Dr Frazer Underwood

Dr Frazer Underwood

Honorary Associate Clinical Professor

School of Nursing and Midwifery (Faculty of Health)



Honorary Associate Clinical Professor - University of Plymouth and Joint Director of the South West Clinical School in Cornwall

Associate Clinical Professor in Integrated Services for Older People (Honorary) / Consultant Nurse and Associate Director of Nursing for Research, Improvement and Innovation - Royal Cornwall Hospitals NHS Trust

NIHR 70@70 Senior Nurse and Midwife Research Leader


PhD Applied Health Research

MA Applied Health Studies (Research) 

Registered Nurse 

Independent Nurse Prescriber


I have an amazing job working as an Associate Clinical Professor and Consultant Nurse in Integrated Services for Older People at Royal Cornwall Hospitals NHS Trust. 

My honorary appointment with the University of Plymouth supports my NIHR 70@70 Senior Nurse and Midwife Research Leadership role. 

I have passionately progressed a clinical nursing and academic career in rehabilitation nursing and older peoples care. My Consultant Nurse role focuses on frailty care and pathway improvements, and complex discharge planning. 

I am Joint Director of the Trust’s South West Clinical School programme with Professor Jill Shawe. 

I am a trained Innovation Leader.

I completed in 2020 my PhD studies with the University of Plymouth exploring the concept of confidence experienced by older people living with frailty.


Professional membership

Royal College of Nursing

British Geriatric Society

Higher Education Academy – Associate Fellow

Roles on external bodies

Deputy Director of The University of Plymouth Centre for Innovations in Health and Social Care: A Joanna Briggs Institute Centre of Excellence

British Geriatric Society - Vice Chair of the Nurse and AHP Council



Teaching interests

Older people and frailty care

Rehabilitation nursing

Leadership and change management 

Innovation in healthcare

Qualitative research methodology



Research interests

Following a regional NIHR academic internship award, he is a PhD studying part-time with the University. His research is exploring the meaning and understanding of ‘confidence’ in older people living with frailty and the implicationsfor practice.

I was successfully awarded a place on the NIHR 70@70 Senior Nurse and Midwife Research Leader programme, in May 2019 for three years. I am committed to the growth of clinical academic opportunities for the non-medical workforce and increasing access for our patient to research study participation.

My research interests are in: older peoples care, intermediate care, rehabilitation nursing and patient experience.

Qualitative Methods that include: qualitative systematic reviews, concept analysis, interpretive phenomenology, and method triangulation.




Underwood, F., Latour, J.M. & Kent, B. (2021) The meaning of confidence from the perspective of older people living with frailty: a conceptual void within intermediate care services, Age and Ageing. DOIhttps://doi.org/10.1093/ageing/afab109

Baines, R., Underwood, F., O’Keeffe, K., Saunders, J. & Jones, R.B. (2021) Implementing online patient feedback in a ‘special measures’ acute hospital: A case study using Normalisation Process Theory. Digital Health, 7, 20552076211005962. DOI: https://doi.org/10.1177/20552076211005962

Underwood, F., Dickinson, L., O'Keeffe, K. & George, B. (2020) Strengthening quality assurance by implementing an evidence-based revision of a ward accreditation programme. Nursing Management. DOI: 10.7748/nm.2020.e1957

Underwood, F. (2020) The concept of confidence of older people living with frailty and implications for practice. PhD thesis. University of Plymouth. Available at: https://pearl.plymouth.ac.uk/handle/10026.1/16211

Underwood, F, Latour, JM, Kent, B. (2020) A concept analysis of confidence related to older people living with frailty. Nursing Open, 7: 742– 750. DOI: 10.1002/nop2.446

Lyndon, H., Underwood, F., Latour, J. M., Marsden J., Brown, A. & Kent, B. (2019) Effectiveness of nurse-coordinated, person-centered comprehensive assessment on improving quality of life of community-dwelling frail older people: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, DOI: 10.11124/jbisrir-d-19-00082

Underwood, F. and Balin-Bull, B.. (2019). What are the best ways of drawing on older people’s experiences of care to improve my practice?. Nursing Older People. 31. 17-17. DOI:10.7748/nop.31.2.17.s14.

