Frailty EAAR Clinical Nurse Specialist

Main area Frailty Service Grade NHS AfC: Band 7 Contract Fixed term: 18 months (Secondment opportunity available to internal candidates) Hours

Full timePart time37.5 hours per week Job ref 361-7388714Site Lister Hospital Town Stevenage Salary £47,810 - £54,710 per annum - pro rata Salary period Yearly Closing 11/09/2025 23:59Here at East and North Hertfordshire Teaching NHS Trust,Our mission is:Providing high-quality, compassionate care for our communitiesOur vision to 2030 is:To be trusted to provide consistently outstanding care and exemplary serviceJob overview

We are recruiting for a Frailty EAAR (Early Alternative to Admission Review) Clinical Nurse Specialist who shares our vision to be trusted to provide consistently outstanding care and exemplary service to our patients.We are a multidisciplinary team comprising Consultant Geriatricians, Advanced Clinical Practitioners (ACPs), Clinical Nurse Specialists, and a Frailty Lead Pharmacist. Our team operates a seven-day service based in the Emergency Department (ED) and Acute Medical Unit (AMU), providing specialist assessment and care for frail and vulnerable patients.As part of the Integrated Care Board’s (ICB) initiative to reduce unplanned hospital admissions by 25%, one of the key interventions within the acute trust is the Early Alternative to Admission Review (EAAR), conducted upon patients’ arrival to the hospital.This role involves clinically assessing frail patients who present to the Emergency Department, serving as a secondary triage to identify and direct suitable patients onto alternative care pathways at the point of arrival.For patients not appropriate for the EAAR pathway, the focus will be to initiate a comprehensive geriatric assessment (CGA) aimed at minimising duplication, reducing time spent in the ED, and improving patient outcomes—supporting a “home first” model of care.At the heart of everything we do are our core values:Include,Respect, andImprove. We encourage you to embrace these values throughout the recruitment process and in your role with us.Main duties of the job

The post involves planning, implementing, and evaluating care independently as an autonomous practitioner with specialist skills, encompassing a broad range of clinical responsibilities.As part of the Integrated Care Board’s (ICB) initiative to reduce unplanned admissions by 25%, one of the seven key interventions within the acute trust is the Early Alternative to Admission Review (EAAR), conducted upon patient arrival at the hospital.The Clinical Nurse Specialist will be responsible for identifying and assessing patients’ suitability for the EAAR pathway, working closely with the Care Coordination Hub to ensure patients are directed to the most appropriate care options.The successful candidate will need to confidently triage patients using a variety of assessment tools and advanced clinical skills to support timely and accurate clinical decision-making.In collaboration with the frailty consultant, the post holder will determine whether patients meet the criteria for discharge without further assessment and facilitate their transition to suitable care pathways via the Care Communication Hub.Working for our organisation

At East and North Hertfordshire Teaching NHS Trust, we are proud of the range of general and specialist services we provide and our 6,000 or so dedicated staff ensure our patients get the best care. Our ability to be flexible and innovative in the way in which we work and deliver our services to our catchment has never been more important than it is now.We run the following hospitals:The Lister Hospital, StevenageNew Queen Elizabeth II (New QEII), Welwyn Garden CityHertford County, HertfordWe have ambitious plans to become an outstanding, patient-led Trust where dedicated staff provide high-quality, compassionate care to our patients. We continue to undergo significant transformation and our staff and patients are at the heart of delivering this ambitious agenda.We are committed to a positive work life balance for our employees. This means that any employee is entitled to seek to work flexible working patterns and we are committed to listen and consider all requests. Such requests, of course, have to be made and considered formally, and will need to be balanced against service needs, but our starting point will always be to find ways to support making them happen.Detailed job description and main responsibilities

Please see the attached Job Description and Person Specification applicant pack for further detailed information regarding this role.Person specification

Qualifications / Training

RGN/ HCPC registered with a degree or relevant experienceTeaching and mentoring qualification or evidence of professional continuous development and teachingPost registration module Advanced Clinical Assessment skills or willingness to undertake as part of professional developmentPrevious Experience

