An excellent opportunity has arisen for a new Long-term conditions nurse.
This is a new and exciting opportunity for you to develop this role; the post holder will be a highly experienced Practice Nurse/Long-term conditions nurse.
In this role, you will be working within the Proactive Care Team as part of a multi-disciplinary team to ensure that all sites are working consistently towards QoF targets, whilst reaching the desired timescales.
As an autonomous practitioner, the successful candidate will ideally be a non-medical prescriber, able to demonstrate critical thinking and decision-making relating to long-term conditions.
We welcome applications from individuals who enjoy providing outstanding patient care, have a keen interest in being part of a team, striving to improve patient experience and outcomes, with excellent communication and IT skills.
Main duties of the job
Management of long-term conditions which could include: Diabetes Respiratory - Asthma - COPD Enable individuals with long-term conditions and their carers to make informed choices concerning their health and well-being and to organise their own support, assistance, and action, promoting self-care. Support individuals with long-term conditions and their carers to change their behaviour and to reduce the risk of complications. Manage programmes of care for patients with acute and chronic disease by planning and evaluating care. Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care and promoting a multi-disciplinary approach. Review prescribed medication and provide advice on all aspects of medicines management, within the scope of practice. Refer to relevant clinicians where appropriate. About us
Bridgwater Primary Care Network (PCN) is the largest PCN in Somerset with 9 GP practices, a health & wellbeing hub, and a diverse population spread across town and rural locations. As a PCN, we are forward-thinking, innovative, and driven to deliver the best patient care for our population. This includes health population management, and this role ties in with supporting that and tracking the improvements we can make to patients' lives. In January 2023, we started an exciting joint venture with Somerset NHS Foundation Trust to open a Health and Wellbeing Hub at the old Victoria Park Medical Centre. This is a flagship hub, the first of its kind that will bring together Primary and Secondary care all under one roof to support the Bridgwater Bay community. The focus of the hub is preventative care and supporting self-care management to the population. Job responsibilities
Job Summary Direct clinical involvement in long-term condition/chronic disease management. Delivery of nursing care to patients in the practice population. Providing advice, support, and liaison with other practice staff. Involvement in QOF management. Person Specification
Qualifications
RGN Diplomas in care of patients with Diabetes, asthma / COPD Experience
Experience of working with patients to achieve goals specific to their health needs. Experience in helping patients to manage their long-term conditions, specifically Diabetes and respiratory conditions. Ability to liaise with the wider multidisciplinary team to help the patient achieve their goals. Experience in working in Primary care. Experience of EMIS and commonly used IT systems. Confidentiality The post holder will maintain appropriate confidentiality of information relating to commercially sensitive matters regarding PCN business, and to personal information relating to members of staff and patients. The post holder will be expected to comply with all aspects of the Data Protection Act (1998). Equality & Diversity Bridgwater Bay PCN is committed to achieving equality of opportunity for all staff and for those who access services. You must work in accordance with equal opportunity policies/procedures and promote the equality and diversity agenda of the PCN. Safeguarding All employees have a duty for safeguarding and promoting the welfare of children and vulnerable adults. Staff must be aware of the procedure for raising concerns about the welfare of anyone with whom they have contact. Risk Management / Health and Safety Employees must be aware of the responsibilities placed on them under the Health & Safety at Work Act 1974, ensure that agreed safety procedures are carried out and maintain a safe environment for employees, patients, and visitors. Records Management The post holder has responsibility for the timely and accurate creation, maintenance, and storage of records in accordance with policy, including email documents and regarding the Data Protection Act, The Freedom of Information Act and any other relevant statutory requirements. Clinical Governance The post holder will be expected to participate in clinical governance activities to assist the PCN to provide high-quality services. Prevention and Control of Healthcare Associated Infection The post holder is expected to comply with Infection Control Policies and conduct themselves at all times in such a manner as to minimise the risk of healthcare associated infection. Policies & Procedures Employees are expected to follow policies, procedures, and guidance as well as professional standards and guidelines. 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.
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Management of long-term conditions which could include: Diabetes Respiratory - Asthma - COPD Enable individuals with long-term conditions and their carers to make informed choices concerning their health and well-being and to organise their own support, assistance, and action, promoting self-care. Support individuals with long-term conditions and their carers to change their behaviour and to reduce the risk of complications. Manage programmes of care for patients with acute and chronic disease by planning and evaluating care. Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care and promoting a multi-disciplinary approach. Review prescribed medication and provide advice on all aspects of medicines management, within the scope of practice. Refer to relevant clinicians where appropriate. About us
Bridgwater Primary Care Network (PCN) is the largest PCN in Somerset with 9 GP practices, a health & wellbeing hub, and a diverse population spread across town and rural locations. As a PCN, we are forward-thinking, innovative, and driven to deliver the best patient care for our population. This includes health population management, and this role ties in with supporting that and tracking the improvements we can make to patients' lives. In January 2023, we started an exciting joint venture with Somerset NHS Foundation Trust to open a Health and Wellbeing Hub at the old Victoria Park Medical Centre. This is a flagship hub, the first of its kind that will bring together Primary and Secondary care all under one roof to support the Bridgwater Bay community. The focus of the hub is preventative care and supporting self-care management to the population. Job responsibilities
Job Summary Direct clinical involvement in long-term condition/chronic disease management. Delivery of nursing care to patients in the practice population. Providing advice, support, and liaison with other practice staff. Involvement in QOF management. Person Specification
Qualifications
RGN Diplomas in care of patients with Diabetes, asthma / COPD Experience
Experience of working with patients to achieve goals specific to their health needs. Experience in helping patients to manage their long-term conditions, specifically Diabetes and respiratory conditions. Ability to liaise with the wider multidisciplinary team to help the patient achieve their goals. Experience in working in Primary care. Experience of EMIS and commonly used IT systems. Confidentiality The post holder will maintain appropriate confidentiality of information relating to commercially sensitive matters regarding PCN business, and to personal information relating to members of staff and patients. The post holder will be expected to comply with all aspects of the Data Protection Act (1998). Equality & Diversity Bridgwater Bay PCN is committed to achieving equality of opportunity for all staff and for those who access services. You must work in accordance with equal opportunity policies/procedures and promote the equality and diversity agenda of the PCN. Safeguarding All employees have a duty for safeguarding and promoting the welfare of children and vulnerable adults. Staff must be aware of the procedure for raising concerns about the welfare of anyone with whom they have contact. Risk Management / Health and Safety Employees must be aware of the responsibilities placed on them under the Health & Safety at Work Act 1974, ensure that agreed safety procedures are carried out and maintain a safe environment for employees, patients, and visitors. Records Management The post holder has responsibility for the timely and accurate creation, maintenance, and storage of records in accordance with policy, including email documents and regarding the Data Protection Act, The Freedom of Information Act and any other relevant statutory requirements. Clinical Governance The post holder will be expected to participate in clinical governance activities to assist the PCN to provide high-quality services. Prevention and Control of Healthcare Associated Infection The post holder is expected to comply with Infection Control Policies and conduct themselves at all times in such a manner as to minimise the risk of healthcare associated infection. Policies & Procedures Employees are expected to follow policies, procedures, and guidance as well as professional standards and guidelines. 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.
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