Job summary
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. You will work strictly in accordance with specific practice guidelines and protocols, using Ardens templates and the patient digital platforms wherever possible.
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.
Main duties of the job
- Be proactive in chronic disease, QoF and Enhanced Service management, including health promotion, processing pathology, workflow, tasks and running audits as required.
- Utilise Ardens templates to complete thorough and concise annual chronic disease reviews and champion new digital platforms to maximise their potential for efficiency savings.
- Act as a mentor to junior/less experienced staff. Provide education, support, specialist advice and guidance to colleagues.
- Refer patients to other services/agencies and members of multidisciplinary teams as necessary e.g. Secondary Care, DESMOND, WMP, NDPP, social prescribers, care coordinators, health and wellbeing coaches.
- Recognise signs and symptoms that may indicate undiagnosed long term conditions and utilise relevant referral pathways.
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. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. We serve the healthcare needs of over 170,000 patients across Northamptonshire, Lincolnshire & Cambridgeshire.
Our values
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.
Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another to ensure we are always striving to improve, making the right and best decisions to provide the best service.
Lakeside Healthcare at Yaxley
We are a well-established semi-rural practice with a list size of over 19,000. We usually achieve full QOF points and have been awarded the RCGP Quality Practice Award twice.
For many years we have been at the forefront embracing innovations in General Practice, to the benefit of both our patients and staff.
You would be part of a friendly, enthusiastic and truly multidisciplinary team comprising of:
- 8 GP partners.
- 4 Salaried GPs.
- 5 Nurse Practitioners and 2 Emergency Care Practitioners.
- Clinical Pharmacist and Pharmacy Technician.
- An experienced Practice Nursing and HCA team.
- Supportive administration and reception teams.
- A dynamic and well integrated PCN team.
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 management and running of long-term condition clinics in your area of specialty e.g. diabetes, respiratory, in line with NICE guidance and Quality and Outcome Framework.
- Recognise health promotion opportunities and give brief, focused 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 management and running of long-term condition clinics in your area of specialty e.g. diabetes, respiratory, in line with NICE guidance and Quality and Outcome Framework.
- Recognise health promotion opportunities and give brief, focused 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
Experience
Essential
- Management of long-term conditions.
- Experience in Primary or Community Nursing care.
- Have an understanding of QOF and enhanced service management.
- Willingness to undertake training and education.
- Willingness to improve and develop the patient experience and patient care pathway.
- Experience of audit or research.
- Experience of using Microsoft software.
Desirable
- Experience of SystmOne and using Arden's templates.
- Involvement in implementing and using protocols and clinical guidelines.
- Clinical skills and competence in Practice Nurse 'Treatment Room' interventions.
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.
- Experience of continued professional development.
Desirable
- Non-medical prescribing qualification (or willing to work towards).
- Primary care Nursing qualification.
- Mentorship course.
- Minor illness course.
Person Specification
Experience
Essential
- Management of long-term conditions.
- Experience in Primary or Community Nursing care.
- Have an understanding of QOF and enhanced service management.
- Willingness to undertake training and education.
- Willingness to improve and develop the patient experience and patient care pathway.
- Experience of audit or research.
- Experience of using Microsoft software.
Desirable
- Experience of SystmOne and using Arden's templates.
- Involvement in implementing and using protocols and clinical guidelines.
- Clinical skills and competence in Practice Nurse 'Treatment Room' interventions.
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.
- Experience of continued professional development.
Desirable
- Non-medical prescribing qualification (or willing to work towards).
- Primary care Nursing qualification.
- Mentorship course.
- Minor illness course.
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).
