Job description

Job responsibilities

• Oversee the day-to-day operations of the practice, supporting the Business Manager and ensuring staff meet their responsibilities. Provide leadership, line management, appraisals, recruitment, induction, training, and absence management for reception and administrative staff.
• Act as HR lead, ensuring compliance with policies and procedures, maintaining training and appraisal records, managing DBS checks, annual leave via TeamNet, and supporting staff development.
• Manage the clinical system and IT processes, including user access and security for EMIS Web. Support staff with searches, audits, templates, rotas, and resolve local IT issues.
• Lead governance and operational compliance, including significant events, audits, complaints management, risk management, health and safety, fire safety, COSHH, PAT testing, legionella, and waste management.
• Oversee premises, assets, insurance reports, smart card sponsorship, PPG meetings, and liaise with external stakeholders, deputising for the Business Manager when required.

No canvassing or recruitment agencies.

Person Specification

Qualifications

Essential

• Good standard of education with excellent literacy and numeracy skills;
• Leadership and / or Management Qualification;

Desirable

• AMSPAR Qualification;

Experience

Essential

• Experience working with the general public;
• Experience working in a healthcare setting;
• Relevant health and safety experience;
• Experience in performance management, including appraisal writing, staff development, and disciplinary procedures;
• Experience in workforce planning.

Desirable

• Experience in leading multidisciplinary teams;
• NHS / Primary Care General Practice experience;
• Experience in producing agendas and minutes for meetings;

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.

Employer details

Employer name

Primary Care Management Solutions Ltd

Address

Chiltern House Medical Centre

45-47 Temple End

HIGH WYCOMBE

HP13 5DN

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical Duties

Conduct chronic disease management clinics, including diabetes, asthma, COPD and hypertension

Perform cervical cytology and sexual health advice

Administer vaccinations and immunisations, including childhood and travel vaccines

Provide wound care, including dressings and suture removal

Conduct health checks and screenings

Manage minor illnesses and injuries providing treatment and advice

Assist with minor surgical procedure and perform ECGs

Health Promotion

Provide lifestyle advice, including smoking cessation, weight management and dietary advice.

Support patients in managing their long-term condition through education and self-care advice.

Administration and Professional Responsibilities

Participate in the administrative and professional responsibilities of the practice team

Maintain accurate and up-to-date patient records of all consultations and treatments using practice's clinical system, SystmOne

Participate in clinical audits and contribute to the practice's QOF targets

Assist in the development and implementation of practice policies and protocols

Attend and participate in practice meetings as required

Restocking and maintenance of clinical areas and consulting rooms

Any other delegated duties appropriate to the post

Confidentiality

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.

You 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.

Health and Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health and Safety Policy and Infection Control Policy, to include:

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

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

Participate in continuing professional development (CPD) activities to maintain and enhance clinical skills

Undertake mandatory training and keep up-to-date with relevant guidelines and best practices

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

Skills & Knowledge

Essential

• Computer literacy,
• Demonstrable interpersonal skills and communication skills,
• Evidence of problem-solving and decision-making skills,
• Understanding the importance of evidenced-based practice,
• Ability to record accurate clinical notes,
• Broad knowledge of clinical governance,
• Knowledge of Infection Prevention Control,
• Understand the requirement for PGDs, PSDs and associated policies

Desirable

• QoF/CQC related clinical and administrative work

Experience

Essential

• Experience of working in accordance with the UKCC code of professional conduct
• Experience of working in a GP practice or in a primary care setting,
• Experience of dealing with patients independently on a one-to-one basis,
• Experience of working within a multi-disciplinary team,
• Strong organisational and time- management skills,
• Excellent communication and interpersonal skills,
• Independent travel is essential along with the ability to work effectively as part of a team to assist the practice in providing an excellent standard of patient care.

Desirable

• Chronic disease management, specifically Diabetes.
• Knowledge of SystmOne.

Qualifications

Essential

• Registered Nurse RN with current NMC registration,
• Evidence of continuous professional development,
• Full driving license holder

Desirable

• Cervical cytology qualification,
• Childhood immunisations and travel vaccination.

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

Blackhall and Peterlee Practice

Address

Hesleden Road

Blackhall Colliery

Hartlepool

Cleveland

TS27 4LQ

United Kingdom

Employer's website

http://www.blackhallandpeterleepractice.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Please see the job description and person specification attached to this job advert for full details on the role.

Person Specification

Qualifications

Essential

• RGN/RN/Diploma Nursing Studies
• Non-medical prescribing V100/V150 or willing to work towards within specified timeframe
• Specialist training/short courses relevant to the post or equivalent level of experience
• Evidence of ongoing continuing professional development/Portfolio

Desirable

• Specialist Community District Nursing post graduate diploma

Knowledge

Essential

• Current Legislation and impact on community nursing services.
• Evidence based practice
• Mentorship or evidence of supervision/teaching/team management
• Evidence of understanding of the role of Case Manager and care coordination.
• To demonstrate an understanding of proactive caseload management
• Integrated Team working

Desirable

• Understanding of audit processes, Key Performance Indicators and Targets, CQUIN collection data and Quality Monitoring Programmes
• Understanding of research methodology and audit
• To have an understanding of the principles of restorative practice

Experience

Essential

• Significant post registration experience of working at Band 5
• Experience in planning and providing care to patient with Long Term Conditions, wound management, palliative and end of life care.
• Experience of collaborative working across organisation both statutory and voluntary services
• Experience of initiating and implementing clinical or professional change and evaluation of practice
• Experience in using IT in clinical practice

Desirable

• Developing and leading practitioners to deliver client responsive services delivering high quality nursing skills and care.
• Experience of proactive caseload management and the ability to act as a care coordinator.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

City Health Care Partnership CIC

Address

Bridlington Hospital

Bessingby Road

Bridlington

YO16 4QP

United Kingdom

Employer's website

https://www.chcpcic.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

Person Specification

Personal attributes

Essential

• Ability to take initiative to meet the needs of the service
• Conscientious approach to work

Desirable

• Ability to work under pressure
• Ability to multi-task
• The ability to speak Welsh

Knowledge

Essential

• Ability and willingness to learn

Skills

Essential

• Ability to work as part of a team or independently
• Communications skills

Desirable

• Evidence of skills

Experience

Essential

• Experience of dealing with the public
• Caring attitude

Desirable

• Computer qualifications, office work
• Phlebotomy experience
• Heathcare experience

Qualification

Essential

• Basic education in numeracy and literacy

Desirable

• 5 GCSE's or equivalent
• Previous Phlebotomy work

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Aneurin Bevan University Health Board

Address

Bryntirion Medical Practice

West Street

Bargoed

CF81 8SA

United Kingdom

Employer's website

https://abuhb.nhs.wales/ (Opens in a new tab)

Job description

Job responsibilities

The Communications and Engagement Officer will lead on community engagement, partnership development, and communications activity for the One You Kent service across a defined locality, while supporting county-wide priorities where required. The postholder will build and maintain strong relationships with local partners, healthcare providers, community organisations, and residents to increase awareness of the service and strengthen referral pathways.

The role will involve delivering effective digital, marketing, and media activity across a range of channels, including managing social media, creating engaging content, supporting campaigns, and promoting the service through local media opportunities. The postholder will work closely with ABLs central communications team to ensure consistent, accessible, and high-quality communications that support service objectives and KPI delivery.

