Frailty Specialist Nurse

Job summary People living in care homes should expect the same level of supportas those living in their own homes.
The national framework for EnhancedHealth in Care Homes (EHCH) provides steps to achieve this, through collaborative working betweenhealth, social care, voluntary, community and care home partners.The EHCH model moves away from traditional reactivemodels of care delivery towardsproactive care, centred on the needs of individualresidents, their families, and supporting care home staff.The purpose of the FrailtySpecialist Nurse role is to work within an integrated community-based care home team,and to work withsystem partners to deliver the EHCH specification.
The postholder will work alongside other Nurse colleagues, Physician Associates and Care Coordinators.Although the post is advertised as full-time, we will happily accept applications from those individuals who are looking for part-time hours.If you have any questions please contact Louise Sproat on , interviews will take place in December.
Main duties of the job We wish to recruit a nurse with advanced skills to participate in the community-based Enhanced Health in Care Homes team.The postholderwill work within a multidisciplinary team and will complete comprehensiveholistic assessments and produce proactive, individualised care plans for carehome residents, consulting face to face and via the telephone with residents, carehome staff, relatives and advocates.
The desired outcomes are to improveclinical outcomes for care home residents, to proactively support primary careservice provision, improve interprofessional relationships across community andsecondary care, and to reduce unnecessary hospital admissions.The postholderwill work alongside Care Co-ordinators to coordinate and communicate individualcare plans with system partners and develop relationships with care homes, community teams, mentalhealth services, palliative care services, social services, and secondary care frailtyteams, to enable residents to meet their health goals and be cared for in theirpreferred place of care.
About us Southport and Formby Health is a dynamic and expanding GP federation, working with local GP Practices and other system providers to provide high quality, integrated, patient services.
We work collaboratively with Southport and Formby Primary Care Network to provide the Enhanced Health in Care Homes Specification across Southport and Formby.The role will require the successful candidate to hold a full driving license to allow for travel to and from care homes within Southport and our central coordination hub in Southport Business Park.We are looking for a passionate & motivated team player to join our growing team.
On top of joining an amazing team of people all dedicated to helping the wider community, we can offer you an excellent benefits package as well as a commitment to your own development and wellbeing.
'I have a great sense of pride working for the Enhanced Health in Care Homes team, the working environment is supportive and everyone works together as a team.
We are looking for another enthusiastic member of staff with an interest in frailty to add to our clinical team' -Trene Schofield , Care Coordinator Team Lead Job description Job responsibilities The dutiesand responsibilities of theFrailty Specialist Nurse are to:-Have experience of working with frailty/olderpopulation demographic.-Understandthe care home provision in the locality and offer clinical support and direction to care home teammembers.-Seekto educate and inform care home team members to assist with excellent careprovision for residents.-Complete holistic assessments for care home residents.-Makeindependent clinical decisions/judgements based on patients clinical needs.-Provide individualised, proactive care plans for residents living in care homes, considering the choices and needs ofindividual residents, their families,and care home staff.
-Consideranticipatory clinical management planning, when appropriate, to support withhospital admission avoidance, andadvocate for expressed preferred place of care for individuals.-Use digitaltechnology to supportthe recording of assessments and facilitate the medical input.-Workcollaboratively with other colleagues in acute and community settings as partof an integrated system that puts patients and their families/carers at the forefront of management plans.-Identifyand/or engage in locally organised shared learning opportunities as appropriateand as capacity allows.The postholder will:-Embed the core NMCvalues and expectations of care, compassions, courage, communication, commitment, and competence into everydaypractice.-Utilise excellentinterpersonal and communication skills, provide enhanceddiscussions with resident and family regarding end oflife wishes/planning-Motivate othersby influencing and inspiring others in new enhanced ways of working-Provide strongleadership and a sharedvision for bettercare- Have highlydeveloped interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills-Communicate with stakeholders and convey complexmessages to different recipient groups.-Develop effective and mutually supportive relationships with key partner organisations.-Provide strong intellectual, strategic, and systematic thinkingskills, and will think creatively and laterally to achieve outcomes.
Person Specification Experience Essential Demonstrates high level of competence/advanced skills in clinical examination and diagnosis Interpret pathology/radiology results/reports and action where appropriate Excellent interpersonal and communication skills, provide enhanced discussions with resident and family regarding end of life wishes/planning Embed the core NMC values and expectations of care, compassions, courage, communication, commitment, and competence into everyday practice.
Personal Qualities Essential Disclosure Barring Service (DBS) check as defined Car driver Skills and Knowledge Essential Ability to motivate others by influencing and inspire others in new enhanced ways of working Strong leadership and a shared vision for better care Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills Ability to communicate with stakeholders and convey complex messages to different recipient groups Able to develop effective and mutually supportive relationships with key partners within and without organisations Strong intellectual, strategic, and systemic thinking skills, with the ability to think creatively and laterally to achieve outcomes Ability to recover and recuperate quickly from difficult or challenging situations Strong IT skills Experience of recording care plans electronically Desirable Knowledge of EMIS clinical software Qualifications Essential Current qualification/nurse registration with NMC Demonstration of CPD and revalidation (if appropriate) Desirable Knowledge of EMIS clinical software