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Specialist Practice Nurse Long Term Conditions with Surrey Heath Community Providers Ltd in Camberley, Surrey
Work clinically to provide highly skilled evidence based long term condition management to patients as an essential part of the health care provided by the local GP Practices within the Federation / PCN. Work flexibly; the exact nature of your sessions / clinics can be developed according to your skills and experience. However you will need to be able to work with minimal supervision and be competent to undertake comprehensive health checks for a range of clients and be skilled in the management of one or more long term conditions (e.g. Asthma, COPD, Diabetes). Provide assessment and nursing care, advice and information to patients and carers within the Long Term Condition clinics at the Surrey Heath Hub or alternative Practice setting. Work under the direction of the Clinical Services Manager, Clinical Team Leader or Clinical Director, using skills and knowledge as a registered nurse. KEY TASKS AND RESPONSIBILITIES: To hold responsibility for delivery of Long Term Condition management clinics for a defined cohort of patients and undertake holistic assessments of patients, including those with complex health needs, make a nursing diagnosis, and develop appropriate plans of care with clear timelines for evaluation. To be responsible for assessing, diagnosing, implementing, planning and reviewing care needs for patients in the cohort(s) in partnership with patients, carers and multi-professional teams, in line with local policies and procedures, local commissioned service requirements and best practice guidance. To support and participate in staff training and development to ensure delivery of high quality evidence based nursing care and clinical competence. To work with the wider multidisciplinary team in a proactive way with the aim of preventing hospital admission and reduce GP contact. To demonstrate clinical expertise and competence within the specialty and work autonomously, managing own allocated clinics independently. Develop effective relationships with the SHCPL Team and the practice teams. Work as part of the multi-disciplinary team (MDT). Communicate effectively with team members, patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. About us Please see Supporting Documents for full Job Description, list of responsabilities and Person Specification