Enhanced Specialist Nurse PCN and Neighbourhood Frailty Team

The post holder will provide high quality, patient centred care for frail, housebound and care home patients, undertaking home visits where clinically indicated and supporting patients with frailty, complex needs and multiple long term conditions. Duties include monitoring and reviewing care plans, identifying deteriorating patients, coordinating interventions and working with GPs, community services, social care and voluntary partners to deliver integrated care, alongside health promotion, screening, safeguarding and referral management.

The post holder will provide clinical leadership to the Neighbourhood Frailty Team, offering support, supervision and mentorship. They will undertake advanced assessments, support complex clinical decisions, lead community based interventions and promote evidence based practice and quality improvement.

As line manager, the post holder will support staff performance, wellbeing and development through supervision, audits, competency assessment and attendance management, monitoring standards and acting as a key contact for staff.

The role also involves coordinating and prioritising workloads, deploying resources, monitoring caseloads and escalating concerns. The post holder will contribute to developing PCN and neighbourhood frailty services through service improvement, governance and innovation, supporting the evolution of integrated neighbourhood care.

Were an established PCN in Wakefield, with excellent

relationships with our member practices. We value our teams, providing

opportunities for development in line with PCN objectives, and promote a

culture of We pride ourselves on innovation and utilising digital solutions to

enhance productivity, monitoring and patient experience. With compassionate

leadership and accountability, we make data led decisions to provide high

quality patient care. Our 69,000+ patients are always front of mind whilst we

support our member practices with additional roles, opportunities for working

at scale, project management, and service design. Our teams engage in multiple

workstreams that support the Neighbourhood working agenda, and we have multiple

links with our wider neighbourhood partners. We have work to do to truly take

advantage of our position at the forefront of Neighbourhood working in our area.

Please see the attached document for more information about West Wakefield PCN.

Qualifications

Experience

Attributes