About this role
Job summary
Clifton Medical Centre is seeking an enthusiastic and skilled Chronic Disease Nurse to join our friendly, supportive primary care team. The post holder will provide care to patients with long term conditions, including Diabetes - Hypertension - CKD - CHD - Asthma and COPD - delivering safe - evidence based, and patient centred care.
The role is suitable for either a Registered Nurse with appropriate experience.
Main duties of the job
Deliver structured chronic disease reviews in accordance with national and local guidance.
Manage patients with diabetes and respiratory disease, including optimisation of medicines
Formulate -review and amend personalised care and treatment plans
Support patients with self management -lifestyle advice and prevention strategies
Work collaboratively within the multidisciplinary primary care team
Maintain accurate, timely, and professional clinical records
About us
Clifton Medical Centre is a training practice serving approximately 13,000 patients in Rotherham town centre. We pride ourselves on delivering high quality - compassionate care while fostering a positive and inclusive working environment.
We place strong emphasis on staff wellbeing and professional development - offering mentorship and learning opportunities. Our team is close knit - supportive and welcoming.
Job description Job responsibilities
The following are the core responsibilities of the Practice Nurse in delivering health services:
Support the Infection Prevention Control (IPC) lead and work to the IPC Policy
Consult with patients and their families to undertake assessments of patient need
Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives
Develop, implement and embed an effective care management programme for the frail and housebound patients registered with the organisation
Support public health and screening programmes, including immunisations, vaccinations, and cervical screening and also provide opportunistic health promotion advice
Embed population health management approaches within general practice, targeting health inequalities and improving access
As required, provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
Support new-to-practice nurses and other healthcare professionals within the organisation
Teach and advise patients and their families on how to manage their condition
Participate in clinical audits and research projects and implements changes as required, including supporting with the development, and updating of practice protocols/guidelines and procedures locally
Work within national and local protocols where these exist
Recognise the boundaries of their practice and know when and to whom patients should be referred
Support in the delivery of enhanced services and other service requirements
Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events
Undertake all mandatory training and induction programmes
Contribute to and embrace the spectrum of clinical governance
Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation
Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
Lead on public health campaigns (e.g., flu clinics)
Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively
Contribute to practice targets (QOF, etc.), complying with relevant guidance
Maintain chronic disease registers and implement an effective call/recall system
Maintain a clean, tidy, effective working area at all times
Chaperone patients where necessary
Support the team in dealing with clinical emergencies
Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels
Person Specification
Qualifications Essential
Registered Nurse with current UK professional registration Proven experience in the management of chronic disease - particularly diabetes and respiratory conditions Strong clinical assessment, decision making and interpersonal skills Ability to work effectively as part of a multidisciplinary team
Desirable
Independent Prescribing qualification
Qualifications Essential
Registered Nurse with current UK professional registration Proven experience in the management of chronic disease - particularly diabetes and respiratory conditions Strong clinical assessment, decision making and interpersonal skills Ability to work effectively as part of a multidisciplinary team
Desirable
Independent Prescribing qualification
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).
Employer details Employer name Clifton Medical Centre
Address Doncaster Gate
Rotherham
South Yorkshire
S65 1DA
Employer's website https://www.cliftonmedicalcentre.co.uk/ (Opens in a new tab)