Frailty EAAR Clinical Nurse Specialist

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 outcomessupporting a "home first" model of care.Main values: Include, Respect, and Improve. We encourage you to embrace these values throughout the recruitment process and in your role with us.Main duties

The post involves planning, implementing, and evaluating care independently as an autonomous practitioner with specialist skills, encompassing a broad range of clinical responsibilities.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.About us

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, HertfordMount Vernon Cancer Centre (MVCC), NorthwoodWe 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.Details

Date posted: 28 August 2025Pay scheme: Agenda for ChangeBand: Band 7Salary: £47,810 to £54,710 a year per annum - pro rataContract: Fixed termDuration: 18 monthsWorking pattern: Full-time, Part-timeReference number: 361-7388714Job location: Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4ABJob responsibilities

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

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

EssentialPrevious 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

EssentialVenipuncture and CannulationExcellent communication skills; ability to work as part of a team but also independentlyProficient in computer use - accessing a variety of systems and Microsoft OfficeRelevant experience at B6 level and the ability to support and develop junior staff/colleaguesExperience presenting to groups and facilitating service training using PowerPoint presentationsKnowledge

EssentialWorking knowledge of Frailty assessments used within the serviceDemonstrate knowledge of the role of Frailty CNS/PractitionerDesirableWillingness to undertake research and audits to further develop the serviceOther requirements

EssentialUnderstanding 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 excellentHighly motivated; committed to continuous service development and quality improvementAbility to work under pressure to meet deadlines and targetsReliable and supportiveWillingness to travel across sites to attend training/meetings/service updates when requiredOther

Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a Disclosure to check for any previous criminal convictions.UK Registration: Applicants must have current UK professional registration. For further information please see the NHS Careers website.Employer details

East and North Hertfordshire Teaching NHS TrustLister Hospital, Coreys Mill Lane, Stevenage, SG1 ..... full job details .....