Frailty Lead (Community Matron / ACP / ANP / Advanced Paramedic)
Meridian Primary Care Network
Bourn, CB23 2SHView on map(opens Google Maps in a new tab)
Salary
£55,000 to £57,750
Contract
Permanent
Hours
Not specified
Closing date
5 November 2026
15 days leftJob description
This role will support all our PCN practices to complete home visits and on-going care to those who need it need it most, or those who have recently b...
Primary Responsibilities
There may be, on
occasion, a requirement to carry out other tasks; this will be dependent upon
- To
work with older people in surgery and out in the community including care
homes.
- To
manage their own caseload.
- Engage
individuals as active partners in their treatment and support.
- To
support onward referral to secondary and specialist services where indicated.
- To
develop and maintain close relationships with the surgery teams.
- Maintain
patient records.
Secondary responsibilities
- To assertively engage with service
users, striving at all times to develop good relationships, becoming a trusted
person.
- To develop professional networks, have
an understanding of local resources in order to ensure that the service user is
able to navigate the full health and social care system.
- To promote awareness of the professional
role across the PCN.
- To demonstrate effective communication
skills with people in an age-appropriate way and those whose understanding may
be impaired
- To act within the appropriate
professional code of conduct at all times
- To ensure that up to date written and
electronic records and activity data are maintained in accordance with
Professional standards and to provide specialist reports relevant to practice
setting.
- To keep accurate and timely written and
electronic record of each contact, using SystmOne and EMIS.
- To promote and safeguard the welfare of
vulnerable adults.
Meridian is recruiting to a Community Frailty team, caring
for our most frail, vulnerable and complex patients in the community. This role
will focus on the assessment, triage and multi-disciplinary referral of
multi-morbid and frail patients, including those that are housebound, living in
care homes or recently discharged from hospital. This role will include
semi-urgent and routine care, including visiting those living in the community
with frailty and multiple long-term conditions. You will be working within the
practices and with colleagues in CPFT and secondary care.
This role will support all our PCN practices to complete home
visits and on-going care to those who need it need it most, or those who have
recently been discharged from hospital.
As the team grows, we would expect this Frailty Lead to
provide mentorship and clinical support to staff in the team, including Nursing
Associate and HCA roles.
This is a growing and evolving role, and so flexibility to
engage with future ICB and neighbourhood Frailty initiatives would be required.
Primary Care Networks and Integrated Neighbourhood Teams are a new way of working that enables health and other services to work together to provide better access for patients.
PCNs build on existing primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home.
We are hoping successful applicants will help us create new ways of working with partner organisations we need someone highly motivated, keen to help shape how communication can be improved between partner organisations to improve patient care.
The Meridian PCN is a collaboration of six GP surgeries across Cambridgeshire and North Hertfordshire; supporting a patient population of +48,000.
- Bourn Surgery
- Comberton & Eversden Surgery
- Harston Surgery
- Orchard Surgery - Melbourn
- Roysia Surgery - Royston
- Monkfield Medical Practice - Cambourne
- Support the local interpretation and implementation of NHS transformation plans
- Design and deliver primary care services at scale.
- Provide the operational people and infrastructure to allow practices to collaborate
- Be a voice for Primary Care, one that enables what we all want; sustainable and clinically excellent general practice
Skills
Essential
- Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email and face to face
- Excellent interpersonal skills , communicating with patients, their families and healthcare professionals
- Ability to maintain accurate records
- Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
- Be flexible and able to manage sudden and unexpected demands
- Effective time management (planning and organising)
- Demonstrate personal accountability, emotional resilience and work well under pressure
Personal Qualities
Essential
- Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
- Ability to use own initiative, discretion and sensitivity
- Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
- Flexible and cooperative
- Ability to identify risk and assess/manage risk when working with individuals
- Sensitive and empathetic in distressing situations
- Ability to maintain confidentiality
- Professional calm and efficient manner
- Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety
Qualifications
Essential
- Qualified healthcare professional
- Educated to Masters degree as detailed within the HEE document titled Multi-professional framework for advanced clinical practice in England
- Registered on their appropriate professional register
- Teaching qualification
- ALS and PALS
Desirable: - Qualified independent prescriber - V300
Experience
Essential
- Experience of practice within the four pillars
- Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
- Experience of working in a primary care environment
Desirable: - Experience of prescribing and undertaking medication reviews
Other requirements
Essential
- Flexibility to work outside of core office hours
- Disclosure Barring Service (DBS) check
- Evidence of continuing professional development
- Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
15 October 2026
Last checked
19 October 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
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