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Hall Street Medical Centre

Frailty Nurse - Frailty Team

The closing date is 21 September 2025

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Job summary

Central PCN is seeking an experienced and motivated Band 5 Registered Nurse to join our Frailty Team. This exciting role offers the opportunity to deliver high-quality nursing care to older adults living with frailty across the community.

As part of a multi-disciplinary team, you will undertake comprehensive assessment, care planning, and management for frail patients, supporting them to maintain independence and wellbeing. You will also contribute to clinical governance, service development, and support junior staff within the PCN.

A full, clean driving licence and access to your own car for daily work travel is essential.

This role is 24 hours to be worked across 3 days.

Interviews will take place on Wednesday 1st Octorber 2025

Main duties of the job

You will be a qualified Registered Nurse with experience in frailty, elderly, and community nursing. You will demonstrate excellent clinical skills, strong communication, and a commitment to delivering compassionate, patient-centered care. Experience working within primary care or community settings is highly desirable.

You will:

  • Deliver holistic nursing assessments and personalised care for patients with frailty.
  • Work closely with multidisciplinary teams to coordinate integrated care.
  • Support patients and carers through education and health promotion.
  • Maintain accurate documentation and ensure adherence to clinical governance standards.
  • Act as a mentor and support for junior and unregistered staff.
  • Participate in audit, quality improvement, and service development initiatives.

About us

St Helens Central PCN serves a diverse population of approximately 39,000 patients across eight GP practices. We are a proactive and collaborative team, committed to delivering high-quality healthcare services to the people of St Helens.

Supported by our Clinical Director and dedicated member practices, we pride ourselves on fostering a positive, team-focused environment. Our staff are enthusiastic, innovative, and committed to working together to develop new projects and adopt forward-thinking approaches that address the evolving challenges in Primary Care.

Our PCN is home to a wide range of enhanced services delivered by our multidisciplinary team, including Clinical Pharmacists, First Contact Practitioners, Mental Health Practitioners, Social Prescribers, Health & Wellbeing Coaches and Care Coordinators. We also work closely with community teams and other local healthcare providers, ensuring integrated and person-centred care for our patients.

By joining our network, you will benefit from:

  • Regular clinical supervision and peer support
  • A supportive and friendly team environment
  • Access to a well-established Training Hub for ongoing CPD and development
  • Membership of the NHS Pension Scheme

We are passionate about building a resilient, skilled, and compassionate workforce to meet the needs of our community. If you share that vision, wed love to hear from you.

Details

Date posted

12 August 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A4917-25-0006

Job locations

103 Crab Street

St. Helens

Merseyside

WA10 2DJ


Job description

Job responsibilities

The post holder will work across the primary, community, secondary, and social care interface to deliver holistic, patient-centered care for frail and elderly patients within the community and primary care network setting.

Actively assess, plan, implement, and evaluate care across the full patient pathway in partnership with multidisciplinary teams (MDT), patients, and carers.

Utilise clinical expertise in frailty and community nursing to support patients independence and wellbeing.

Work within NHS structures and adhere to the Nursing and Midwifery Council code of conduct to maintain professional standards.

Contribute to service development through clinical governance activities, audit, and quality improvement initiatives.

Support and mentor junior colleagues, student nurses, and healthcare assistants to develop clinical skills and knowledge relevant to community and frailty care.

Provide leadership within the team and deputize for senior staff when required.

Must hold a full, clean driving licence and have access to a car for daily use to enable travel across the PCN area.

Position is part-time, 3 days per week.

CORE ROLE & RESPONSIBILITIES

Professional Leadership / Management

Work collaboratively with MDT to ensure coordinated care for frail, elderly patients, supporting their health and independence.

Mentor and support junior staff, student nurses, and healthcare assistants through supervision, assessment, and induction processes.

Act as a clinical role model, promoting best practice and professionalism.

Identify and address challenges affecting patient care delivery, empowering team members to make decisions.

Lead care coordination or team activities in the absence of senior staff.

Ensure patients and carers views inform care planning and service improvement.

Lead on specific clinical initiatives or projects related to frailty and community care.

Clinical Practice

Maintain and develop clinical competence in frailty assessment tools and relevant community nursing skills.

