Chronic Disease Practice Nurse

NHS; Yeovil; On-site; GBP 30,000 - 50,000; Full time

Job description

Note: Interview date will likely be Monday 12th May 2025

Role Summary

An exciting opportunity has arisen for an experienced and dedicated Practice Nurse to join our innovative and forward-thinking Primary Care Network (PCN).

Based at our busy Community Investigation Hub at Abbey Manor Medical Centre, this role offers the chance to deliver high-quality chronic disease management clinics on behalf of all practices in Yeovil.

We are proud to be a dynamic PCN that embraces innovative models of care, including group chronic disease clinics aimed at enhancing patient outcomes and engagement.

The successful candidate will also provide valuable support to the PCN Clinical Lead in the day-to-day running of the Community Investigation Hub, adult vaccination programmes throughout the year, and chronic disease reviews in care homes and patients' own homes.

This is a fantastic opportunity for an enthusiastic and motivated nurse who is passionate about chronic disease management and keen to be part of an exciting and evolving healthcare environment.

PCN's core business hours are Monday through Friday, 0830 - 1630.

Main Duties of the Job

Your responsibilities will include:

1. Deliver high-quality chronic disease management clinics, supporting the practices within Yeovil to achieve QOF, DES, and other clinical targets for conditions including COPD, Asthma, Heart Failure, and Diabetes.
2. Take a leading role in delivering innovative group chronic disease clinics to enhance patient care and engagement.
3. Provide expert advice and support to patients, including medication reviews and lifestyle advice.
4. Support the delivery of adult vaccination programmes throughout the year, including flu and COVID-19 vaccinations.
5. Provide chronic disease reviews within care homes and patients' own homes as required.
6. Apply infection control measures in line with local and national guidelines.
7. Maintain accurate and comprehensive patient records on EMIS in accordance with NMC guidelines.
8. Work in accordance with PGDs and support HCAs working to PSDs for vaccination delivery.
9. Collaborate effectively with other members of the primary healthcare team.
10. Maintain and update standard operating procedures (SOPs) and policies within own area of work.
11. Provide cover for colleagues as required and coordinate with the PCN Manager to address any staffing shortages.

About Us

The Yeovil Primary Care Network (PCN) is an exciting and creative place to work.

Yeovil PCN was founded in 2019 and has continued to improve and enhance the services it provides to its community.

We are a cooperation of five GP practices in Yeovil and a central PCN Hub team situated at Abbey Manor Medical Centre, and we aspire to provide clinical excellence and proactive patient-centered care.

Our successful services currently include a thriving Community Investigation Hub, the County's top performing COVID and flu vaccination programme, our supportive and engaging Care Home and Proactive Care team, our highly regarded Physiotherapy team and the NHS Health Check Service, which we were recently awarded.

We also have fresh and interesting initiatives in the works, and we think that our employees are the primary drivers of innovation and delivery; therefore, we invest in their training and development.

We are committed to strengthening our connections with community services and other system partners in order to overcome obstacles and establish an Integrated Neighbourhood Team that will enable us to deliver significant patient-centered care. Yeovil is a charming rural town situated on the border of Somerset and Dorset. There are lots of family-friendly nearby amenities and excellent transport options.

Staff also benefit from the NHS Pension Scheme, Blue Light Card, and other discount opportunities and competitive annual leave and bank holiday entitlement.

Person Specification

Qualifications

• Registered Nurse, NMC Registered
• Membership of a professional body
• Previous experience as a practice nurse
• Minimum 3 years post registration

Experience

• Experience in a minimum of two long-term conditions
• Previous experience in Primary Care minimum 3 years
• Compiling protocols and clinical guidelines
• Experience of prioritising own workload in a busy working environment

Personal Qualities and Attributes/Other

• Must hold a valid driving licence and own means of transport
• Highly motivated
• Flexibility
• Team player
• Ability to work across boundaries

Knowledge & Skills

• Management of patients with Chronic diseases
• Clinical examination skills
• Accountability of own role and other roles in a nurse-led service
• Local and national health policy
• Change management
• Clinical governance issues in primary care
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Resource management
• Understanding of Primary Care Networks and network Direct Enhanced Service
• Knowledge of public health issues
• Experience of working within Care Homes or with patients with complex needs
• Clinical leadership skills

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.