In addition, the postholder will contribute to co-production and service development activities, monitor and report on engagement and communications performance, and support continuous improvement across the service. This is a varied and flexible role requiring strong organisational skills, initiative, and the ability to work both independently and collaboratively, including occasional evening and weekend work where required.

Person Specification

Qualifications

Essential

• Relevant experience working in communications, engagement, community development, public health or a related field.

Desirable

• Relevant qualification or training in communications, marketing, public health, community development or similar.

Job Specific Requirements

Essential

• Ability to travel independently across Kent as required.
• Willingness to work flexibly, including occasional evening or weekend work to support events and engagement activity.
• Willingness to undertake an Enhanced DBS check.

Experience

Essential

• Experience of working within or alongside health, wellbeing, public health or community services.
• Experience of engaging with communities, partners or stakeholders to promote services or initiatives.
• Experience of working in a community or place based setting.

Desirable

• Experience of working with lifestyle services such as smoking cessation, weight management, physical activity or behaviour change programmes.
• Experience of developing and delivering communications, marketing or engagement campaigns.

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.

Employer details

Employer name

ABL Health Ltd

Address

Kent House

81 Station Road

Ashford

TN23 1PP

United Kingdom

Employer's website

https://www.ablhealth.co.uk/work-for-us/join-our-team/ (Opens in a new tab)

Job description

Job responsibilities

As a Salaried General Practitioner, you will play a pivotal role in delivering high-quality primary care services, with a range of responsibilities tailored to meet the dynamic needs of our patients and practice. While the core duties are outlined below, flexibility and a willingness to adapt to varying workload and staffing levels are essential.

Clinical Responsibilities:

Consultations: Engage in surgery consultations, telephone consultations, and patient queries as per the practice timetable. This includes home visits, managing repeat prescriptions, and addressing patient queries and paperwork efficiently.

Decision-Making: Make professional, autonomous decisions for presenting problems, whether self-referred or referred by other healthcare workers.

Patient Assessment: Assess healthcare needs for patients with undifferentiated and undiagnosed problems, screening for disease risk factors and early signs of illness.

Care Planning: Develop care plans in consultation with patients, aligning with current practice disease management protocols.

Health Education and Counselling: Provide counselling and health education, tailoring advice and support to patient needs.

Patient Management: Manage patient admission and discharge from the caseload, referring to other care providers as appropriate.

Documentation: Maintain clear, contemporaneous consultation notes and collect data for audit purposes, adhering to QOF requirements and delivering enhanced services.

Prescriptions: Issue computer-generated acute and repeat prescriptions, prescribing in accordance with the practice formulary and clinical appropriateness.

Other Responsibilities within the Organisation: Policy Compliance: Ensure awareness and compliance with all practice policies and guidelines, including prescribing, confidentiality, data protection, health & safety and duty of candour.

Continuous Learning: Demonstrate a commitment to lifelong learning, audit, and evidence-based practice. Contribute to clinical standard setting and the development of computer-based patient records.

Record Management: Contribute to patient record summarising and Read-Coding of patient data. Attend relevant training and events to maintain and enhance professional development.

Practice Responsibilities:

Clinical Standards and Audit: Contribute to clinical standard setting and audits, ensuring data is recorded promptly and accurately in patient records systems.

Health and Safety: Maintain responsibility for personal health and safety, as well as that of others, adhering to practice health and safety policies and procedures.

Professional Development: Develop a training plan in conjunction with practice objectives, participating fully in training and development opportunities provided by the practice.

Training & Development: Participate fully in training and development activities and engage with strategies to enhance clinical, leadership and administrative skills, in alignment with practice business objectives.

This role demands a proactive, dedicated approach to patient care, with a strong emphasis on quality, safety, and continuous improvement.

OUR VALUES

We put our patients at the HEART of everything we do.

Harmony

Working in harmony with our colleagues, community and external healthcare professionals we will create a vision of healthcare for the future. Working harmoniously, we will create a multidisciplinary health care model to provide quality healthcare for each patient at the right time.

Excellence

We will always welcome open and honest feedback so that we can strive for excellence. Excellence will be achieved through continuous learning and developing innovative solutions to improve healthcare for our community. We will invest time to provide ongoing training and support to not only our colleagues but GPs of the future.

Accountability

This means more than simply just doing our job, it forms our obligation to make things better, to pursue excellence and the vision for our practice. Being accountable means we are answerable for our actions and the actions of our team. It helps drive our commitment to the quality and improvement of services and care.

Respect

Respect is a guiding value for all colleagues at Forest View, it makes the foundation for every interaction. We will respect and appreciate each persons need or point of view recognising them as individuals and we will always take the time to understand and support them.

Teamwork

We understand that the success of our practice is inevitably tied to others and our performance as a team is defined by every person. We commit to keeping our colleagues safe and looking after their well-being. We will always welcome partnerships that enhance and benefit the community we serve.

Person Specification

Skills and Abilities

Essential

• Polite and confident
• Flexible and cooperative approach
• Motivated Forward thinker
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situation

Experience

Essential

• MRCGP

Desirable

• Experience within the NHS and/or Primary Care

Qualifications

Essential

• Full registration with General Medical Council and listed on GP register
• Listed on Wales Medical Performers List
• Right to work in the United Kingdom

Desirable

• Post CCT employment

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

GP Practice in Wales

Address

Forest View Medical Centre

Abergorki Industrial Estate

TREORCHY

Rhondda Cynon Taff

CF42 6DL

United Kingdom

Employer's website

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

Job description

Job responsibilities

To provide a personal assistant and medical secretarial service to a Consultant and other medical staff in relation to their clinical duties.

To manage the Consultants waiting list and the booking of theatre lists in line with Trust policy and national 18 week RTT guidelines.

To undertake medical audio/copy typing duties including outpatient letters to General Practitioners operation notes and letters, discharge summaries and other official correspondence if required.

To undertake responsibility to ensure any outsourced work for the Acute Clinics is correctly checked and uploaded to the Trust records and applications.

To respond to enquiries from GPs, other Health Service personnel, patients and relatives

To participate in the collection and transmission of information to enable the Directorate to meet its objectives.

To assist with sorting day to day post.

To participate in the introduction and use of IT and to provide IT support to colleagues.

To cover, as is practical, Medical Secretary colleagues

To participate in the use of PAS systems to establish patient information is kept as accurate as possible and produce patient documentation as required.

To undertake any other duties as may be required as appropriate by the Consultant or the Directorate Management Team in accordance to the needs of the service.