Wilcock M., Powell N., Underwood F. (2017) Antimicrobial stewardship and the hospital nurse and midwife: how do they perceive their role? Eur J Hosp Pharm, DOI:10.1136/ejhpharm-2017-001312

Underwood F., Burrows L., Gegg R., Latour J M. & Kent B.2017. The meaning of confidence for older people living with frailty: a qualitative systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15, 1316-1349. DOI: 10.11124/jbisrir-2016-002951

Underwood F., Kent B. James A. (2015) The meaning of confidence for older people living with frailty: a systematic review of qualitative evidence protocol. JBI Database System Rev Implement Rep, 13, 62-71.DOI: 10.11124/jbisrir-2015-2074

Fleming K., Barnes B. Underwood F. (2015) Practice question. Pain assessment and management. Nursing Older People 27, 14. DOI:10.7748/nop.27.5.14.s20

Wilcock, M., Davidson, I., Underwood, F. (2014) Hospital staff views on their role in providing information to patients on medication side effects. European Journal of Hospital Pharmacy, DOI. 10.1136/ejhpharm-2014-000554

Underwood, F. (2014) ‘Practice Question: Observations of Care.’ Nursing Older People. 26(2). p.13 DOI:10.7748/nop2014.

Underwood, F. and Burnett, W. (2012) ‘Practice Question: Care of frail older people in emergency care.’ Nursing Older People. 24(1). p.13.

Underwood, F and McCullough, F. (2007) ‘Intermediate care services for older people: a development project’. Mental Health Practice. 11(3) p.12-16. DOI: 10.7748/nop2014.

Underwood, F. (2007) ‘Older People's Mental Health and Intermediate Care: Do we really know what's out there to help our patients?’ British Geriatric Society Newsletter Issue 11 p. 12-16. DOI:10.7748/mhp2007.

Underwood, F., Grout, G., Mouland, L. (2007) ‘Ask the Experts: Who cares? Nursing Older People. 19(6). p.20.

Underwood, F., Garrett, D., Baker, W., Waddell, B., Lloyd, C., Jerram, S.(2006) ‘Ask the Experts: What value do consultant nurses place on the white paper, ‘Our Health, Our Care, Our Say: A New Direction for Community Services?’ Nursing Older People. 18(5). p.10-11.

Sugden, M., Waddell, B., Underwood, F. Phair, L. (2005) ‘Ask the Experts: Assistive Technology’. Nursing Older People. 17(5).p.14-15.

Underwood, F. (2004) ‘Supporting and developing new nurse prescribers in secondary care’. Nurse Prescribing 2(6). p.256-260. DOI:10.12968/npre.2004.2.6.17234

Underwood, F. and Parker, J. (1999) Developing and evaluating an acute stroke care pathway through action research. Nurse Researcher 6(2) p.27-38. DOI: 10.7748/nr.6.2.27.s4


Underwood, F. (2000) ‘Unlocking the Key Worker role’. (eds.) Dooher, J. Clark, A. and Fowler, J. Case Studies on Practice Development. Wiltshire: Mark Allen Publishing.p.114-120. ISBN: 1 85642 169 4


Parker, H., Phelps, K., Hewitt, G., Martin, G. and Underwood, F. (2004) Learning from Doing: benefits and challenges of setting up and running a nurse and therapy led intermediate care unit. Leicester: Nuffield Community Care Studies Unit, University of Leicester.

Other Publications

Underwood, F. (2020) The concept of confidence of older people living with frailty and implications for practice. PhD thesis. University of Plymouth. Available at: https://pearl.plymouth.ac.uk/handle/10026.1/16211