Frailty Nurse
| Posting date: | 24 April 2026 |
|---|---|
| Salary: | £47,810.00 to £54,710.00 per year |
| Additional salary information: | £47810.00 - £54710.00 a year |
| Hours: | Full time |
| Closing date: | 05 May 2026 |
| Location: | Gateshead, NE8 1RQ |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A2671-26-0007 |
Summary
Undertake systematic case finding and risk stratification using recognised tools (eFI, CGA, Rockwood CFS, SPICT, GSF). Carry out comprehensive holistic assessments, including physical, psychological, functional, and social needs. Provide and update individualised care plans, including Emergency Health Care Plans (EHCPs), and liaise with system colleagues on end-of-life care plans and advance care planning. Conduct and document structured medication reviews, working with pharmacists and prescribers to reduce polypharmacy and inappropriate prescribing. (Only if prescribing clinician) Perform cognitive assessments and make timely referrals to Memory/Dementia Services where indicated. Identify patients requiring a palliative approach and initiate supportive care interventions with other services. Monitor and manage frailty syndromes (falls, delirium, incontinence, immobility, medication-related issues) to prevent deterioration. Liaise with carers and families, providing education, support, and signposting to appropriate services. Work within and contribute to the multidisciplinary neighbourhood health team (including GPs, social workers, therapists, pharmacists, community nurses, geriatricians, and VCSE partners). Participate in MDT meetings, case discussions, and joint care planning. Develop strong, collaborative links with system colleagues, ensuring continuity of care and effective communication. Support practices to establish and follow protocols for frailty, dementia, and palliative care identification and coding. Promote early recognition of patients at risk of deterioration, ensuring proactive rather than reactive care. Ensure compliance with CQC essential standards, safeguarding policies, and NICE guidance. Maintain accurate and timely patient records in line with local coding requirements (SNOMED codes for frailty, dementia, palliative care, ACP discussions, SMRs). Contribute to audits, data submissions, and service evaluation, including preparation of reports for ICB monitoring. Outcomes & Impact Reduction in avoidable A&E attendances, 111 calls, OOH contacts, and non-elective admissions. Improved recording and recognition of frailty, dementia, and palliative care needs. Increased uptake of structured medication reviews and personalised care plans. More patients achieving their preferred place of care and place of death. Enhanced quality of life, autonomy, and dignity for patients. Professional Responsibilities Maintain NMC registration and comply with professional codes of conduct. Engage in clinical supervision, reflective practice, and continuing professional development (CPD). Support training and development of colleagues in frailty and dementia awareness. Uphold safeguarding responsibilities and ensure the protection of vulnerable adults.