Person Specification

Skill/Knowledge

Essential

• Knowledge and understanding of National Guidelines including 18 week RTT Self-reliant, ability to work independently and as part of a team Good computer skills Working knowledge of Microsoft Office Good telephone skills Excellent verbal and written communication skills Good organisational skills

Desirable

• Knowledge of NHS systems Working knowledge of Oasis / PAS / Bluespier / CLIP

Other Job Requirements

Essential

• Adaptable / Flexible Able to prioritise workloads Willing to work flexible hours

Qualifications

Essential

• GCSE English and Maths at Grade C or above, or equivalent

Desirable

• Typewriting / word processing RSA AMSPAR qualification or working towards AMSPAR medical terminology qualification

Personal Qualities

Essential

• Able to work in demanding conditions where there is a high volume of activity Accurate and attention to detail Willingness to work with team members to help develop office and communication systems in conjunction with evolving working practices

Experience

Essential

• Previous medical secretarial / hospital experience Previous experience working in a busy office Previous experience of dealing with members of the public

Desirable

• Knowledge of NHS systems Working knowledge of Oasis / PAS / Bluespier / CLIP

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust

Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

United Kingdom

Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Clinical Lead Nurse for Diabetes is a senior clinical role within the Tier 2 Neighbourhood Support Team. The postholder holds a patient-facing caseload, delivering advanced diabetes nursing care in complex multimorbidity as an autonomous clinician. Responsibilities include insulin and injectable initiation and titration; use of CGM and Flash Glucose Monitoring data for titration; delivery of structured education; joint visits with district nursing for assisted insulin; contribution to the Tier 2 MDT and weekly Tier 3 MDT (combined with the LTHT community diabetes MDT); joint clinics with Practice Diabetes Leads; TARGET education across Tier 1; Advice and Guidance to primary care within 24-hour urgent and one-week routine SLAs; clinical leadership and supervision of nursing colleagues; and active outreach to people in deprivation deciles 1 to 3 and named priority groups. Contribution to service development, quality improvement and equity of diabetes care.

Purpose of the role

The Clinical Lead Nurse for Diabetes is a senior clinical role within the Tier 2 Neighbourhood Support Team of the Diabetes Neighbourhood Health Programme a new integrated model of care for adults aged 1867 with diabetes (any type) and two or more other long-term conditions, delivered across the Beeston and Middleton & Hunslet PCN footprint and expanding across the Multi-Neighbourhood over the three-year development period.

The role is patient-facing, holds an active caseload within the Tier 2 cohort, and delivers advanced diabetes nursing care across injectable therapy, structured education and complex multimorbidity. The postholder is a core participant in the Tier 2 MDT and the weekly Tier 3 MDT (combined with the existing LTHT community diabetes MDT), provides Advice and Guidance to primary care, leads joint clinics with the Practice Diabetes Lead in each footprint practice, and drives workforce development across Tier 1 and Tier 2 through quarterly TARGET education.

Active outreach and engagement with deprivation deciles 13 and named priority groups (people with learning disability, serious mental illness, those homeless or vulnerably housed, those who smoke or use substances, adults living alone) is a core expectation of the role. The postholder is expected to work in a person-centred, trauma-informed way, with a working understanding of the wider social determinants of health.

Key duties and responsibilities

Advanced diabetes nursing and injectable therapy

Advanced clinical assessment and consultation with patients on the Tier 2 caseload, including remote and asynchronous consultation.

Insulin initiation, titration and ongoing management across all regimens basal, biphasic, basal-bolus including remote support by phone and asynchronous tools.

Subcutaneous GLP-1 receptor agonist initiation, titration and ongoing management (oral GLP-1 and GLP-1 / GIP formulations are prescribed at Tier 1).

Use of Continuous Glucose Monitoring (CGM) and Flash Glucose Monitoring data for titration, escalation and shared decision-making.

Joint visits with district nursing for patients requiring assisted insulin administration.

Delivery of structured diabetes education DAFNE, DESMOND, Confidence with Carbohydrates or equivalent, and pre-conception / pre-pregnancy education where relevant.

Non-Medical Prescribing within scope of practice (post-holders holding V300); clear escalation to Tier 2 Pharmacist or Tier 3 Consultant colleagues for complex prescribing decisions.

Recognition of and appropriate response to acute deterioration, including sick-day rules education, hypo unawareness identification and referral to Tier 3 or Tier 4 as required.

Care coordination and complex multimorbidity

Holding and managing an active caseload within the Tier 2 cohort, with responsibility for planning, delivering and evaluating patient-centred nursing care.

Care coordination across the Tier 2 team who holds the patient list, how follow-up cadence is decided, and how patients move safely between tiers.

Contribution to the Tier 2 approach to cardio-renal-metabolic multimorbidity, working alongside the Specialist Pharmacist, Specialist Dietitian, Specialist Podiatrist and Registered Nurse development post.

Recognition of psychological, social and mental health needs affecting engagement and self-management with liaison into mental health, learning disability, homelessness and substance-use services.

Reconciliation of care following discharge from hospital or transfer from other services, working with community pharmacy and hospital teams to ensure continuity.

MDT participation and clinical decision-making

Active participation in the Tier 2 MDT fortnightly for complex / high-risk cases and 812 weekly for moderate-risk cases.

Weekly attendance and active contribution to the Tier 3 Clinical Oversight Group MDT, combined with the existing LTHT community diabetes MDT.

Presenting cases, drafting shared care plans and taking responsibility for nursing-related actions arising from MDT discussion.

Escalation to Tier 4 for pump / hybrid closed loop, DKA / HHS follow-up, high-risk foot MDT, antenatal diabetes and other specialist pathways as required.

Advice & Guidance and joint clinics with primary care

Provide Advice and Guidance to primary care within agreed SLAs 24 hours for urgent enquiries, one week for routine for clinical questions beyond the Tier 1 remit and short of MDT escalation.

Lead quarterly joint clinics with the Practice Diabetes Lead in each footprint practice, on the model described in the Programme Education, Training and Support Plan.

Deliver nursing content within the quarterly TARGET education sessions for Practice Diabetes Leads, cascading learning into wider practice teams.

Support Practice Diabetes Leads to cascade learning through practice clinical meetings.

Outreach, equity and engagement

Active recruitment and engagement from deprivation deciles 13, with DNA monitoring and proactive approaches to reduce DNAs.

Outreach to named priority groups people with learning disability, serious mental illness, those homeless or vulnerably housed, those with substance-use co-morbidity, adults living alone.

Flexible appointment access including evening, digital and asynchronous options; home visits where clinically indicated.

Liaison with mental health teams for patients with SMI and antipsychotic-induced metabolic disturbance.

Liaison with drug and alcohol services and homelessness services.

Workplace engagement and reasonable-adjustment support via Healthy Working Lives.

Working in partnership with third-sector and asset-based community delivery partners as active collaborators, not downstream referrals.

Nursing quality, safety and improvement

Work to NMC Code and professional standards; ensure practice, and that of colleagues, is grounded in evidence-based theoretical and practical knowledge.

Identify cohorts of patients at high risk of harm through structured searches (EMIS / SystmOne) and act on findings.

Contribute to clinical audit within the Tier 2 caseload and across the Programme; feed back results and implement changes with the Tier 2 team, Practice Diabetes Leads and the Tier 3 Clinical Oversight Group.

Contribute to the Programme's outcomes and evaluation framework, particularly on nursing-related outcomes, safety indicators and equity of access.

Comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code.

Leadership, supervision and workforce development

Provide clinical leadership on diabetes nursing practice within the Tier 2 Neighbourhood Support Team.

Provide supervision and mentorship to the Registered Nurse development post, and to less experienced colleagues within scope.

Act as a role model to all staff, ensuring a professional service and image is maintained at all times.

Contribute to workforce development plans across Tier 1 and Tier 2 nursing, in partnership with the Tier 3 Diabetes Matron and the wider Tier 3 group.

Practice supervisor / educator role for pre-registration and post-qualification nursing learners as required.

Effective and efficient use of clinical resources (staff, supplies) within own sphere of responsibility.

