Job summary
Up to 37.5 hours per week.
Are you passionate about improving the lives of frail older adults? Join our new Community Frailty Ward as a Frailty Practitioner!
In this rewarding role, you will complete frailty assessments and manage complex care for frail patients. Your expertise in physical assessments, diagnostic reasoning, and polypharmacy management will help prevent unnecessary hospital admissions and prolonged stays.
You will work with a multidisciplinary team to provide high-quality care across a 7 day service, supporting in the completion of Comprehensive Geriatric Assessments (CGA), and create treatment plans for patients facing crises or exacerbations of long-term conditions to prevent unwanted hospital admissions. You will also deliver frailty education to patients, families, and professionals.
As the Frailty Practitioner you will also have operational ward management for your 21 bed virtual ward and the staff under your line management.
What You will Bring:
- Expertise in frailty, CGA, and clinical reasoning
- Strong leadership and autonomy in a multidisciplinary team
- Ability to deliver education and empower others in frailty care
- Passion for improving patient outcomes and reducing hospital admissions
- Operational Ward/People management skills
Join us and make a lasting impact in community healthcare. We would love to hear from you!
This role may not be eligible for sponsorship under the Skilled Worker route.
Main duties of the job
The Frailty Practitioner for the Frailty Virtual Ward will support the delivery of frailty education to colleagues, students & service users. You will lead people management tasks, including staff engagement, workforce planning, performance management, training, and with the operational leads' support cover all areas of operational management for your ward and staff.
As a clinical leader, you will complete CGA's, manage complex care plans & provide advice to the multidisciplinary team (MDT).
Key responsibilities include managing referrals, ensuring case finding, initiating person-centred care plans & facilitating early discharge to prevent unnecessary hospital admissions. You will provide mentorship, supervision, appraisals & support practice supervision. Participation in service development, policy compliance, resource management & budget support are essential.
You will collaborate with professionals to enhance care pathways, lead clinical audits & contribute to policy development. Strong communication skills are necessary for managing sensitive patient situations & fostering relationships with patients, carers, & professionals. Additionally, you will contribute to research, support safeguarding & engage in ongoing personal development.
Please note that Livewell may close the job advertisement earlier than the specified deadline.
All staff are expected to be able and willing to work across a 7 day service.
About us
Livewell Southwest is an independent, award-winning social
enterprise delivering integrated health and social care services across
Plymouth, South Hams, and West Devon, with specialist services in parts of
Devon and Cornwall. Our teams work in community hospitals, GP practices, sports
centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and
collaboration. We focus on transforming services to ensure sustainability, while
empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in
shaping the care they receive, striving to deliver the right care at the right
time and place. Centering our work on individual needs helps people lead
healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training
pathways, leadership programs, and funding for qualifications like the Care
Certificate and Nurse Training Scholarships. Our induction and preceptorship
programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all
sections of the community, including those with armed forces experience, lived experience of mental
health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the
application process, contact the Recruiting Manager listed in the job advert.
Job description
Job responsibilities
Job Title: Frailty Practitioner Band: Band 7 Locality: Adult Frailty and Specialist Services Base: Community Settings Responsible to: Integrated Operational Lead
Job Purpose:
The Frailty Practitioner leads on frailty care within community integrated teams. They use their expertise in physical and diagnostic assessments, medication reviews, and geriatric assessments (CGA) to help prevent hospital admissions and improve care for frail older adults heading towards crisis management. The role involves providing specialist advice, case management, and supporting multidisciplinary teams in completing comprehensive geriatric assessments, alongside the ward management and people management for there allocated ward area.
Departmental Position:
The role reports to the Integrated Operational Lead for localities and works closely with various team leads in Adult Frailty and Specialist Services (AFSS). They play a key role in enhancing primary care and supporting service transformation for frailty services.
Main Duties & Responsibilities:
People Management:
- Plan and deliver frailty education programs for community team members, students, service users, and professionals.
- Manage staff tasks, including communication, appraisals, training, and performance management.
- Function as a clinical mentor and role model, supporting staff and students.
- Offer support in handling complaints and incidents, ensuring work is appropriately delegated to the multidisciplinary team (MDT).
Financial & Physical Resources:
- Ensure efficient resource usage and assist with budget management, forecasting, and cost control.
- Provide support in developing business cases and monitor skill mix for the team.
- Manage the provision and safety of equipment in line with policies.
Administration:
- Manage time effectively to balance patient care and non-clinical duties.
- Maintain accurate, confidential records, using paper or IT systems as specified in organizational policies.
- Participate in managing referrals and liaise with operational leads to support service delivery.
People Using Our Services:
- Perform comprehensive geriatric assessments, collaborating with the MDT to support frail patients.
- Lead advanced care planning and ensure the proper documentation of care plans and treatment escalation.
- Provide clinical case management to prevent unnecessary hospital admissions and readmissions.
