Frailty Care Coordinator: Proactive Community Pathways

Essex Partnership University NHS Foundation Trust; Greater London; On-site; GBP 32,000 - 42,000; Full time

Benefits offered by this job

Season Ticket Loans

NHS discounts for staff

Excellent Training facilities and/orOp

Buying and Selling annual leave scheme

The opportunity to work bank shifts

Salary Sacrifice schemes including le​

Day One Flexible Employer

Job summary

Essex Partnership University NHS Foundation Trust seeks a Care Coordinator (Frailty) to assess and coordinate care for vulnerable older people, working across health and social care professionals, GP surgeries and MDTs to shape proactive plans.

You will conduct holistic assessments after hospital discharge, develop individual care plans, and use frailty tools to support families and carers. The role offers flexible working options within the Trust and opportunities for professional development.

Qualifications

• Achieved qualification relevant to care or health/social care.
• Experience of frailty and older people in community settings.
• Experience working with multi-disciplinary teams and partners.

Responsibilities

• To co-ordinate the pathway of care for vulnerable older people across service interfaces.
• Engage with GP surgeries/PCNs and MDTs to identify at-risk patients early.
• Track patients through hospital admission, discharge planning and post-discharge home visits.
• Ensure individual care plans with focused goals and pro-active care coordination.
• Utilise frailty and risk assessment tools across teams.
• Communicate decisions effectively to agencies and provide patient-focused support.

Skills

Frailty experience

Community services experience

Education

Qualified professional

Job description

Essex Partnership University NHS Foundation Trust seeks a Care Coordinator (Frailty) to assess and coordinate care for vulnerable older people, working across health and social care professionals, GP surgeries and MDTs to shape proactive plans.

You will conduct holistic assessments after hospital discharge, develop individual care plans, and use frailty tools to support families and carers. The role offers flexible working options within the Trust and opportunities for professional development.