Service development

Contribute nursing advice for the development and iteration of the Diabetes Neighbourhood Health Programme model including step-up / step-down criteria, pathway design, and operational standards.

Contribute to Year 2 and Multi-Neighbourhood expansion planning.

Analyse, interpret and present nursing and outcomes data to highlight issues, opportunities and risks to support programme decision-making.

Collaborative working relationships

Work collaboratively with the Tier 2 clinical lead, Programme Manager, and the Tier 3 Clinical Oversight Group.

Maintain strong relationships with PCN Clinical Directors, Practice Diabetes Leads and practice nursing teams across the footprint.

Liaise with the Leeds ICB, LCH, LTHT and neighbouring GP federations for consistency of patient care.

Engage with the Leeds diabetes nursing network and other diabetes special interest groups for peer support.

Liaise with LCH community diabetes teams, LTHT specialist diabetes services, community pharmacy, mental health services, drug and alcohol services, and VCSE partners as required.

Foster and maintain strong links with all services across the multi-neighbourhood footprint.

Please see attached job description for more info

Person Specification

Additional criteria

Essential

• Advanced clinical assessment and consultation skills.
• Highly specialist knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity.
• Confident with SGLT2i, GLP-1, insulin regimen selection and use of CGM or Flash data for shared decision-making.
• Autonomous within scope of practice, with clear understanding of when to escalate to Tier 3.
• Excellent verbal and written communication skills, including complex or potentially distressing conversations with patients and families.
• Demonstrable understanding of the wider determinants of health and their impact on communities.
• Demonstrable commitment to reducing health inequalities and proactively reaching under-served populations.
• Person-centred and trauma-informed approach to consultations.
• Ability to plan, manage, monitor and review nursing care for a long-term-conditions cohort.
• Ability to influence, motivate and negotiate across professional and organisational boundaries.
• Clinical leadership presence and ability to role-model professional standards.
• Willingness to challenge and be challenged, including consultants and GPs, in the patient's best interest.
• Comfortable with the ambiguity of a new service, and willing to iterate, evaluate and adjust.
• Confident with digital consultation, MDT tools and asynchronous working.
• Emotional resilience, self-awareness, humility and curiosity.
• Access to own transport and ability to travel across the multi-neighbourhood footprint.
• Meets DBS reference standards.
• Up-to-date mandatory training and immunisation status.

Desirable

• Awareness of the Leeds Proactive Care and Integrated Neighbourhood Health frameworks.
• Understanding of NHS commissioning, business-case development and the wider system architecture.
• Interest in contributing to research, service evaluation or Year 2 business-case development.

Experience

Essential

• Substantial post-registration experience as a Diabetes Nurse Specialist or equivalent diabetes-specialist nursing role.
• Practical experience of insulin regimen optimisation across all regimens (basal, biphasic, basal-bolus).
• Practical experience of subcutaneous GLP-1 initiation, titration and ongoing management.
• Experience of joint working with district nursing for assisted insulin administration.
• Experience of MDT working across community and acute care.
• Experience of delivering structured diabetes education (DAFNE, DESMOND, Confidence with Carbohydrates or equivalent).
• Experience of clinical supervision and mentorship of junior nursing colleagues.
• Experience of working with people affected by health inequalities.
• Experience of contributing to service development, quality improvement or clinical audit.
• Experience of leadership in practice, including day-to-day team leadership and delegation.

Desirable

• Experience of working across the acute, community and primary care interface.
• Experience of CGM, Flash Glucose Monitoring and insulin pump technology.
• Experience of leading or contributing to clinical audit and quality improvement projects.
• Experience of contributing to research or service evaluation.
• Working experience of EMIS and SystmOne clinical systems.
• Experience of change management or new-service implementation.

Qualifications

Essential

• Registered Nurse (Adult) with current NMC registration.
• Post-graduate learning to Master's level or equivalent.
• Independent Non-Medical Prescribing (V300), or working towards.
• Recognised specialist diabetes course or qualification (Diabetes Specialist Practitioner course, Warwick, Leicester, Sheffield modules, or equivalent).
• Teaching, training or mentorship qualification, or experience to an equivalent level.
• Maintains a portfolio of CPD in line with NMC standards.

Desirable

• Full Master's degree in Advanced Clinical Practice.
• Formal teaching qualification (PGCert HE or equivalent).
• Leadership or management qualification (NHS Leadership Academy or equivalent).
• Formal training in health inequalities, trauma-informed care, or behaviour-change approaches such as Making Every Contact Count.

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

South and East Leeds GP Group

Address

Hosted Empolyers address

1st Floor Park Edge Practice

Asket Drive

Leeds

West Yorkshire

LS14 1HX

United Kingdom

Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

As a community Trust, many of our roles require individuals to be able to drive to perform their duties. Where driving is a requirement of the role, you will be asked to confirm that you hold a full UK driving licence or a full driving licence issued by an EU country (not exchanged from a non-EU country) to proceed with your application. We are committed to supporting candidates with disabilities into employment. If you are unable to drive due to a disability, please contact the Recruitment Team [email protected], quoting the vacancy reference number, so we can support you further.

The job description and person specification gives you all the information you need about this role. Please look carefully at the criteria in the person specification and tell us what you have done that shows you meet this in your application. If you need an application form in an alternative format please let our recruitment team know. All information you supply on your application should, to the best of your knowledge, be true and accurate.

Still have questions? The recruiting manager would love to hear from you, their contact details can be found in the job advert.

We can get a lot of applications for some roles so to be in with the best chance of being shortlisted please make sure you apply as soon as possible. A vacancy may close early if there is a lot of interest in the job.

At KCHFT we strongly encourage colleagues in clinical and non-clinical roles who have direct or social contact with patients to be fully vaccinated. In this way we will be doing all we can to ensure your safety and that of your colleagues and the patients we serve.

Find out more about the community differencehere.

Good luck! We cant wait to meet you and welcome you to #teamKCHFT, #cometocommunity.

Person Specification

Qualifications

Essential

• BTEC/NVQ Level 3 in pharmaceutical science or equivalent level of experience of working at a similar level in specialist area
• Registration with the General Pharmaceutical Council

Desirable

• Working within a primary care setting desirable

Attributes

Essential

• Skills for communication on complex information and administrative matters, requiring developed interpersonal and oral/ written communication skills
• A full, valid UK driving licence or a full driving licence issued by an EU country (not exchanged from a non-EU country) and the ability to travel independently are essential for this role. Should you require workplace adjustments under the Equality Act 2010, we are committed to supporting you to meet the mobility requirements of the role wherever possible.

Competencies

Essential

• Problem solving skills and ability to respond to sudden unexpected demands

Desirable

• Skills for supporting project management
• Skills for managing aspects of projects ensuring they meet financial targets.
• Advanced keyboard skills, use of a range of software

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Kent Community Health NHS Foundation Trust

Address

Trinity House 110-120 Upper Pemberton Kennington Ashford TN25 4AZ

Kennington Ashford

TN25 4AZ

United Kingdom

Employer's website

https://www.kentcht.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

We are seeking an experienced and motivated Practice Nurse to join our friendly and supportive clinical team at Riverside Medical Practice.

This is an exciting opportunity for a skilled nurse who enjoys working within primary care and is committed to delivering high-quality, patient-centred care. The successful candidate will play a key role in supporting the health and wellbeing of our growing patient population of over 11,500 patients.

