface. Main duties of the job MAIN DUTIES AND RESPONSIBILITIES Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified). Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT). Lead discharge planning and admission avoidance through liaison with community and social care partners. Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners. Facilitate frailty education and training across acute and community settings. Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy. Participate in service evaluation, workforce development, and governance activity. Act as a professional role model and promote evidence-based, person-centred care About us NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/ Details Date posted 04 July 2025 Pay scheme Agenda for change Band Band 7 Salary £51,883 to £66,239 a year per ennum inclusive of HCAs (Dependant on experience) Contract Permanent Working pattern Full-time Reference number 391-NMUH-7309618 Job locations North Middlesex University Hospital Sterling Way London N18 1QX Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward. Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified). Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT). Lead discharge planning and admission avoidance through liaison with community and social care partners. Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners. Facilitate frailty education and training across acute and community settings. Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy. Participate in service evaluation, workforce development, and governance activity. Act as a professional role model and promote evidence-based, person-centred care Please see JD and PS for detailed information on job description and main responsibilities . Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES Provide expert frailty assessment and management across ED, SDAF, GEMS, hot clinics, and Amber ward. Work autonomously in clinical decision-making, including prescribing and diagnostic interpretation (where qualified). Develop and implement care plans in collaboration with patients, families, and the multidisciplinary team (MDT). Lead discharge planning and admission avoidance through liaison with community and social care partners. Line manage, support, and supervise frailty team staff, including junior ACPs and practitioners. Facilitate frailty education and training across acute and community settings. Lead quality improvement, audits, and innovation projects in line with the Trust frailty strategy. Participate in service evaluation, workforce development, and governance activity. Act as a professional role model and promote evidence-based, person-centred care Please see JD and PS for detailed information on job description and main responsibilities . Person Specification Royal Free Values Essential Welcoming, Respectful, Communication, Reassuring Qualifications Essential Current registration with NMC or HCPC MSc in Advanced Clinical Practice (or working towards) Non-medical prescribing qualification (V300) Evidence of CPD and portfolio of advanced practice Desirable Teaching or mentorship qualification Experience Essential Significant experience in urgent/emergency or acute medicine Experience working with older adults/frailty Experience in leading service development or QI Supervisory or management experience Desirable Audit, evaluation or research involvement Skills and Aptitudes Essential Expert clinical assessment and diagnostic skills Knowledge of frailty syndromes and CGA principles Excellent communication and interpersonal skills Ability to work autonomously and in MDT Familiarity with NHS systems and frailty pathway Desirable Understanding of national frailty strategy Other Requirements Essential Committed to high-quality, person-centred care Flexible and adaptable to service needs Able to work across sites and attend community meetings Person Specification Royal Free Values Essential Welcoming, Respectful, Communication, Reassuring Qualifications Essential Current registration with NMC or HCPC MSc in Advanced Clinical Practice (or working towards) Non-medical prescribing qualification (V300) Evidence of CPD and portfolio of advanced practice Desirable Teaching or mentorship qualification Experience Essential Significant experience in urgent/emergency or acute medicine Experience working with older adults/frailty Experience in leading service development or QI Supervisory or management experience Desirable Audit, evaluation or research involvement Skills and Aptitudes Essential Expert clinical assessment and diagnostic skills Knowledge of frailty syndromes and CGA principles Excellent communication and interpersonal skills Ability to work autonomously and in MDT Familiarity with NHS systems and frailty pathway Desirable Understanding of national frailty strategy Other Requirements Essential Committed to high-quality, person-centred care Flexible and adaptable to service needs Able to work across sites and attend community meetings 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Royal Free London NHS Foundation Trust Address North Middlesex University Hospital Sterling Way London N18 1QX Employer's website https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab) Employer details Employer name Royal Free London NHS Foundation Trust Address North Middlesex University Hospital Sterling Way London N18 1QX Employer's website https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab). Location : North Middlesex University Hospital, Sterling Way, N18 1QX London, United Kingdom