Job summary

Crewkerne Health Centre have an exciting opportunity for a Chronic Disease Nurse tojoin their supportive Nursing Team on a permanent basis, working hours per week.

You should be an experienced nurse who, acting within their professional boundaries, will deliver high quality care for patients with a range of chronic diseases in the community setting. The post holder will work with patients and their families to develop personalised goals, manage their condition themselves and lead as independent a life as possible.

The Nurse, in partnership with the patient, the family and carers, will develop a personalised plan of care and will be responsible for monitoring and amending plans to meet the changing needs of the patient, including referral to partner organisations such as palliative care, social care and social prescribing teams. The Nurse will work as part of a Multi-disciplinary team but will be responsible for a designated caseload of patients registered to the practice. They will demonstrate safe, clinical decision-making and expert care, and work collaboratively to meet the needs of patients and their family

Salary is £37, - £40, per annum and has the benefit of an NHS or Nest Pension.

Main duties of the job

Manage a designated case load of patients with chronic conditions, visiting them in their own home or consulting with them at the practice.

Work within the NMC Code To mentor junior staff ensuring that they are supported and continually developed. To develop the nursing services offered both for the practice and through SHS. To support clinical Supervision within the practice. To work with the practice and Lead Nurse in the development of clinical skill mix Promote SHS values and acts as a role model. To Implement the SHS Nursing Strategy as defined by the Nursing and AHP Director and the Lead Nurses forum. To ensure a high level of patient involvement and satisfaction with the service, including linking in with the practice PPG.

About us

Symphony Healthcare Services (SHS) is a largescale primary care organisation based in Somerset that provides NHS services via Primary Medical Service (PMS) and General Medical Service (GMS) contracts commissioned by the NHS Somerset Integrated Care Board (ICB).

Following the organisations establishment in April 2016, Symphony Healthcare Services currently operates and supports 17 GP surgeries across 21 locations in Somerset to continue to provide primary care for their population.

Providing NHS services is at the heart of what we do. Our vision is to ensure that primary care is sustainable for patients and practices in Somerset, and we aim to be a national exemplar for primary care provision. We work closely with our practice teams to support, develop and transform patient care and working practices with innovation and technology at the heart of what we do.

Job description

Job responsibilities

Key Responsibilities

Clinical practice

Manage a designated case load of patients with chronic conditions, visiting them in their own home or consulting with them at the practice.

Work within the NMC Code To mentor junior staff ensuring that they are supported and continually developed. To develop the nursing services offered both for the practice and through SHS. To support clinical Supervision within the practice. To work with the practice and Lead Nurse in the development of clinical skill mix Promote SHS values and acts as a role model. To Implement the SHS Nursing Strategy as defined by the Head of Nursing & Quality and the Lead Nurses forum To ensure a high level of patient involvement and satisfaction with the service, including linking in with the practice PPG.

Delivering a quality service

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own workload in a manner that maintains and promotes quality Deliver care according to NSF, NICE guidelines and evidence-based care Assess effectiveness of care delivery through self and peer review, benchmarking and formal appraisal. Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation acting as the specialist. Be involved in the review of and identify learning from patient complaints, clinical incidents and near-miss events Assess the impact of policy implementation on care delivery within own remit Person Specification

Qualifications

Essential

Registered first level nurse Evidence of appropriate continuing personal development

Desirable

Mentor/teaching qualification Clinical Supervision Training and experience

Knowledge and Skills

Essential

Management of patients with Chronic diseases Management of patients with complex needs Local and national health policy TEPs review Communication skills, both written and verbal Communication of difficult messages to patients and families Negotiation and conflict management skills Resource management

Desirable

Clinical examination skills ( PACR) Non-Medical Prescribing (NMP) Change management

Experience

Essential

At least 2 years recent nursing experience of working with patients with chronic conditions Audit

Desirable

Health-needs assessment Research Knowledge of EMIS/SystemOne and Ardens

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