Job summary

Wentworth 1 PCN has an exciting opportunity for an experienced Enhanced Practice Nurse to join our multidisciplinary team. This role will support one or two of our 7 practices to deliver outstanding care to its patients dependant on the hours worked. If full time it will cover both practices if half time it will cover just one.

The post-holder will work as part of a multi-disciplinary team, to help transform and modernise pathways of care, enabling the safe and effective sharing of skills across traditional professional boundaries. The post holder will also lead our chronic disease management services within York Road Surgery / Shakespeare Road Medical Centre. The successful candidate will play a pivotal role in providing advanced nursing care to patients with long term chronic diseases, ensuring they receive comprehensive support, education, and management tailored to their individual needs.

Main duties of the job

York Road Surgery is a small practice based close to the centre of Rotherham with just under 5000 patients. shakespeare Road, just a 5 minute walk away from York Road has a similar number of patients. This role will focus on planned reviews and completion of personalised care and support plans, accessing members of the ARRS teams such as Social Prescribers and Clinical Pharmacists for expertise where needed.

About us

Wentworth 1 Primary Care Network includes 7 member practices. We provide primary care for over 52,000 patients in the Rotherham area.

Our aim by working together to co-ordinate, plan and share resources is that we will develop a stronger, more resilient primary care offer for all our patients.

This new way of working brings together partners from across the health, social care and voluntary sector to design and deliver innovation in services better placed to meet the needs of our communities, ensure better health outcomes for patients and utilise resources in a more efficient way. This includes the creation of additional roles in our practices including Clinical Pharmacists, Social Prescribers and Care Coordinators.

The purpose and benefits of a Primary Care Network includes

Improved Access and Continuity of Care : Patients benefit from better access to a range of services and continuity of care, particularly for those with long-term conditions.

Efficiency : By sharing resources, PCNs can reduce duplication of services and make better use of available healthcare professionals and technology.

Tailored Care : PCNs are designed to meet the specific needs of their local population, enabling more personalized and effective care.

Job description

Job responsibilities

The Enhanced Nurse will work within their professional boundaries;

Assist with the organisation and co-ordination of the provision of nursing services for the service.

Provide nursing treatment to patients in participation with general practitioners or independently agreed protocols for all chronic disease areas (NICE Guidance) and relevant SWL guidance.

Be competent and confident in long term chronic disease management, Shakespeare Road Medical Centre requires someone with skills in diabetes managment alongside the chronic disease managment.

Assess, diagnose, plan, implement and evaluate interventions / treatments for patients with complex needs, proactively identify, diagnose and manage treatment plans for patients with long term chronic diseases to effectively manage the patients risks.

Manage both acute and chronic conditions, integrating both drug- and non drug-based treatment methods into a management plan.

Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.

Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

• Clinical Care : Provide expert nursing care for patients with diabetes, including assessments, treatment plans, and ongoing management.
• Patient Education : Educate patients and their families on management of chronic disease illnesses, including lifestyle changes, medication adherence, and self-monitoring techniques.
• Multidisciplinary Collaboration : Work closely with GPs, endocrinologists, dietitians, and other healthcare professionals to ensure a holistic approach to patient care.
• Collaboration and Integration : Collaborate within the integrated neighbourhoodteams, coordinating care between various providers to enhance service delivery and patient experience
• Chronic Disease Management : Develop and implement care plans for patients with complex related health needs.
• Quality Improvement : Lead initiatives to improve care within the practice, including audits, protocol development, and staff training.
• Research and Development : Stay updated on the latest diabetes treatments and care strategies, incorporating evidence-based practices into patient care.
• Health Promotion : Engage in community outreach programs to raise awareness about diabetes prevention and management. Also focus should be on improving patient outcomes, proactive care delivery, and contributing to population health management

Person Specification

Experience

Essential

Desirable

Skills

Essential

Qualifications

Essential

Desirable