The Practice Nurse is an integral member of the Primary Healthcare Team and will provide a comprehensive range of nursing services to patients within the Practice. Working closely with GPs, Practice Nurse, Healthcare Assistant, administrative staff and the wider multidisciplinary team, the successful candidate will contribute to the delivery of safe, effective and responsive healthcare services.

We are looking for an experienced Practice Nurse who is confident in independently managing chronic disease clinics and undertaking cervical cytology. These are essential requirements for the role.

The main duties of the post include the independent management of chronic disease clinics, including diabetes, asthma, COPD and hypertension, ensuring patients receive evidence-based care in accordance with current clinical guidelines. The successful candidate will also undertake cervical cytology, childhood and adult immunisations, travel vaccinations, wound care and dressings, ECGs, NHS Health Checks.

The post holder will provide preventative healthcare advice and support patients in making informed lifestyle choices to improve their health and wellbeing. They will work collaboratively with colleagues to deliver high standards of care whilst maintaining a patient-focused approach at all times.

The successful candidate will maintain accurate, contemporaneous and confidential patient records using SystmOne and will ensure all clinical documentation is completed in accordance with professional and organisational standards. They will participate in clinical audit, quality improvement initiatives and service development activities where appropriate.

The role requires excellent communication and interpersonal skills, with the ability to communicate effectively with patients, carers, colleagues and external healthcare professionals. The successful candidate will be able to work independently whilst also contributing positively as part of a multidisciplinary team.

Applicants must be registered with the Nursing and Midwifery Council (NMC) and have previous experience working within General Practice. Experience of independently managing chronic disease clinics and undertaking cervical cytology is essential. Experience of using SystmOne would be advantageous but is not essential.

We offer a supportive and friendly working environment within a modern, recently refurbished practice. Full-time hours are preferred, although part-time applications will be considered for the right candidate. Salary is between £18.00 and £25.00 per hour, depending on experience and qualifications. Additional benefits include membership of the NHS Pension Scheme and on-site parking.

The post holder will be expected to maintain professional registration and participate in continuing professional development, annual appraisal and mandatory training requirements. They will comply with all Practice policies relating to confidentiality, safeguarding, infection prevention and control, health and safety, information governance and equality and diversity.

This job description is intended to provide an overview of the role and is not exhaustive. Duties may be amended following consultation with the post holder to meet the changing needs of the Practice and the services provided to patients.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration
• Evidence of continuing professional development
• Previous experience working as a Practice Nurse within General Practice
• Experience of independently managing chronic disease clinics, including diabetes, asthma, COPD and hypertension
• Experience of undertaking cervical cytology (smear tests)
• Experience of delivering childhood and adult immunisations
• Experience of health promotion and preventative healthcare
• Experience of maintaining accurate clinical records

Desirable

• Experience using SystmOne
• Experience of NHS Health Checks
• Experience of travel vaccinations
• Experience of family planning and contraceptive services

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 Medical Practice

Address

Riverside Medical Practice

48 Worthing Road

Horsham

West Sussex

RH12 1UD

United Kingdom

Employer's website

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

Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.

Person Specification

Qualifications

Essential

• Good standard of general education
• NVQ 2 or equivalent

Desirable

• Knowledge of WPAS/ Hospital administration systems

Experience

Essential

• Experience within an office environment involving customer service
• Knowledge of Data Protection Act
• Awareness of Patient Confidentiality

Desirable

• Ability to use a variety of computer databases.RADIS, TPATH, PAS and Microsoft office packages
• Previous medical records or hospital based clerical experience

Skills

Essential

• Proven communication skills
• Computer Literate
• Able to meet tight deadlines and able to prioritise workload
• Frequent and prolonged use of VDU's
• Frequent and prolonged use of telephones
• Excellent communication and organisational skills, with the ability to demonstrate initiative in response to demands of the workload

Knowledge

Essential

• Awareness of local/National Waiting List Management Policy and knowledge of Waiting times
• Understanding of the reporting structure in terms of supervision

Desirable

• Understanding the aims and objectives of the Modernisation Agenda

Personal Qualities

Essential

• Ability to work as part of a multi-disciplinary team
• Excellent communication skills (written, verbal and telephone)
• Ability to remain calm when patients are aggressive and abusive
• Ability to overcome language and communication barriers
• Ability to work well in a highly pressurised target driven environment
• Ability to prioritise own work load, self motivated, diplomatic, calm and positive

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Betsi Cadwaladr University Health Board

Address

Glan Clwyd Hospital

Rhuddlan Road

Bodelwyddan

LL18 5UJ

United Kingdom

Employer's website

https://bcuhb.nhs.wales/train-work-live/ (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities

Patient Access and Support

• Provide a first point of contact for patients via telephone, in person, and online consultation requests
• Support patients in accessing appropriate services
• Provide clear and accurate information regarding practice services and processes
• Accurately book, amend, and cancel appointments using the clinical system and associated appointment hubs based on patient need
• Maintain a professional, calm, and empathetic approach at all times
• Escalate urgent or clinically concerning information in line with Practice protocols

• Ensure information provided by patients relating to face-to-face, telephone and online triage requests is recorded accurately and appropriately
• Process and manage requests received through the Practices online consultation and triage systems
• Signpost online consultation requests to appropriate services or providers where required
• Support the management of appointment availability and utilisation
• Monitor outstanding or incomplete requests and take appropriate action to complete them
• Assist with the processing of online consultation outcomes and associated follow-up actions
• Identify and escalate urgent, complex or concerning requests in accordance with Practice protocols
• Maintain accurate and contemporaneous records of patient interactions and actions taken

• Process results and associated tasks within the clinical system in accordance with Practice protocols
• Communicate clinician-authorised information and actions to patients accurately and appropriately
• Arrange appointments, investigations and other follow-up actions as directed by clinicians
• Monitor outstanding tasks and actions and take appropriate steps to support timely completion
• Recognise when clinical interpretation, advice or decision-making is required and refer the matter to an appropriate clinician
• Identify and escalate urgent, overdue or concerning matters in accordance with Practice procedures
• Maintain clear and accurate records of actions and communications

• Review and process incoming clinical correspondence in accordance with Practice protocols
• Code and assign documents in line with Practice protocols
• Support clinicians by ensuring relevant information is available when required
• Extract and code relevant clinical information
• Process all information accurately and in a timely manner
• Identify and escalate any urgent or clinically significant information identified within correspondence

• Use all key systems, including SystmOne, SystmConnect, PATCHS, and NHS Mail, to support patient access and administrative processes
• Send outbound communications via PATCHS and NHS Mail
• Communicate effectively with patients, colleagues, and external organisations

• Support patients and proxies in requesting access to online medical record via systems such as SystmOnline, Airmid, and the NHS App
• Process requests in accordance with Practice policy, information governance requirements, and applicable NHS guidance
• Verify patient identity in line with Practice protocols before granting or updating access
• Provide guidance to patients on how to register for and use online services
• Assist patients with basic troubleshooting and signpost to further support where required
• Escalate any queries relating to restricted or sensitive record access to an appropriate clinician or senior team member

• Act as a chaperone for clinicians where required, in line with Practice chaperone policy
• Ensure patients are aware of the right to request a chaperone during consultations
• Provide reassurance and support to patients during examinations in the role of a chaperone
• Maintain patient dignity, privacy, and respect always during chaperoning
• Observe and report any concerns arising during consultations in line with safeguarding procedures

