Nursing Associate / Clinical Care Coordinator Frailty Team
You will work collaboratively within a multidisciplinary team to ensure holistic, patient-centred care. A clean driving licence and access to a car for daily work-related travel is essential due to the community nature of the role. Key Working Relationships Frailty Team members (Nurses, ANPs, GPs, Pharmacists) Multidisciplinary Team (Therapists, Community Nurses) Patients, families, and carers External agencies and voluntary sector partners PCN management and administrative staff Core Responsibilities Clinical Practice Undertake a range of clinical procedures including: Blood pressure, pulse, temperature, height, weight (BMI) measurement Venepuncture (phlebotomy) ECG recording Urinalysis Diabetic foot checks Support chronic disease management and minor clinical procedures Perform home visits to frail and care home patients in accordance with agreed protocols, assessing health and social needs and delivering appropriate care and support.
Recognise and report any significant changes in patient condition to senior clinical staff promptly. Assist in the completion and review of Advanced Care Plans, ensuring patient and carer involvement. Care Coordination Support patients and carers to promote health, independence, and self-management at home.Liaise with internal and external health and social care services to coordinate effective care plans. Participate in MDT meetings and share relevant patient information to facilitate integrated care delivery. Support carers wellbeing by identifying needs and referring to appropriate services or support groups.
Clinical Governance and Safety Maintain accurate, timely, and confidential patient records in accordance with PCN policies and professional standards. Comply with infection prevention and control protocols, health and safety regulations, and safe management of clinical waste and sharps.
Participate in mandatory training, appraisal, and personal development activities.