Mid Sussex Health Care

Chronic Disease Practice Nurse

Mid Sussex Health Care View all jobs


North East England
Permanent
Nurse Practitioner
GBP 0 - 24 per year

Posted 9 hour(s) ago

Reference: 2452777


Job summary

The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. The post holder will join a nursing team of 12. Clinically, the focus of the role is the delivery of evidence-based practice for patients with long-term conditions and management and preventative nursing interventions to all patients.

Main duties of the job

As an autonomous practitioner, the post holder is responsible for the care delivered and for demonstrating critical thinking and skills in clinical decision-making. He/she will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership where required with the lead nurse to the nursing team.

About us

We are a friendly, forward-thinking GP Practice operating across three sites and providing care to approximately 22,000 patients. Situated at the foot of the beautiful South Downs, we combine a stunning location with a strong reputation for delivering high-quality healthcare to our local community.

Our dedicated team of 75 staff work collaboratively to provide safe, effective and compassionate care. We are proud to hold a Good CQC rating and consistently achieve high QOF performance, demonstrating our commitment to clinical excellence, continuous improvement and outstanding patient care.

Joining our Practice means becoming part of a supportive, inclusive and patient-centred organisation where teamwork is valued, professional development is encouraged, and every member of staff plays an important role in delivering the best possible experience for our patients.

Details
Date posted

27 October 2026

Pay scheme

Other

Salary

£24.98 an hour

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1077-26-0004

Job locations

The Health Centre

Trinity Road

Hurstpierpoint

West Sussex

BN6 9UQ

United Kingdom


Job description
Job responsibilities

Clinical practice

  • Support Senior Partner with Safeguarding queries and development for the Practice.
  • Lead for Nurse led QOF

o Providing status reports at PHC meetings

o Planning and executing an annual strategy delivered on a monthly basis for the purposes of achieving 100% nurse led QOF indicators

o Supporting the Data Officer to ensure timely achievement of QOF targets

  • Management of Chronic Disease: Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals, with home visiting access if required.
  • Management of Chronic Disease: Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals, with home visiting access if required.
  • Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being including asthma, COPD, diabetes, coronary heart disease/hypertension and cerebral vascular disease
  • Supporting colleagues in a unified delivery of CD services
  • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition
  • Work with patients in order to support adherence to prescribed treatments
  • Work with other health care professionals to diagnose, monitor, manage and treat diabetes, coronary heart disease/hypertension and cerebral vascular disease, including using non-drug-based treatment methods, in line with national and local policies and practice needs
  • Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols
  • Prescribe products to meet the needs of patients within the Practice population
  • Work with patients in order to support adherence to prescribed treatments
  • Provide information and advice on prescribed or over-the-counter medication on medication regimes, side-effects and interactions
  • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
  • Support patients to adopt health promotion strategies that promote them to live healthily, and apply principles of self-care
  • Support and manage health needs of women presenting for family planning/ genealogical purposes and cervical cytology consultations
  • Implement and participate in vaccination and immunisation programmes for both adults and children as required
  • Advise, support and administer vaccinations where appropriate for patients travelling abroad
  • Promote and deliver evidence-based care for patients presenting with aural conditions
  • Meet the needs of patients presenting for wound care

Communication

  • The post-holder should recognise the importance of effective communication within the team and will strive to:
  • Maintain effective communication with individuals and groups within the practice environment and with external stakeholders
  • Recognise peoples needs for alternative methods of communication and respond accordingly
  • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
  • Communicate with and support patients who are receiving bad news
  • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
  • Anticipate barriers to communication and take action to improve communication
  • Estimate and maintain effective communication within the practice environment and with external stakeholders
  • Act as an advocate when representing patients and colleagues
  • Participate in practice team meetings; nurse team meetings, PHC meetings, All Staff meetings and CCG PLT sessions.
  • Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Delivering a quality service

  • Work closely with partners and managers to ensure the practice meets quality indicators and targets (including the Quality and Outcomes Framework and contract monitoring measures)
  • Recognise and work within own competence and professional code of conduct as regulated by the NMC
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality
  • Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
  • Participate in the maintenance of quality governance systems and processes across the practice
  • Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
  • Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate
  • Implement and review the application of evidence-based practice in nursing
  • Evaluate patients response to health care provision and the effectiveness of care
  • Support and participate in shared learning across the practice and wider organisation
  • Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (e.g. root-cause analysis)
  • Assess the impact of policy implementation on care delivery
  • Participate in the performance monitoring review of the team, providing feedback as appropriate
  • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
  • Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Personal and professional development

  • In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that NMC professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:
  1. Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
  2. Taking responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model and demonstrating skills and activities to others who are undertaking similar work.
  3. Assisting the Lead Nurse
  4. Support the development of others in CDM in order to maximise staff potential
  5. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
  6. Participate in CPD opportunities to ensure that up-to-date evidence based knowledge and competence in aspects of the role is maintained.
  7. Participate in clinical supervision.

Team working

  • Understand own role and scope in the practice and identify how this may develop over time
  • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
  • Delegate clearly and appropriately, adopting the principles of safe practice and assessing competence
  • Ensure clear referral mechanisms are in place to meet patient need
  • Support and assist the Lead Nurse in ensuring effective time-management strategies are embedded within the culture of the team for CDM and QOF.
  • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
  • Work effectively with others to clearly define values, direction and policies impacting upon care delivery
  • Participate in team activities that create opportunities to improve patient care
  • Participate in and support local projects as agreed with the practice management team
  • Management of risk
  • Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
  • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines, reporting any concerns to Health & Safety Manager (Alice de Pierpont)
  • Ensure the safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements if required.
  • Support members of the nursing team to undertake mandatory and statutory training requirements
  • Lead and hold responsibility for infection-control measures within the practice according to local and national guidelines
  • Support the Lead Nurse with applying policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
  • Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
  • Participate in the local implementation strategies that are aligned to the values and culture of general practice

Please see attached job description for more information.

