Frailty Advanced Clinical Practitioner

6 months ago


Liverpool, United Kingdom Liverpool University Hospitals NHS Foundation Trust Full time

As part of the innovative and ongoing development we are looking for an experienced practitioner to join our Acute Frailty Team.

As the population ages there are increasing numbers of older people living with frailty who are presenting to ED departments. It is recognised that targeting this high risk group as early as possible during admission provides an opportunity to improve quality of care and optimise patient and service outcomes for a vulnerable population.

The role involves working in the Emergency Department and the Frailty Assessment Unit (FAU) as well as the development of rapid access and ambulatory clinics.

Excellent and advanced clinical knowledge of caring for those identified as frail is essential with the determination and drive to make a difference.

To take the lead in Ambulatory / Front Door Frailty and same day emergency care

Examination and diagnostics - referring when appropriate to members of the MDT.

To ensure appropriate diagnostic ordering and review.

To perform clinical skills - cannulation / venepuncture, ABG’s, blood cultures, catheterisation.

To safely prescribe medications and perform medication review. Completing VTE and dementia screens. Ordering TTO’s, writing discharge letters.

To support the AIFU and Consultant In - Reach service by assisting in ward rounds.

To provide a consistent and personalised service by ensuring that the patients receive the best care, in the best place, from the best person or team.

To provide social, emotional, and psychological support to patients and their carers/relatives from referral and throughout their treatment.

To autonomously manage a patient caseload efficiently and timely, prioritising tasks.

To make appropriate referrals to consultants/other specialists/ members of the multidisciplinary team in primary, secondary, or tertiary care settings.

To provide teaching as an in-house measure to all medical and nursing staff, not only within the Directorate but also from other services.

To partake in service development through audit and data collection.

To maintain personal accountability for professional and ethical actions and ensure compliance with NMC code of professional conduct.

Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.

The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience.

The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital and the Royal Liverpool University Hospital.

It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond.

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To maintain personal accountability for professional and ethical actions and
ensure compliance with the standards of professional conduct issued by the relevant regulatory body.

To maintain and develop a specialist service for patients within the caseload, ensuring that the treatment and follow up of this group of patients is delivered in a timely manner.

To provide and maintain a diagnostic service for the Trust. Ensure clinician led clinics provide for both diagnoses and reporting of subsequent results for identified patients.

To provide teaching as an in-house measure to all medical and clinical staff, not only within the Care Group but also from other services.

To provide a clinician-led clinic service to patients.

To plan and administer treatment to patients as appropriate and ensure
handover of this treatment to community services as necessary.

To provide expert care, advice and support for patients and their relatives/carers and ensure that advice and point of contact is available throughout the patient’s journey.

To refer on to other agencies as appropriate.

To operate as clinical specialist and expert practitioner in issues relating to
the identified area of care. To direct and delegate care based on accurate
assessment and evaluation.

To take consent for investigative procedures, manipulate equipment and
perform advanced clinical skills.

Act as a change agent for the development of the service.

Assisting in the audit and data collection required for developing evidence
based services.

To provide verbal and written reports to appropriate managers and clinical
leads.

To monitor the effectiveness of the service by continuous audit.

To ensure that equipment is maintained and serviced as required.

To develop protocols, documentation, standards and guidelines to enable
best practice for the care of patients. In the identified/specified



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