Central London Community Healthcare NHS Trust
Frailty Consultant Practitioner

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Frailty Consultant Practitioner - Band 8c
An exciting opportunity has arisen for an experienced and motivated Band 8C Frailty Consultant Practitioner. To provide highly specialised clinical expertise and leadership across the Hospital at Home and Urgent Community Response services within Merton and Wandsworth.
Role Overview
The Frailty Consultant Practitioner will hold clinical accountability for a defined proportion of the community caseload and provide expert clinical leadership in the assessment, treatment and management of acutely unwell and frail patients within the community.
Key Responsibilities
- Lead the development and delivery of an integrated community-based Urgent Neighbourhood Health service, bringing together Hospital at Home and Urgent Community Response and working across community health, acute partners and wider system providers.
- Support the delivery of safe, effective and responsive care closer to home, reducing avoidable hospital attendance and admission and facilitating timely discharge where appropriate.
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Structure of the Role


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The post will be structured around the four pillars of advanced clinical practice:
- Expert clinical practice (minimum 60%)
- A professional leadership and consultancy function
- Education, training, and development
- Research, evaluation, and service development
Day-to-Day Duties
- Providing clinical leadership to the Urgent Neighbourhood Health team, encompassing Hospital at Home and Urgent Community Response.
- Practising autonomously at an advanced level, using highly developed clinical assessment, diagnostic, decision-making and treatment skills, with access to defined medical supervision and escalation arrangements.
- Providing clinical leadership and oversight of the Single Point of Access for urgent community health needs, supporting timely clinical triage, navigation and decision-making to ensure patients are directed to the most appropriate pathway and level of care.
- Holding clinical accountability for a defined caseload of patients and providing expert clinical oversight, advice and decision-making for patients with complex, acute and frailty-related needs.
- Providing expert clinical advice and consultancy to multidisciplinary professionals, individuals, families and carers.
- Providing visible clinical leadership across the multidisciplinary team, promoting evidence-based, person-centred care, treatment and support.
- Develop new and innovative clinical pathways in the community that shift care from the hospital into the community.
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