Job summary
- Main area
- Frailty Advanced Clinical Practitioner (ACP) in the Geriatric Emergency Medicine Service (GEMS) and Same Day Acute Frailty (SDAF)
- Grade
- NHS AfC: Band 8a
- Contract
- Fixed term: 9 months (Until May 2026)
- Hours
- Full time - 37.5 hours per week
- Job ref
- 391-NMUH-7322390
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- North Middlesex University Hospital
- Town
- London
- Salary
- £61,631 - £68,623 Per Annum Including HCAS
- Salary period
- Yearly
- Closing
- 07/08/2025 23:59
Employer heading

Frailty ACP for GEMS and Same Day Acute Frailty (SDAF)
NHS AfC: Band 8a
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
Click here to view our video Welcome to the Royal Free
Job overview
An exciting opportunity has arisen 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.
This is a FTC post for 9months covering secondment.
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
Working for our organisation
North Middlesex University Hospital NHS Trust is a friendly, inclusive and high-performing hospital at the heart of the North London community. Our GEMS and frailty services are nationally recognised and integrated across the local health and care system.
The Trust’s frailty pathway includes:
• Frailty screening at the front door
• GEMS team providing early intervention
• Amber ward (short stay frailty unit)
• SDAF hot clinics for rapid assessment
• Close collaboration with virtual wards and community partners
We are committed to developing advanced practice, supporting career progression, and improving outcomes for older people living with frailty.
Detailed job description and main 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
Qualifications
Essential criteria
- 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 criteria
- Teaching or mentorship qualification
Experience
Essential criteria
- 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 criteria
- Audit, evaluation or research involvement
Skills and Aptitudes
Essential criteria
- 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 criteria
- Understanding of national frailty strategy
Other Requirements
Essential criteria
- Committed to high-quality, person-centred care
- Flexible and adaptable to service needs
- Able to work across sites and attend community meetings
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.
Documents to download
Further details / informal visits contact
- Name
- Josephine Arumugam
- Job title
- Clinical Director
- Email address
- [email protected]
- Telephone number
- 07471336368
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