Job summary
Band 7 Frailty Clinical Nurse Specialist
We are delighted to be offering an exciting opportunity to recruit to the Clinical Nurse Specialist role for Frailty and Older People within the Urgent, Emergency and Elder care group (UEE).
This is a senior band 7 post working at the front door with the Acute Care of the Elderly medical teams and front door therapy teams to holistically assess the older frail patient using their knowledge of Clinical Frailty Scoring and acute care needs to ensure the correct clinical pathways are applied to achieve the best outcomes for this patient group.
You must be passionate about older peoples care and demonstrate a commitment to ensuring a positive journey is achieved by using your specialist knowledge and skills to establish the correct pathway either back out to the community or within acute care where indicated. Avoiding hospital admissions and reducing length of stays is an integral part of this role and your specialist assessment and follow up of the patient's care will demonstrate the key performance indicators of this role.
You will be expected to work both autonomously and within a team and achieve your Non-medical Nurse prescriber qualification for which you can expect to be fully supported. This role will form part of the foundation for a further career pathway in older people's services as the care group explore Advanced nurse practitioner nursing roles for the future.
Main duties of the job
Working within the Integrated Services for Older Peoples and Acute care of the Elderly (ISOP/ACE) Team, you will be responsible for delivering effective comprehensive assessment and management of a designated cohort of complex frail and vulnerable older adults in our acute care services (specifically in the Emergency Department and on the Older Peoples Assessment and Liaison and Frailty Units.
About us
Royal Cornwall Hospitals NHS Trust is the biggest provider of healthcare services in Cornwall and the Isles of Scilly. Our three main sites are Royal Cornwall Hospital Truro, St Michael's Hospital Hayle and West Cornwall Hospital Penzance, our staff and services are available across the region.
The Trust employs 5,000+ staff, has a budget of £380 million and 750 beds. We work with health and social care organisations -including NHS Kernow and NHS England- to ensure local healthcare needs are met. We provide acute medical, surgical and specialist services to around 500,000- which can increase significantly during busy holiday periods.
The Trust has teaching hospitals status as part of the University of Exeter Medical School. Keeping at the forefront of medical advances, we continually develop clinical services and are committed to maximising the range of specialist care offered locally.
We can offer you a rewarding career in a supportive working environment. We have extensive educational links to help you realise your full potential and develop skills to provide outstanding healthcare to the local community.
Enjoy an outstanding quality of life in a place that offers surfing beaches and fishing harbours to beautiful countryside and historic towns. With clean air, plenty of opportunities for outdoor activities and excellent schools, colleges and universities (including adult education) it is the ideal place for families and for you to develop your own career.
Job description
Job responsibilities
To support with promoting and monitoring the Trusts front-door frailty screening system for unscheduled admissions
To contribute and develop skills in taking a relevant history and clinical assessment and develop a management plan as well as evaluate the progress of that plan within the limitations of their knowledge and skills while working with other members of the CNS for older people, medical and other members of the multi-disciplinary team (MDT).
They will demonstrate clinical judgement and critical decision-making skills based upon established guidelines to co-ordinate and communicate a Comprehensive Geriatric Assessment (CGA) and its outcomes, informing compilation of problem lists and care/treatment action plans.
Working collaboratively with hospital and community health and social care partners to provide personalised patient-centred care/treatment plans.
Using an MDT approach and specialist assessment skills identify patients suitable for transfer to the Community Assessment and Treatments Units (CATU) as part of the frailty pathway - facilitate this transfer by providing handover to both medical and nursing colleagues
Working as part of the CNS for older people team and with front-door frailty care colleagues to deliver performance targets focused on promoting attendance and admission avoidance (whenever appropriate and in the older persons best interest)
Sustainability is integral to the Trust achieving the NHS Net Zero target. All staff are therefore actively encouraged and supported to implement new ways of working within their field of expertise.
Job description
Job responsibilities
To support with promoting and monitoring the Trusts front-door frailty screening system for unscheduled admissions
To contribute and develop skills in taking a relevant history and clinical assessment and develop a management plan as well as evaluate the progress of that plan within the limitations of their knowledge and skills while working with other members of the CNS for older people, medical and other members of the multi-disciplinary team (MDT).
They will demonstrate clinical judgement and critical decision-making skills based upon established guidelines to co-ordinate and communicate a Comprehensive Geriatric Assessment (CGA) and its outcomes, informing compilation of problem lists and care/treatment action plans.
Working collaboratively with hospital and community health and social care partners to provide personalised patient-centred care/treatment plans.
Using an MDT approach and specialist assessment skills identify patients suitable for transfer to the Community Assessment and Treatments Units (CATU) as part of the frailty pathway - facilitate this transfer by providing handover to both medical and nursing colleagues
Working as part of the CNS for older people team and with front-door frailty care colleagues to deliver performance targets focused on promoting attendance and admission avoidance (whenever appropriate and in the older persons best interest)
Sustainability is integral to the Trust achieving the NHS Net Zero target. All staff are therefore actively encouraged and supported to implement new ways of working within their field of expertise.
Person Specification
Qualifications
Essential
Desirable
- Educated to Masters degree level or equivalent
- University qualification in specialty
- Teaching/assessment/mentoring qualification
Experience
Essential
- Relevant nursing experience within specialty of older people and frailty care
- Audit or research experience
- Teaching and education experience
Desirable
- Experience of effective MDT working
- Managerial experience/ leading a team
Person Specification
Qualifications
Essential
Desirable
- Educated to Masters degree level or equivalent
- University qualification in specialty
- Teaching/assessment/mentoring qualification
Experience
Essential
- Relevant nursing experience within specialty of older people and frailty care
- Audit or research experience
- Teaching and education experience
Desirable
- Experience of effective MDT working
- Managerial experience/ leading a team
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).
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