PCN Frailty Co-ordinator
| Posting date: | 09 June 2026 |
|---|---|
| Salary: | £25,760.00 to £27,476.00 per year |
| Additional salary information: | £25760.00 - £27476.00 a year |
| Hours: | Full time |
| Closing date: | 26 June 2026 |
| Location: | And all Practices within , ST13 6JB |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A5111-26-0002 |
Summary
Key Responsibilities The role will be to provide holistic assessments under the Facilitation of Admission Avoidance Scheme. The assessments will be face to face and given the patient cohort will predominantly be completed in the patients homes or in clinic. The post holder will be expected to: Develop, implement and review personalised care plans that meet physical, emotional and social needs of frail older adults Identify early signs of deterioration and implement proactive interventions to avoid hospital admissions where appropriate Promote self-management and independence in patients with long term conditions Support in advanced care planning conversations where appropriate Co-ordinate access to additional services, team members and care packages as appropriate Work with the multi-disciplinary team to help identify people at risk of loss of independence or admission to hospital as a result of inadequate social support. Provide these cohorts of people signposting to identified services in order to maintain their independence and improve their health and wellbeing. Visit patients in community, home or clinic settings to assess and discuss their care needs involving carers as appropriate. Maintain accurate and up to date records of patient contacts using GP record systems and other IM&T systems relevant to the role i.e. entering notes onto EMIS using agreed SNOMED codes. To run regular patient searches using EMIS in order to have an up to date record of progress of achievement of Key Performance Indicators. Support the PCN in providing KPI reports for submission as requested. Ensure all patients under the FAAS have a fully completed care plan, liaising with patients and clinicians where appropriate.