Job summary
Do you have experience in managing one or more long-term condition within a Primary Care environment? Or are you an experienced Practice Nurse who has expanded their skills and has experience in managing long term conditions?
We are recruiting an enthusiastic Chronic Disease Specialist Nurse to work across LHG (Lakeside Healthcare Group). All practices are active members of their local Primary Care Network and share the same group Group Lead Nurse and Chief Medical Officer.
As a Specialist Nurse, you will provide and maintain a high standard of chronic disease management, which includes diagnosis, monitoring and development of individual management plans and agreeing these as appropriate with the patient and other health professionals.
Main duties of the job
The post holder will work collaboratively within the multi-disciplinary general practice team, to meet the needs of patients, supporting the delivery of policy and procedures. The post holder will provide specialist assessments and reviews of health care needs, the optimisation of care where co-morbidity exists, maximising wellbeing, self-empowerment, and quality of life.
The post holder will be expected to:
- Responsible for managing and running long-term condition clinics for your speciality.
- Be proactive in QoF and enhanced services management by completing annual reviews using Ardens templates and patient digital platforms.
- Review patients who present to the service on the day needing an acute review.
- Process pathology, workflow, tasks and assisting with audits as required.
- Refer directly to other services/agencies and members of multidisciplinary teams when needed e.g social prescribers and health and well-being coaches.
- Supervise and provide training to other members of staff.
About us
LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are bold, adventurous and ambitious and determined to thrive in uncertain times. Joining our team presents an opportunity to be part of a large organisation that is changing the way primary care is delivered today.
Living and breathing our values at Lakeside Healthcare
Caring & Respect: Simply put we genuinely care about people: working together for our patients and our teams, our patients come first in everything we do. We strive to ensure we connect and respond to all needs with compassion, care and respect.
Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another.
About the Practice/Department/Team
Kettering is a market and industrial town in Northamptonshire, with a population of around 63,675. And it has a growing commuter population due to direct train links to London.
Lakeside Healthcare at Headlands Surgery has 10,031 patients registered and is rated as GOOD with CQC. We have a strong team ethos and believe that including those delivering the service in decisions are key to the best patient outcomes.
We have created a supportive environment through clinical supervision, team and quality meetings and an open and honest working relationship across our team.
We continue to invest in the training and development of our nursing team and recognise the importance of personal as well as organisational development.
Job description
Job responsibilities
The purpose of the post is to deliver safe, high quality primary care nursing services to the practice population. Working within the NMC Code of Conduct and professional boundaries, the post holder will deliver primary health care interventions and care. The post holder will support service development, the safe delivery of policy and procedures, and demonstrate effective professional nurse standards, advocacy and performance.
DUTIES & AREAS OF RESPONSIBILITY
Job Responsibilities/Principal Duties to include:
- Responsible for managing and running long-term condition clinics in your area of speciality e.g. diabetes, respiratory.
- Recognise health promotion opportunities and give brief, focussed lifestyle advice using motivational interviewing techniques which may include:
Alcohol screening
Smoking cessation
Weight management
Sexual health
- Complete annual long-term condition reviews for patients using Ardens templates.
- Complete medication reviews and change when necessary according to results.
- Recognise signs and symptoms that may indicate undiagnosed long term conditions e.g. poor wound healing, winter cough in smokers and also factors that may indicate mental health problems and use relevant referral pathways.
- Work in accordance with Practice protocols to ensure the safe and effective management of patients with Chronic Diseases.
- Review patients who present to the service on the day needing an acute review.
- Be proactive in QoF and enhanced services.
- Process pathology, workflow and tasks.
- Provide advice and guidance to colleagues.
- Complete audits as required.
- Liaise with other members of the multidisciplinary teams and refer patients on when required e.g. social prescribing team, health and well-being coaches, specialist hospital teams.
- Proactive in improving and influencing the patient care pathway/ journey.
- Effective communication with patients, carers and all members of the MDT.
- Effective prioritisation and completion of daily work in line with clinical / patient need and practice priorities.
- Help supervise and provide training to colleagues/students in your specialist area.
- Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations.
