Band 7 Frailty Practitioner

Chelsea and Westminster Hospital NHS Foundation Trust; Greater London; On-site; GBP 38,000 - 45,000; Full time

Job summary

A leading hospital trust in London is seeking a Band 7 Frailty Practitioner to provide high-quality care and management for frailty patients across various settings. The role involves conducting comprehensive geriatric assessments, working autonomously and within a multidisciplinary team, and providing leadership and expertise in frailty care. Candidates should have relevant registration and experience in managing complex patients. The hospital values diversity and encourages applications from underrepresented groups.

Qualifications

• Experience of working with elderly patients and those living with frailty.
• Ability to work as part of a multidisciplinary team.
• Experience in service development or quality improvement.

Responsibilities

• Manage frailty patients through various clinical settings.
• Participate in multidisciplinary team meetings to evaluate patient care.
• Order and interpret relevant clinical tests.

Skills

Communication

Clinical judgement

Leadership

Teamwork

Patient assessment

Education

HCPC or NMC registration

Understanding of Comprehensive Geriatric Assessment

Job description

Band 7 Frailty Practitioner

The closing date is 12 January 2026

Key responsibilities

• Initiate comprehensive geriatric assessment and manage frailty patients through the acute frailty service pathway, including within the Emergency Department, Early Observation Unity, Acute Assessment Unit and Same Day Emergency Care service.
• Deliver high‑quality, evidence‑based care in various care settings as part of the multidisciplinary team.
• Participate actively in the MDT, keep accurate records of patient contact, provide skilled assessment, planning, delivery and evaluation of frailty conditions within defined guidelines and protocols.
• Provide specialist care and education to patients who have frailty throughout the Trust.
• Order, perform and interpret relevant clinical tests and investigations.
• Set and monitor standards of frailty care and treatment.
• Participate in audit and research activity; disseminate good practice and act as a role model to junior staff.
• Provide skilled professional leadership, recognising the specialist palliative care team as a key relationship and advocating for advance care planning and use of the urgent care plan, London care record Cerner, etc. as a patient‑centred admission avoidance tool.

Clinical / Direct patient care

• Work autonomously and as part of the wider MDT in the management of a caseload of patients across the Acute Frailty Service.
• Maintain effective communication with patients, carers and professionals to ensure optimal service delivery.
• Provide expert knowledge of frailty and work within an agreed job plan to meet service delivery needs.
• Be expert in screening and assessment of frailty conditions, including falls and delirium.
• Respond urgently and undertake a rapid assessment safely and effectively to prevent hospital admission, facilitate timely discharge or prevent clinical deterioration.
• Undertake an MDT‑led comprehensive geriatric assessment, including ordering, performing and interpreting relevant clinical examinations under the supervision of a senior clinician, and provide advice and education to patients and the wider multidisciplinary team.
• Maintain awareness of professional limitations, act within scope of practice and agreed guidelines, and use professional judgement when managing complex or unpredictable situations.

Leadership and Collaborative Practice

• Work pro‑actively as part of a team, provide a visible presence and act as representative of the Acute Frailty Service in all clinical areas covered.
• Provide specialist frailty advice, guidance and support to the wider hospital MDT to enable best practice.
• Communicate effectively, work collaboratively with colleagues, patients and families to seek their views and develop/improve the acute frailty service.
• Evaluate and reflect on own practice and competencies to meet evolving needs of the patient group and service.
• Develop professional networks and collaborate across professional and organisational boundaries to integrate and coordinate the acute frailty service.
• Participate in the development of Trust, regional and national frailty policy, guidance and objectives.

Improving Quality and Developing Practice

• Develop valid and reliable methods to evaluate and audit own practice and acute frailty service outcomes, and use findings to improve the service.
• Maintain knowledge of contemporary epidemiological, demographic, social, political and professional factors relevant to frailty and associated complications.
• Utilise relevant evidence base in everyday practice; disseminate and share knowledge and developments with others to improve quality of frailty care.
• Facilitate and enable service change to reflect the best possible model of service delivery.
• Ensure appropriate and effective use of resources to achieve cost‑effectiveness and quality in all aspects of frailty care provision.
• Participate in business and service development, case review and clinical supervision, and in the education, training and development programmes for frailty.
• Support and mentor colleagues in learning and application of theory to practice through assessment, teaching and clinical supervision.

Person Specification

Registration

• HCPC or NMC registration
• Demonstrates understanding and application of CGA within an acute setting
• Experience of working in Care of the Elderly area and patients living with frailty
• Able to work as part of the MDT
• Experience of service development/audit/quality improvement
• Experience in managing falls
• Experience in managing delirium / cognitive impairment
• Experience in managing complex patients
• Ability to demonstrate a certain level of clinical reasoning and judgement

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.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award‑winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected and empowered to succeed.

If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six‑month probationary period.

Some roles may require weekend shifts at multiple sites.