Frailty Nurse

The Methodist Church in Britain; Warmley; On-site; GBP 36,000 - 52,000; Full time

Job summary

Cheltenham Peripheral Primary Care Network is seeking an experienced adult nurse to join the frailty team. The post focuses on proactive care planning for older and vulnerable people living at home, with strong work across primary, secondary, social care and voluntary partners.

You will work in a multidisciplinary setting to implement person-centred care and support planned transfers, while maintaining high standards of governance and patient safety.

Qualifications

• NMC registration as a nurse (adult).
• Experience in primary care settings preferred.
• Infection prevention and control knowledge desirable.

Responsibilities

• Establish systems and coordinate patient access to services with five GP practices.
• Deliver the Gloucestershire Model of Frailty in care settings.
• Enable smooth and planned transfers between care settings.
• Provide advice and information to patients and carers.

Skills

NHS frailty care knowledge

Autonomous practice

Governance and risk awareness

Care coordination

Interagency collaboration

Communication with partners

Sexual safeguarding awareness

Education

Healthcare degree

Leadership module or study days

Job description

This post sits within the multidisciplinary frailty team of the Cheltenham Peripheral Primary Care Network, which links five GP practices, and works alongside the existing frailty nurse. The role centres on helping frail, older or vulnerable people in the community stay independent at home through proactive care planning and planned transfers between care settings. What sets it apart is its reach across primary, secondary, social care and voluntary sector partners, using a strengths-based approach. Candidates need current NMC registration as an adult nurse and must be able to practise autonomously.

What the job involves

• Establish systems and co-ordinate patient access to services with the five GP practices
• Deliver the Gloucestershire Model of Frailty
• Enable smooth and planned transfers between care settings
• Provide advice and information
• Oversee safeguarding administration and communication with partner organisations where required
• Ensure personalised health and care planning is proactive, supportive and patient-centred
• Work with people living with moderate or severe frailty in a strengths-based way that focuses on what matters to them
• Deliver the NHSE Proactive Care Framework at PCN level
• Work with MDTs and system partners to enhance independence and reduce unplanned hospital admissions
• Work alongside care co-ordinators and social prescribing link workers to embed the personalised care approach across the PCN

What’s required

Qualifications

• Degree in healthcare, or working towards one
• Management and leadership module or study days, or evidence of these

Registration & licences

• NMC registration as an adult nurse
• Current knowledge of the NMC Code of Conduct

Experience

• Working in primary care
• Strong frailty care background
• Autonomous practice without supervision
• Demonstrable infection control experience

Skills & knowledge

• Knowledge of government policy on ambulatory frailty care
• Knowledge of Frailty Nurse Competencies
• Understanding of clinical governance
• Clinical risk management
• End of life care
• Emergency care management

Nice to have

• Knowledge of the secondary and primary care sector
• Basic knowledge of long-term conditions
• Knowledge of the local and national frailty agenda
• Respiratory, cardiac, wound care or surgical background
• ALERT (Aim-Impact) course
• Teaching or mentorship qualification at degree level or equivalent
• Recognised acute care assessments module
• Recognised frailty modules