Frailty Practitioner Team Leader - London, United Kingdom - King's College Hospital NHS Foundation Trust

Tom O´Connor

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Tom O´Connor

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The Team Leader role comprises clinical practice delivering person centered care, frailty screening and comprehensive assessment for people with frailty across the Frailty Pathway at King's College Hospital.


They manage a small team of Frailty Practitioners and work closely with our Consultant Team and our Dementia and Delirium Specialists in the day to day delivery of the service.

We are also carrying out an extended evaluation of the Frailty Service using a Quality Improvement approach.

To lead a team of Frailty Practitioners (nurses and therapists) in the delivery of the King's Frailty 7-day service, providing day-to-day line management and support


A work plan which is at least 90% based in clinical practice as an expert practitioner and clinical leader in the Frailty service delivering person-centred care, frailty screening and comprehensive assessment for older people and people with frailty across the Frailty Pathway at King's College Hospital, and supporting a more junior team in delivering these aspects of care and support.

To provide expert advice to older people and their families

To actively contribute to service development and transformation work across the pathway, managing data collection and evaluation

To contribute to the development of King's Frailty Training program


King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, 1.5 million patient contacts a year and around 15,000 staff based across 5 main sites in South East London.

The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan.

In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus.


The trust-wide strategy Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion (EDI) at the heart of everything we do.

By being person-centred, digitally-enabled, and focused on sustainability, we can take Team King's to another level


King's is dedicated to embracing the broad diversity of our staff, patients and communities and stand firmly against all forms of prejudice and discrimination.

This includes, but is not limited to, racism, ableism, homophobia, biphobia, transphobia, sexism, ageism, religious discrimination, and any other prejudiced behaviour that undermines the rights, wellbeing and identity of our staff, and patients.

Clinical Practice

Managing a patient caseload

Ordering diagnostic tests

Making and receiving referrals

Assessing and facilitating timely discharge for patients

Preventing unnecessary admissions to an acute bed by providing appropriate support and direction for health care professionals, patients and their families across the frailty pathway, including the Emergency Department, Frailty Unit and Acute Medical Unit setting

To coordinate a seamless service through the development of enhanced interdisciplinary team processes and communication.

To lead the identification and development of clinical protocols and strategies to enhance both the continuity and standard of specialist care whilst ensuring equity of access to the service

To ensure operational policies are reviewed annually by national standards

To ensure all assessments are under agreed protocols.

To liaise with the ward staff to ensure and support appropriate and timely discharge/follow-up arrangements for patients

To identify, implement and maintain a suitable mechanism for referrals to other agencies or health care professionals.

To network with local community, social services and voluntary organisations to develop existing services for older people, carers

To actively involve service users in providing feedback on their experience of the current service and suggestions for improvements.

Education and audit

To lead and coordinate the development, implementation and evaluation of care pathways and systems of interdisciplinary documentation. This includes evaluation of an extended Frailty Practitioner service and reporting of Key Performance Indicators

To provide information for patients, carers and health professionals about all aspects of the frailty service

To ensure appropriate information and educational literature is available to help patients make informed choices as to their treatment plan and continuing management developing and regularly updating literature

To initiate, lead and develop programmes of education for staff across the frailty pathway, including the Trust wide Frailty Program

To act as a clinical expert and advise on educational oppo

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