Job summary
As the Nurse Team Leader, you will provide clinical leadership to the frailty nursing team and deliver expert assessment, prescribing, and care coordination for older adults living with frailty. You will work across community clinics, patients' homes, and multidisciplinary settings, collaborating closely with GPs, geriatricians, the Acute Frailty Team, community therapy teams, social care, and voluntary sector partners.You will play a key role in service development, workforce leadership, and quality improvement, ensuring safe, effective, and compassionate care.
Main duties of the job
The role provides advanced clinical leadership in frailty care, delivering comprehensive assessments, independent diagnosis and prescribing, personalised care planning, and expert management of complex cases while ensuring safe, evidence-based practice. It involves holding a clinical caseload, managing risk, safeguarding, cognitive and psychosocial assessments, and supporting patients and carers through shared decision-making. The postholder leads and supervises nursing and support staff, oversees recruitment and performance, drives service improvement and pathway redesign, and builds strong partnerships across the system. They contribute to governance through audits, quality improvement, incident investigation, and compliance with professional and organisational standards, while also delivering training, clinical supervision, and maintaining their own advanced practice and prescribing competence.
About us
What We Offer
o Agenda for Change Band 7 salary with annual increments.o NHS Pension Scheme and generous annual leave.o Access to CNWL leadership programmes and professional development pathways.o Support for revalidation and protected CPD time.o Flexible working options.o Occupational health and wellbeing support.
Job description
Job responsibilities
Lead and deliver frailty assessments, including components of the Comprehensive Geriatric Assessment (CGA). Independently assess, diagnose, and prescribe as an NMP, including medicines optimisation and polypharmacy reviews. Works collaboratively with the Clinical Lead and pharmacist regarding medication optimisation. Develop personalised care plans and coordinate rapid response or crisis interventions. Work collaboratively with individuals, families, carers and other health and social care professionals on making shared clinical decisions to provide the best outcome for the individual, their relatives and/or carers To provide support and advice to patients and their carers relating to clinical interventions. Manage emergency situation. Assume responsibility for individuals within a clinical setting /caseload Identify and manage clinical risk, safeguarding concerns, capacity and consent issues, and end of life needs. Hold a clinical caseload, providing expert input for complex cases. Carry out cognitive and psychosocial assessment Ensure high quality clinical documentation and support staff with record keeping standards.
Practice always within the Professional Codes of Conduct Conduct evidence-based practice in accordance with clinical guidelines and standards. Support the team to ensure that the appropriate clinical skills and competencies are used effectively to meet the needs of both acutely unwell and stable patients and their families. Demonstrate maintenance and development of evidence-based skills and practice through CPD.
Provide day to day leadership, supervision, and support to nursing and support staff. Oversee recruitment, induction, appraisals, performance management, and safe staffing. Lead and manage the MDT case reviews. Lead service improvement, pathway redesign, and implementation of evidence based frailty models. Build strong relationships with internal and external partners to support integrated care. Manage operational issues and ensure service resilience Report complaints, incidents and accidents via the appropriately identified channels and assist managers in their investigation and resolution. Participate in internal and external committees to contribute to the development of future service provision. Participate in clinical improvement programmes to ensure the quality of patient care is reviewed, assessed, implemented and monitored to maintain standards of care given to individuals and their families. Critically evaluate current practice, developing innovative ideas to improve effectiveness and efficiency of care.
Plan and deliver training on frailty, clinical assessment, and safe prescribing. Provide clinical supervision, mentorship, and support for revalidation. Work with academic and clinical partners to develop shared learning opportunities. Maintain your own CPD and prescribing competence.
Lead audits, quality improvement projects, and incident investigations. Ensure compliance with CNWL policies, NMC standards, safeguarding, and medicines governance. Monitor KPIs, activity, outcomes, and patient experience, reporting to senior leadership. Contribute to risk management and action planning.