Previous experience in clinical experience within Frailty or Geriatric medicine or proven relevant experienceAbility to work independentlyEvidence of teaching/mentoring in practiceEffectively co-ordinate own work load under pressure.Skills

Venipuncture and CannulationExcellent communication skills Ability to work as part of a team but also independently.Proficient in computer use – accessing a variety of systems and the use of Microsoft officeRelevant experience at B6 level and the ability to support and develop junior staff/colleaguesExperience presenting to groups and facilitate service training using power-point presentationsKnowledge

Working knowledge of Frailty assessments used within the serviceDemonstrate knowledge of the role of Frailty CNS/PractitionerWillingness to undertake research and audits to further develop the serviceOther Requirements

Understanding of, and commitment to, equality, diversity and inclusionRole model our Trust values every dayAble to work flexible hours to accommodate 7 day serviceThe ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust values of kind, safe and excellent.Highly motivated Committed to continuous service development and quality improvementAbility to work under pressure to meet deadlines and targetsReliable and supportive.Willingness to travel across sites to attend training/meetings/service updates when requiredOur valuesWe want our staff to believe in, demonstrate and live our values in everything we do.IncludeWe value the diversity and experience of our community colleagues and partners, creating relationships and climates that provide an opportunity to share, collaborate and grow together.RespectWe create a safe environment where we are curious of the lived experience of others, seek out best practice and are open to listening and hearing new ideas.ImproveWe are committed to consistently delivering excellent services and continuously looking to improve through a creative workforce that feels empowered to act in service of our shared purpose.Committed to our CommunityEast and North Hertfordshire Teaching NHS Trust is committed to equality, diversity and inclusion for all job applicants, staff, patients and the wider community. We want to create a workforce which represents the communities we serve. We are on a journey to become a more inclusive organisation and we welcome applications from everyone regardless of their background. In particular we encourage applications from candidates with disabilities, and candidates from Black, Asian and Minority ethnic (BAME) backgrounds who are currently under-represented in various parts of our workforce .We understand the importance of balancing work and home life. We are committed to support flexible working for our staff wherever possible and all our employees are given the opportunity to discuss potential for flexible working.We are proud to be a Disability Confident employer and achieved our status in 2019.We will remove barriers that prospective candidates might face at any stage of our recruitment process. If you have a disability and would like the advert in an alternative format, or would like to talk about how we can adjust the interview process to best support you, please contact us by emailing resourcing.enh-tr@nhs.netWe are also proud to support our UK armed forces by supporting Reservists, Cadet Instructors, Veterans and military spouses/partners into employment and offering supportive policies that value their contribution to the community and to our Trust.We are committed to being a carer-friendly environment, addressing the complex needs of families with caring responsibilities. In partnership with Carers in Hertfordshire, all our working carers have access to support from recruitment. We are also a member of Carers UK, providing resources to make balancing work and caring easier. Our approach is inclusive, recognizing diverse challenges and creating a supportive environment where carers feel valued.When you apply...Please note that vacancies may close prior to the advertised closing date in certain circumstances. Please ensure that you make your application as soon as possible.All correspondence relating to vacancies will be via the e-mail address you have provided on your application form. Some servers automatically send e-mails to your junk mail so please check as well as your inbox.As a publicly funded employer, we need to ensure we utilise our funds responsibly, this may mean we are unable to support sponsorship required to gain the right to work for particular positions. We strongly advise you to contact the line manager or a member of the Resourcing Team before applying to confirm if we will be able to support with sponsorship for that post.King''s Trust SupportIf you’re aged between 16 and 30 years-old, you can get FREE employability support from The King’s Trust. The King’s Trust will help build your CV and cover letter, offer advice and top tips for future interviews and support you with research about working in the NHS. Please contact Enquiries.HandSC@princes-trust.org.uk for support.Secondments/Fixed termWhere a vacancy is advertised as a temporary position, the duration will be specified in the advert. If the vacancy becomes permanent towards the end of the specified duration, the successful applicant may not be required to re-apply and can be slotted into the role on a permanent basis if appropriate.If you are an internal applicant applying for a temporary working arrangement, please see the attached notes on secondments.Employer certification / accreditation badges

You must have appropriate UK professional registration.This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring ..... full job details .....