Job overview
Our vision is to provide outstanding specialist clinical services to frail and vulnerable people accessing acute hospital services.
We have a vacancy at our Luton and Dunstable site that works across the acute frailty services and the frailty virtual ward.
Medicine for the Elderly is committed to continuous improvement of the care of this group, to reduce variation and standardise and embed evidence based comprehensive geriatric assessment that produces a personalised plan based on each individual’s circumstances. Complex care requires a skilled and committed multidisciplinary team as we develop our specialist frailty pathway from ED to discharge.
The role of our Frailty Advanced Clinical Practitioners is pivotal to the delivery of this new pathway and model of care. Putting the frail person at the centre of our decision making and ensuring that we limit the risks of hospitalisation by only admitting those patients where we can ‘add value’ and proactively expediting discharge home for all.
Whilst working within the frailty team, the post holder will work in an autonomous role with a Frailty Consultant, reviewing frail older adults in the Emergency Department (ED), Same day Emergency Care (SDEC), and the Frailty Virtual ward.
Please speak to your Line Manager before applying for a secondment opportunity and visit your Trust's Secondment Policy.
Main duties of the job
Whilst working within the frailty team, the post holder will work in an autonomous role with a frailty consultant, carrying out consultations for frail older adults in the Emergency Department (ED), virtual frailty ward and the Same Day Emergency Care (SDEC) department The successful candidate will also rotate into the community to support the frailty Virtual ward, and will be expected to carry out patient consultations autonomously.
The post holder will be practicing as an Advanced Clinical practitioner within their designated role.
The criteria for referral to the Frailty service are:
- Anyone over 90
- Anyone over 75 presenting with frailty syndromes- falls, immobility, confusional states
- Anyone over 65 years living in a care home
- Anyone with clinical frailty score (CFS) 6+ with very large carer support at home.
Frailty assessment starts at ED triage- where patients are ‘screened’ using a Rockwood Clinical Frailty Score (CFS). The ED and Navigator team assess the person and all patients able to return home within 4 hours do so. Any patient that is referred to the medical team is screened by the Frailty ACP.
Detailed job description and main responsibilities
The Frailty ACP will be expected to work within the four clinical pillars of advanced practice, clinical practice, Facilitating learning, leadership and evidence, research and development. This will be demonstrated within the ACP’s portfolio. The Frailty ACP will carry out a Comprehensive Geriatric Assessment (CGA) and present the patient to the Consultant Geriatrician of the Day. Consultant attend 1-8pm Mondays to Fridays. The Frailty ACP will be responsible for collecting data, and leading innovation and change to improve services within Frailty. In addition the Frailty ACP will be expected to create leaning environments and increase awareness amongst other specialities about Frailty. There is an expectation that the Frailty ACP has expert knowledge of frailty syndromes and continues to base their knowledge around evolving evidence based practice.
Person specification
Skills
Essential
- Able to co-ordinate and work across professional teams and boundaries
- Models excellent clinical skills and is able to implement these in practice
- Able to provide and receive highly complex, sensitive and contentious information
- Full UK driving license to enable a Trust vehicle to be driven
Qualifications
Essential
- Able to demonstrate an up to date portfolio reflecting their practice as a ACP
- MSc in Advanced Clinical Practice
Desirable
- Advanced Life Support
- Accreditation with the HEE for Advanced Clinical Practice
Knowledge and Experience
Essential
- Knowledge and experience of discharge processes within acute and community settings.
- Knowledge and experience of the Mental Capacity Act
- The relevant clinical experience working in an ACP role
- Specialist knowledge of geriatric medicine including dementia and safeguarding
- Worked in geriatric medicine / care of the elderly setting within acute or community settings as a band 7 or above
Desirable
- Experience working with people with cognitive impairment.
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Applying for this NHS job
This advert is for Frailty Advanced Practitioner (Secondment/Fixed Term Contract) with Bedfordshire Hospitals NHS Foundation Trust in Luton, East of England, England. It is listed as a Band 8 Nurse practitioner role. The advertised salary is £57,528 - £64,750 pa pro rata. The contract type is Secondment: 9 months. The application deadline is 05 Aug 2026.
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