Job description
Job responsibilities
Lead and deliver frailty assessments, including components of the Comprehensive Geriatric Assessment (CGA). Independently assess, diagnose, and prescribe as an NMP, including medicines optimisation and polypharmacy reviews. Works collaboratively with the Clinical Lead and pharmacist regarding medication optimisation. Develop personalised care plans and coordinate rapid response or crisis interventions. Work collaboratively with individuals, families, carers and other health and social care professionals on making shared clinical decisions to provide the best outcome for the individual, their relatives and/or carers To provide support and advice to patients and their carers relating to clinical interventions. Manage emergency situation. Assume responsibility for individuals within a clinical setting /caseload Identify and manage clinical risk, safeguarding concerns, capacity and consent issues, and end of life needs. Hold a clinical caseload, providing expert input for complex cases. Carry out cognitive and psychosocial assessment Ensure high quality clinical documentation and support staff with record keeping standards.
Practice always within the Professional Codes of Conduct Conduct evidence-based practice in accordance with clinical guidelines and standards. Support the team to ensure that the appropriate clinical skills and competencies are used effectively to meet the needs of both acutely unwell and stable patients and their families. Demonstrate maintenance and development of evidence-based skills and practice through CPD.
Provide day to day leadership, supervision, and support to nursing and support staff. Oversee recruitment, induction, appraisals, performance management, and safe staffing. Lead and manage the MDT case reviews. Lead service improvement, pathway redesign, and implementation of evidence based frailty models. Build strong relationships with internal and external partners to support integrated care. Manage operational issues and ensure service resilience Report complaints, incidents and accidents via the appropriately identified channels and assist managers in their investigation and resolution. Participate in internal and external committees to contribute to the development of future service provision. Participate in clinical improvement programmes to ensure the quality of patient care is reviewed, assessed, implemented and monitored to maintain standards of care given to individuals and their families. Critically evaluate current practice, developing innovative ideas to improve effectiveness and efficiency of care.
Plan and deliver training on frailty, clinical assessment, and safe prescribing. Provide clinical supervision, mentorship, and support for revalidation. Work with academic and clinical partners to develop shared learning opportunities. Maintain your own CPD and prescribing competence.
Lead audits, quality improvement projects, and incident investigations. Ensure compliance with CNWL policies, NMC standards, safeguarding, and medicines governance. Monitor KPIs, activity, outcomes, and patient experience, reporting to senior leadership. Contribute to risk management and action planning.
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- Independent/Community Non-Medical Prescriber qualification
Desirable
- Post-registration qualification in frailty, geriatrics, advanced practice, or leadership
Experience
Essential
- Significant experience in frailty, older adult care, geriatrics, dementia or community nursing at senior Band 6/7 level(
- Experience in medicines optimisation and managing polypharmacy
Desirable
- Experience leading polypharmacy projects
Skills and Competencies
Essential
- Strong clinical assessment and decision-making skill
- Experience in using cognitive Assessment tools
- Confident using electronic patient record system
- Proven leadership and service development experience
Desirable
- Experience in service redesign, audit, or QI methodologies
- Teaching, mentorship, or preceptorship experience
- Knowledge in System 1
Person Specification
Qualifications
Essential
- Registered Nurse with current NMC registration
- Independent/Community Non-Medical Prescriber qualification
Desirable
- Post-registration qualification in frailty, geriatrics, advanced practice, or leadership
Experience
Essential
- Significant experience in frailty, older adult care, geriatrics, dementia or community nursing at senior Band 6/7 level(
- Experience in medicines optimisation and managing polypharmacy
Desirable
- Experience leading polypharmacy projects
Skills and Competencies
Essential
- Strong clinical assessment and decision-making skill
- Experience in using cognitive Assessment tools
- Confident using electronic patient record system
- Proven leadership and service development experience
Desirable
- Experience in service redesign, audit, or QI methodologies
- Teaching, mentorship, or preceptorship experience
- Knowledge in System 1
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).
