To ensure cohesive working between Acute and Community Services To contribute to the organisation of frailty multidisciplinary, patient centred care To facilitate flow of patients both from admission via A&E/MAU and through the whole patient journey. To provide expert relevant clinical advice and support to other health professionals, patients and their carers To support the development and implementation of best practice within the speciality of frailty medicine To provide a specialist nursing role in the assessment and management of patients who are frail. To provide an outreach service to other patients in the Hospital who have a high frailty score To provide key support and an educational resource for any qualified and unqualified nursing staff, allied health professionals, junior doctors and students working within the speciality To develop nurse led frailty follow up telephone advice after discharge To play a key role in ensuring that national and local targets for frailty patients are met.