This job has expired

Frailty Nurse

South West Yorkshire Partnership NHS Foundation Trust
£28,407 to £34,581 a year Pro - Rata
Closing date
27 Sep 2023

View more

Nurse, Adult nurse, Elderly care nurse
Band 5
Contract Type
Full Time
Full Time - 37.5 Hours Per Week or Part Time Hours Available

Fancy a new challenge? Are you someone who is dynamic & a positive team member that is passionate about patient care?

We're looking for a Frailty Nurse to join our innovative Neighbourhood Nursing Teams across Barnsley.

We have an exciting opportunity for an enthusiastic, motivated Registered Nurse, working closely with & under the direction of the Community Matrons provide appropriate services to people who are moderately/severely frail & have long term conditions.

This role is integral to the assessment of patient frailty levels & assisting with review of patients to allow the best access to care required for their support.

You will be an autonomous practitioner who holds a delegated responsibility for a defined caseload.

Were looking for someone who is adaptable, has a flexible can-do attitude with a passion for excellence & ability to work well both on their own & as part of a team.

This is a community-based role, applicants must have a full driving license & access to a vehicle on a daily basis.

All employees of the Trust are strongly encouraged to be fully vaccinated against COVID-19 to protect patients.

Main duties of the job

As a Frailty Nurse you will:

Work in partnership with other health professionals, supporting housebound & care home residents to provide holistic patient care.

Support the virtual ward pathway, providing care to patients accessing the Virtual Ward frailty pathway

Assess, plan, implement and evaluate care.

Demonstrate extensive knowledge, advanced analytical & practical skills.

Participate in MDT meetings to discuss & feedback regarding patients that the Frailty Nurse has supported.

Have high level communication/interpersonal skills to negotiate & establish collaborative partnerships with patients & care professionals.

Have enthusiasm & the ability to use your own initiative are essential.

Participate in education & staff development, actively participate in regular supervision & appraisals.

Think you could rise to the challenge?Up to full time hours are available.

About us

We are a specialist NHS Foundation Trust that provides community, mental health and learning disability services for the people of Barnsley, Calderdale, Kirklees and Wakefield. We also provide low and medium secure services and are the lead for the west Yorkshire secure provider collaborative.

Our mission is to help people reach their potential and live well in their communities, we do this by providing high-quality care in the right place at the right time. We employ staff in both clinical and non-clinical services who work hard to make a difference to the lives of service users, families and carers.

We encourage and welcome applications from all protected characteristic groups, we value diversity and want our workforce to be reflective of our communities.

Being a foundation Trust means were accountable to our members, who can have a say in how were run. Around 14,300 local people (including staff) are members of our Trust.

Join us and you will be one of over 4,500 staff committed to supporting and improving the mental, physical and social needs of the thousands of people we meet and help each year.

We are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all colleagues and volunteers to share this commitment.

We do reserve to right to close vacancy before the advertised closing date if necessary, so please apply as soon as possible.

Job description

Job responsibilities


This job description is an outline of the main duties of the post. The post holder will be required to undertake other duties commensurate with the grade as directed.

The content of this post will be reviewed in consultation with the post holder when necessary and in line with the service developments.


1. To work within the Integrated Neighbourhood Teams under the direction of the Community Matrons providing appropriate services to people who are moderately / severely frail and have long term conditions.

2. To assess the health needs of designated clients and plan, implement and evaluate programmes of care in response to identified need.

3. To contribute to the public health role within the team.


  • To visit clients who meet the Frailty Nursing criteria within their usual place of residence (care homes and/or the clients own home) and undertake designated duties.
  • To assess for and identify the health needs of patients who are frail and who may have a long-term condition using single assessment process.
  • To assess, plan, implement and evaluate programmes of care to address the identified needs of patients identified as being frail and / or those with long-term conditions.
  • To support the development of patients individual Personal Health and Social Care Plans.
  • Develop disease specific patient information and education to support patients self care..
  • To contribute to/lead on the delivery and development of public health activities in response to identified needs and local ICS or national targets. Topics include nutrition, physical activity, falls prevention, mental health promotion, stop smoking and affordable warmth.
  • To work in partnership with other health professionals, statutory and voluntary services in order to improve health outcomes for clients and address inequalities in health.
  • Link people to voluntary and peer groups for support with self management e.g. Diabetes UK, Age UK where appropriate.
  • To provide support for Carers, including facilitating independent assessment of carers needs as appropriate.
  • Record all client contacts and activities accurately and contemporaneously, maintaining accurate records in line with trust standards, via SystmOne.

For full Job Descriptions please see attached in Supporting Documents.

Person Specification



  • Demonstrable nursing experience across a variety of settings.
  • Experience of delivering patient education and promoting self directed care.
  • Experience of working with clients with long term conditions.
  • Experience of working independently.
  • Experience of identifying, assessing and implementing care for frail patients.


  • Community nursing experience.
  • Experience of health behaviour change and/or health and wellbeing programmes.
  • Experience in coaching and behavioural change techniques.
  • Experience of using the Rockwood Frailty Score.



  • RGN.
  • Nursing degree / diploma.
  • Evidence of meeting PREP Requirements.
  • Experience of mentoring/supporting learners or ability to demonstrate the skills required for effective mentoring.


  • Evidence of skills in
  • Venepuncture
  • Male catheterisation
  • Syringe driver use
  • Ear syringing



  • An understanding under the umbrella of LTC Disease areas.
  • Trained in motivational interviewing and behavioural change techniques or willing to undertake.
  • Completion of Health Education Englands e-Learning for Healthcare (elfh) Tier 2a Frailty qualification or willing to undertake within 6 months of being in post.

Physical Attributes


  • Ability to undertake the duties and demands of the post.
  • A satisfactory sickness record over the previous 2 years (subject to the need to act with fairness and equality of opportunity, particularly where the sickness is related to a disability and/or pregnancy).

Special Knowledge and Skills


  • Excellent communication both written and verbal and negotiation skills.
  • Ability to use own initiative.
  • Excellent organisational skills.
  • Understanding and commitment to promoting the principles of self directed care including understanding of health, social care and voluntary care support systems.
  • Knowledge and understanding of current government legislation and NHS policy.
  • Evidence of health promotion skills.


  • Understanding of how Telehealth and other long term conditions self management initiatives can maximise the patients quality of life.
  • Ability to use web-based learning materials.
  • IT literate including Word and Excel.

Personal Attributes


  • Ability to engage and communicate with patient, carers, health professionals both face to face and over the telephone.
  • Ability to work as part of a team.
  • Motivated and enthusiastic to support patients and their carers to maximise their health and wellbeing.
  • A Current driving licence and access to a car during the working day is essential (reasonable adjustments will be considered for any applicants who are unable to drive due to a disability)
  • Professional approach.
  • Ability to work flexibly including weekend, evening and Bank Holiday working.

Employer details

Employer name

South West Yorkshire Partnership NHS Trust


Kendray Hospital

Doncaster Road


S Yorkshire

S70 3RD

Any attachments will be accessible after you click to apply.


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