Provide expert nursing care to a defined caseload of frail elderly patients, managing complex needs across settings.

Deliver health promotion and education tailored to the elderly and their carers, supporting self-management.

Provide clinical advice and support to colleagues across the PCN and community.

Ensure all care is documented accurately in line with local and national standards.

Coordinate nurse-led interventions, including falls prevention, medication reviews, and advance care planning.

Collaborate in developing and delivering integrated care pathways for frailty management.

Promote dignity, respect, and individualised care in all patient interactions.

Clinical Governance

Participate actively in appraisal and personal development planning.

Comply with mandatory training, clinical policies, and NMC standards.

Engage in audit, research, and quality improvement activities related to frailty and community nursing.

Report incidents and participate in investigations as required, supporting risk management and patient safety.

Assist in delivering competency-based training programs for the team.

Contribute to service evaluation and development to enhance care for frail elderly patients.

Nurse Responsibilities

Maintain active registration with the NMC and adhere to professional standards.

Keep clinical skills and knowledge updated, maintaining a professional portfolio.

Comply with Trust and PCN policies, including confidentiality and information governance.

Job description

Job responsibilities

The post holder will work across the primary, community, secondary, and social care interface to deliver holistic, patient-centered care for frail and elderly patients within the community and primary care network setting.

Actively assess, plan, implement, and evaluate care across the full patient pathway in partnership with multidisciplinary teams (MDT), patients, and carers.

Utilise clinical expertise in frailty and community nursing to support patients independence and wellbeing.

Work within NHS structures and adhere to the Nursing and Midwifery Council code of conduct to maintain professional standards.

Contribute to service development through clinical governance activities, audit, and quality improvement initiatives.

Support and mentor junior colleagues, student nurses, and healthcare assistants to develop clinical skills and knowledge relevant to community and frailty care.

Provide leadership within the team and deputize for senior staff when required.

Must hold a full, clean driving licence and have access to a car for daily use to enable travel across the PCN area.

Position is part-time, 3 days per week.

CORE ROLE & RESPONSIBILITIES

Professional Leadership / Management

Work collaboratively with MDT to ensure coordinated care for frail, elderly patients, supporting their health and independence.

Mentor and support junior staff, student nurses, and healthcare assistants through supervision, assessment, and induction processes.

Act as a clinical role model, promoting best practice and professionalism.

Identify and address challenges affecting patient care delivery, empowering team members to make decisions.

Lead care coordination or team activities in the absence of senior staff.

Ensure patients and carers views inform care planning and service improvement.

Lead on specific clinical initiatives or projects related to frailty and community care.

Clinical Practice

Maintain and develop clinical competence in frailty assessment tools and relevant community nursing skills.

Provide expert nursing care to a defined caseload of frail elderly patients, managing complex needs across settings.

Deliver health promotion and education tailored to the elderly and their carers, supporting self-management.

Provide clinical advice and support to colleagues across the PCN and community.

Ensure all care is documented accurately in line with local and national standards.

Coordinate nurse-led interventions, including falls prevention, medication reviews, and advance care planning.

Collaborate in developing and delivering integrated care pathways for frailty management.

Promote dignity, respect, and individualised care in all patient interactions.

Clinical Governance

Participate actively in appraisal and personal development planning.

Comply with mandatory training, clinical policies, and NMC standards.

Engage in audit, research, and quality improvement activities related to frailty and community nursing.

Report incidents and participate in investigations as required, supporting risk management and patient safety.

Assist in delivering competency-based training programs for the team.

Contribute to service evaluation and development to enhance care for frail elderly patients.

Nurse Responsibilities

Maintain active registration with the NMC and adhere to professional standards.

Keep clinical skills and knowledge updated, maintaining a professional portfolio.

Comply with Trust and PCN policies, including confidentiality and information governance.

Person Specification

Skills & Knowledge

Essential

  • Knowledge of frailty syndromes, assessment tools, and management approaches in community settings.
  • Clinical nursing skills in assessment, care planning, and delivery for elderly patients with complex needs.
  • Understanding of multidisciplinary team working and integrated care pathways.
  • Effective communication skills, including the ability to engage patients, carers, and colleagues with empathy and clarity.
  • Ability to prioritise and manage time effectively in a complex and changing workload.
  • Knowledge of professional nursing standards, including NMC Code of Conduct, and clinical governance frameworks.

