Job summaryOur PCN is seeking a part time Frailty Nurse (band 7 equivalent) to join our established Frailty Team, working 1 day a week. The applicant will join a second part time Frailty Nurse to provide clinical oversight and specialist nursing care for patients with moderate and severe frailty, working collaboratively with Care Coordinators, GPs, pharmacists, community services and the wider multidisciplinary team within the PCN.
Main duties of the jobThe role focuses on acute care, as well as proactive frailty management. The post holder will complete Comprehensive Geriatric Assessments, and support the Frailty Team in anticipatory care planning, prevention of avoidable hospital admissions, and delivery of person-centred care for older people with moderate to severe frailty, helping them remain to independent and avoid unnecessary hospital admissions.
The role will support identification of undiagnosed barn door dementia and, following GP input, present these at the Dementia Co-Diagnosis MDT.
The post holder will work autonomously within their scope of practice, undertaking advanced clinical assessments, diagnosis, treatment and prescribing where appropriate.
About usCheltenham Central PCN is a collaborative group of five GP practices working together to improve access, deliver proactive personalised care, and strengthen community-based health services for our 58,000 patients across central Cheltenham. We are committed to delivering safe, effective, and innovative services that support the NHS vision for neighbourhood health and the ambitions set out in the 10-Year Health Plan. Our team brings together a diverse range of clinical and non-clinical professionals, creating an inclusive and dynamic working environment focused on improving outcomes for our population and reducing health inequalities. The PCN has been part of the National General Practice Pilot programme, and won PCN of the Year at the General Practice awards in 2023.
DetailsDate posted: 02 July 2026
Pay scheme: Other
Salary: £25.71 an hour, 1 day (7.5hrs) per week
Contract: Permanent
Working pattern: Part-time, Flexible working
Reference number: A0438-26-0003
Job locations: 139 St. Georges Road, Cheltenham, Gloucestershire, GL50 3EQ, United Kingdom
Job responsibilities- Provide holistic assessment including physical, psychological, functional and social needs
- Undertake Comprehensive Geriatric Assessments (CGA)
- Independently prescribe medication where qualified and appropriate
- Develop personalised care and support plans
- Support anticipatory care planning and advance care planning discussions
- Undertake home visits for housebound and vulnerable patients
- Identify patients likely to have dementia and, with GP input, present their case at the monthly Dementia Co-Diagnosis MDT
- Participate in multidisciplinary case management meetings
Frailty and Proactive Care- Support delivery of PCN proactive care and personalised care programmes
- Support falls prevention initiatives and medication reviews
- Work collaboratively with community services to reduce avoidable admissions and improve patient outcomes
- Promote healthy ageing and independence
Partnership Working- Work collaboratively with Care Coordinators, Social Prescribers, GPs, Clinical Pharmacists, Community Nurses, Therapists and Social Care teams
- Participate in multidisciplinary case reviews and clinical discussions.
- Support integrated working across organisational boundaries
Clinical Governance- Maintain accurate and contemporaneous clinical records
- Work within NMC Code, professional standards and local policies
- Participate in clinical audit and quality improvement activity
- Maintain mandatory training and continuing professional development
- Support safeguarding processes for adults at risk
- Contribute to incident reporting and learning.
Person SpecificationPersonal AttributesEssential- Compassionate and person-centred approach.
- Professional credibility and clinical leadership.
- Ability to work collaboratively across organisational boundaries.
- Commitment to continuous improvement and high standards of care.
- Flexible and adaptable approach to service needs.
QualificationsEssential- Registered Nurse with current NMC registration
- Advanced clinical assessment and diagnostic skills Knowledge of frailty syndromes and management
- Understanding of Comprehensive Geriatric Assessment
- Knowledge of personalised care and anticipatory care planning
- Understanding of safeguarding adults
- Excellent communication and interpersonal skills
- Ability to work independently and manage competing priorities
Desirable- Ability to influence and lead change
ExperienceEssential- Experience managing people with frailty and multiple long-term conditions
- Experience of autonomous clinical decision making
- Experience undertaking home visits
- Experience of multidisciplinary team working
- Experience of clinical assessment and diagnosis of complex patients.
Desirable- Experience of Comprehensive Geriatric Assessment.
- Experience working within Primary Care
- Experience of service development and quality improvement
Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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