Frailty and Long-Term Conditions Practitioner

The Blackmore Vale Partnership

The closing date is 16 May 2025

Job summary

Position: Frailty and Long-Term Conditions Practitioner

Hours: Part time/Full time: Up to 15 hours per week

Opportunity to work across all our sites engaging with a wide range of different multi-agency professionals to proactively support people with frailty and Long-Term Conditions.

We currently have an exciting opportunity for an enthusiastic and forward-thinking Registered Nurse who is looking to enhance and develop their career in the primary care setting. We need you to help us develop a proactive approach to population health management to identify people who require quality care to manage the impact of their condition. We are looking at the offer of a structured holistic assessment to those identified to be most at risk.

You will be working as an autonomous practitioner as well as collaboratively with the wider integrated frailty service offered by our community colleagues. You will work as part of our Frailty Service within our Wellbeing Team and other practice staff to make this a key role in delivering care to this patient cohort.

Main duties of the job

To build and continually advance own clinical knowledge, skill and competence based on current evidence through educational programmes.

Provide specialist advice around the management of fragility to others.

To work in collaboration with other professionals to deliver and ensure care is delivered appropriately.

To demonstrate clinical effectiveness of service delivery by use of evidence-based practice and outcome measures.

To have the skills to take a history, assess, examine, diagnose, and develop a management plan.

To recognise, assess and manage risk across the immediate and wider working environment and make appropriate decisions autonomously ensuring statutory requirements are met.

To be responsible for patient safety through knowledge of systems, legal requirements and understanding of litigation.

To communicate effectively verbally and in written form in the exchange of highly complex, sensitive, or contentious information in demanding situations using de-escalation, mediation, resolution, and professional Duty of Candour.

To evaluate care, taking appropriate action leading to improvement in quality standards through clinical audit, root cause analysis and dealing with complaints.

Key details:

Up to 15hrs per week

5 weeks annual leave

NHS pension

Flexible working

Development opportunities

Closing date: 16.05.25

Interviews: Commencing 26.05.25

About us

We are a large innovative, forward thinking, and friendly practice based in both Shaftesbury and Sturminster Newton. We invest in our team members and are keen to create opportunities to encourage autonomy for you to take a leadership role using your initiative in service development. As a partnership, we are committed to demonstrate diversification from the traditional model of primary care to a multi-disciplinary, holistic approach to care. We are looking for a like-minded enthusiastic person to come and join us focusing on the delivery of healthcare using new models of care.

Date posted

30 April 2025

Pay scheme

Other

Salary

£34,062.41 to £42,568.24 a year Pro Rata Depending on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2355-BVP-FLTCP-Apr25

Job locations

Sturminster Newton Medical Centre

Old Market Hill

Sturminster Newton

Dorset

DT10 1QU


The Blackmore Vale Partnership

Salisbury Road

Shaftesbury

Dorset

SP7 8DH


Job description

Job responsibilities

JOB DESCRIPTION

JOB TITLE:

Frailty and Long-Term Conditions Practitioner

PAY BAND:

BVP Band 6 - Pro rata depending on experience (£34062.41-£42568.24)

LOCATION:

Blackmore Vale Partnership Practice areas

ACCOUNTABLE TO:

Clinical Director

LINE MANAGER:

Digital, Transformation and Wellbeing Lead

KEY RELATIONSHIPS:

Multi-agency stakeholders and other professionals, patients, and service users, and the wider public

HOURS OF WORK:

This is a part-time/full-time post of up to 22.5 hours per week.

SECTION A: MAIN DUTIES AND RESPONSIBILITIES

1.

CLINICAL RESPONSIBILITIES

1.1

To assess, plan, implement and evaluate care plans for patients; promoting proactive independence and autonomy; working within a multi-disciplinary team.

1.2

To build and continually advance own clinical knowledge, skill and competence based on current evidence through educational programmes.

1.3

Provide specialist advice around the management of fragility to others.

1.4

To work in collaboration with other professionals to deliver and ensure care is delivered appropriately.

1.5

To demonstrate clinical effectiveness of service delivery by use of evidence-based practice and outcome measures.

1.6

To have the skills to take a history, assess, examine, diagnose, and develop a management plan.

1.7

To recognise, assess and manage risk across the immediate and wider working environment and make appropriate decisions autonomously ensuring statutory requirements are met.

1.8

To be responsible for patient safety through knowledge of systems, legal requirements and understanding of litigation.

1.9

To communicate effectively verbally and in written form in the exchange of highly complex, sensitive, or contentious information in demanding situations using de-escalation, mediation, resolution, and professional Duty of Candour.