Training and personal development:
- Actively participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
- Maintain professional portfolio and ensure professional requirements are met.
- If it is necessary to expand the role to include additional responsibilities, full training will be given.
Other administration and professional responsibilities:
- Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
- Maintain professional registration and practice in accordance with NMC requirements.
- Attend and participate in nurse meetings.
Job description
Job responsibilities
The purpose of the post is to deliver safe, high quality primary care nursing services to the practice population. Working within the NMC Code of Conduct and professional boundaries, the post holder will deliver primary health care interventions and care. The post holder will support service development, the safe delivery of policy and procedures, and demonstrate effective professional nurse standards, advocacy and performance.
DUTIES & AREAS OF RESPONSIBILITY
Job Responsibilities/Principal Duties to include:
- Responsible for managing and running long-term condition clinics in your area of speciality e.g. diabetes, respiratory.
- Recognise health promotion opportunities and give brief, focussed lifestyle advice using motivational interviewing techniques which may include:
Alcohol screening
Smoking cessation
Weight management
Sexual health
- Complete annual long-term condition reviews for patients using Ardens templates.
- Complete medication reviews and change when necessary according to results.
- Recognise signs and symptoms that may indicate undiagnosed long term conditions e.g. poor wound healing, winter cough in smokers and also factors that may indicate mental health problems and use relevant referral pathways.
- Work in accordance with Practice protocols to ensure the safe and effective management of patients with Chronic Diseases.
- Review patients who present to the service on the day needing an acute review.
- Be proactive in QoF and enhanced services.
- Process pathology, workflow and tasks.
- Provide advice and guidance to colleagues.
- Complete audits as required.
- Liaise with other members of the multidisciplinary teams and refer patients on when required e.g. social prescribing team, health and well-being coaches, specialist hospital teams.
- Proactive in improving and influencing the patient care pathway/ journey.
- Effective communication with patients, carers and all members of the MDT.
- Effective prioritisation and completion of daily work in line with clinical / patient need and practice priorities.
- Help supervise and provide training to colleagues/students in your specialist area.
- Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations.
Training and personal development:
- Actively participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
- Maintain professional portfolio and ensure professional requirements are met.
- If it is necessary to expand the role to include additional responsibilities, full training will be given.
Other administration and professional responsibilities:
- Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
- Maintain professional registration and practice in accordance with NMC requirements.
- Attend and participate in nurse meetings.
Person Specification
Qualifications
Essential
- Registered Nurse
- NMC 1st level Registration
- Accredited diploma (or above) level award in at least one chronic disease e.g. diabetes, asthma/COPD
- Non-medical prescribing qualification (or willing to work towards)
- Experience of continued professional development
Desirable
- Non-medical prescribing qualification (or willing to work towards)
- Primary care Nursing qualification
- Mentorship course
- Minor illness course
Experience
Essential
- Management of long-term conditions
- Experience in Primary or Community Nursing Care
- Having a understanding of QOF and enhanced service management
- Willingness to improve and develop the patient experience and patient care pathway
- Experience of using Microsoft software
Desirable
- Experience of System one and using Arden's templates
- Involvement in implementing and using protocols and clinical guidelines
- Clinical skills and competence in Practice Nurse Treatment Room interventions
Person Specification
Qualifications
Essential
- Registered Nurse
- NMC 1st level Registration
- Accredited diploma (or above) level award in at least one chronic disease e.g. diabetes, asthma/COPD
- Non-medical prescribing qualification (or willing to work towards)
- Experience of continued professional development
Desirable
- Non-medical prescribing qualification (or willing to work towards)
- Primary care Nursing qualification
- Mentorship course
- Minor illness course
Experience
Essential
- Management of long-term conditions
- Experience in Primary or Community Nursing Care
- Having a understanding of QOF and enhanced service management
- Willingness to improve and develop the patient experience and patient care pathway
- Experience of using Microsoft software
Desirable
- Experience of System one and using Arden's templates
- Involvement in implementing and using protocols and clinical guidelines
- Clinical skills and competence in Practice Nurse Treatment Room interventions
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
