Frailty Practitioner


Company:	NHS Jobs
Salary:	Negotiable
Hours:	Full-time
Location:	Whitstable, CT5 3SE
Job type:	Permanent
Posting date:	25 Sept 2026
Closing date:	18 Oct 2026

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Summary

Care homes and community-based care The post holder will support older people in care homes and the community, reviewing patients after a change in health, supporting falls prevention and care planning, liaising with care home staff and families, and helping to reduce avoidable emergency attendances or admissions. Frailty assessment The post holder will: Identify patients with mild, moderate, or severe frailty. Review relevant medical, functional, and social information. Assess functional ability and any change from the patient's normal baseline. Identify recent or recurrent falls, and mobility or balance difficulties. Recognise possible cognitive impairment or delirium, and escalating where needed. Identify nutritional concerns, weight loss, or poor appetite. Consider continence and toileting difficulties and making appropriate referrals Identify potential medication-related contributors to decline. Consider social isolation, carer strain, and the home environment and making appropriate referrals. Recognise red flags that need urgent medical review. Communicate findings clearly to the wider team. Holistic clinical assessment Within their professional scope, the post holder will: take a clinical history; review medical records, diagnoses, and recent hospital or community contacts; assess changes from baseline and consider functional status, multimorbidity, and safeguarding concerns. Identify possible infection, dehydration, malnutrition, delirium, or falls as causes of decline, and recognise when further investigation or medical assessment is required. Managing frailty syndromes The post holder helps identify and manage common frailty syndromes, including falls, reduced mobility, functional decline, cognitive impairment, delirium, nutritional decline, continence problems, dizziness, polypharmacy, social isolation, and carer stress. They identify appropriate interventions within their scope and coordinate referrals to other services, such as GPs, community nursing, physiotherapy, occupational therapy, dietetics, pharmacy, falls services, specialist frailty or memory services, social care, and palliative care where appropriate. Clinical decision-making The post holder demonstrates sound clinical reasoning appropriate to Band 6 level, making independent decisions within their scope, recognising significant deterioration, and balancing clinical evidence with the patient's circumstances and preferences. The post holder would identify the limits of their own knowledge or experience, seek advice from senior clinicians, GPs or specialists when needed, escalate promptly where safety may be at risk, and document their reasoning clearly. Multidisciplinary working The post holder works closely with GPs, practice nurses, pharmacists, advanced practitioners, community nurses, allied health professionals, social workers, care coordinators, care homes, and specialist or secondary care services, contributing relevant clinical information to MDT discussions for patients with complex needs. Safeguarding The post holder recognises and responds appropriately to safeguarding concerns involving older people, including neglect, abuse, carer breakdown, and unsafe living circumstances, following practice and local safeguarding procedures. Supervision and governance The post holder has access to a named senior clinician and GP support, takes part in regular clinical supervision, reflective practice, and audit, and maintains appropriate professional indemnity. They work within relevant professional standards and the practice's clinical governance policies. Continuing professional development The post holder maintains ongoing development relevant to frailty, falls, delirium, dementia, nutrition, multimorbidity, medicines awareness, safeguarding, mental capacity, and end-of-life care, identifying learning needs through supervision, appraisal, and clinical practice. Quality improvement The post holder contributes to safe and effective frailty services through audit, service evaluation, review of falls and hospital admissions, development of care pathways, and MDT learning, supporting a culture of continuous improvement and patient safety.

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