Frailty Nurse Practitioner

Under the direction of an Advanced Nurse Practitioner you will provide flexible clinical care for our older demographic in the community, with an emphasis on care delivered at home.

This is a full time position working 37.5 hours per week.

Duties will include but are not limited to:

• Conduct comprehensive nursing assessments for older and housebound patients.
• Monitor andassistin the management of chronic conditions (e.g., diabetes, COPD, heart failure), within your competencies.
• Provide wound and catheter ca reassessment andcarewithin your competencies.
• Identify early signs of deterioration and escalate appropriately to supporting clinicians.

• Act as a liaison between the GP surgery and care home staff.
• Undertake reviews of residents health and care plans.
• Support and recordend-of-life care planning and advanced care discussions.
• Ensure compliance with safeguarding and best practice standards.
• Deliver seasonal vaccinations (e.g., flu, COVID-19) and other immunisationswhererequired.
• Promote health education and self-care strategies for older patients.

• Attend and contribute to MDT discussions on frailty.
• Collaborate with social care, community nursing, and allied health professionals.
• In-House Acute Older Person Clinics
  Support same-day assessments for acutely unwell older patients.

• Participate in service development and quality improvement initiatives.
• Maintainaccurateclinical documentation and adhere to confidentiality standards.
• Assistthe practice in the meeting of QOF and similar activity-based NHS targets.
• Undertake anyadditionalroles agreed with the Partners, aligned withyourtraining and competencies.

You will be fully supported by and work alongside an Advanced Nurse Practitioner and assigned Visiting GP along with the broad clinical team at the practice comprising of GPs, Clinical Pharmacists, Paramedics,Practice Nurses, Advanced Clinical Practitioner and Health Care Assistants. Itis a permanent role. Full induction and training is given. We offer a generous

NHS pension scheme, staff uniform, five weeks annual leave and bank holidays pro rata.

We welcome informal visits, so please come and talk to us tofind out more about the role. For further information, to arrange a visit or toapply with your CV, please email our Practice Manager naomi.grist@nhs.

Please note that we will close the vacancy as soon as a suitable candidate is found so applying early is encouraged.

You have a unique opportunity to join our high achieving,forward thinking team in shaping the future of primary care. We are a friendly,busy, growing GMS practice in Melksham, working from a purpose-built Medical Centre. We have a multi skilled teamwith a wealth of experience and are to welcome another Nurse Practitioner to work primarily in managing the care of our older patients.

Experience with older patient care essential.

• Understanding of the particular requirements of elderly patients within an acute and community setting and the knowledge and skills to assess patients with commonly recognised admission criteria
  
  E.g. Falls, Urinary Tract and Lower Respiratory tract infections, Delirium and Dementia, heart failure and COPD/asthma exacerbations.
• Ability to prioritise individuals for assessment and management according to their health status and needs, referring for specialist assessment, diagnostic tests and programs of support as appropriate.
• Develop person led single geriatric care plans in partnership with patients and their relatives.
• Initiate and ensure Advanced Care Planning is undertaken at appropriate stage of disease process/frailty trajectory, ensuring patients goals are met when requiring palliative care or end of life care in line with Local Organisational End of Life Strategy and NICE Clinical Guidelines.

• GCSE grade A to C in English and Maths
• Registered Nurse with Nursing and Midwifery Council

• Driving licence and vehicle are required for this role.

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.