Practice Nurse with Chronic Disease Management Experience

• Main Duties of the
• Job
• The successful
• candidate will undertake autonomous clinical practice within their professional
• scope and will contribute to the delivery and development of chronic disease
• services across the Practice.

Key

responsibilities will include:

Taking a lead role in the management and review of patients with Asthma,

COPD and/or Diabetes, in line with current evidence-based guidance.

Undertaking comprehensive clinical assessments and developing

individualised management and treatment plans.

Monitoring disease control, treatment effectiveness and patient

outcomes.

Supporting patients to understand and manage their long-term conditions,

encouraging self-management and healthier lifestyle choices.

Identifying patients at increased risk of complications or deterioration

and taking appropriate action.

Recognising when referral to GPs, specialist teams or secondary care is

required and ensuring appropriate onward referral.

Supporting the identification and proactive management of patients at

• risk of developing long-term conditions.
• Providing health promotion and preventative healthcare advice.
• Working collaboratively with GPs, Advanced Practitioners, Pharmacists,
• Healthcare Assistants and the wider Practice team.
• Requesting and reviewing pathology investigations where appropriate and acting on results within scope of practice.
• Maintaining accurate, contemporaneous and confidential clinical records in accordance with professional and legislative requirements.
• Supporting patients with complex and long-term health needs and liaising with community and specialist services where appropriate.
• Contributing to safeguarding processes and supporting the wider clinical team with safeguarding concerns.
• Delegating appropriate clinical tasks to members of the nursing and healthcare support team.
• Participating in clinical audit, quality improvement and the development of Practice clinical services.
• Maintaining professional knowledge and competence through continuing professional development.

Contributing to the wider Practice Nursing service, according to skills

and experience, including:

Cervical screening

Immunisations and

vaccinations

ECGs

Wound care and

dressings

Health checks

Routine nursing

clinics

Other appropriate

• Practice Nurse services
• Job
• Responsibilities
• The successful
• candidate will be a professional, motivated and patient-focused Registered
• Nurse who is able to work confidently and autonomously while also contributing
• positively to our multidisciplinary team.

You will be

• expected to deliver safe, effective and compassionate nursing care to our
• registered patient population and to work within your professional scope of
• practice.
• Depending on your skills, experience and areas of clinical interest, there will be opportunities
• to develop your role and take responsibility for specific areas of chronic
• disease management and wider Practice Nursing.

We are keen to

support professional development and would welcome applicants who are looking

to develop their clinical expertise and make a meaningful contribution to the

continued improvement of our services.