We are recruiting for a Frailty EAAR (Early Alternative to Admission Review) Clinical Nurse Specialist who shares our vision to be trusted to provide consistently outstanding care and exemplary service to our patients. We are a multidisciplinary team comprising Consultant Geriatricians, Advanced Clinical Practitioners (ACPs), Clinical Nurse Specialists, and a Frailty Lead Pharmacist. Our team operates a seven-day service based in the Emergency Department (ED) and Acute Medical Unit (AMU), providing specialist assessment and care for frail and vulnerable patients.
As part of the Integrated Care Board's (ICB) initiative to reduce unplanned hospital admissions by 25%, one key intervention is the Early Alternative to Admission Review (EAAR), conducted upon patients' arrival to the hospital. This role involves clinically assessing frail patients in the Emergency Department, serving as a secondary triage to identify and direct suitable patients to alternative care pathways at the point of arrival.
For patients not suitable for the EAAR pathway, the focus will be on initiating a comprehensive geriatric assessment (CGA) to minimize duplication, reduce ED time, and improve outcomes—supporting a 'home first' care model. Our core values are: Include, Respect, and Improve. We encourage you to embrace these values throughout the recruitment process and in your role with us.
Main duties of the job
The post involves planning, implementing, and evaluating care independently as an autonomous practitioner with specialist skills, covering a broad range of clinical responsibilities. The Clinical Nurse Specialist will identify and assess patient suitability for the EAAR pathway, working with the Care Coordination Hub to ensure appropriate care routing.
The successful candidate will confidently triage patients using assessment tools and advanced clinical skills for timely decision-making. In collaboration with the frailty consultant, the post holder will determine if patients meet discharge criteria and facilitate transition to suitable care pathways via the Care Communication Hub.
At East and North Hertfordshire Teaching NHS Trust, we pride ourselves on providing a range of general and specialist services with dedicated staff ensuring high-quality, compassionate care. Our hospitals include:
* The Lister Hospital, Stevenage
* New Queen Elizabeth II (New QEII), Welwyn Garden City
* Hertford County, Hertford
* Mount Vernon Cancer Centre (MVCC), Northwood
We aim to become an outstanding, patient-led Trust where staff deliver exceptional care. We are undergoing significant transformation and value flexibility in work arrangements. Employees can request flexible working patterns, which will be considered to support work-life balance, always balancing service needs.
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