Frailty Practitioner - East Cornwall Primary Care Network

KERNOW HEALTH; Truro; Hybrid; GBP 32,000 - 45,000; Full time

Job summary

East Cornwall PCN is seeking an experienced Frailty Practitioner to support our reactive frailty service. The role involves patient-facing work across Saltash/Torpoint and Liskeard/Looe areas, with a hybrid pattern between home, GP practices and other health locations.

Regular travel within the locality is required. You will assess, intervene and coordinate care for people living with frailty, aiming to prevent hospital admissions and support safe return home after discharge.

Qualifications

• Substantial post-registration experience with frailty, multimorbidity or complex needs.
• Experience of holistic assessment, care planning and risk management.
• Ability to travel independently across designated areas and undertake home visits.
• Registration with NMC (nurse) or HCPC (OT/PT) is required.

Responsibilities

• Provide timely assessment, intervention and care coordination for people living with frailty.
• Coordinate care across GP practices and multidisciplinary teams.
• Support discharge planning and avoid avoidable hospital admissions.
• Travel to home visits across Saltash & Torpoint, and Liskeard & Looe areas.

Skills

Frailty knowledge

Clinical judgement

Care coordination

Communication skills

Education

NMC registered nurse

HCPC registered occupational therapist

HCPC registered physiotherapist

Job description

The opportunity

East Cornwall Primary Care Network is looking for an experienced Frailty Practitioner to join and strengthen our reactive frailty service.

Summary

The opportunity

East Cornwall Primary Care Network is looking for an experienced Frailty Practitioner to join and strengthen our reactive frailty service. This is a patient-facing role supporting GP practices across the Saltash and Torpoint, and Liskeard and Looe Integrated Neighbourhood Team areas. The postholder will work on a hybrid basis between home, GP practices and other health and care locations across these areas. Regular travel throughout the locality will be required. You will work with people living with frailty whose health, independence or functional ability has deteriorated, providing timely assessment, intervention and care coordination. The service supports practices through daily multidisciplinary team meetings, helps prevent avoidable hospital admissions and supports patients to return home safely following discharge. We welcome applications from registered nurses, occupational therapists and physiotherapists. Professional background is less important than strong frailty knowledge, sound clinical judgement and the ability to coordinate care across organisational boundaries.

Main duties of the job

You must be registered with the Nursing and Midwifery Council as a registered nurse or with the Health and Care Professions Council as an occupational therapist or physiotherapist.

You Will Also Need

• Substantial post-registration experience working with people living with frailty, multimorbidity or complex needs.
• Experience of holistic assessment, care planning and clinical or functional risk management.
• The ability to recognise deterioration and make safe, timely decisions within your competence.
• Experience of effective multidisciplinary and cross-organisational working.
• Strong communication skills, including the ability to discuss complex and sensitive matters with patients, carers and professionals.
• Knowledge of adult safeguarding, consent, the Mental Capacity Act and information governance.
• The ability to prioritise and manage a complex community caseload.
• The ability to travel independently throughout the Saltash and Torpoint, and Liskeard and Looe areas and undertake home visits.

Experience in primary care, community services, urgent response, hospital discharge or admission avoidance would be particularly valuable. An advanced clinical assessment, independent prescribing, frailty, rehabilitation or older peoples care qualification would be advantageous but is not essential. Independent prescribing would only form part of the role where it is relevant to the successful candidates professional background and agreed scope of practice.

About Us

East Cornwall PCN brings together seven GP practices serving communities across East Cornwall. Our teams work across practice and organisational boundaries to improve access, coordinate care and provide effective support for people with complex needs. This role is part of the PCNs reactive frailty service. Although the postholder will work closely with community and neighbourhood services, the roles core purpose is to provide responsive frailty support to practices and their patients. If you are an experienced clinician who understands frailty, can bring clarity to complex situations and is comfortable working across professional and organisational boundaries, we would like to hear from you. Please note, we reserve the right to close the advert early should there be a significantly high level of applications.