Frimley Health NHS Foundation Trust
Frailty Advanced Clinical Practitioner
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Job overview
Are you an experienced and highly skilled clinician with a passion for improving outcomes for people living with frailty? We are seeking a motivated Advanced Clinical Practitioner (ACP) to join our dynamic Integrated Frailty Liaison Team.
This is an exciting opportunity to play a key role in delivering high-quality, patient-centred care across the Frimley Health and Care Integrated Care System (ICS), supporting the most vulnerable members of our community.
This role is fixed term until June 2027.
About the Role
As a Frailty ACP, you will spend the majority of your time (minimum 90%) in direct, autonomous clinical practice, managing a cohort of patients with complex frailty needs. You will work across organisational boundaries to provide seamless, coordinated care that promotes independence, prevents unnecessary hospital admissions, and supports timely discharge.
You will also provide clinical leadership and support to colleagues, helping to shape and develop the service in line with best practice and local population needs.
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About the Service
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The Integrated Frailty Liaison Team delivers a responsive, safe and effective service, designed around the needs of the local community. Working collaboratively across acute, community and primary care settings, the team focuses on:
- Urgent and proactive case management
- Supporting self-care and independence
- Delivering a co-produced approach with patients, carers and service users
- Reducing avoidable admissions and improving patient flow
Main duties of the job
- To work alongside the Consultant Practitioner, Consultant Geriatricians, Head of Nursing, Lead Nurses, Head of Therapies, Matrons and external partners to further develop Frailty pathways, including the acute Frailty service in ED, inpatient frailty liaison, community integrated care teams, nursing homes and with the Frimley Health and Care ICS.
- To provide expert high-quality person-centred care which always considers people's safety, privacy and dignity using advanced clinical knowledge that is evidence based.
- As part of a MDT, to practice autonomously, whilst being accountable and self-directed in-line with their relevant code of professional practice.
- To undertake Comprehensive specialist holistic assessments for individuals presenting with frailty within the acute care setting, with the purpose of creating an individualised agreed management plan; incorporating pharmacological considerations, long-term conditions management, frailty syndrome identification, prevention and management, diagnostic reasoning and initiating onward referral to specialist teams as appropriate.
- To provide expert clinical advice, leadership and support ensuring the needs of the service are met by exercising and demonstrating high levels of clinical judgement, critical analysis and advanced decision-making skills.
- To lead as a driver for change, to monitor and improve standards through supervision, evidence-based practice, clinical audit, research and education.
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