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NHS Jobs in Marlow seeks a dedicated post-holder to manage long-term conditions and frailty in residents, coordinating care across professional boundaries.
The role emphasizes evidence-based practice, staff mentorship, and active participation in multidisciplinary meetings to improve patient outcomes and reduce health inequalities.
Provide expert management of residents living with frailty and long-term conditions. The post-holder will support patients with
Promote healthy ageing initiatives. Identify residents requiring proactive intervention. Support reduction in health inequalities.
The post-holder will work across organisational and professional boundaries to improve outcomes for patients. The post-holder will participate in multidisciplinary team meetings.
Work collaboratively with
Support the delivery of high-quality, evidence-based care. Support mentorship of practice staff who may from time to time shadow the role. Participate in clinical meetings and discussions. Share learning from incidents, audits and quality activities. Support development of multidisciplinary team capability. Promote evidence-based practice.
The post-holder will Maintain accurate and contemporaneous clinical records. Ensure appropriate use of SNOMED coding and clinical templates. Utilise SystmOne and associated clinical systems effectively. Manage clinical correspondence and test results. Support call and recall systems. Participate in the use of digital-first models of care where appropriate. Maintain information governance compliance. Contribute to operational efficiency and service improvement.
The post-holder will Participate in clinical audits. Undertake data collection and service evaluation. Analyse care home activity and outcome data. Participate in significant event reviews. Support implementation of national guidance. Contribute to evidence-based service development. Evaluate outcomes and implement improvements.