To be involved in rehabilitation and discharge planning for frail elderly patients. To provide holistic care for those with frailty. Contribute to the support and management of appropriate and End of Life care. To provide advice and support to medical teams dealing with patients with complicated Rehabilitation/Discharge Planning issues Lead on delivery of high-quality care in our communitybed facilities to serve increasing and more enhanced step up models of care, as well as rehabilitation. Specialist community MDT working (virtual ward models for planning care of complex patients) in partnership with Social Care, Mental Health, Primary Care, Specialist Community Nursing, Therapy, End of Life and emergency services. Lead on clinically safe alternatives to acute admission in the community. The post holder will augment the ongoing education and training of medical and allied health professionals in Frailty and the management of acute frailty syndrome presentations