Inline with the NHS Long Term Plan and Ageing Well agenda, the role focuses onpreventative and anticipatory care. The nurse will work closely with GPs,pharmacists, social prescribers, community services, and voluntary sectororganisations to deliver integrated care that promotes independence, dignity,and quality of life for older people in their own homes.
Main duties of the job
The Frailty Nurse is a pivotal member of the Primary Care Network (PCN) team, responsible for delivering comprehensive, proactive, and personalised care to patients living with moderate to severe frailty, including those who are housebound. Working autonomously and collaboratively, the post holder conducts holistic assessments in patients homes, co-produces care plans, supports long-term condition management, and works to reduce unplanned hospital admissions.
About us
The PCN comprises of 4 Practices across the Forest of Dean. ForestGreen PCN consists of Dockham Surgery, Drybrook Surgery, Forest Health Care andMitcheldean Surgery. The practices have a combined geographic area made up ofaround 29,000 patients. Our PCN iscommitted to developing a skilled multidisciplinary workforce that can maximisethe delivery of safe, high quality and value for money healthcare services forthe benefit of our local population. Youwill be joining an enthusiastic team of clinicians and administrators. You willbe well supported with ongoing professional development (training support, CPD,and peer support). The role will contribute to improving the quality of care ofour patients across the network of practices.
Forest Green PCN is afriendly and diverse team who are determined to make work-life balanceachievable and enjoyable and are ready to welcome new employees into thenetwork.
Job responsibilities
The Frailty Nurse is a pivotal memberof the Primary Care Network (PCN) team, responsible for deliveringcomprehensive, proactive, and personalised care to patients living withmoderate to severe frailty, including those who are housebound. Workingautonomously and collaboratively, the post holder conducts holistic assessmentsin patients homes, co-produces care plans, supports long-term conditionmanagement, and works to reduce unplanned hospital admissions.
Inline with the NHS Long Term Plan and Ageing Well agenda, the role focuses onpreventative and anticipatory care. The nurse will work closely with GPs,pharmacists, social prescribers, community services, and voluntary sectororganisations to deliver integrated care that promotes independence, dignity,and quality of life for older people in their own homes.
Person Specification
Experience
* Experience of working in a primary care environment
* Experience of chronic disease management
* Experience of working as a practice nurse or community nurse
Qualifications
* Degree in nursing and registered with the Nursing and Midwifery Council (NMC)
* Post graduate diploma or degree (primary care)
* Independent prescriber
Clinical and Other Skills
* Wound care/removal of sutures and staples
* ECGs
* Venepuncture
* Chaperone procedure
* Requesting pathology tests, processing the results, advising patients accordingly
* Diabetes
* Asthma
* CHD
* Immunisations (routine, childhood and travel)
* Frailty Index- Rockwood trained
* Understand the importance of evidence-based practice
* Broad knowledge of clinical governance
* Ability to record accurate clinical notes
* Ability to work within own scope of practice and understand when to refer to GPs
* Knowledge of public health issues in the local area
* Awareness of issues within the wider health arena
* Knowledge of health promotion strategies
* Understand the requirement for PGDs and associated policy
* Excellent communication skills (written and oral)
* Clear, polite telephone manner
* Competent in the use of Office and Outlook
* Effective time management (planning and organising)
* Ability to work as a team member and autonomously
* Good interpersonal skills
* Problem solving and analytical skills
* Ability to follow clinical policy and procedure
* Experience with audits and able to lead audit programmes
* Polite and confident
* Flexible and cooperative
* Motivated, forward thinker
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* High levels of integrity and loyalty
* Sensitive and empathetic in distressing situations
* Ability to work under pressure/in stressful situations
* Effectively able to communicate and understand the needs of the patient
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Occupational health clearance
* NMC registration
* Access to own transport and ability to travel across the PCN on a regular basis
* Experience with audits and able to lead audit programmes
* Experience with clinical risk management
* Knowledge of public health issues in the local area
* Awareness of issues within the wider health arena
* 6-CIT trained
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Part-time,Flexible working,Home or remote working
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