About this role
Job summary
The post holder will provide high-quality, patient-centred acute frailty care within the Humber Virtual Frailty Ward, working closely with the Community Frailty Hub to avoid unnecessary hospital admissions and support safe care in patients usual place of residence. The role involves autonomous and multidisciplinary working to assess, treat, and manage patients with acute frailty-related deterioration, including falls, delirium, mobility decline, deconditioning, medication concerns, and exacerbations of long-term conditions.
Responsibilities include completing frailty assessments and Comprehensive Geriatric Assessments (CGAs), developing timely management plans, making safe clinical decisions in line with NICE and GMC guidance, and coordinating rapid community interventions. The post holder will provide senior clinical input to virtual ward MDT discussions, support admission avoidance and early supported discharge pathways, and assist with proactive escalation and advance care planning, including ReSPECT and Treatment Escalation Plans.
Working across primary care, community services, secondary care, ambulance services, mental health, social care, and voluntary organisations, the role supports a no wrong door approach to integrated frailty care focused on recovery, independence, and preventing unnecessary hospital attendance. The post holder may also contribute to clinical governance, audit, service evaluation, and quality improvement initiatives.
Main duties of the job
We are seeking a motivated and experienced clinician to join an excellent multidisciplinary team, providing high-quality, patient-centred care to vulnerable and frail patients in the community. The role focuses on clinical assessment, care coordination, and supporting patients to remain safely at home wherever possible.
Key Responsibilities
Assess and manage patients with complex needs across home, telephone, and virtual settingsMake autonomous clinical decisions and support advance care planningDeliver triage, referrals, prescribing, and coordinated multidisciplinary careMaintain accurate records and contribute to governance and quality improvementSystmOne is the clinical system used.This is predominantly a face-to-face role based at Scarborough, with visits across Scarborough, Whitby, and Ryedale.
To access a full list of duties, please see attached job description
About us
Who are we?
Nimbuscare is a not-for-profit, socially driven organisation within the NHS family. Were collaborative, agile and innovative at our core, working with partners across the system to remove complexity, inspire trust and create person-centred solutions that make healthcare better for everyone.
What we do?
We work towards making a complex system simpler. Creating better, more seamless care closer to home.
How we do it?
By collaborating closely with GP Members, Patient Safety Partners and wider health and care organisations, combining shared insight and expertise to improve outcomes for local people.
As a Disability Confident Committed employer disabled applicants who meet the essential criteria for this job are guaranteed an interview
Job description Job responsibilities
Please see supporting documents for the full job description and detailed role information attached.
The job description is provided as an outline of the key tasks and responsibilities and is not intended to be an exhaustive list. The job will evolve over time to reflect the changing needs of Nimbuscare and its services as well as the personal development of the post holder
Person Specification
Qualifications Essential
Full and current unrestricted GMC (UK) registration on the GP Register A medical degree qualification Up to date knowledge of all the latest guidelines and evidence in older peoples medicine Understand the importance of evidence-based practice and clinical effectiveness Understanding of clinical governance Sound clinical knowledge Ability to use the evidence base and clinical audit to support decision-making
Desirable
A post graduate qualification in older peoples care, e.g. Diploma Geriatric Medicine (or willing to work towards, we will support you to attain this and fund this) Experience of working a variety of clinical software systems
Skills and Competencies Essential
High level of communication skills Good organisational skills IT competency Ability to make good clear concise medical notes, both computerised and manual Able to work under pressure and within an ever-changing environment Ability to motivate and develop the multi-disciplinary team Organised and efficient in record keeping and completion of paperwork Time management skills -being able to prioritise work and work under pressure Computer literacy
Experience Essential
High level of clinical skills. Successfully Completed General Practice Specialist Training Appropriate range of previous experience in hospital posts Ability to teach clinical skills to medical and nursing staff and other disciplines.
Desirable
Desirable to have completed at least 2 years of GP specialist training Experience of System One Experience of working within a Virtual Ward service or within urgent community response care
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Nimbuscare Ltd
Address Nimbuscare Limited
Gateway 1, Holgate Park Drive
Holgate
York
YO26 4GG
United Kingdom
Employer's website https://www.primarycareyork.nhs.uk/ (Opens in a new tab)