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Nurse Consultant in Frailty and Elderly Care

Countess of Chester Hospital NHS Foundation Trust
£58,972 to £68,525 a year pa
Closing date
21 Sep 2023
Working Full Time 37.5 hours per week

The post holder will be expected to deliver care at an expert level of clinical practice within a variety of community settings in the field of frailty and elderly care within the division of Cheshire West Integrated Care Partnership. The higher-level Nurse Consultant will have extensive skills, clinical knowledge and experience with a Masters being essential. Clinical duties will be undertaken without direct supervision but in collaboration with a designated clinical lead. They will need to plan manage and complete episodes of care undertaking comprehensive assessments and management along with complex clinical decisions regarding service user management and clinical outcomes.The higher-level Nurse Consultant will practice in conjunction with the multidisciplinary team with their decision making and clinical level of patient management reflecting that of a middle grade doctor. They will play an integral role in taking forward system changes and leading in the operational and strategic development in all aspects of community frailty services to prevent patients attending and being admitted into the acute hospital. Responsibility and contribution for continuous development of clinical practice, research and standards of care within the community service along with the development of policies, guidelines and pathways to ensure the elderly residents have a seamless pathway with the right care in the right place at the right time.

Main duties of the job

To provide expertise and clinical leadership in the assessment, diagnosis and treatment of patients discharged from the Acute Hospital to the Community Unit and those patients referred to the Community Rapid Response Team, via the Emergency Department, Medical Assessment Unit, Same Day Emergency Care, Community Nursing/Therapy environments. This will include liaison with, as well as challenging or complex negotiations with patients and other agencies in relation to care.It is essential that the postholders practice is underpinned by both the four pillars of Advanced Practice and the NHS Knowledge and Skills Framework and will be expected to operate at level 4 within each of the dimensions.

They will be expected to work collaboratively with other healthcare professionals making appropriate referrals to specialist medical clinicians where necessary. In doing this they will develop and work across professional, organisational and system boundaries improving services and developing practice.The post holder will work throughout the Cheshire West Integrated Care Partnership within all areas of community care including rehabilitation and care home provision. They will be expected to act as a practice leader whilst participating in local, regional and national networks.

About us

The Countess of Chester Hospital NHS Foundation Trust consists of a 600 bedded large District General Hospital, which provides its services on the Countess of Chester Health Park, and a 64 bedded Intermediate Care Service at Ellesmere Port Hospital.The Trust provides services in all of the surgical and medical specialties common to a District General Hospital with some specialist services. The Trust serves the whole of the local population currently in excess of 250,000 residents which geographically covers populations in England and North Wales.The Trust strives to continuously improve and sustain the quality of its services for patients, providing care to more than 445,000 patients per year, with almost 4,000 staff working together putting quality and patient safety, at the heart of everything we do. The organisation provides a wide range of services offering health care to the whole spectrum of the population from birth to the end of life. The Trust complies with its terms of authorisation as a Foundation Trust.

Job description

Job responsibilities

See Job Description for further details.

Recruitment selection processes are based on competence (see Person specification) and values.

Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is �23 (standard) or �43 (enhanced), this cost will be deducted from your salary over the first three months of employment.

You are encouraged to enrol for the DBS Update Service. A small annual fee of �13 per year applies.

New entrants to the NHS will commence on the minimum of the scale stated above.

Applicants are advised to apply early as if a large number of applications are received for this post, we reserve the right to close the vacancy prior to the advertised date.

Good luck with your application.

Person Specification



  • Registered Nurse
  • Degree level qualification
  • MSc Advanced Practice
  • Independent prescribing qualification and ability to demonstrate utilisation of skill
  • IRMER Trained
  • NMC Registration


  • Post Graduate Certificate in Education
  • Trained in ALS



  • Knowledge and experience of advanced clinical, psychological, and social needs of the frail patient
  • Excellent clinical reasoning and decision-making skills
  • Demonstrate advanced specialist knowledge and expertise with a particular focus on frailty
  • Clinical credibility with demonstratable experience
  • Demonstrate ability of complex decision making
  • Evidence of change management and innovative practice
  • Thorough understanding of local and national policies and initiatives


  • Advanced communication training
  • Evidence in delivery of nurse led services

Employer details

Employer name

Countess of Chester Hospital NHS Foundation Trust


Countess of Chester Hospital

Liverpool Road



Any attachments will be accessible after you click to apply.


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