Job summary
In
line with the NHS Long Term Plan and Ageing Well agenda, the role focuses on
preventative and anticipatory care. The nurse will work closely with GPs,
pharmacists, social prescribers, community services, and voluntary sector
organisations 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. Forest
Green PCN consists of Dockham Surgery, Drybrook Surgery, Forest Health Care and
Mitcheldean Surgery. The practices have a combined geographic area made up of
around 29,000 patients. Our PCN is
committed to developing a skilled multidisciplinary workforce that can maximise
the delivery of safe, high quality and value for money healthcare services for
the benefit of our local population. You
will be joining an enthusiastic team of clinicians and administrators. You will
be well supported with ongoing professional development (training support, CPD,
and peer support). The role will contribute to improving the quality of care of
our patients across the network of practices.
Forest Green PCN is a
friendly and diverse team who are determined to make work-life balance
achievable and enjoyable and are ready to welcome new employees into the
network.
Job description
Job responsibilities
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.
In
line with the NHS Long Term Plan and Ageing Well agenda, the role focuses on
preventative and anticipatory care. The nurse will work closely with GPs,
pharmacists, social prescribers, community services, and voluntary sector
organisations to deliver integrated care that promotes independence, dignity,
and quality of life for older people in their own homes.
Job description
Job responsibilities
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.
In
line with the NHS Long Term Plan and Ageing Well agenda, the role focuses on
preventative and anticipatory care. The nurse will work closely with GPs,
pharmacists, social prescribers, community services, and voluntary sector
organisations to deliver integrated care that promotes independence, dignity,
and quality of life for older people in their own homes.
Person Specification
Experience
Essential
- Experience of working in a primary care environment
- Experience of chronic disease management
Desirable
- Experience of working as a practice nurse or community nurse
Qualifications
Essential
- Degree in nursing and registered with the Nursing and Midwifery Council (NMC)
Desirable
- Post graduate diploma or degree (primary care)
- Independent prescriber
Clinical and Other Skills
Essential
- Wound care/removal of sutures and staples
- ECGs
- Venepuncture
- Chaperone procedure
- Requesting pathology tests, processing the results, advising patients accordingly
- Diabetes
- Hypertension
- 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)
- Strong IT skills
- 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
- Effectively utilise resources
- Punctual and committed to supporting the team effort
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- NMC registration
- Access to own transport and ability to travel across the PCN on a regular basis
Desirable
- Experience with audits and able to lead audit programmes
- Experience with clinical risk management
- Systmone user skills
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- 6-CIT trained
- Womens health (cervical cytology, contraception, etc.)
Person Specification
Experience
Essential
- Experience of working in a primary care environment
- Experience of chronic disease management
Desirable
- Experience of working as a practice nurse or community nurse
Qualifications
Essential
- Degree in nursing and registered with the Nursing and Midwifery Council (NMC)
Desirable
- Post graduate diploma or degree (primary care)
- Independent prescriber
Clinical and Other Skills
Essential
- Wound care/removal of sutures and staples
- ECGs
- Venepuncture
- Chaperone procedure
- Requesting pathology tests, processing the results, advising patients accordingly
- Diabetes
- Hypertension
- 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)
- Strong IT skills
- 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
- Effectively utilise resources
- Punctual and committed to supporting the team effort
- Disclosure Barring Service (DBS) check
- Occupational health clearance
- NMC registration
- Access to own transport and ability to travel across the PCN on a regular basis
Desirable
- Experience with audits and able to lead audit programmes
- Experience with clinical risk management
- Systmone user skills
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- 6-CIT trained
- Womens health (cervical cytology, contraception, etc.)
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).