The following apply to all aspects of the role and underpin safe and effective practice:

• Always maintain strict confidentiality in relation to patient, staff, and Practice information
• Ensure conversations involving patient information are conducted in a manner that preserves privacy
• Manage all patient-identifiable data in accordance with GDPR, NHS Information Governance requirements and Practice policies and protocols
• Only share information with authorised individuals on a need-to-know basis
• Verify patient identity appropriately before disclosing or updating any information
• Use clinical systems, including SystmOne, SystmConnect, and PATCHS safely and securely
• Report any actual or potential data breaches or information governance concerns promptly in line with Practice procedures
• Maintain a clear desk and secure working environment to protect sensitive information

• Act in accordance with Practice safeguarding policies and procedures at all times
• Recognise and respond to safeguarding concerns relating to children, adults at risk, and domestic abuse
• Remain alert to signs of potential abuse, neglect, or exploitation, including concerns identified through all patient interactions and managing clinical correspondence and records
• Escalate safeguarding concerns promptly and appropriately to a clinician or safeguarding lead in line with Practice protocols
• Accurately document safeguarding concerns and actions taken within the clinical system
• Maintain professional boundaries and manage sensitive situations with discretion, empathy, and respect
• Participate in mandatory safeguarding training and keep knowledge up to date
• Contribute to a culture of safety by raising concerns and supporting colleagues where safeguarding risks are known

• Deliver a consistently high standard of customer service across all patient interactions
• Communicate in a professional, courteous, and empathetic manner, both face-to-face and via telephone or digital channels
• Actively listen to patients to understand their needs and respond appropriately
• Manage challenging or sensitive situations calmly and confidently, including dealing with distressed or frustrated patients
• Promote a positive patient experience by providing clear, accurate, and helpful information
• Collaborate with colleagues to ensure continuity and quality of service
• Support an inclusive approach, ensuring all patients feel respected and able to access services
• Escalate concerns or complaints appropriately in line with Practice procedures

• Manage personal and shared workloads effectively
• Prioritise tasks based on urgency, risk, and service need, using appropriate judgement
• Complete tasks and workflows accurately and within expected timescales
• Monitor outstanding work and take steps to prevent delays or backlogs
• Promptly escalate capacity, workload, or safety concerns to line manager/senior team member
• Maintain a structured and methodical approach to work, ensuring continuity and handover where required
• Adapt to changing demands throughout the working day, including balancing patient contact with administrative duties

• Participate in induction, mandatory training, and annual appraisal processes
• Take responsibility for maintaining and developing knowledge and skills relevant to the role
• Complete all training in respect of the chaperoning role
• Actively engage in learning opportunities, including system training and role-specific competencies
• Reflect on performance and identify areas for personal development
• Keep up to date with changes in Practice procedures, NHS guidance, and service delivery models
• Contribute to a culture of learning by sharing knowledge and supporting colleagues where appropriate

• Work flexibly across different functions within the Patient Services team to support service delivery
• Maintain a professional, organised, and proactive approach always
• Adhere to all Practice policies, procedures, and standard operating protocols
• Demonstrate reliability, accountability, and a commitment to high standards of work
• Support team working and contribute positively to the working environment
• Undertake additional duties appropriate to the role, commensurate with training and experience

Person Specification

Experience

Essential

• Experience in a customer service, patient or public facing role
• Experience working in a busy or fast-paced environment
• Experience of using IT systems in a work setting

Desirable

• Experience working in a GP Practice, primary care, or wider NHS setting
• Experience of care navigation or appointment management in primary care
• Experience using SystmOne, EMIS Web or similar system
• Experience of processing clinical correspondence, document workflows, clinical tasks or other healthcare administration
• Experience of supporting patients with online services or digital access

Knowledge and Skills

Essential

• Excellent communication and listening skills, with the ability to respond to patients with empathy and professionalism
• Ability to prioritise workload and manage competing demands effectively
• Strong organisational skills with strong attention to detail and accuracy
• Ability to follow processes and procedures in a structured and consistent manner
• Good IT skills, including confidence using multiple systems
• Experience of working accurately within defined procedures, protocols or processes
• Experience of handling confidential, sensitive or complex information

Desirable

• Ability to support patients in accessing services, including digital platforms

Qualifications

Essential

• GCSEs (or equivalent) including English and Maths

Desirable

• NVQ level 3

Personal Attributes

Essential

• Professional at all times and approachable with a customer or patient focus
• Resilient and able to work under pressure in a busy environment
• Well organised, and able to use initiative appropriately
• Proactive approach with ability to take ownership of tasks and responsibilities
• Flexible and adaptable in response to changing service needs along with a reliable strong work ethic and commitment to high standards
• Positive attitude and ability to contribute to a supportive team environment

Role Expectations

Essential

• Willingness to work across both patient-facing and administrative functions within the Patient Services team
• Willingness to undertake training relevant to the role, including systems, safeguarding, information governance and other mandatory training
• Willingness to undertake chaperone training and perform chaperoning duties in line with Practice policy
• Commitment to maintaining patient confidentiality and upholding professional standards at all times
• Commitment to continuous learning and personal development
• Willingness to support service improvement and adapt to changes in Practice processes

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.

Employer details

Employer name

The Garden Surgery

Address

2nd Floor East Leeds Health Centre

78 Osmondthorpe Lane

Leeds

West Yorkshire

LS9 9EF

United Kingdom

Employer's website

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

Job description

Job responsibilities

The purpose of the role is to:

Offer general assistance to the Practice team and project a positive and friendly image to patients and other visitors, either in person or via the telephone

You will be part of the front door for patients and will support access to services and continuity of care by helping patients interact and engage with the right support at the right time and from the right health care professional. You will manage and respond to patient and Practice initiated contact, including incoming and outgoing phone calls with patients, reviewing and responding to e-Consults, providing reception capacity and associated administration. You will use triage and signposting skills to direct patients to the right support or appointment type to best meet their needs.

Undertake a variety of administrative duties to assist in the smooth running of the Practice including the provision of secretarial and clerical support to clinical staff and other members of the Practice team

Facilitate effective communication between patients, members the primary health care team, secondary care and other associated healthcare agencies

Main duties and responsibilities:

The duties and responsibilities to be undertaken by members of the Practice administration team may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Office Manager/Operations Manager, dependent on current and evolving Practice workload and staffing levels:

Reception Duties:

• Maintaining and monitoring the Practice appointments system
• Acting on electronic tasks to book appointments, deliver messages to patients, process electronic referrals etc
• Processing personal and telephone requests for appointments, visits and telephone consultations and ensuring callers are directed to the appropriate healthcare professional
• Processing electronic requests, whether received via Footfall (Practice Website) or email, or by other means
• Processing incoming requests for medical reports, prescriptions or other enquiries and ensuring they are forwarded to the correct staff members for completion
• Taking and recording requests for home visits ensuring full details of need are recorded and checking that the address and telephone number is correct.
• Dealing with requests for emergency treatment, either in the surgery or in the patients home and passing on promptly to the duty doctor.
• Receiving patients consulting with members of practice team
• Initiating contact with and responding to requests from patients, other team members and associated healthcare agencies and providers
• Handing completed repeat prescriptions to patient and checking names and address.
• Be able to cover all reception positions as necessary
• Answering the telephone and conveying messages
• Accepting requests for repeat prescriptions, checking regularly both the electronic and paper routes for repeat prescription requests
• Sorting the mail and completing Scanning processes
• Maintaining electronic log of telephone messages
• Filing results and any other relevant documents in patients' notes
• Maintenance of patients' notes including starting a new wallet when required and dividing the contents in a logical manner
• Charging the appropriate amount for private work.
• Helping with the sorting of filing in new medical records in order that they are in the form used in the Surgery
• Dealing with requests for test results.
• Ensuring that all other requests for information or queries and entries on the computer and if not completed at the end of your shift, are handed over to an incoming member of staff for completion and vice versa.
• Taking details of requests for medical certificates of any kind, insurance forms and any others requested and dealing with them efficiently and promptly.
• Referring patient suggestions/complaints/comments directly to the Practice Manager for further discussion.

