You will have excellent IT skills and experience of EMIS or a similar clinical system.You will support our established e-hub with online consultations. You will be able to assess and manage patients presenting with a range of acute and chronic medical conditions such as acne, rashes, eczema, contraception, HRT, conjunctivitis, sore throats, urine infections, pain management, colds and respiratory issues. Full training and clinical support will be given during induction and clinical mentorship if offered ongoing, we also have a GP supervision daily to discuss any consultations that you may need support with. You will: Recognise, assess and refer patients presenting with mental health needs. Support patients in the use of prescribed medicines or over the counter medicines (within a scope of practice, reviewing annually as required) Maintain accurate clinical records in conjunction with current legislation Ensure read codes are used effectively. You will also work as an autonomous practitioner evaluating patients with complex care needs by using physical assessment skills, independent nurse prescribing (V300) Assess, create or update personalised care plans for vulnerable patients living out local primary care network area of Rye, Camber, Winchelsea Sedlescombe, Westfield Northiam, Broad oak Robertsbridge and BurwashTriage and manage acute and non- complex medical needs of patients who are housebound, palliative care and vulnerable, within your scope of practice and knowledge. Where other clinical support is, needed refer to GP or seek appropriate support of other community basis services. In conjunction with our care coordinators, work with other local service providers such as GP surgeries, community services, secondary care and voluntary sector to ensure that there is good communication between the multi-disciplinary services. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice or support patients to access care for these issues Implement and evaluate individual specialised treatment plans for chronic disease patients Identify, manage and support patients at risk of developing long-term conditions with the aim of preventing and managing the adverse effects these diseases may have on the patients health Provide advanced, specialist nursing care to patients as required in accordance with evidence based evidence, NICE and the NSF Support the undertaking of simple diagnostic procedures such:-Undertaking of ECGs and blood pressure monitoring Undertaking observations including monitoring for sepsis Undertake the collection of pathological specimens Request pathology services as necessary Process and interpret pathology and other test results as required Maintain accurate clinical records in conjunction with NHS guidelines for good practice You will be at the heart of our primary care network program to support vulnerable patients. Proactively working with practices, other voluntary agencies and our care coordinators to identify and care for vulnerable patients in care homes and the local community. Such as those who have complex medical issues, palliative care patients, those who have Learning disabilities, Autism, Serious mental health illness and those who struggle to access medical services directly from a GP practice and would benefit from support around managing their ongoing care. You will visit patients in their own homes and in care homes, review and assess their health and wellbeing needs, design and agree with the patients a personalised care plan. Then work with patients, their families, carers and the wider Multi-disciplinary team within community and secondary care to ensure that they can live the best possibly life within the boundaries of their medical limitations. Our aim is for you to work alongside key community services already in place to provide co-ordinated personalised care for those in care homes/housebound patients to prevent un-necessary hospital admissions.