Frailty GP Leader: Home Visits & MDT Care Hub

NHS; Godstone; Hybrid; GBP 12,000 - 15,000; Full time

Benefits offered by this job

NHS pension

27 days annual leave + bank holidays

Employee Assistance Programme

Training and career progression

On-site parking

Job summary

South Tandridge Primary Care Network (PCN) is seeking a Frailty General Practitioner to lead the PCN frailty hub and provide care in patients' homes across Oxted, Lingfield and Pond Tail practices.

You will manage referrals, develop care plans for frail patients, and work with Community Matrons, District Nurses and other local providers to reduce hospital admissions and improve patient experience. The role involves clinical leadership within a mature PCN and regular supervision.

Qualifications

• Frailty GP experience or qualifications desirable.
• Experience with primary care networks and MDTs.
• Strong leadership and clinical governance skills.
• Knowledge of community services and personalised care.

Responsibilities

• Proactive triage and management of frail patients referred to the PCN hub.
• Develop care plans for patients at risk of hospital admission.
• Liaise with secondary, community, social, and mental health services.
• Lead MDT discussions and contribute to governance.
• Provide care at patients' homes and care homes as needed.

Skills

Clinical leadership

Frailty management

MDT collaboration

Triage skills

Communication

Education

GP qualification

Medical degree

Tools

EMIS

SystmOne

Job description

South Tandridge Primary Care Network (PCN) is seeking a Frailty General Practitioner to lead the PCN frailty hub and provide care in patients' homes across Oxted, Lingfield and Pond Tail practices.

You will manage referrals, develop care plans for frail patients, and work with Community Matrons, District Nurses and other local providers to reduce hospital admissions and improve patient experience. The role involves clinical leadership within a mature PCN and regular supervision.