Advanced Clinical Practitioner - The Harbour

Job overview

We’re excited to launch an innovative Healthy Ageing Frailty / Same Day Emergency Care (SDEC) model based at Newton Abbot Community Hospital. This service provides rapid assessment and same-day management for adults living with frailty, helping to prevent unnecessary hospital admissions and support people to remain well in their own communities.

As an Advanced Clinical Practitioner (ACP), you’ll work autonomously across the four pillars of advanced practice—clinical, leadership/management, education, and research—to deliver safe, person-centred care. You’ll play a key role in developing this evolving pathway and supporting the wider multidisciplinary team (MDT) to embed best practice and innovation.

We’re seeking experienced clinicians who have, or are working towards, a Master’s in Advanced Clinical Practice (or recognised NHSE portfolio route). You’ll be confident in complex clinical decision-making and thrive within a supportive governance framework that values professional development, collaboration, and continuous improvement.

Advanced Clinical Assessment & Decision-Making Undertake comprehensive patient assessments, including detailed history taking and holistic physical and mental health examinations. Request and interpret investigations, and formulate evidence-based management plans, prescribe and deprescribe, working within a clearly defined scope of practice and with appropriate senior support.

Main duties of the job

• SDEC / Hospital at Home Pathway Delivery Deliver timely same-day assessments and interventions to prevent unnecessary hospital admissions. Coordinate seamless transitions between the Same Day Emergency Care (SDEC), Virtual Ward, community teams, and primary care to ensure continuity of care.
• Leadership Across the Pathway Provide visible clinical leadership during daily huddles and multidisciplinary team (MDT) discussions. Act as a specialist resource for colleagues, supporting safe and efficient patient flow and contributing to continuous pathway improvement.
• Education & Supervision Support learning and development across the MDT through teaching, coaching, and supervision. Guide students and trainees, and contribute to the delivery and development of competency and capability frameworks within frailty and urgent care services.
• Quality, Research & Service Improvement Lead or participate in audit, evaluation, and quality improvement projects to embed best practice and drive innovation. Contribute to evidence-based service development and professional outputs through your Supporting Professional Activities (SPA) time (anticipated 80:20 clinical-to-SPA split, adjusted to meet service needs).

Detailed job description and main responsibilities

• Clinical practice (pillar 1): Assess, diagnose, plan, implement and evaluate interventions for people living with frailty presenting to SDEC/ambulatory pathways; undertake appropriate procedures within competence; request and act on diagnostics (e.g., labs, ECGs, imaging) in line with local policy and regulation; prescribe and deprescribe within competence; high-quality documentation and handovers.
• Professional leadership & management (pillar 2): Provide expert advice across professions; support service governance, risk management and safety; contribute to service planning and pathway design across organisational boundaries; role-model compassionate, inclusive leadership.
• Education, training & development (pillar 3): Deliver formal/informal teaching; supervise, mentor and assess learners; help build ACP/advanced skills capability within the workforce; maintain and evidence own CPD and portfolio of practice.
• Research, audit & innovation (pillar 4): Lead or contribute to audit/service evaluation; use evidence-based practice to update guidelines and care standards; disseminate learning through teaching, QI forums and (where appropriate) academic outputs.
• Autonomous practice & governance: Work with high professional autonomy within agreed scope, escalating appropriately; apply safeguarding, Mental Capacity Act and consent principles; support equitable access and reasonable adjustments; uphold Trust policies and information governance.
• SPA / off-the-job time: Use SPA to progress education, leadership and research objectives linked to pathway outcomes; flex sessions in response to operational pressures, evidencing outputs.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.