Work with colleagues in the frailty team to identify patients who would benefit from proactive review. Work with colleagues to undertake patient reviews in a holistic way. Review patients recently discharged from hospital, at risk of decompensation or who have had contact with urgent care services. Support medication reviews in collaboration with pharmacy technicians, ensuring safe and effective medication management.
Play a key role in expanding proactive care reviews for long-term conditions and frailty management. Potential to be involved in some care home work, depending on the evolution of the project. Work alongside a multidisciplinary team to ensure comprehensive and cohesive patient care. Liaise with community partners such as district nursing, palliative care teams, and geriatricians to improve patient outcomes
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