Desirable

  • Awareness of mental health conditions common in the elderly (e.g., dementia, depression) and relevant nursing approaches.
  • IT Skills
  • Evidence of recognised knowledge / skills in service improvement.

Experience

Essential

  • Proven experience delivering holistic, patient-centered care to frail, elderly patients in community or primary care settings.
  • Experience in clinical assessment, care planning, implementation, and evaluation in partnership with multidisciplinary teams.
  • Demonstrable use of frailty assessment tools and community nursing interventions.
  • Ability to manage a defined caseload of complex patients independently and deputise for senior staff.
  • Experience working collaboratively within multidisciplinary teams and external agencies.
  • Strong communication and interpersonal skills for patient, carer, and team engagement.
  • Commitment to equality, diversity, and inclusion in healthcare delivery.

Desirable

  • Previous experience specifically within frailty or elderly care teams.
  • Experience working within Primary Care Networks or on the community.
  • Familiarity with clinical systems.

Qualifications

Essential

  • Registered Nurse with current, active registration with the Nursing and Midwifery Council.
  • Evidence of ongoing professional development relevant to community nursing and frailty care.
  • Full, clean driving licence with access to a car for daily use.

Desirable

  • Post-registration qualification or training in frailty, community nursing, or related specialties.
  • Qualification or training in specific clinical areas such as falls prevention, medication review, or advance care planning.
Person Specification

Skills & Knowledge

Essential

  • Knowledge of frailty syndromes, assessment tools, and management approaches in community settings.
  • Clinical nursing skills in assessment, care planning, and delivery for elderly patients with complex needs.
  • Understanding of multidisciplinary team working and integrated care pathways.
  • Effective communication skills, including the ability to engage patients, carers, and colleagues with empathy and clarity.
  • Ability to prioritise and manage time effectively in a complex and changing workload.
  • Knowledge of professional nursing standards, including NMC Code of Conduct, and clinical governance frameworks.

Desirable

  • Awareness of mental health conditions common in the elderly (e.g., dementia, depression) and relevant nursing approaches.
  • IT Skills
  • Evidence of recognised knowledge / skills in service improvement.

Experience

Essential

  • Proven experience delivering holistic, patient-centered care to frail, elderly patients in community or primary care settings.
  • Experience in clinical assessment, care planning, implementation, and evaluation in partnership with multidisciplinary teams.
  • Demonstrable use of frailty assessment tools and community nursing interventions.
  • Ability to manage a defined caseload of complex patients independently and deputise for senior staff.
  • Experience working collaboratively within multidisciplinary teams and external agencies.
  • Strong communication and interpersonal skills for patient, carer, and team engagement.
  • Commitment to equality, diversity, and inclusion in healthcare delivery.

Desirable

  • Previous experience specifically within frailty or elderly care teams.
  • Experience working within Primary Care Networks or on the community.
  • Familiarity with clinical systems.

Qualifications

Essential

  • Registered Nurse with current, active registration with the Nursing and Midwifery Council.
  • Evidence of ongoing professional development relevant to community nursing and frailty care.
  • Full, clean driving licence with access to a car for daily use.

Desirable

  • Post-registration qualification or training in frailty, community nursing, or related specialties.
  • Qualification or training in specific clinical areas such as falls prevention, medication review, or advance care planning.

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

Hall Street Medical Centre

Address

103 Crab Street

St. Helens

Merseyside

WA10 2DJ


Employer's website

https://www.hallstreetmedicalcentre.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Hall Street Medical Centre

Address

103 Crab Street

St. Helens

Merseyside

WA10 2DJ


Employer's website

https://www.hallstreetmedicalcentre.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Nurse Clinician

Lynn Naylor

Lynn.Naylor3@sthelensccg.nhs.uk

01744621827

Details

Date posted

12 August 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A4917-25-0006

Job locations

103 Crab Street

St. Helens

Merseyside

WA10 2DJ


Supporting documents

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