Job Description

This is a full time Band 7 post working in a newly established frailty service at the North Middlesex University Hospital NHS Trust. This role is part of a key development in delivering specialised frailty input to frail, older patients presenting to ED.



The post holder will be included in the 7-day working. The successful candidate will work across Urgent and Emergency Care within the GEMS team and contribute to the delivery of timely, specialist input to frail patients; effecting appropriate admission avoidance and early, pro-active CGA for patients who may need admission to appropriate wards.



To assess, develop, implement, and evaluate specialist care programmes to ensure frailty syndromes are fully optimised

To obtain people's informed consent, providing highly specialist advice and discussing the implications of the whole assessment process

To undertake specialist interventions consistent with evidence-based practice, transferring and applying knowledge and skills to meet patients' needs, evaluating and modifying interventions as appropriate.

To analyse and rigorously review all aspects of the patient care plan interpreting information and using specialist knowledge and clinical judgement to liaise with MDT (Multidisciplinary Team), co-ordinating and participating in case discussions as required

To refer patient/family/carer to other practitioners when needs and risks are beyond one's own scope of practice or require longer term support

To support patients/family/carers encouraging them to promote their own health and wellbeing and to express their interests and concerns

To provide support and care for the patient and his/her family/carer respecting their need for privacy and dignity

Establish and maintain effective communication with patient/carers and families about complex matters providing a warm welcoming and enabling environment to support therapeutic relationships.



Complete list and detailed information can be found within the attached JD and Personal Specification.



NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/

Education & professional Qualifications:

Nurse/Social Worker/AHP with Professional Registration from appropriate governing body e.g. NMC, HCPC Relevant degree Evidence of C.P.D in relevant areas of Practice Post registration experience relevant to clinical area Experience in care of the Elderly, Frailty and acute medicine Experience working in an acute health setting and complex discharge planning.

Experience:

Excellent clinical reasoning /clinical decision making Ability to manage a diverse workload and to meet set deadlines Ability to work on own initiative and without supervision.

Detailed information can be found within attached JD and Personal Specification.