Job Description

Please ensure you read the attached comprehensive and complete the attached application form alongside your online form. Provide strategic direction and monitor progress to achieve North Kerrier Neighbourhood objectives. Where appropriate advocate for change across North Kerrier to bring together community and practice teams. Develop, implement and evaluate a seamless Proactive service across North Kerrier, working with community and secondary care where appropriate, and aimed at continuously improving standards of patient care and wider multi-disciplinary team working.



Where appropriate, support the development of discharge and contingency plans with relevant professionals to arrange on-going care in residential, care home, hospital, community settings and at home; Assist patients to adapt to and manage their physical and mental health long-term conditions, through the teaching of coping strategies; and assess, plan, implement, and evaluate treatment plans, with an aim to increase patients productivity and self-care; Ensure delivery of best practice in clinical practice, caseload management, education, research, and audit, to achieve North Kerrier local population objectives. Advise practices of workflow and develop SOPs for teams and practices to follow and implement, particularly Personalised Care Planning, utilising best practice. Provide professional leadership for the proactive care frailty service, offering guidance and support to the Proactive Nursing Team and neighbourhood clinical staff. Maintain clinical oversight of complex frailty patients, including providing direct clinical review where appropriate, to ensure safe and coordinated care across the neighbourhood team.



Lead workforce planning, allocation of resources, and performance monitoring in collaboration with operational managers. Ensure robust clinical governance structures are maintained, including incident review and risk management.