- Have operational oversight of the ward and the clinical allocation of visits to the team.
Policy & Service Development:
- Lead or participate in audits and service improvement activities.
- Develop and implement policies and protocols to improve patient care and outcomes.
- Comply with national standards and guidelines, supporting the organisation in maintaining high-quality care and compliance with Care Quality Commission (CQC) standards.
Other Responsibilities:
- Develop competencies toward becoming an Independent Prescriber if appropriate for the profession.
- Participate in the annual appraisal process, ensuring ongoing learning and development.
- Work within professional and organisational standards, ensuring evidence-based practice.
Communications & Relationships:
- Maintain strong relationships with multidisciplinary professionals and non-professionals.
- Ensure effective communication through appropriate forums, respecting patient confidentiality.
- Communicate sensitive information to patients, carers, and colleagues in a professional and compassionate manner.
Physical & Mental Demands:
Physical Demands:
- Moderate physical effort is required, including moving furniture in patient homes and transporting equipment.
- Daily driving and potentially working in adverse weather conditions.
Mental Effort:
- Regularly performing complex assessments and prioritising tasks in response to urgent care needs.
- Handling interruptions and managing time-sensitive situations.
Working Conditions:
- Exposure to bodily fluids, poor hygiene, and potential exposure to communicable diseases.
- Potential for encountering verbal and physical aggression, particularly in home visits.
Additional Information:
- The post holder must adhere to all organisational policies and participate in mandatory training, including safeguarding and infection control.
- The role may involve engagement in research or audits, supporting sustainability and climate change initiatives.
- The job description is subject to review at least annually and may be updated in consultation with the post holder.
Risk Management, Health & Safety, and Safeguarding:
- The role includes active participation in risk management, adhering to safety policies, and safeguarding children and adults.
- Regular updates on health and safety practices, infection control, and safeguarding policies are required.
Sustainability & Climate Change:
- Employees are encouraged to reduce carbon emissions and contribute to sustainability efforts within the organisation.
Other:
- The position requires adherence to the Working Time Regulations, with no staff expected to work over 48 hours per week unless in exceptional cases.
Compliance with the organisation's no smoking and no alcohol policies is mandatory
Job description
Job responsibilities
Job Title: Frailty Practitioner Band: Band 7 Locality: Adult Frailty and Specialist Services Base: Community Settings Responsible to: Integrated Operational Lead
Job Purpose:
The Frailty Practitioner leads on frailty care within community integrated teams. They use their expertise in physical and diagnostic assessments, medication reviews, and geriatric assessments (CGA) to help prevent hospital admissions and improve care for frail older adults heading towards crisis management. The role involves providing specialist advice, case management, and supporting multidisciplinary teams in completing comprehensive geriatric assessments, alongside the ward management and people management for there allocated ward area.
Departmental Position:
The role reports to the Integrated Operational Lead for localities and works closely with various team leads in Adult Frailty and Specialist Services (AFSS). They play a key role in enhancing primary care and supporting service transformation for frailty services.
Main Duties & Responsibilities:
People Management:
- Plan and deliver frailty education programs for community team members, students, service users, and professionals.
- Manage staff tasks, including communication, appraisals, training, and performance management.
- Function as a clinical mentor and role model, supporting staff and students.
- Offer support in handling complaints and incidents, ensuring work is appropriately delegated to the multidisciplinary team (MDT).
Financial & Physical Resources:
- Ensure efficient resource usage and assist with budget management, forecasting, and cost control.
- Provide support in developing business cases and monitor skill mix for the team.
- Manage the provision and safety of equipment in line with policies.
Administration:
- Manage time effectively to balance patient care and non-clinical duties.
- Maintain accurate, confidential records, using paper or IT systems as specified in organizational policies.
- Participate in managing referrals and liaise with operational leads to support service delivery.
People Using Our Services:
- Perform comprehensive geriatric assessments, collaborating with the MDT to support frail patients.
- Lead advanced care planning and ensure the proper documentation of care plans and treatment escalation.
- Provide clinical case management to prevent unnecessary hospital admissions and readmissions.
- Have operational oversight of the ward and the clinical allocation of visits to the team.
Policy & Service Development:
- Lead or participate in audits and service improvement activities.
- Develop and implement policies and protocols to improve patient care and outcomes.
- Comply with national standards and guidelines, supporting the organisation in maintaining high-quality care and compliance with Care Quality Commission (CQC) standards.
Other Responsibilities:
- Develop competencies toward becoming an Independent Prescriber if appropriate for the profession.
- Participate in the annual appraisal process, ensuring ongoing learning and development.
- Work within professional and organisational standards, ensuring evidence-based practice.
Communications & Relationships:
- Maintain strong relationships with multidisciplinary professionals and non-professionals.
- Ensure effective communication through appropriate forums, respecting patient confidentiality.
- Communicate sensitive information to patients, carers, and colleagues in a professional and compassionate manner.
