Job summary The Workington GP Practice has an exciting opportunity for an experienced Chronic Disease Nurse who specialise in respiratory conditions to join the practice. The ideal candidate will have a strong background in general nursing and have specialised skills, knowledge and qualifications in respiratory conditions. Main duties of the job This role involves providing high-quality nursing care, managing and supporting patients with respiratory conditions and working collaboratively with other health care professionals to ensure the best outcomes for patients. About us North Cumbria Primary Care Ltd (NCPC) is an innovative not for profit social enterprise, established to create a network of great surgeries which sustains and supports the development of general practice across the local area. We enable our member general practices to continue to operate as local family practices with the benefit of a large and robust infrastructure to provide support. Primary Care in Workington is currently going through a major transformational redesign of our clinical model to develop and sustain primary care services, support new ways of working to increase efficiency and improve patient experience of the services we deliver. Date posted 29 October 2024 Pay scheme Other Salary £34,710 to £40,594 a year dependant on experience Contract Permanent Working pattern Part-time Reference number A4837-24-0029 Job locations James Street Workington Cumbria CA14 2DL Job description Job responsibilities To carry out spirometry if indicated, and interpret the results To carry out Feno testing on patients. Work with patients to support adherence to prescribed treatments. Carry out holistic and thorough reviews of patients with asthma and COPD To initiate investigations for patients on respiratory pathways Implement and evaluate individual care plans for patients with asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control On occasion be required to visit patients in their own homes Keep up to date with the latest developments in respiratory management and integrate evidence-based practices into patient care Provide patients with teaching to ensure good inhaler technique Advise, support and if required, administer vaccinations recommended for respiratory patients, including influenza, COVID and pneumonia vaccines To carry out home visits for respiratory patients who are not able to attend the surgery Maintain clear, accurate, legible, timely written documentation in patient notes providing a record of care delivered Mentor and support other nursing staff and students within the practice Attend relevant training and workshops to enhance knowledge and skills Accept accountability and responsibility for own safe clinical practice Awareness of the environmental impact of inhalers and working closely with patients to swap to other inhaler which meet the patients need and the environment Awareness of the Quality Outcomes Framework targets and other local incentives for the improvement of care given Use of the relevant practice templates to ensure correct clinical coding enabling the practice to reach targets and provide effective and holistic care to the patient On occasion a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & safety: The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Communication: The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly Contribution to the implementation of services: The post-holder will: Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Job description Job responsibilities To carry out spirometry if indicated, and interpret the results To carry out Feno testing on patients. Work with patients to support adherence to prescribed treatments. Carry out holistic and thorough reviews of patients with asthma and COPD To initiate investigations for patients on respiratory pathways Implement and evaluate individual care plans for patients with asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control On occasion be required to visit patients in their own homes Keep up to date with the latest developments in respiratory management and integrate evidence-based practices into patient care Provide patients with teaching to ensure good inhaler technique Advise, support and if required, administer vaccinations recommended for respiratory patients, including influenza, COVID and pneumonia vaccines To carry out home visits for respiratory patients who are not able to attend the surgery Maintain clear, accurate, legible, timely written documentation in patient notes providing a record of care delivered Mentor and support other nursing staff and students within the practice Attend relevant training and workshops to enhance knowledge and skills Accept accountability and responsibility for own safe clinical practice Awareness of the environmental impact of inhalers and working closely with patients to swap to other inhaler which meet the patients need and the environment Awareness of the Quality Outcomes Framework targets and other local incentives for the improvement of care given Use of the relevant practice templates to ensure correct clinical coding enabling the practice to reach targets and provide effective and holistic care to the patient On occasion a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & safety: The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include: Using personal security systems within the workplace according to practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Actively reporting of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role Undertaking periodic infection control training (minimum annually) Reporting potential risks identified Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional development: The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Quality: The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Communication: The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members Communicate effectively with patients and carers Recognise peoples needs for alternative methods of communication and respond accordingly Contribution to the implementation of services: The post-holder will: Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate Person Specification Experience Essential Strong clinical skills and ability to manage complex cases. Management of long-term conditions Desirable Experience of conducting patient education sessions Additional requirements Essential Flexible approach to working pattern to meet the needs of the service Willingness to undertake training and develop clinical competencies, Excellent time management Professional behaviour Clean full driving licence Qualifications Essential Good standard of general education Registered Nurse qualification Current NMC registration Recognised qualification in respiratory management for asthma and COPD Desirable Independent or Community Prescribing qualification Skills/Knowledge/Ability Essential Experience of working in primary care Ability to plan, assess, implement and evaluate patient care Demonstrable understanding of the extent of the role Understanding of scope of professional practice Excellent communication and interpersonal skills Highly motivated and able to work independently and flexibly as part of a team Communication skills, both written and verbal Desirable Experience with EMIS clinical system Person Specification Experience Essential Strong clinical skills and ability to manage complex cases. Management of long-term conditions Desirable Experience of conducting patient education sessions Additional requirements Essential Flexible approach to working pattern to meet the needs of the service Willingness to undertake training and develop clinical competencies, Excellent time management Professional behaviour Clean full driving licence Qualifications Essential Good standard of general education Registered Nurse qualification Current NMC registration Recognised qualification in respiratory management for asthma and COPD Desirable Independent or Community Prescribing qualification Skills/Knowledge/Ability Essential Experience of working in primary care Ability to plan, assess, implement and evaluate patient care Demonstrable understanding of the extent of the role Understanding of scope of professional practice Excellent communication and interpersonal skills Highly motivated and able to work independently and flexibly as part of a team Communication skills, both written and verbal Desirable Experience with EMIS clinical system 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name James Street Group Practice Address James Street Workington Cumbria CA14 2DL Employer's website https://www.jamesstreet-workington.nhs.uk/ (Opens in a new tab)