Frailty NurseGP Practice

An exciting opportunity has been presented for an experienced clinician to join our Frailty team at DGS Health. The role will require the individual to work, collaboratively, build relationships and work as part of a multi-disciplinary team to provide safe, high quality care.

Working within our Frailty Team offers both variety and flexibility, in terms of your day to day work, training and development, career progression.

Main duties of the job
The fundamental role of the post holder is to meet the primary care needs of an identified group of people identified as frail and needing further support in the community. The post holder will liaise with other community health and social care providers to meet the identified needs of these patients. This workload will involve reviewing medical issues and current problems, completing medication reviews and dementia screening, developing a treatment escalation plan, ensuring all appropriate assessments are completed and developing and implementing an appropriate individualised plan of care.

The service is designed to achieve the following:

A fall in ambulance hospital journeys required by residents of the boroughs of Dartford, Gravesham and Swanley who are deemed as frail
A drop in hospital attendances for these residents
A reduction in hospital admissions for these residents
Improved Health and social care support for these residents and their carers to help them to keep at home and avoid hospital admission.
Joined up pathways with acute trust, ambulance service, community services, social services, community voluntary services and end of life care to support admission avoidance.
Please note you will be required to drive across the Dartford, Gravesham and Swanley area so a clean UK driving license is required.