Job summary
The Band 5 Community Frailty Nurse will work as part of a multidisciplinary team to provide high-quality, person-centred care to older adults living with frailty in the community and in care homes. The post holder will assess, plan, implement, and evaluate care needs, promoting independence and improving quality of life. This role involves close collaboration with GPs, social services, allied health professionals, and voluntary sector partners.
Main duties of the job
Key Responsibilities:
- Deliver holistic nursing assessments and contribute to comprehensive geriatric assessments (CGA) in community settings (home visits, clinics, care homes).
- Develop, implement, and review personalised care plans that meet the physical, emotional, and social needs of frail older adults.
- Identify early signs of deterioration and implement proactive interventions to avoid hospital admissions where appropriate.
- Promote self-management and independence in patients with long-term conditions.
- Work collaboratively with the wider multidisciplinary team, including GPs, therapists, social workers, and support workers.
- Support discharge planning and transitional care from acute settings back into the community.
- Provide health education to patients, families, and carers.
- Support in advanced care planning conversations where appropriate.
- Maintain accurate and timely clinical records in accordance with local policies and NMC standards.
- Participate in clinical supervision, audits, and service development initiatives.
About us
We are Healthy Hyde, who work with the 8 GP practices in Hyde. We are a Primary Care Network (PCN) supporting 72,000 patients in Tameside. We have a team of wellbeing practitioners, nurses, paramedics, mental health nurses, first contact physios and care co-ordinators who work with your community in multiple ways. These staff provide in excess of 5000 appointments every month.
Our priority is to support our practices in any way we can, to ensure the best possible healthcare & access to local services. We endeavour to make the best use of our resources to ensure that every one of our patients gets the help and support that they need and deserve.
Date posted
22 April 2025
Pay scheme
Other
Salary
£31,235.74 a year
Contract
Fixed term
Duration
1 years
Working pattern
Full-time
Reference number
A3778-25-0000
Job locations
Healthy Hyde PCN
Clarendon Mall
Hyde
Tameside
SK14 2QT
Employer details
Employer name
Hyde PCN
Address
Healthy Hyde PCN
Clarendon Mall
Hyde
Tameside
SK14 2QT