Long Term Conditions Nurse

Job summary

Greensand Surgeryhas a fantastic opportunity for a experienced long term conditions nurse to join our team on a part-time basis, for 18 hours per week. As a specialist nurse, you will provide and maintain a high standard of chronic disease management, which includes diagnosis, monitoring & development of individual management plans. Specifically in Diabetes, CHD and HF you will work strictly in accordance with specific practice guidelines & protocols. You will work collaboratively within the multi-disciplinary general practice team, to meet the needs of patients, provideassessments and reviews of health care needs, the optimisation of care where co-morbidity exists, maximising wellbeing, self-empowerment, and quality of life.

Main duties of the job

• Responsible for management of long-term condition clinics in diabetes, chronic heart disease & heart failure.
• Recognise health promotion opportunities, give brief, focused lifestyle advice using motivational interviewing techniques which may include alcohol screening & smoking cessation.
• Complete annual long-term condition reviews for patients.
• Complete medication reviews, change when necessary according to results.
• Review patients who present to the service on the day needing an acute service.
• Process pathology, workflow & tasks.
• Be proactive in improving and influencing the patient care pathway/ journey.

About us

Our Mission Statement: "Our Surgery aims to provide excellent clinical care that is available, accessible and efficient. We recognise the benefit of good teamwork to achieve our aims, provide the best possible service to patients as well as appropriate reward and job satisfaction for the team.

Greensand Surgery is a semi-rural, GMS, practice in mid-Bedfordshire with just over 10,000 patients.

We are a dynamic, hard-working team whose aim is to provide high quality patient centred care. The partnership is supportive and cohesive and we have a full complement of enthusiastic team members. We provide a comprehensive range of medical services for our patients as well as meeting targets for the New Contract. The practice consists of three partners and four salaried GPs, a dedicated nursing team, clinical pharmacist, and admin staff.