Frailty Lead GP — Proactive Elder Care & MDT Leadership

The Methodist Church in Britain; East Kilbride; On-site; GBP 60,000 - 90,000; Full time

Job summary

Launceston Medical Centre is seeking a frailty-focused GP for an 18-month salaried post within the Launceston and Tamar Valley Integrated Neighbourhood Team. The role emphasizes proactive care for people over 65 with frailty, medication review and home visits, with duties including co-designing a neighbourhood frailty model and reducing acute admissions.

The successful candidate will act as Frailty Lead GP, supervising colleagues, advising across the neighbourhood, and contributing to

Qualifications

• Qualified GP with GMC registration and UK practising eligibility.
• Demonstrated CPD evidence and ongoing professional development.
• Experience with frailty, geriatrics, multimorbidity and complex care.

Responsibilities

• Review patient records identified through population-health or risk-stratification processes to assess suitability for proactive frailty care and maintain accurate clinical records and referrals.
• Carry out proactive face-to-face or telephone reviews, including medication review, falls assessment, long-term condition review and multimorbidity assessment.
• Provide medical review for selected same-day or complex frailty presentations where the usual GP is not available.
• Undertake and support structured medication review and appropriate deprescribing, balancing safety, treatment burden and patient priorities.
• Provide medical supervision and advice to practice staff on the Frailty Test and Learn, including the social prescriber, frailty nurse and care coordinator.
• Provide medical advice to the wider INT team, supporting shared clinical decision-making and escalation.
• Oversee implementation of the Frailty Test and Learn within the practice, working with social prescribing, the Health Hub and managers, and act as Frailty Lead GP.
• Work with the INT to improve frailty care coordination, reduce duplication and remove barriers to collaboration across organisations.
• Collaborate with system partners on the pull model to support earlier and safer discharge from acute care.
• Contribute medical expertise to holistic assessment, personalised care planning and comprehensive geriatric assessment across the multidisciplinary team, and undertake home visits where GP assessment is necessary.
• Contribute to advance care planning, treatment escalation planning and end-of-life discussions, and respond to safeguarding, capacity, carer strain and self-neglect concerns.
• Contribute to evaluation of the project, including clinical governance, quality improvement, learning and service outcomes.

Skills

Frailty knowledge

Clinical decision-making

Evidence-based medicine

Communication skills

Team leadership

Digital record-keeping

Education

GP qualification

CPD evidence

Tools

SystmOne

Job description

Launceston Medical Centre is seeking a frailty-focused GP for an 18-month salaried post within the Launceston and Tamar Valley Integrated Neighbourhood Team. The role emphasizes proactive care for people over 65 with frailty, medication review and home visits, with duties including co-designing a neighbourhood frailty model and reducing acute admissions.

The successful candidate will act as Frailty Lead GP, supervising colleagues, advising across the neighbourhood, and contributing to