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Chronic Disease Practice Nurse

Chobham and West End Medical Practice

Woking

On-site

GBP 30,000 - 40,000

Full time

10 days ago

Job summary

A local medical practice in Woking is seeking a Chronic Disease Practice Nurse to manage patients with long-term conditions. Responsibilities include developing care management programs for frail patients, conducting assessments, and ensuring effective nursing services. The ideal candidate is a registered nurse experienced in chronic disease management and willing to support a multidisciplinary team. This position requires proficiency in patient care procedures and compliance with clinical guidelines.

Qualifications

  • Registered Nurse with proven experience in chronic disease management.
  • Knowledge in managing diabetes, asthma, and coronary heart disease.

Responsibilities

  • Develop and implement care management programs for frail and housebound patients.
  • Assess patient needs to ensure appropriate healthcare provision.
  • Diagnose and manage acute and chronic conditions as needed.

Skills

Registered Nurse
Experience of working in a primary care environment
Wound care/removal of sutures and staples
ECGs
Ear syringing
Venepuncture
New patient medicals
Immunisations (routine, childhood and travel)
Requesting pathology tests and processing the results
Job description
Overview

To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients. Working as a senior member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population. The chronic disease practice nurse will be responsible for a number of clinical areas as well as actively supporting the management team in reviewing and delivery of clinical policy and procedure.

Main duties of the job

The following are the core responsibilities of the Chronic disease practice nurse.

  • To Support Infection Prevention Control
  • To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
  • To assess the needs of patients ensuring the provision of healthcare is appropriate
  • To develop, implement and embed health promotion and wellbeing
  • To implement and evaluate individual treatment plans for chronic disease patients
  • To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
  • Provide routine nursing care to patients in accordance with clinical based evidence
  • As required diagnose and manage acute and chronic conditions
  • To prescribe medication for patients in accordance with local formularies, national guidance and own scope of practice
  • To review patient medications to enhance compliance
  • To provide guidance to patients in the use of prescribed and over the counter medications regarding side effects and dosages
  • To co-ordinate the provision of travel medicine services
  • To request pathology services and process pathology results as required
  • To maintain accurate clinical records
  • To assist GPs with minor surgery when required
  • To support the team in dealing with clinical emergencies
  • To implement vaccination programmes for adults and children
About us

The Chobham & West End Medical Practice is a general practice with a main surgery in Chobham and a branch site in West End, both of which are purpose-built facilities. The practice provides general medical services to the local community.

The practice is part of the NHS (National Health Service) and is regulated by the Care Quality Commission. The Chobham & West End Medical Practice is a relatively modern practice, with its main surgery in Chobham and branch site in West End, both being purpose-built facilities, as mentioned in the Care Quality Commission report.

Job responsibilities

The following are the core responsibilities of the Chronic disease practice nurse. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels.

Key Responsibilities
  • To Support Infection Prevention Control
  • To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
  • To assess the needs of patients ensuring the provision of healthcare is appropriate
  • To develop, implement and embed health promotion and wellbeing
  • To implement and evaluate individual treatment plans for chronic disease patients
  • To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
  • Provide routine nursing care to patients in accordance with clinical based evidence
  • As required diagnose and manage acute and chronic conditions
  • To prescribe medication for patients in accordance with local formularies, national guidance and own scope of practice
  • To review patient medications to enhance compliance
  • To provide guidance to patients in the use of prescribed and over the counter medications regarding side effects and dosages
  • To co-ordinate the provision of travel medicine services
  • To request pathology services and process pathology results as required
  • To maintain accurate clinical records
  • To assist GPs with minor surgery when required
  • To support the team in dealing with clinical emergencies
  • To implement vaccination programmes for adults and children
ClinicalSkills
  • Registered Nurse
  • Experience of working in a primary care environment
  • Wound care/removal of sutures and staples
  • ECGs
  • Ear syringing
  • Venepuncture
  • New patient medicals
  • Immunisations (routine, childhood and travel)
  • Requesting pathology tests and processing the results, advising patients accordingly
ChronicDisease Management
  • Diabetes
  • CHD
  • Asthma
Qualifications
  • Diabetes & Asthma
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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