Frailty Care Coordinator – Primary Care Network (Hybrid)

Kernow Health CIC; Saltash; Hybrid; GBP 32,000 - 42,000; Full time

Job summary

Kernow Health CIC in Cornwall is seeking a patient-facing clinician to support GP practices across Saltash, Torpoint, Liskeard and Looe. You will work to assess, coordinate and coordinate care for people living with frailty, helping prevent hospital admissions and supporting discharge planning.

The role involves hybrid working between home and GP practices, with travel across the locality and collaboration with multidisciplinary teams to ensure timely and safe care for patients.

Qualifications

• Substantial post-registration experience working with people living with frailty, multimorbidity or complex needs.
• Experience in holistic assessment, care planning and risk management.
• Ability to discuss complex matters with patients and professionals.

Responsibilities

• Provide timely assessment, intervention and care coordination for frail patients.
• Travel between Saltash, Torpoint, Liskeard and Looe areas to undertake home visits.
• Support practices through MDT meetings and avoid hospital admissions.
• Work across organisational boundaries with safeguarding and information governance.

Skills

Frailty knowledge

Clinical judgement

Care coordination

Multidisciplinary teamwork

Effective communication

Information governance

Safeguarding knowledge

Travel between sites

Education

NMC registered nurse

HCPC registered OT/Physiotherapist

Job description

Kernow Health CIC in Cornwall is seeking a patient-facing clinician to support GP practices across Saltash, Torpoint, Liskeard and Looe. You will work to assess, coordinate and coordinate care for people living with frailty, helping prevent hospital admissions and supporting discharge planning.

The role involves hybrid working between home and GP practices, with travel across the locality and collaboration with multidisciplinary teams to ensure timely and safe care for patients.