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This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive, and the role may include additional duties which are not listed here.
Clinical Skills
1) Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.
2) Undertakes the establishment and running of Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease providing specialist nursing care for patients.
3) Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.
4) Excellent communication skills through patient consultation and nursing assessment of physical, psychological and social needs.
a. Takes an accurate history, building rapport towards a therapeutic relationship.
b. Assess, plan and implements patient centered plan of care for patients and refer when necessary to other healthcare professionals for further specialised care.
5) Maintains disease registers.
6) Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.
7) Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.
a) Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.
b) Perform investigative procedures including; Performing ECGs,
Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and
interpreting Peak Flow.
8) Demonstrate competence in examination techniques relevant to Long-term conditions clinic e.g. spirometry.
9) Adapts to change within working situation managing unscheduled emergency situations.
a) Basic life support, severe breathing problems, serious cardiovascular
problems, collapsed patients and seriously ill patients.
10) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.
11) Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.
12) Recognise own limitations, seek assistance and refer appropriately.
13) Deliver safe, effective evidence based care and advice to ease patient
Communication
1) Communicates effectively as a member of a multi-disciplinary team.
a) Liaises when necessary with general practitioners, Practice Nurses, HCAs, Reception & Admin Team, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MDT, social workers, mental health team, and Social Care Teams.
2) With Primary care nursing team giving support and advice.
3) With reception / admin staff regarding patient information.
4) Recognise and effectively manages situations where there are barriers to effective communication.
Professional
1) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice.
2) Leads on development of Long-term conditions pathways in conjunction with the Clinical Lead.
3) Actively participates in clinical meetings.
4) Ensures practice and implementation of care is evidence based by adhering to local and national guidance
5) Maintain confidentiality of information regarding patients.
6) Ensure accurate, concise documentation.
7) Report any adverse incidents or near miss events through agreed CHoC system.
8) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.
9) Identify and/ or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:
a) Risk management, Child and Adult safeguarding policies, Medicine management policies and Infection prevention policies.
Leadership
1) Is a support network for other colleagues, particularly nursing team.
2) Act as role model to inspire and motivate others
3) Act as mentor, support and induct new staff
4) Leads on establishing a culture where Long-term conditions management and health promotion flourishes in practice.
5) Is a voice that challenges practise to promote best practice.
Organisational Skills
1) Be aware and comply with policies and procedures.
2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.
3) Ensure faulty clinical equipment is reported and repaired and adequate for use.
4) Ensure store supplies are adequately ordered and maintained.
5) Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.
6) Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education.
7) Have a flexible approach to geographical locations across county sites.
The post holder will lead in the delivery of care to Practice patients with specified
long term conditions, treatments, preventative care, screening, and patient
education. By providing high quality evidence-based care to meet the health and
social needs of the Practice population. Working within the boundaries set out by
the regulated standards, and working collaboratively with the General Practice
Team, meet the needs of patients by providing quality evidence-based care.
Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.
Undertakes the establishment and running of Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease
Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.
Excellent communication skills.
Takes an accurate history, building rapport towards a therapeutic relationship.
Assess, plan and implements patient centered plan of care and refer when necessary to other healthcare professionals for further specialised care.
Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.
Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.
Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.
Perform investigative procedures including; Performing ECGs,
Urinalysis, Blood Glucose monitoring, Venepuncture, measuring andinterpreting Peak Flow.
Demonstrate competence in examination techniques relevant to Long-term conditions clinic
Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.
This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive, and the role may include additional duties which are not listed here.
Clinical Skills
1) Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.
2) Undertakes the establishment and running of Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease providing specialist nursing care for patients.
3) Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.
4) Excellent communication skills through patient consultation and nursing assessment of physical, psychological and social needs.
a. Takes an accurate history, building rapport towards a therapeutic relationship.
b. Assess, plan and implements patient centered plan of care for patients and refer when necessary to other healthcare professionals for further specialised care.
5) Maintains disease registers.
6) Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.
7) Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.
a) Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.
b) Perform investigative procedures including; Performing ECGs,
Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and
interpreting Peak Flow.
8) Demonstrate competence in examination techniques relevant to Long-term conditions clinic e.g. spirometry.
9) Adapts to change within working situation managing unscheduled emergency situations.
a) Basic life support, severe breathing problems, serious cardiovascular
problems, collapsed patients and seriously ill patients.
10) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.
11) Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.
12) Recognise own limitations, seek assistance and refer appropriately.
13) Deliver safe, effective evidence based care and advice to ease patient
Communication
1) Communicates effectively as a member of a multi-disciplinary team.
a) Liaises when necessary with general practitioners, Practice Nurses, HCAs, Reception & Admin Team, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MDT, social workers, mental health team, and Social Care Teams.
2) With Primary care nursing team giving support and advice.
3) With reception / admin staff regarding patient information.
4) Recognise and effectively manages situations where there are barriers to effective communication.
Professional
1) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice.
2) Leads on development of Long-term conditions pathways in conjunction with the Clinical Lead.
3) Actively participates in clinical meetings.
4) Ensures practice and implementation of care is evidence based by adhering to local and national guidance
5) Maintain confidentiality of information regarding patients.
6) Ensure accurate, concise documentation.
7) Report any adverse incidents or near miss events through agreed CHoC system.
8) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.
9) Identify and/ or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:
a) Risk management, Child and Adult safeguarding policies, Medicine management policies and Infection prevention policies.
Leadership
1) Is a support network for other colleagues, particularly nursing team.
2) Act as role model to inspire and motivate others
3) Act as mentor, support and induct new staff
4) Leads on establishing a culture where Long-term conditions management and health promotion flourishes in practice.
5) Is a voice that challenges practise to promote best practice.
Organisational Skills
1) Be aware and comply with policies and procedures.
2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.
3) Ensure faulty clinical equipment is reported and repaired and adequate for use.
4) Ensure store supplies are adequately ordered and maintained.
5) Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.
6) Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education.
7) Have a flexible approach to geographical locations across county sites.
The post holder will lead in the delivery of care to Practice patients with specified
long term conditions, treatments, preventative care, screening, and patient
education. By providing high quality evidence-based care to meet the health and
social needs of the Practice population. Working within the boundaries set out by
the regulated standards, and working collaboratively with the General Practice
Team, meet the needs of patients by providing quality evidence-based care.
Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.
Undertakes the establishment and running of Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease
Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.
Excellent communication skills.
Takes an accurate history, building rapport towards a therapeutic relationship.
Assess, plan and implements patient centered plan of care and refer when necessary to other healthcare professionals for further specialised care.
Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.
Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.
Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.
Perform investigative procedures including; Performing ECGs,
Urinalysis, Blood Glucose monitoring, Venepuncture, measuring andinterpreting Peak Flow.
Demonstrate competence in examination techniques relevant to Long-term conditions clinic
Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.
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