Administration

• Any other administration duties required in the course of your work.
• To have a thorough knowledge of all Practice procedures.
• To work in accordance with written protocols
• Filing post in medical records
• Photocopy as requested
• Processing and distributing incoming (and outgoing) mail
• Taking messages and passing on information
• Filing and retrieving paperwork
• Ordering, re-ordering and monitoring of stationery and other supplies
• Generating template letters requesting patients attend for follow-up.
• Arranging transport for patients where appropriate.

Computer

• Computer data entry/data allocation and collation; processing and recording information in accordance with Practice procedures
• Registrations of new patients
• Process patients change of address (have knowledge of practice area).
• Scanning of mail onto computer system and completing workflow.
• Processing daily Pathlinks appointments ensuring patients have appointments booked according to instructions given by GPs when results received.
• Maintaining a basic knowledge of repeat prescriptions so that should it be necessary, you can issue from the computer record in line with Practice policy and protocol.

Telephone

• Have working knowledge of telephone/bleep system, during and after hours.

Other Tasks

• Ensure that the consulting rooms and waiting area are checked at the end of each consulting session and left clean, tidy and secure.
• Ensure building security have thorough knowledge of doors/windows/alarm.
• Provision of refreshments for staff and visitors as required; loading and emptying the dishwasher and keeping the kitchen area clean and tidy
• Keeping the reception area, notice-boards and leaflet dispensers tidy and free from obstructions and clutter
• Scanning of mail onto computer system and completing workflow.
• Any other tasks allocated by Office Manager/Practice Manager.
• Attending and participating in Clinical Governance and Staff Meetings.

Start and End of Day Procedures.

Be able to open up premises at the start of the day, unset alarm and ensure that all equipment such as fax machines, computers, printers and photocopiers are ready and make all necessary preparation to receive patients.

Be able to secure premises at end of day, checking all windows, doors are closed, toilets empty, internal lights off, fax is full of paper, all other equipment is off and alarm activated.

Person Specification

Experience

Essential

• Essential
• An ability to use own judgement, resourcefulness and common sense.
• An understanding, acceptance and adherence to the need for strict confidentiality.
• Able to work as a member of a team.
• Ability to work without direct supervision and determine own workload priorities.
• Good Keyboard skills.
• Able to work under pressure
• Able to work in a changing environment
• Able to use own initiative
• A sense of humour.
• Pleasant and articulate
• Ability to use own judgement, resourcefulness and common sense

Desirable

• Experience of working in General Practice is desirable but not essential.
• Flexibility of working hours/ able to work at the desired times.

Qualifications

Essential

• - GCSE grade A to C in English and Maths.
• - Reception staff need to be tactful, helpful people who can communicate well and sympathetically with employers, colleagues and most importantly with patients who are invariably worried and concerned and, who at times may be difficult!

Desirable

• NVQ level 2 in Health and Social Care or Administration.
• Experience of working in General Practice.

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.

Employer details

Employer name

Woodcock Road Surgery

Address

29 Woodcock Road

Norwich

Norfolk

NR3 3UA

United Kingdom

Employer's website

https://www.woodcockroadsurgery.nhs.uk (Opens in a new tab)

Job description

Job responsibilities

The Specialist Dietitian for Diabetes is the operational dietetic lead within the Tier 2 Neighbourhood Support Team. Responsibilities include specialist dietetic assessment and intervention in cardio-renal-metabolic multimorbidity, including CKD stages 3b to 5, heart failure, MAFLD, severe obesity and gastrointestinal disorders. The postholder delivers structured education (DAFNE, Confidence with Carbohydrates, DESMOND or equivalent), supports carbohydrate counting and dose adjustment for basal-bolus regimens, and targets recruitment to the National Type 2 Path to Remission Programme. Contributes to the Tier 2 MDT and the weekly Tier 3 MDT, provides Advice and Guidance to primary care within 24-hour urgent and one-week routine SLAs, delivers dietetic content in quarterly TARGET education, provides cultural adaptation of dietary advice for ethnic-specific patterns, supports pre-conception and gestational diabetes dietetic care, and contributes to quality improvement and equity of dietetic access.

Key duties and responsibilities

Specialist dietetic assessment and intervention in complex multimorbidity

Assess, plan, deliver and evaluate specialist dietetic care for adults on the Tier 2 caseload with diabetes and complex multimorbidity, working as an autonomous practitioner within a wider MDT.

Specialist dietetic intervention for complex co-morbidity including CKD stages 3b5, heart failure, MAFLD (metabolic-associated fatty liver disease), severe obesity, and gastrointestinal disorders.

Dietetic management of complex insulin regimens carbohydrate counting and dose adjustment for those on basal-bolus regimens, use of Continuous Glucose Monitoring and Flash Glucose Monitoring data to support decisions. Combination therapy support alongside dietetic intervention including SGLT2i, GLP-1 receptor agonists (subcutaneous and oral), and other pharmacotherapy in liaison with the Specialist Pharmacist.

Dietetic management of steroid-induced hyperglycaemia and hypoglycaemia risk reduction.

Reconciliation of dietetic plans following discharge from hospital or transfer from other services.

Type 2 remission and structured education

Targeted recruitment of eligible patients into the National Type 2 Diabetes Path to Remission Programme (Xyla in Leeds), including engagement with under-served communities.

Support and shape a proposed option to commission bespoke local Xyla-style sessions for underserved communities, in partnership with the Programme Manager and VCSE partners.

Good knowledge of the delivery of the Leeds Programme of structured education, DAFNE, and Confidence with Carbohydrates.

Delivery of DESMOND or equivalent Type 2 self-management education where relevant.

Adaptation of structured education for people with learning disability, sensory impairment or lower literacy in partnership with LD nursing and easy-read materials.

Cultural adaptation of dietary advice supporting ethnic-specific dietary patterns and food traditions across the diverse populations of south and east Leeds.

Lifestyle, physical activity and behaviour change

Resistance training advice alongside aerobic exercise not assumed within general lifestyle advice.

Behaviour-change consultation using recognised frameworks (Making Every Contact Count, motivational interviewing or equivalent).

Weight management dietetic input aligned with local pathways.

Pre-conception dietetic input for women planning pregnancy with diabetes, and gestational diabetes follow-up support with clear handover into the LTHT maternity team.

MDT participation and clinical decision-making

Active participation in the Tier 2 MDT fortnightly for complex / high-risk cases and 812 weekly for moderate-risk cases.

