Community Frailty Specialist

Sunderland GP Alliance

The closing date is 03 February 2025

Job summary

Work autonomously as a Community Frailty Specialist, across traditional boundaries, within the Frailty Team and with Primary Care Networks providing a high level of expertise to ensure patient-centred clinical care. They will act as a highly specialised role model for advanced practice, working closely with the multidisciplinary team and other key stakeholders.

Exercise clinical expertise, levels of judgement, discretion and decision making whilst undertaking the skills of assessment, examination to provide a diagnosis, formulate management plans both reactive and proactive within an agreed scope of practice.

Evaluate investigations and revise treatment plans according to patient need and assess impact and outcome.

Undertake advanced clinical assessment and examination, including but not limited to:

  • Clinical data interpretation, investigation and treatment.
  • Ability to develop advanced comprehensive care planning and reviewing and assessment of interventions.
  • Diagnosis and disease management and delivery of expert clinical interventions and treatments.
  • Non-medical prescribing.
  • Assess and treat varied clinical cases, having advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis
  • Work collaboratively within the multi-professional team and support the education and development of both nursing, medical and allied-health professionals.
  • Lead MDT focussing on ageing well and frailty
  • Clinical skills

Main duties of the job

The Community Frailty Specialist will work collaboratively with their respective Primary Care Network in Sunderland and the wider Neighbourhood Team to meet the needs of patients.

Advanced communication, problem-solving and decision-making skills will be used to initial assess and provide on-going patient care. Working within local and nationally agreed protocols and guidelines, the Specialist exercises independent judgement to assess, investigate, diagnose, plan, implement and evaluate the clinical care and management of community patients.

The post holder will be part of a team that leads non-medical models of care across primary and community-based settings, including care homes and within community teams, in collaboration with multi-professional and multi organisational colleagues. They will also play a crucial role in stepping up, stepping down and proactive care through timely assessment, referral, responsive intervention and care planning.

There will be dedicated time for continuous professional development.

About us

Sunderland GP Alliance has been recognised in the annualSunday Times Best Places to Work 2024.

In return successful candidates can expect:

33 days annual leave

NHS Pension

Peer support and team network

Candidates must also hold a driving licence and have access to a car, insured for business use.

Successful candidates will be employed by Sunderland GP Alliance, on behalf of the PCNs. SGPA is a not-for-profit organisation owned by the city's GPs, representing over 250,000 patients across Sunderland.

Date posted

28 January 2025

Pay scheme

Other

Salary

Depending on experience Circa £45,966

Contract

Permanent

Working pattern

Full-time

Reference number

U0012-25-0003

Job locations

North East BIC

Wearfield

Sunderland

Tyne and Wear

SR5 2TA


Job description

Job responsibilities

For full job description, please see attached Job Description and Person Specification

MAIN DUTIES AND RESPONSIBILITIES:

Patient Care

Communications and Relationships

Key Relationships

Analytical and Judgemental

Planning and Organisation

Physical Skills

Policy and Service Development

Financial and Physical Resources

Human Resources

Information Resources

Research and Development

Freedom to Act

Effort and Environment

  • Physical
  • Mental
  • Emotional

Confidentiality

Health & Safety

Equality and Diversity

Quality

Communication

The employer is Sunderland GP Alliance and the post-holder is expected to comply with the Alliances employment policies and procedures

Job description

Job responsibilities

For full job description, please see attached Job Description and Person Specification

MAIN DUTIES AND RESPONSIBILITIES:

Patient Care

Communications and Relationships

Key Relationships

Analytical and Judgemental

Planning and Organisation

Physical Skills

Policy and Service Development

Financial and Physical Resources

Human Resources

Information Resources

Research and Development

Freedom to Act

Effort and Environment

  • Physical
  • Mental
  • Emotional

Confidentiality

Health & Safety

Equality and Diversity

Quality

Communication

The employer is Sunderland GP Alliance and the post-holder is expected to comply with the Alliances employment policies and procedures

Person Specification

Experience

Essential

  • Previous knowledge and experience of working within speciality
  • Ability to manage own patient caseload
  • Good communication skills
  • Established Teaching skills
  • Knowledge of Quality improvement and research methodology
  • Extensive experience in caring for patients across a wide variety of clinical settings
  • Experience of Innovation and change management
  • Understanding of health promotion and counselling

Desirable

  • Experience in applying research findings to practice
  • Experience of providing clinical supervision in practice

Other

Essential

  • Committed to further personal and professional development
  • Able to understand requirement to manage resources effectively
  • Ability to travel and move frequently between sites and across Sunderland as required.
  • The post holder must demonstrate a positive commitment to uphold diversity and equality policies
  • Ability to work in shared space with often noisy and frequent interruptions.

Qualifications

Essential

  • Professionally Registered Nurse/Paramedic
  • Current registration with NMC/HCPC
  • Clinical skills

Desirable

  • MSc in appropriate clinical field (or working towards it) or relevant modules that meet the 4 pillars of advanced practice.
  • Advanced Clinical Practice qualification (or working towards it)
  • Management qualification/leadership qualification
  • Independent/Supplementary Prescribing (V300)
Person Specification

Experience

Essential

  • Previous knowledge and experience of working within speciality
  • Ability to manage own patient caseload
  • Good communication skills
  • Established Teaching skills
  • Knowledge of Quality improvement and research methodology
  • Extensive experience in caring for patients across a wide variety of clinical settings
  • Experience of Innovation and change management
  • Understanding of health promotion and counselling

Desirable

  • Experience in applying research findings to practice
  • Experience of providing clinical supervision in practice

Other

Essential

  • Committed to further personal and professional development
  • Able to understand requirement to manage resources effectively
  • Ability to travel and move frequently between sites and across Sunderland as required.
  • The post holder must demonstrate a positive commitment to uphold diversity and equality policies
  • Ability to work in shared space with often noisy and frequent interruptions.

Qualifications

Essential

  • Professionally Registered Nurse/Paramedic
  • Current registration with NMC/HCPC
  • Clinical skills

Desirable

  • MSc in appropriate clinical field (or working towards it) or relevant modules that meet the 4 pillars of advanced practice.
  • Advanced Clinical Practice qualification (or working towards it)
  • Management qualification/leadership qualification
  • Independent/Supplementary Prescribing (V300)

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.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Sunderland GP Alliance

Address

North East BIC

Wearfield

Sunderland

Tyne and Wear

SR5 2TA


Employer's website

https://www.sunderlandgpalliance.co.uk/ (Opens in a new tab)

Employer details

Employer name

Sunderland GP Alliance

Address

North East BIC

Wearfield

Sunderland

Tyne and Wear

SR5 2TA


Employer's website

https://www.sunderlandgpalliance.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Senior Federated Services Manager

Victoria Muller

victoria.muller@nhs.net

07852828211

Date posted

28 January 2025

Pay scheme

Other

Salary

Depending on experience Circa £45,966

Contract

Permanent

Working pattern

Full-time

Reference number

U0012-25-0003

Job locations

North East BIC

Wearfield

Sunderland

Tyne and Wear

SR5 2TA


Supporting documents

Privacy notice

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