Job summary
We are seeking a highly motivated and experienced Long-Term Conditions (LTC) Practice Nurse to join our friendly and supportive General Practice Team. This is an exciting opportunity to deliver high-quality care to patients with long term conditions, helping them to manage their health and improve their quality of life.
As part of our team, you will play a key role in supporting patients with conditions such as A sthma, COPD, Diabetes and CVD, providing expert clinical care, education, and monitoring.
Main duties of the job
Key Responsibilities
* Conducting patient reviews and assessments for long-term conditions.
* Developing and implementing individualised care plans.
* Providing education and support to patients and their families to promote self-management.
* Administering and monitoring treatment plans in line with clinical guidelines.
* Collaborating with GPs, healthcare assistants, and other multidisciplinary team members.
* Keeping accurate records and ensuring compliance with NHS policies and procedures.
About us
Riverside Brigg is a purpose built practice in the centre of Brigg with four other sites in surrounding areas. Five GP partners care for nearly 24,500 patients; we are a Training Practice, host medical students and nurses and also offer work placements. We are a dispensing practice with a pharmacy attached at both sites in Brigg and Broughton. The partners have specialist interests in Cardiology, Dermatology, Diabetes, Minor Surgery, Respiratory and Substance Misuse. We employ an ANP with an interest in; paediatrics, The Urgent Care Team manages on the day demand offering emergency appointments and telephone advice. Practice nurses manage long term conditions within the surgery and are supported by two Nurse Associates and six HCAs. The two practice Pharmacist's manage prescribing and medicines optimisation. The clinical team is supported by a multi-professional administration team.
Details Date posted
29 August 2025
Pay scheme
Other
Salary
Depending on experience
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
A0146-25-0006
Job locations
Barnard Avenue
Brigg
DN20 8AS
Job description Job responsibilities
Main Duties and Responsibilities of Post
To be competent and confident in managing people with long term health conditions
To ensure practice guidelines relating to Asthma, COPD, Diabetes and CVD are up to date, discuss any changes and implement in collaboration with Clinical Leads.
To audit each disease area is moving toward target, highlight and action any problem areas discuss any issues with Clinical Leads.
To proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition.
To diagnose and manage long term conditions, integrating both drug-and nondrug-based treatment methods into a management plan (as appropriate).
To review and re-authorise 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.
To work with patients to support compliance with, and adherence to, prescribed treatments, promoting self-management.
To provide information and advice on prescribed or over-the-counter medication, medication regimes, side-effects and interactions to long term conditions.
To provide assessment, screening, treatment, monitoring and health education advice to long term conditions.
To utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
To prioritise own workload and ensure effective time-management strategies are implemented.
To produce accurate, contemporaneous and complete records of patient consultations and treatments, consistent with legislation, policies and procedures.
To undertake home visits, as appropriate.
To attend and participate in Practice meetings.
To recognise and work within own competence and professional code of conduct as regulated by the NMC.
To deliver care according to NICE guidelines and other relevant evidence-based care.
Any other delegated duties appropriate to the post
Job description Job responsibilities
Main Duties and Responsibilities of Post
To be competent and confident in managing people with long term health conditions
To ensure practice guidelines relating to Asthma, COPD, Diabetes and CVD are up to date, discuss any changes and implement in collaboration with Clinical Leads.
To audit each disease area is moving toward target, highlight and action any problem areas discuss any issues with Clinical Leads.
To proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition.
To diagnose and manage long term conditions, integrating both drug-and nondrug-based treatment methods into a management plan (as appropriate).
To review and re-authorise 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.
To work with patients to support compliance with, and adherence to, prescribed treatments, promoting self-management.
To provide information and advice on prescribed or over-the-counter medication, medication regimes, side-effects and interactions to long term conditions.
To provide assessment, screening, treatment, monitoring and health education advice to long term conditions.
To utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
To prioritise own workload and ensure effective time-management strategies are implemented.
To produce accurate, contemporaneous and complete records of patient consultations and treatments, consistent with legislation, policies and procedures.
To undertake home visits, as appropriate.
To attend and participate in Practice meetings.
To recognise and work within own competence and professional code of conduct as regulated by the NMC.
To deliver care according to NICE guidelines and other relevant evidence-based care.
Any other delegated duties appropriate to the post
Person Specification Experience Essential
* Five years experience of working in primary care.
* Experience with clinical risk management.
Desirable
* Routine Practice Nurse competences - Smears, Immunisations
* Experience with audit and able to lead audit programmes
Qualifications Essential
* Registered Nurse - NMC Qualification.
* Specialist experience and qualification in Asthma, COPD, and Diabetes Management.
* Hold an Independent Prescribing Qualification
Desirable
* Knowledge of relevant clinical guidelines and NHS quality frameworks.
Skills Essential
* Knowledge of SystmOne
* Excellent communication and patient education skills.
* Ability to work autonomously and as part of a multidisciplinary team.
Person Specification Experience Essential
* Five years experience of working in primary care.
* Experience with clinical risk management.
Desirable
* Routine Practice Nurse competences - Smears, Immunisations
* Experience with audit and able to lead audit programmes
Qualifications Essential
* Registered Nurse - NMC Qualification.
* Specialist experience and qualification in Asthma, COPD, and Diabetes Management.
* Hold an Independent Prescribing Qualification
Desirable
* Knowledge of relevant clinical guidelines and NHS quality frameworks.
Skills Essential
* Knowledge of SystmOne
* Excellent communication and patient education skills.
* Ability to work autonomously and as part of a multidisciplinary team.
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
Riverside Surgery
Address
Barnard Avenue
Brigg
DN20 8AS
Employer's website
http://www.riversidesurgerygps.co.uk (Opens in a new tab)
Employer details Employer name
Riverside Surgery
Address
Barnard Avenue
Brigg
DN20 8AS
Employer's website
http://www.riversidesurgerygps.co.uk (Opens in a new tab)
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