Physical & Mental Demands:
Physical Demands:
- Moderate physical effort is required, including moving furniture in patient homes and transporting equipment.
- Daily driving and potentially working in adverse weather conditions.
Mental Effort:
- Regularly performing complex assessments and prioritising tasks in response to urgent care needs.
- Handling interruptions and managing time-sensitive situations.
Working Conditions:
- Exposure to bodily fluids, poor hygiene, and potential exposure to communicable diseases.
- Potential for encountering verbal and physical aggression, particularly in home visits.
Additional Information:
- The post holder must adhere to all organisational policies and participate in mandatory training, including safeguarding and infection control.
- The role may involve engagement in research or audits, supporting sustainability and climate change initiatives.
- The job description is subject to review at least annually and may be updated in consultation with the post holder.
Risk Management, Health & Safety, and Safeguarding:
- The role includes active participation in risk management, adhering to safety policies, and safeguarding children and adults.
- Regular updates on health and safety practices, infection control, and safeguarding policies are required.
Sustainability & Climate Change:
- Employees are encouraged to reduce carbon emissions and contribute to sustainability efforts within the organisation.
Other:
- The position requires adherence to the Working Time Regulations, with no staff expected to work over 48 hours per week unless in exceptional cases.
Compliance with the organisation's no smoking and no alcohol policies is mandatory
Person Specification
Qualifications
Essential
- Registered practitioner Professional knowledge acquired through degree supplemented by post graduate diploma with significant relevant experience. Specialist training and experience, short courses plus further specialist training Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio Leadership and management qualification/training or evidence of experience in this area Independent prescriber
Desirable
- Teaching qualification Additional clinical qualifications in Frailty/Older Persons Care
Knowledge
Essential
- Knowledge of Community Services/Third sector services suitable for frail patients Knowledge and understanding of legislation relevant to practice Experience of using electronic patient / service user record systems Understanding of frailty syndromes
Experience
Essential
- Proven relevant post registration experience Experience of the management of patients living with frailty (predominantly older people) Experience of cross system and Multi Disciplinary Team working Experience in managing teams. Experience in designing training packages relevant to role Previous experience/delivery of formal/informal teaching of patients and staff
Skills
Essential
- Ability to develop effective interpersonal relationships with colleagues in an MDT setting. Ability to communicate in a variety of settings with patients of varying levels of understanding. Ability to communicate unpleasant and sensitive information. Able to manage own workload, plan the work of others and work autonomously Logical and good at problem solving. Operational/organisational skills and ability to work and prioritise and work under pressure Demonstrable knowledge of assessment and therapeutic interventions in area of specialism Skills and experience of developing specialist programmes of care for an individual or groups of patients/clients and of providing highly specialist advice Skills for assessing and interpreting specialist patient/client conditions in order to make a clinical judgement regarding diagnosis and interventions. Skills to develop and deliver educational packages in frailty across the MDT Able to overcome barriers to understanding where there are physical or mental disabilities Ability to develop role to meet the changing needs of the service Ability to work across community locations in Plymouth, South Hams and West Devon
Person Specification
Qualifications
Essential
- Registered practitioner Professional knowledge acquired through degree supplemented by post graduate diploma with significant relevant experience. Specialist training and experience, short courses plus further specialist training Membership of the relevant Professional Body Evidence of recent professional development in an up-to-date portfolio Leadership and management qualification/training or evidence of experience in this area Independent prescriber
Desirable
- Teaching qualification Additional clinical qualifications in Frailty/Older Persons Care
Knowledge
Essential
- Knowledge of Community Services/Third sector services suitable for frail patients Knowledge and understanding of legislation relevant to practice Experience of using electronic patient / service user record systems Understanding of frailty syndromes
Experience
Essential
- Proven relevant post registration experience Experience of the management of patients living with frailty (predominantly older people) Experience of cross system and Multi Disciplinary Team working Experience in managing teams. Experience in designing training packages relevant to role Previous experience/delivery of formal/informal teaching of patients and staff
Skills
Essential
- Ability to develop effective interpersonal relationships with colleagues in an MDT setting. Ability to communicate in a variety of settings with patients of varying levels of understanding. Ability to communicate unpleasant and sensitive information. Able to manage own workload, plan the work of others and work autonomously Logical and good at problem solving. Operational/organisational skills and ability to work and prioritise and work under pressure Demonstrable knowledge of assessment and therapeutic interventions in area of specialism Skills and experience of developing specialist programmes of care for an individual or groups of patients/clients and of providing highly specialist advice Skills for assessing and interpreting specialist patient/client conditions in order to make a clinical judgement regarding diagnosis and interventions. Skills to develop and deliver educational packages in frailty across the MDT Able to overcome barriers to understanding where there are physical or mental disabilities Ability to develop role to meet the changing needs of the service Ability to work across community locations in Plymouth, South Hams and West Devon
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
