Job overview
As the Nurse Team Leader, you will provide clinical leadership to the frailty nursing team and deliver expert assessment, prescribing, and care coordination for older adults living with frailty. You will work across community clinics, patients’ homes, and multidisciplinary settings, collaborating closely with GPs, geriatricians, the Acute Frailty Team, community therapy teams, social care, and voluntary sector partners.
You will play a key role in service development, workforce leadership, and quality improvement, ensuring safe, effective, and compassionate care.
Main duties of the job
The role provides advanced clinical leadership in frailty care, delivering comprehensive assessments, independent diagnosis and prescribing, personalised care planning, and expert management of complex cases while ensuring safe, evidence‑based practice. It involves holding a clinical caseload, managing risk, safeguarding, cognitive and psychosocial assessments, and supporting patients and carers through shared decision‑making. The postholder leads and supervises nursing and support staff, oversees recruitment and performance, drives service improvement and pathway redesign, and builds strong partnerships across the system. They contribute to governance through audits, quality improvement, incident investigation, and compliance with professional and organisational standards, while also delivering training, clinical supervision, and maintaining their own advanced practice and prescribing competence.
Working for our organisation
What We Offer
• Agenda for Change Band 7 salary with annual increments.
• NHS Pension Scheme and generous annual leave.
• Access to CNWL leadership programmes and professional development pathways.
• Support for revalidation and protected CPD time.
• Flexible working options.
• Occupational health and wellbeing support.
Detailed job description and main responsibilities
• Lead and deliver frailty assessments, including components of the Comprehensive Geriatric Assessment (CGA).
• Independently assess, diagnose, and prescribe as an NMP, including medicines optimisation and polypharmacy reviews.
• Works collaboratively with the Clinical Lead and pharmacist regarding medication optimisation.
• Develop personalised care plans and coordinate rapid response or crisis interventions.
• Work collaboratively with individuals, families, carers and other health and social care professionals on making shared clinical decisions to provide the best outcome for the individual, their relatives and/or carers
• To provide support and advice to patients and their carers relating to clinical interventions.
• Manage emergency situation.
• Assume responsibility for individuals within a clinical setting /caseload
• Identify and manage clinical risk, safeguarding concerns, capacity and consent issues, and end of life needs.
• Hold a clinical caseload, providing expert input for complex cases.
• Carry out cognitive and psychosocial assessment
• Ensure high quality clinical documentation and support staff with record keeping standards.
• Practice always within the Professional Codes of Conduct
• Conduct evidence-based practice in accordance with clinical guidelines and standards.
• Support the team to ensure that the appropriate clinical skills and competencies are used effectively to meet the needs of both acutely unwell and stable patients and their families.
• Demonstrate maintenance and development of evidence-based skills and practice through CPD.
• Provide day to day leadership, supervision, and support to nursing and support staff.
• Oversee recruitment, induction, appraisals, performance management, and safe staffing.
• Lead and manage the MDT case reviews.
• Lead service improvement, pathway redesign, and implementation of evidence based frailty models.
• Build strong relationships with internal and external partners to support integrated care.
• Manage operational issues and ensure service resilience
• Report complaints, incidents and accidents via the appropriately identified channels and assist managers in their investigation and resolution.
• Participate in internal and external committees to contribute to the development of future service provision.
• Participate in clinical improvement programmes to ensure the quality of patient care is reviewed, assessed, implemented and monitored to maintain standards of care given to individuals and their families.
• Critically evaluate current practice, developing innovative ideas to improve effectiveness and efficiency of care.
• Plan and deliver training on frailty, clinical assessment, and safe prescribing.
• Provide clinical supervision, mentorship, and support for revalidation.
• Work with academic and clinical partners to develop shared learning opportunities.
• Maintain your own CPD and prescribing competence.
• Lead audits, quality improvement projects, and incident investigations.
• Ensure compliance with CNWL policies, NMC standards, safeguarding, and medicines governance.
• Monitor KPIs, activity, outcomes, and patient experience, reporting to senior leadership.
• Contribute to risk management and action planning.
Use of Artificial Intelligence (AI)
AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.
We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.
Vaccination
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
1. Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
2. Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the
3. Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.