Community Frailty Specialist inSunderland inSunderland PUBLISHED TUE 28 JAN 2025
Sunderland GP Alliance rFumFQ2x
The position also emphasises the importance of fostering collaboration within community and primary care settings, including care homes, to deliver non-medical models of care. The Community Frailty Specialist will play a vital role in proactive patient management through ongoing assessments, timely referrals, and responsive interventions. This role allows for continued professional development and compliance with Sunderland GP Alliance's employment policies and procedures.
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
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
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
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