Frailty Nurse Practitioner

Job description

Job responsibilities

Advanced Clinical Practice and Caseload Management

• Work autonomously as an experienced Frailty Nurse Practitioner, using advanced clinical knowledge, assessment and decision-making skills to provide high-quality, person-centred care.
• Hold clinical responsibility for a defined caseload of patients with complex needs, including those living with frailty, multiple long-term conditions and co-morbidities.
• Undertake comprehensive assessment, care planning, intervention and evaluation, ensuring care is responsive to individual patient needs and promotes the best possible health outcomes.
• Provide specialist clinical advice and guidance to patients, carers and members of the multidisciplinary team in relation to assessment, care planning and management.
• Develop, deliver and oversee complex case management across acute, community and Frailty Virtual Ward settings.
• Work autonomously and collaboratively within the multidisciplinary team, ensuring appropriate escalation, referral and involvement of other health and social care services.
• Act as a caseload holder, maintaining oversight of clinical care planning and delivery and delegating appropriately according to competence, scope of practice and patient need.
• Promote continuity and coordination of care across acute, community, primary care and social care services, supporting safe and effective transitions between care settings.

• Provide senior clinical leadership and specialist expertise to members of the multidisciplinary team in the assessment and management of people living with frailty.
• Monitor and promote high standards of care, ensuring effective assessment, planning, implementation and evaluation of interventions.
• Support safe and effective multidisciplinary working, contributing to the development and maintenance of appropriate systems, pathways and processes.
• Act as a clinical role model and resource for colleagues across the local health and social care community.
• Promote professional accountability, ensuring practice is consistent with relevant professional standards, codes of conduct, policies and statutory and mandatory requirements.
• Support effective delegation and deployment of staff, taking account of patient dependency, caseload demands, staff competencies, skill mix and service requirements.
• Promote a culture of professional reflection, learning and continuous improvement through clinical supervision, support and constructive feedback.

• Participate in the planning, development, implementation and evaluation of frailty services, using advanced clinical knowledge and expertise to support service improvement.
• Contribute to the development and evaluation of clinical pathways, protocols and guidance relating to advanced practice and extended clinical roles.
• Promote and deliver evidence-based practice across acute, community and Frailty Virtual Ward settings.
• Participate in clinical audit, research, quality improvement and service development activities, using learning and outcomes to inform and improve clinical practice.
• Identify opportunities to improve the quality, safety, effectiveness and patient experience of frailty services.
• Contribute to the development of innovative approaches to care that promote independence, patient choice and the delivery of appropriate care closer to home.

• Work collaboratively across professional, service and organisational boundaries to ensure patients receive coordinated and comprehensive care.
• Develop and maintain effective working relationships with the wider multidisciplinary team and with colleagues across health, social care and other partner organisations.
• Liaise with and refer to appropriate health, social care and voluntary sector services to support comprehensive patient management and optimise outcomes.
• Participate in cross-organisational and multi-agency working to support integrated frailty pathways and effective transitions of care.
• Communicate complex clinical information effectively with patients, carers and professionals, adapting communication appropriately to individual circumstances.

• Maintain and continually develop advanced clinical knowledge, skills and professional competence relevant to frailty practice.
• Actively participate in continuing professional development, clinical supervision, audit, research and learning activities.
• Facilitate the development of clinical expertise and advanced practice within the wider team through teaching, coaching, supervision and role modelling.
• Share specialist knowledge and learning with colleagues to support consistent, evidence-based practice.
• Support the development of leadership skills and competencies within the multidisciplinary team.
• Maintain awareness of developments in frailty care and use evidence, learning and best practice to support the continued development of the service.

• Exercise a high degree of professional autonomy while recognising personal scope of practice and seeking appropriate support when required.
• Maintain responsibility and accountability for clinical decisions and the quality of care delivered within the role.
• Practice in accordance with all relevant professional standards, legislation, organisational policies and procedures.
• Ensure statutory and mandatory training requirements are maintained and incorporated into clinical practice.
• Promote equality, dignity, respect and person-centred care in all aspects of practice.

