Enhanced Frailty Health and Social Care Coordinator

The Enhanced Frailty Team, in conjunction with the wider multi-disciplinary team, comprises of a Consultant Geriatrician, Chief Medical Officer, Enhanced Frailty GPs, Enhanced Frailty Nurse Practitioners, and Frailty Care Coordinator / Prescribers. The purpose of the Frailty Team is:

• To provide integrated, pro-active care for people in Harrow aged 65 years of age or over, or identified as frail, with multiple complex long-term conditions, who require more intensive support and care in the community
• To reduce avoidable hospital admissions / re-admissions or A&E attendances
• To support Harrow GPs with intensive case management of these more complex, vulnerable patients to improve the health and wellbeing of patients by providing proactive, responsive and intensive case management
Main duties of the job The Post Holder will be a highly competent individual, who will play a key role in co-ordinating the Frailty Team activities and act as a Social Prescriber for patients and their families / carers as needed. They will work with members of the team and other health and care providers to share information to jointly plan care and provide a streamlined service. The post holder will be performance managed with clear objectives designed to evidence your success in delivering excellent patient satisfaction and health outcomes, supporting the Frailty Team patient caseload, developing colleagues skills, and lastly supporting patients to avoid unnecessary hospital admissions.

Harrow Health CIC Harrow Health CIC began in 2007 by a group of Harrow GPs, whose sole aim was to ensure patients receive a high quality clinical care service within the community. Over the years, Harrow Health has expanded. We now provide many clinical services, which include Mental Health Services, Elective Services, and our Whole Systems Integrated Care Services.