1.10

To evaluate care, taking appropriate action leading to improvement in quality standards through clinical audit, root cause analysis and dealing with complaints.

2.

MANAGERIAL RESPONSIBILITIES

2.1

To demonstrate leadership qualities collaborating with stakeholders to deliver a vision for the frailty service that embrace continuous service improvement and development.

2.2

Support the management of change through strategic thinking and operational delivery, use of negotiating skills, self-awareness, and communication.

2.3

Act as a role model whilst promoting proactive, positive, respectful, supportive, reliable, and trustworthy behaviours.

3.

RESPONSIBILITY FOR HUMAN RESOURCES / WORKFORCE

3.1

To provide clinical support to and receive clinical support from other colleagues.

3.2

To provide regular advice/guidance/support to more junior staff.

4.

RESEARCH & DEVELOPMENT

4.1

Participate in surveys, regular audits, and clinical trials relevant to the role as required

4.2

To take responsibility for keeping abreast of developments and research relevant to specialist clinical work and the profession.

5.

POLICY & SERVICE DEVELOPMENT

5.1

Responsible for contributing to the development of policies, procedures, and practices applicable to the role.

6.

RESPONSIBILITY FOR INFORMATION / DATA

6.1

To maintain and ensure the highest quality of recording of patient data into the relevant record system.

7.

PROFESSIONAL RESPONSIBILITIES

7.1

Ensure that personal performance meets job requirements, Professional Codes and Standards, and competency standards always.

7.2

Ensure the required level of IT competence required for the role to process, record, evaluate, analyse, and report data.

7.3

Demonstrate commitment to the role and to service improvement through innovative thinking and small-scale project management.

7.4

Challenge poor practice and take appropriate action as required.

7.5

Provide a positive, compassionate role model to junior staff to ensure the delivery of people-centred care and the key components of compassionate care

7.6

Create effective teamwork across professional boundaries using team building skills, creating common goals, and through engagement.

7.7

Respect and apply the requirements of equality, diversity, and inclusion, promoting and role modelling these across the multi-disciplinary team.

8.

OTHER RESPONSIBILITIES

8.1

To provide proactive, holistic assessments of adults living with frailty working with people and their families/carers to develop and support personalised care planning to promote independence and reduce unplanned admission.

8.2

8.3

8.4

8.5

To proactively assess, manage and monitor the health and social care needs of people with complex long term health conditions.

To be able to recognise deterioriating patients and respond appropriately

To work in collaboration with the wider frailty service to promote proactive, enhanced clinical management that reduces unwarrented hospital admissions.

To work flexibly to meet the demands of the service and adapt to changing priorities within the working day/week

9.

ENVIRONMENTAL FACTORS

9.1

The role will require developed physical clinical skills where accuracy is important e.g., for patient interventions

Job description

Job responsibilities

JOB DESCRIPTION

JOB TITLE:

Frailty and Long-Term Conditions Practitioner

PAY BAND:

BVP Band 6 - Pro rata depending on experience (£34062.41-£42568.24)

LOCATION:

Blackmore Vale Partnership Practice areas

ACCOUNTABLE TO:

Clinical Director

LINE MANAGER:

Digital, Transformation and Wellbeing Lead

KEY RELATIONSHIPS:

Multi-agency stakeholders and other professionals, patients, and service users, and the wider public

HOURS OF WORK:

This is a part-time/full-time post of up to 22.5 hours per week.

SECTION A: MAIN DUTIES AND RESPONSIBILITIES

1.

CLINICAL RESPONSIBILITIES

1.1

To assess, plan, implement and evaluate care plans for patients; promoting proactive independence and autonomy; working within a multi-disciplinary team.

1.2

To build and continually advance own clinical knowledge, skill and competence based on current evidence through educational programmes.

1.3

Provide specialist advice around the management of fragility to others.

1.4

To work in collaboration with other professionals to deliver and ensure care is delivered appropriately.

1.5

To demonstrate clinical effectiveness of service delivery by use of evidence-based practice and outcome measures.

1.6

To have the skills to take a history, assess, examine, diagnose, and develop a management plan.

1.7

To recognise, assess and manage risk across the immediate and wider working environment and make appropriate decisions autonomously ensuring statutory requirements are met.

1.8

To be responsible for patient safety through knowledge of systems, legal requirements and understanding of litigation.

1.9

To communicate effectively verbally and in written form in the exchange of highly complex, sensitive, or contentious information in demanding situations using de-escalation, mediation, resolution, and professional Duty of Candour.

1.10

To evaluate care, taking appropriate action leading to improvement in quality standards through clinical audit, root cause analysis and dealing with complaints.

