Salaried Frailty General Practitioner

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

A new 18-month salaried frailty GP post at Launceston Medical Centre, funded by the Launceston and Tamar Valley Integrated Neighbourhood Team. The work is mostly proactive clinical care for people over 65 with moderate to severe frailty, including medication review and home visits, alongside co-designing a neighbourhood frailty model and aiming to cut acute admissions. The post holder also acts as Frailty Lead GP, supervising practice colleagues and advising across the neighbourhood. Applicants need GMC registration and experience of managing complex older patients.

What the job involves

• Review patient records identified through population-health or risk-stratification processes to assess suitability for proactive frailty care, and keep accurate clinical records and referrals arising from own work
• 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

Qualifications

• Qualified GP
• Evidence of continuing professional development

Registration & licences

• Inclusion on the GMC Register

Experience

• Experience of working as a General Practitioner
• Experience of managing older people with frailty, multimorbidity or complex care needs
• Experience of autonomous clinical decision-making and clinical risk management
• Experience of multidisciplinary working across organisational boundaries

Skills & knowledge

• Up-to-date clinical knowledge of frailty, multimorbidity and complex care
• Proactive medical assessment and clinical decision-making within a multidisciplinary model
• Balancing evidence-based medicine, clinical risk, treatment burden and patient choice
• Excellent communication, including sensitive conversations with patients and families
• Supporting, advising and supervising other members of the multidisciplinary team within governance arrangements
• Excellent digital and clinical record-keeping

Checks & eligibility

• Eligibility to practise independently in the UK

Other

• Contributing medical expertise to holistic assessment and personalised care planning by the wider team

Nice to have

• MRCGP
• Relevant qualification or training in frailty, geriatrics, palliative care or complex care
• Experience of clinical leadership or supporting other clinicians
• Ability to use population-health or risk-stratification tools
• Experience of service development, pathway redesign, test-and-learn or quality improvement, including integrated neighbourhood work
• Experience of community, care-home, palliative or end-of-life care
• Experience of contributing to comprehensive geriatric assessment within a multidisciplinary team
• Experience of SystmOne