Main duties of the job Job Summary Direct clinical involvement in long term condition/chronic disease management Delivery of nursing care to patients in the practice population Providing advice, support and liaison with other practice staff Involvement in QOF management Job description Management of long term conditions which could include: Diabetes Respiratory - Asthma - COPD Enable individuals with long term conditions and their carers to make informed choices concerning their health and well being and to organise their own support, assistance and action and promoting self care Support individuals with long term conditions and their carers to change their behaviour and to reduce the risk of complications Manage programmes of care for patients with acute and chronic disease by planning and evaluating care Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care promoting a multi-disciplinary approach. Review prescribed medication and provide advice on all aspects of medicines management, within scope of practice. Refer to relevant clinicians where appropriate. ConfidentialityThe post holder will maintain appropriate confidentiality of information relating to commercially sensitive matters regarding PCN business, and to personal information relating to members of staff and patients. The post holder will be expected to comply with all aspects of the Data Protection Act (1998). Equality & Diversity Bridgwater Bay PCN is committed to achieving equality of opportunity for all staff and for those who access services. You must work in accordance with equal opportunity policies/procedures and promote the equality and diversity agenda of the PCN. SafeguardingAll employees have a duty for safeguarding and promoting the welfare of children and vulnerable adults. Staff must be aware of the procedure for raising concerns about the welfare of anyone with whom they have contact. Risk Management / Health and SafetyEmployees must be aware of the responsibilities placed on them under the Health & Safety at Work Act 1974, ensure that agreed safety procedures are carried out and maintain a safe environment for employees, patients and visitors. Records Management The post holder has responsibility for the timely and accurate creation, maintenance and storage of records in accordance with policy, including email documents and regarding the Data Protection Act, The Freedom of Information Act and any other relevant statutory requirements. Clinical Governance The post holder will be expected to participate in clinical governance activities to assist the PCN to provide high quality services. Prevention and Control of Healthcare Associated Infection The post holder is expected to comply with Infection Control Policies and conduct themselves at all times in such a manner as to minimise the risk of healthcare associated infection. Policies & Procedures Employees are expected to follow policies, procedures and guidance as well as professional standards and guidelines. 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.