Job description
Job responsibilities

Clinical practice

  • Support Senior Partner with Safeguarding queries and development for the Practice.
  • Lead for Nurse led QOF

o Providing status reports at PHC meetings

o Planning and executing an annual strategy delivered on a monthly basis for the purposes of achieving 100% nurse led QOF indicators

o Supporting the Data Officer to ensure timely achievement of QOF targets

  • Management of Chronic Disease: Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals, with home visiting access if required.
  • Management of Chronic Disease: Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals, with home visiting access if required.
  • Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being including asthma, COPD, diabetes, coronary heart disease/hypertension and cerebral vascular disease
  • Supporting colleagues in a unified delivery of CD services
  • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition
  • Work with patients in order to support adherence to prescribed treatments
  • Work with other health care professionals to diagnose, monitor, manage and treat diabetes, coronary heart disease/hypertension and cerebral vascular disease, including using non-drug-based treatment methods, in line with national and local policies and practice needs
  • Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols
  • Prescribe products to meet the needs of patients within the Practice population
  • Work with patients in order to support adherence to prescribed treatments
  • Provide information and advice on prescribed or over-the-counter medication on medication regimes, side-effects and interactions
  • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
  • Support patients to adopt health promotion strategies that promote them to live healthily, and apply principles of self-care
  • Support and manage health needs of women presenting for family planning/ genealogical purposes and cervical cytology consultations
  • Implement and participate in vaccination and immunisation programmes for both adults and children as required
  • Advise, support and administer vaccinations where appropriate for patients travelling abroad
  • Promote and deliver evidence-based care for patients presenting with aural conditions
  • Meet the needs of patients presenting for wound care

Communication

  • The post-holder should recognise the importance of effective communication within the team and will strive to:
  • Maintain effective communication with individuals and groups within the practice environment and with external stakeholders
  • Recognise peoples needs for alternative methods of communication and respond accordingly
  • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
  • Communicate with and support patients who are receiving bad news
  • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
  • Anticipate barriers to communication and take action to improve communication
  • Estimate and maintain effective communication within the practice environment and with external stakeholders
  • Act as an advocate when representing patients and colleagues
  • Participate in practice team meetings; nurse team meetings, PHC meetings, All Staff meetings and CCG PLT sessions.
  • Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

Delivering a quality service

  • Work closely with partners and managers to ensure the practice meets quality indicators and targets (including the Quality and Outcomes Framework and contract monitoring measures)
  • Recognise and work within own competence and professional code of conduct as regulated by the NMC
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality
  • Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
  • Participate in the maintenance of quality governance systems and processes across the practice
  • Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
  • Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate
  • Implement and review the application of evidence-based practice in nursing
  • Evaluate patients response to health care provision and the effectiveness of care
  • Support and participate in shared learning across the practice and wider organisation
  • Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (e.g. root-cause analysis)
  • Assess the impact of policy implementation on care delivery
  • Participate in the performance monitoring review of the team, providing feedback as appropriate
  • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
  • Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Personal and professional development

  • In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that NMC professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:
  1. Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
  2. Taking responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model and demonstrating skills and activities to others who are undertaking similar work.
  3. Assisting the Lead Nurse
  4. Support the development of others in CDM in order to maximise staff potential
  5. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
  6. Participate in CPD opportunities to ensure that up-to-date evidence based knowledge and competence in aspects of the role is maintained.
  7. Participate in clinical supervision.

Team working

  • Understand own role and scope in the practice and identify how this may develop over time
  • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
  • Delegate clearly and appropriately, adopting the principles of safe practice and assessing competence
  • Ensure clear referral mechanisms are in place to meet patient need
  • Support and assist the Lead Nurse in ensuring effective time-management strategies are embedded within the culture of the team for CDM and QOF.
  • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
  • Work effectively with others to clearly define values, direction and policies impacting upon care delivery
  • Participate in team activities that create opportunities to improve patient care
  • Participate in and support local projects as agreed with the practice management team
  • Management of risk
  • Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
  • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines, reporting any concerns to Health & Safety Manager (Alice de Pierpont)
  • Ensure the safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements if required.
  • Support members of the nursing team to undertake mandatory and statutory training requirements
  • Lead and hold responsibility for infection-control measures within the practice according to local and national guidelines
  • Support the Lead Nurse with applying policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
  • Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
  • Participate in the local implementation strategies that are aligned to the values and culture of general practice

Please see attached job description for more information.

Person Specification
Skills and Abilities
Essential
  • Effective communication with different groups of individuals
  • Good prioritisation skills
  • Good team working skills
Experience
Essential
  • Experience of QOF
  • Experience and knowledge of NSF and NICE guidelines
Qualifications
Essential
  • NMC Registration
Person Specification
Skills and Abilities
Essential
  • Effective communication with different groups of individuals
  • Good prioritisation skills
  • Good team working skills
Experience
Essential
  • Experience of QOF
  • Experience and knowledge of NSF and NICE guidelines
Qualifications
Essential
  • NMC Registration
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

Mid Sussex Health Care

Address

The Health Centre

Trinity Road

Hurstpierpoint

West Sussex

BN6 9UQ

United Kingdom


Employer's website

https://www.midsussexhealthcare.co.uk/ (Opens in a new tab)

Employer details
Employer name

Mid Sussex Health Care

Address

The Health Centre

Trinity Road

Hurstpierpoint

West Sussex

BN6 9UQ

United Kingdom


Employer's website

https://www.midsussexhealthcare.co.uk/ (Opens in a new tab)