Frailty EAAR Clinical Nurse Specialist

Job summary

We are recruiting for a Frailty EAAR (Early Alternative to Admission Review) Clinical Nurse Specialist who shares our vision to be trusted to provide consistently outstanding care and exemplary service to our patients.

We are a multidisciplinary team comprising Consultant Geriatricians, Advanced Clinical Practitioners (ACPs), Clinical Nurse Specialists, and a Frailty Lead Pharmacist. Our team operates a seven-day service based in the Emergency Department (ED) and Acute Medical Unit (AMU), providing specialist assessment and care for frail and vulnerable patients.

As part of the Integrated Care Board's (ICB) initiative to reduce unplanned hospital admissions by 25%, one of the key interventions within the acute trust is the Early Alternative to Admission Review (EAAR), conducted upon patients' arrival to the hospital.

This role involves clinically assessing frail patients who present to the Emergency Department, serving as a secondary triage to identify and direct suitable patients onto alternative care pathways at the point of arrival.

For patients not appropriate for the EAAR pathway, the focus will be to initiate a comprehensive geriatric assessment (CGA) aimed at minimising duplication, reducing time spent in the ED, and improving patient outcomes--supporting a "home first" model of care.

At the heart of everything we do are our core values:Include,Respect, andImprove. We encourage you to embrace these values throughout the recruitment process and in your role with us.

Main duties of the job

The post involves planning, implementing, and evaluating care independently as an autonomous practitioner with specialist skills, encompassing a broad range of clinical responsibilities.

As part of the Integrated Care Board's (ICB) initiative to reduce unplanned admissions by 25%, one of the seven key interventions within the acute trust is the Early Alternative to Admission Review (EAAR), conducted upon patient arrival at the hospital.

The Clinical Nurse Specialist will be responsible for identifying and assessing patients' suitability for the EAAR pathway, working closely with the Care Coordination Hub to ensure patients are directed to the most appropriate care options.

The successful candidate will need to confidently triage patients using a variety of assessment tools and advanced clinical skills to support timely and accurate clinical decision-making.

In collaboration with the frailty consultant, the post holder will determine whether patients meet the criteria for discharge without further assessment and facilitate their transition to suitable care pathways via the Care Communication Hub.

About us

At East and North Hertfordshire Teaching NHS Trust, we are proud of the range of general and specialist services we provide and our 6,000 or so dedicated staff ensure our patients get the best care. Our ability to be flexible and innovative in the way in which we work and deliver our services to our catchment has never been more important than it is now.

We run the following hospitals:

• The Lister Hospital, Stevenage
• New Queen Elizabeth II (New QEII), Welwyn Garden City
• Hertford County, Hertford
• Mount Vernon Cancer Centre (MVCC), Northwood

We have ambitious plans to become an outstanding, patient-led Trust where dedicated staff provide high-quality, compassionate care to our patients. We continue to undergo significant transformation and our staff and patients are at the heart of delivering this ambitious agenda.

We are committed to a positive work life balance for our employees. This means that any employee is entitled to seek to work flexible working patterns and we are committed to listen and consider all requests. Such requests, of course, have to be made and considered formally, and will need to be balanced against service needs, but our starting point will always be to find ways to support making them happen.

Employer details

Employer name

East and North Hertfordshire Teaching NHS Trust

Address

Lister Hospital

Coreys Mill Lane

Stevenage

SG1 4AB

Employer's website

https://www.enherts-tr.nhs.uk/ (Opens in a new tab)

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Employer details

Employer name

East and North Hertfordshire Teaching NHS Trust

Address

Lister Hospital

Coreys Mill Lane

Stevenage

SG1 4AB

Employer's website

https://www.enherts-tr.nhs.uk/ (Opens in a new tab)

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