New models of home care. 2018. (accessed 17 May 2021)

Employing an advanced nurse practitioner in a care home. 2019. (accessed 17 May 2021)

British Geriatric Society. Effective healthcare for older people living in care homes. Guidance on commissioning and providing healthcare services across the UK. 2016. (accessed 17 May 2021)

Care Provider Alliance. Enhanced Health in Care Homes. A guide for care home. 2021. (accessed 17 May 2021)

Care UK. We ‘dare to care’—care homes and nursing at the frontline of our response to ageing. 2017. (accessed 17 May 2021)

Devi R, Goodman C, Dalkin S Attracting, recruiting and retaining nurses and care workers working in care homes: the need for a nuanced understanding informed by evidence and theory. Age Ageing. 2021; 8:(50)65-67

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. (accessed 17 May 2021)

Mezey M, Burger SG, Bloom HG Experts recommend strategies for strengthening the use of advanced practice nurses in nursing homes. J Am Geriatr Soc.. 2005; 53:(10)1790-1797

NHS England and NHS Improvement. The NHS long term plan. 2019. (accessed 17 May 2021)

NHS England and NHS Improvement. The framework for enhanced health in care homes. Version 2. 2020. (accessed 17 May 2021)

Queen's Nursing Institute. Standards of education and practice for nurses new to care home nursing. 2021. (accessed 17 May 2021)

North Tyneside initiative to introduce a new nursing role in care homes

27 May 2021
Volume 30 · Issue 10


Lynn Craig describes plans to appoint advanced care practitioners to improve care for residents and support nurses by offering professional development opportunities and enabling career progression

The number of people aged over 65 years who require either residential or nursing care is increasing (Bennett et al, 2018). One in seven people, aged 85 years or over, is living permanently in a care home and there are now three times more care-home beds than hospital beds (Care UK, 2017).

According to the British Geriatric Society (BGS) (2016), 75-80% of care-home residents have cognitive impairment, and many also have multiple long-term conditions, functional dependency and frailty. As a result, residents often experience unnecessary yet avoidable admissions to hospital, and suboptimal medication use.

Although GP practices remain responsible for providing most of the health care that care-home residents receive, demand for GPs and logistical difficulties associated with providing care to individuals who may be spread across several homes, means that much nursing care is delivered on a reactive basis.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content