GP with a Special Interest in Frailty - complex frailty assessment

Job summary

Main duties of the job

Main duties of the job

1.Patient identification using the Eclipse risk stratification tool.

2.Comprehensive review of primary and secondary care records (including recent investigations, UECC/hospital attendances, and admissions).

3.Telephone-based reviews with the patient and/or carer - particularly in severe frailty or where the patient lacks capacity to participate.

4.Focus on community-dwelling older people (including care home residents).

5.Correspondence to primary/secondary care and social care (as appropriate) to align and/or rationalise ongoing medical review and support.

6.Advance Care Planning, including completion of ReSPECT documentation.

7.Polypharmacy review and medicines optimisation with support from medicines management.

8.Liaison with Falls, Continence, Hospital at Home, Community Matrons, and Primary/Secondary Care clinicians.

9.Data collection for quality improvement and service evaluation.

Job responsibilities

The Rotherham NHS Foundation Trust (TRFT) is a combined acute and community Trust serving our local population of around 270,000 people. Our vision is to always act the right way and be proud to provide exceptional healthcare to the communities of Rotherham.

As a Trust we are on a journey to excellence and our people and culture are at the heart of everything we do for patients. In the latest NHS Staff Survey, we are the second most improved Trust in England for would you recommend the Trust as a place to work? and were one of the most improved for staff engagement overall.

But dont just take our word for it each year hundreds of colleagues receive nominations for our Excellence and Proud awards, showcasing our brilliant people and recognising their achievements. Our people make a difference to the lives of patients every day and we are proud of the improvements we are making.

All of our 5,100 colleagues are key to our improvement journey and we are continuing to improve our services by upholding the Trusts values of Ambitious, Caring and Together. If you are passionate about making a difference, then please apply to join us on our journey to excellence.