2.

MANAGERIAL RESPONSIBILITIES

2.1

To demonstrate leadership qualities collaborating with stakeholders to deliver a vision for the frailty service that embrace continuous service improvement and development.

2.2

Support the management of change through strategic thinking and operational delivery, use of negotiating skills, self-awareness, and communication.

2.3

Act as a role model whilst promoting proactive, positive, respectful, supportive, reliable, and trustworthy behaviours.

3.

RESPONSIBILITY FOR HUMAN RESOURCES / WORKFORCE

3.1

To provide clinical support to and receive clinical support from other colleagues.

3.2

To provide regular advice/guidance/support to more junior staff.

4.

RESEARCH & DEVELOPMENT

4.1

Participate in surveys, regular audits, and clinical trials relevant to the role as required

4.2

To take responsibility for keeping abreast of developments and research relevant to specialist clinical work and the profession.

5.

POLICY & SERVICE DEVELOPMENT

5.1

Responsible for contributing to the development of policies, procedures, and practices applicable to the role.

6.

RESPONSIBILITY FOR INFORMATION / DATA

6.1

To maintain and ensure the highest quality of recording of patient data into the relevant record system.

7.

PROFESSIONAL RESPONSIBILITIES

7.1

Ensure that personal performance meets job requirements, Professional Codes and Standards, and competency standards always.

7.2

Ensure the required level of IT competence required for the role to process, record, evaluate, analyse, and report data.

7.3

Demonstrate commitment to the role and to service improvement through innovative thinking and small-scale project management.

7.4

Challenge poor practice and take appropriate action as required.

7.5

Provide a positive, compassionate role model to junior staff to ensure the delivery of people-centred care and the key components of compassionate care

7.6

Create effective teamwork across professional boundaries using team building skills, creating common goals, and through engagement.

7.7

Respect and apply the requirements of equality, diversity, and inclusion, promoting and role modelling these across the multi-disciplinary team.

8.

OTHER RESPONSIBILITIES

8.1

To provide proactive, holistic assessments of adults living with frailty working with people and their families/carers to develop and support personalised care planning to promote independence and reduce unplanned admission.

8.2

8.3

8.4

8.5

To proactively assess, manage and monitor the health and social care needs of people with complex long term health conditions.

To be able to recognise deterioriating patients and respond appropriately

To work in collaboration with the wider frailty service to promote proactive, enhanced clinical management that reduces unwarrented hospital admissions.

To work flexibly to meet the demands of the service and adapt to changing priorities within the working day/week

9.

ENVIRONMENTAL FACTORS

9.1

The role will require developed physical clinical skills where accuracy is important e.g., for patient interventions

Person Specification

Qualifications

Essential

  • QualificationsEssential criteria
  • Registered practitioner with further professional qualifications or demonstrable extensive experience in the relevant specialty Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio
  • Full Driving licence

Desirable

  • Desirable criteria
  • History taking and Physical Examination course HAPE or Enhanced Assessment Skills for Clinical Practice Knowledge and understanding of primary care relevant to role

Experience

Essential

  • JOB SPECIFIC EXPERIENCEEssential criteria
  • Experience at Practitioner Band 5 level or above Experience of managing change Demonstrable knowledge of assessment and therapeutic interventions in area of frailty Able to demonstrate specialist clinical reasoning skills to assimilate information to make a clinical judgement regarding diagnosis and intervention. Ability to prioritise and organise workload effectively

Desirable

  • Desirable criteria
  • Experience of working with Frailty and Long-Term Conditions Recent previous experience within a comparable role

Knowledge, Skills, IT & other Experience

Essential

  • PERSONAL QUALITIES/ATTRIBUTES, BUSINESS TRAVEL & ADDITIONAL REQUIREMENTSEssential criteria
  • Evidence of demonstrating the organisations values and behaviours. Able to communicate effectively at all levels of an organisation and with staff, patient/service users, visitors, or external organisations both verbally and in writing in the exchange of highly complex, sensitive or contentious information which may require the use of negotiating and/or persuasive skills. Able to overcome barriers to understanding where there are physical or mental disabilities. Able to analyse and assess situations and to interpret potentially conflicting situations and determine appropriate action, where there is a range of options and judgement is required. Experience of planning and organising complex activities, e.g., organise own time and that of junior staff and learners, planning off duty rotas and undertaking discharge planning involving co-ordination with other agencies. Ability to use own initiative within sphere of authority Knowledge and understanding of legislation relevant to practice Demonstrable leadership qualities and the ability to perform as a role model Willingness to advance own clinical knowledge, skill and competence based on current evidence Able to travel using own vehicle Hold a Full UK Driving Licence Demonstrable skills in written and spoken English to a standard which enables the post holder to conduct the full range of duties and responsibilities of the role effectively.
  • INFORMATION TECHNOLOGY/RESOURCESEssential criteria
  • Experience of using electronic patient / service user record systems
  • KNOWLEDGE, SKILLS, AND TRAININGEssential criteria
  • Registered practitioner with further professional qualifications or demonstrable extensive experience in the relevant specialty Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio
  • Desirable criteria
  • History taking and Physical Examination course HAPE or Enhanced Assessment Skills for Clinical Practice Knowledge and understanding of primary care relevant to role
  • MANAGERIAL/SUPERVISORY EXPERIENCEEssential criteria
  • Experience of providing clinical supervision and mentoring to junior staff Experience of devising and delivering training
Person Specification

