Main duties of the job

To establish a Frailty Service for Falmouth and Penryn INT.

To identify those living with frailty within the INT, utilising the Rockwood scoring system or other identified method.

To support the elderly to age healthier, reducing progression of frailty and risks associated with it where possible.

To support them to make informed choices as to their health and welfare.

To attend and lead MDTs and work collaboratively with neighbourhood teams to support elderly and carers.

To reduce emergency hospital admissions, readmissions, and try to reduce the care burden.

To provide annual dementia health checks and home visits or face-to-face appointments.

To work collaboratively with Palliative End of Life services to identify those likely to be within their last year of life and support them to plan for their future needs. Develop shared care and support plans by involving older people living with frai...