The Frailty Nurse post sits in the frailty team serving Weymouth and Portland PCN practices, employed by Two Harbours Healthcare, a not-for-profit body led by local GP practices. The core work is home visits to housebound frail patients for structured baseline assessments, observations, ECGs and phlebotomy, with referrals to the wider team. The integrated team is led by a GP and includes advanced practitioners, paramedics and an occupational therapist, and the role mixes new and follow-up visits. Own transport and an NMC licence to practise are needed.
What the job involves
- Deliver EHCH (enhanced health in care homes)
- Carry out proactive, routine Comprehensive Geriatric Assessments for patients in their own homes
- Complete baseline home assessments on a structured template covering continence, skin, nutrition, care needs and unmet needs
- Complete Personalised Care and Support Plans focused on what matters most to the patient
- Make timely referrals to the wider multi-professional and third sector teams, and attend MDT meetings when requested
- Proactively identify patients who would benefit from a holistic assessment
- Support Ageing Well in the community, slowing or reversing the progression of frailty
- Assess patients re-referred with frailty-related decline
- Collect basic observations, carry out ECGs and phlebotomy
- Contribute to multidisciplinary discussions and parts of the Dorset Care Plan
- Support comprehensive data collection
- Keep contemporaneous SystmOne records, monitor work email and mobile, and manage own workload
Registration & licences
- Full NMC registration with licence to practise
Skills & knowledge
- Written and spoken English adequate for communicating medical topics with patients and colleagues
Other
- Access to own means of transport between sites
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Contact Details:
The Methodist Church in Britain Recruitment Team