Qualifications

Essential

  • QualificationsEssential criteria
  • Registered practitioner with further professional qualifications or demonstrable extensive experience in the relevant specialty Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio
  • Full Driving licence

Desirable

  • Desirable criteria
  • History taking and Physical Examination course HAPE or Enhanced Assessment Skills for Clinical Practice Knowledge and understanding of primary care relevant to role

Experience

Essential

  • JOB SPECIFIC EXPERIENCEEssential criteria
  • Experience at Practitioner Band 5 level or above Experience of managing change Demonstrable knowledge of assessment and therapeutic interventions in area of frailty Able to demonstrate specialist clinical reasoning skills to assimilate information to make a clinical judgement regarding diagnosis and intervention. Ability to prioritise and organise workload effectively

Desirable

  • Desirable criteria
  • Experience of working with Frailty and Long-Term Conditions Recent previous experience within a comparable role

Knowledge, Skills, IT & other Experience

Essential

  • PERSONAL QUALITIES/ATTRIBUTES, BUSINESS TRAVEL & ADDITIONAL REQUIREMENTSEssential criteria
  • Evidence of demonstrating the organisations values and behaviours. Able to communicate effectively at all levels of an organisation and with staff, patient/service users, visitors, or external organisations both verbally and in writing in the exchange of highly complex, sensitive or contentious information which may require the use of negotiating and/or persuasive skills. Able to overcome barriers to understanding where there are physical or mental disabilities. Able to analyse and assess situations and to interpret potentially conflicting situations and determine appropriate action, where there is a range of options and judgement is required. Experience of planning and organising complex activities, e.g., organise own time and that of junior staff and learners, planning off duty rotas and undertaking discharge planning involving co-ordination with other agencies. Ability to use own initiative within sphere of authority Knowledge and understanding of legislation relevant to practice Demonstrable leadership qualities and the ability to perform as a role model Willingness to advance own clinical knowledge, skill and competence based on current evidence Able to travel using own vehicle Hold a Full UK Driving Licence Demonstrable skills in written and spoken English to a standard which enables the post holder to conduct the full range of duties and responsibilities of the role effectively.
  • INFORMATION TECHNOLOGY/RESOURCESEssential criteria
  • Experience of using electronic patient / service user record systems
  • KNOWLEDGE, SKILLS, AND TRAININGEssential criteria
  • Registered practitioner with further professional qualifications or demonstrable extensive experience in the relevant specialty Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio
  • Desirable criteria
  • History taking and Physical Examination course HAPE or Enhanced Assessment Skills for Clinical Practice Knowledge and understanding of primary care relevant to role
  • MANAGERIAL/SUPERVISORY EXPERIENCEEssential criteria
  • Experience of providing clinical supervision and mentoring to junior staff Experience of devising and delivering training

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).

Employer details

Employer name

The Blackmore Vale Partnership

Address

Sturminster Newton Medical Centre

Old Market Hill

Sturminster Newton

Dorset

DT10 1QU


Employer's website

https://blackmorevalesurgery.co.uk/ (Opens in a new tab)

Employer details

Employer name

The Blackmore Vale Partnership

Address

Sturminster Newton Medical Centre

Old Market Hill

Sturminster Newton

Dorset

DT10 1QU


Employer's website

https://blackmorevalesurgery.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Date posted

30 April 2025

Pay scheme

Other

Salary

£34,062.41 to £42,568.24 a year Pro Rata Depending on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A2355-BVP-FLTCP-Apr25

Job locations

Sturminster Newton Medical Centre

Old Market Hill

Sturminster Newton

Dorset

DT10 1QU


The Blackmore Vale Partnership

Salisbury Road

Shaftesbury

Dorset

SP7 8DH


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