The post holder will provide high-quality, patient-centred acute frailty care within the Humber Virtual Frailty Ward, working closely with the Community Frailty Hub to avoid unnecessary hospital admissions and support safe care in patients usual place of residence. The role involves autonomous and multidisciplinary working to assess, treat, and manage patients with acute frailty-related deterioration, including falls, delirium, mobility decline, deconditioning, medication concerns, and exacerbations of long-term conditions. Responsibilities include completing frailty assessments and Comprehensive Geriatric Assessments (CGAs), developing timely management plans, making safe clinical decisions in line with NICE and GMC guidance, and coordinating rapid community interventions. The post holder will provide senior clinical input to virtual ward MDT discussions, support admission avoidance and early supported discharge pathways, and assist with proactive escalation and advance care planning, including ReSPECT and Treatment Escalation Plans. Working across primary care, community services, secondary care, ambulance services, mental health, social care, and voluntary organisations, the role supports a no wrong door approach to integrated frailty care focused on recovery, independence, and preventing unnecessary hospital attendance. The post holder may also contribute to clinical governance, audit, service evaluation, and quality improvement initiatives., We are seeking a motivated and experienced clinician to join an excellent multidisciplinary team, providing high-quality, patient-centred care to vulnerable and frail patients in the community. The role focuses on clinical assessment, care coordination, and supporting patients to remain safely at home wherever possible.,
- Assess and manage patients with complex needs across home, telephone, and virtual settings
- Make autonomous clinical decisions and support advance care planning
- Deliver triage, referrals, prescribing, and coordinated multidisciplinary care
- Maintain accurate records and contribute to governance and quality improvement
- SystmOne is the clinical system used.
This is predominantly a face-to-face role based at Scarborough, with visits across Scarborough, Whitby, and Ryedale.
By collaborating closely with GP Members, Patient Safety Partners and wider health and care organisations, combining shared insight and expertise to improve outcomes for local people.
Nimbuscare is a not-for-profit, socially driven organisation within the NHS family. Were collaborative, agile and innovative at our core, working with partners across the system to remove complexity, inspire trust and create person-centred solutions that make healthcare better for everyone.
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Virtual Frailty Ward GP - Scarborough employer: Nimbuscare Ltd
Nimbuscare Ltd. is an exceptional employer, offering a supportive and compassionate work environment for Out-of-Hours Urgent Care Navigators. With a strong focus on employee growth and development, staff are encouraged to enhance their skills while making a meaningful impact in the community. Located in York, our team enjoys a collaborative culture that prioritises patient-centred care, ensuring that every member feels valued and empowered in their role.