Job responsibilities

Advanced Clinical Practice and Caseload Management

• Work autonomously as an experienced Frailty Nurse Practitioner, using advanced clinical knowledge, assessment and decision-making skills to provide high-quality, person-centred care.
• Hold clinical responsibility for a defined caseload of patients with complex needs, including those living with frailty, multiple long-term conditions and co-morbidities.
• Undertake comprehensive assessment, care planning, intervention and evaluation, ensuring care is responsive to individual patient needs and promotes the best possible health outcomes.
• Provide specialist clinical advice and guidance to patients, carers and members of the multidisciplinary team in relation to assessment, care planning and management.
• Develop, deliver and oversee complex case management across acute, community and Frailty Virtual Ward settings.
• Work autonomously and collaboratively within the multidisciplinary team, ensuring appropriate escalation, referral and involvement of other health and social care services.
• Act as a caseload holder, maintaining oversight of clinical care planning and delivery and delegating appropriately according to competence, scope of practice and patient need.
• Promote continuity and coordination of care across acute, community, primary care and social care services, supporting safe and effective transitions between care settings.

• Provide senior clinical leadership and specialist expertise to members of the multidisciplinary team in the assessment and management of people living with frailty.
• Monitor and promote high standards of care, ensuring effective assessment, planning, implementation and evaluation of interventions.
• Support safe and effective multidisciplinary working, contributing to the development and maintenance of appropriate systems, pathways and processes.
• Act as a clinical role model and resource for colleagues across the local health and social care community.
• Promote professional accountability, ensuring practice is consistent with relevant professional standards, codes of conduct, policies and statutory and mandatory requirements.
• Support effective delegation and deployment of staff, taking account of patient dependency, caseload demands, staff competencies, skill mix and service requirements.
• Promote a culture of professional reflection, learning and continuous improvement through clinical supervision, support and constructive feedback.

• Participate in the planning, development, implementation and evaluation of frailty services, using advanced clinical knowledge and expertise to support service improvement.
• Contribute to the development and evaluation of clinical pathways, protocols and guidance relating to advanced practice and extended clinical roles.
• Promote and deliver evidence-based practice across acute, community and Frailty Virtual Ward settings.
• Participate in clinical audit, research, quality improvement and service development activities, using learning and outcomes to inform and improve clinical practice.
• Identify opportunities to improve the quality, safety, effectiveness and patient experience of frailty services.
• Contribute to the development of innovative approaches to care that promote independence, patient choice and the delivery of appropriate care closer to home.

• Work collaboratively across professional, service and organisational boundaries to ensure patients receive coordinated and comprehensive care.
• Develop and maintain effective working relationships with the wider multidisciplinary team and with colleagues across health, social care and other partner organisations.
• Liaise with and refer to appropriate health, social care and voluntary sector services to support comprehensive patient management and optimise outcomes.
• Participate in cross-organisational and multi-agency working to support integrated frailty pathways and effective transitions of care.
• Communicate complex clinical information effectively with patients, carers and professionals, adapting communication appropriately to individual circumstances.

• Maintain and continually develop advanced clinical knowledge, skills and professional competence relevant to frailty practice.
• Actively participate in continuing professional development, clinical supervision, audit, research and learning activities.
• Facilitate the development of clinical expertise and advanced practice within the wider team through teaching, coaching, supervision and role modelling.
• Share specialist knowledge and learning with colleagues to support consistent, evidence-based practice.
• Support the development of leadership skills and competencies within the multidisciplinary team.
• Maintain awareness of developments in frailty care and use evidence, learning and best practice to support the continued development of the service.

• Exercise a high degree of professional autonomy while recognising personal scope of practice and seeking appropriate support when required.
• Maintain responsibility and accountability for clinical decisions and the quality of care delivered within the role.
• Practice in accordance with all relevant professional standards, legislation, organisational policies and procedures.
• Ensure statutory and mandatory training requirements are maintained and incorporated into clinical practice.
• Promote equality, dignity, respect and person-centred care in all aspects of practice.