Weekly attendance and active contribution to the Tier 3 Clinical Oversight Group MDT, combined with the existing LTHT community diabetes MDT.

Presenting cases, drafting shared care plans and taking responsibility for dietetic-related actions arising from MDT discussion.

Escalation to Tier 4 for antenatal diabetes, bariatric pathway, high-risk foot MDT, and other specialist pathways as required.

Advice & Guidance and joint clinics with primary care

Provide Advice and Guidance to primary care within agreed SLAs 24 hours for urgent enquiries, one week for routine for dietetic questions beyond the Tier 1 remit and short of MDT escalation.

Support quarterly joint clinics with the Practice Diabetes Lead in each footprint practice, on the model described in the Programme Education, Training and Support Plan.

Deliver dietetic content within the quarterly TARGET education sessions for Practice Diabetes Leads, cascading learning into wider practice teams.

Support Practice Diabetes Leads to cascade dietetic learning through practice clinical meetings.

Outreach, equity and engagement

Active recruitment and engagement from deprivation deciles 13, with DNA monitoring and proactive approaches to reduce DNAs.

Outreach to named priority groups people with learning disability, serious mental illness, those homeless or vulnerably housed, those with substance-use co-morbidity, adults living alone.

Flexible appointment access including evening, digital and asynchronous options; home visits where clinically indicated.

Liaison with mental health teams for patients with SMI and antipsychotic-induced metabolic disturbance.

Liaison with drug and alcohol services and homelessness services.

Workplace engagement and reasonable-adjustment support via Healthy Working Lives.

Working in partnership with third-sector and asset-based community delivery partners as active collaborators, not downstream referrals including food-poverty and community food initiatives.

Quality, safety and improvement

Work to HCPC standards and the British Dietetic Association Standards of Proficiency; ensure practice is grounded in evidence-based theoretical and practical knowledge.

Identify cohorts of patients at high risk of nutritional harm through structured searches (EMIS / SystmOne) and act on findings.

Contribute to clinical audit within the Tier 2 caseload and across the Programme; feed back results and implement changes with the Tier 2 team, Practice Diabetes Leads and the Tier 3 Clinical Oversight Group.

Contribute to the Programme's outcomes and evaluation framework, particularly on dietetic outcomes, remission rates, HbA1c, weight and lipid changes, and equity of access.

Comply with the organisations Infection Prevention and Control requirements, including bare below the elbows dress code.

Leadership, supervision and workforce development

Provide dietetic leadership within the Tier 2 Neighbourhood Support Team.

Provide supervision and mentorship to dietetic support workers, dietetic students and less experienced colleagues within scope.

Contribute to workforce development plans across Tier 1 and Tier 2 dietetic capability, in partnership with the senior dietetic lead in the wider Leeds diabetes dietetic pathway.

Practice supervisor / educator role for pre-registration and post-qualification dietetic learners as required.

Act as a role model, ensuring a professional service and image is maintained at all times.

Service development

Contribute dietetic advice for the development and iteration of the Diabetes Neighbourhood Health Programme model including step-up / step-down criteria, pathway design and operational standards.

Contribute to Year 2 and Multi-Neighbourhood expansion planning.

Analyse, interpret and present dietetic and outcomes data to highlight issues, opportunities and risks to support programme decision-making.

Collaborative working relationships

Work collaboratively with the Tier 2 clinical lead, Programme Manager, and the Tier 3 Clinical Oversight Group. Maintain strong relationships with PCN Clinical Directors, Practice Diabetes Leads and Tier 1 clinicians across the footprint.

Liaise with the Leeds ICB, LCH, LTHT and neighbouring GP federations for consistency of patient care.

Engage with the Leeds diabetes dietetic network, BDA Diabetes Specialist Group, and other diabetes special interest groups for peer support.

Liaise with LCH community diabetes teams, LTHT specialist diabetes services (including antenatal, bariatric and high-risk foot pathways), community pharmacy, mental health services, drug and alcohol services, and VCSE partners as required.

Foster and maintain strong links with all services across the multi-neighbourhood footprint.

Continuing professional development, research and evaluation

Undertake continual personal and professional development and take an active role in developing the Tier 2 dietetic offer.

Access regular clinical supervision to work effectively with the complex issues the Tier 2 cohort presents.

Reflect on and evaluate own practice; identify areas of development by setting appropriate objectives via appraisal and clinical supervision.

Critically appraise and apply the evolving evidence base for diabetes and cardio-renal-metabolic dietetic care.

Contribute to the Programmes Year 1 evaluation and Year 2 business case.

Care Quality Commission, health and safety, and confidentiality

Work with the delivery partners to ensure practices and Programme delivery are compliant with CQC standards where dietetic input is involved.

Comply with Health and Safety policies, follow safe working procedures and report incidents through the organisation's Incident Reporting Systems.

Comply with the Data Protection Act (2018) and the Access to Health Records Act (1990); respect patient confidentiality at all times.

Understand and apply knowledge of the clinical role in safeguarding and incident management.

Special working conditions

The postholder will travel independently between practices and community sites across the Beeston and Middleton & Hunslet footprint, and to meetings hosted by other agencies.

Person Specification

Personal Qualities & Attributes

Essential

• Commitment to reducing health inequalities and proactively working to reach people from all communities.
• Person-centred, trauma-informed approach with a working understanding of the wider social determinants of health.
• Ability to communicate with a wide range of colleagues from the NHS and other organisations and with patients including good written and oral communication skills.
• Recognises personal limitations and refers to more appropriate colleagues when necessary.
• Able to identify and assess / manage risk when working with individuals.
• Able to work under pressure and meet deadlines, managing unpredictable service demands.
• Accountability for delivering professional expertise and direct service provision.
• Emotional resilience, self-awareness, humility and curiosity.
• Willing to challenge and be challenged including consultants and GPs in the patients best interest.
• Reliability and integrity in a small MDT where the model depends on trust.
• Ability to organise, plan and prioritise on own initiative.
• Ability to work flexibly and enthusiastically within a team or on own initiative.
• Comfortable with the ambiguity of a new service willing to iterate, evaluate and adjust.
• Cultural competence for supporting ethnic-specific dietary patterns and adaptation.
• Positive and flexible attitude to dealing with change.

Desirable

• Leadership experience and previous experience of supervising or mentoring more junior staff or students.

Qualifications

Essential

• BSc (Hons) in Dietetics or equivalent professional dietetic degree.
• Postgraduate qualification in a specialist field (Diabetes, Renal, Obesity, MAFLD or Behaviour Change), or working towards.
• Must be willing to participate in any relevant training identified to develop skills required to carry out duties.
• Maintains a portfolio of CPD in line with HCPC standards.

Desirable

• Supporting Learning in Practice (SLIP), Practice Educator qualification or equivalent.
• Formal teaching qualification (PGCert HE or equivalent).
• Leadership or management qualification (ILM 3, NHS Leadership Academy or equivalent).
• Certified DAFNE, DESMOND, Confidence with Carbohydrates or Xyla Path to Remission educator.
• Formal training in health inequalities, trauma-informed care or behaviour-change approaches (Making Every Contact Count, motivational interviewing).

Skills and knowledge

Essential

• Detailed theoretical and clinical dietetic knowledge appropriate to diabetes, multimorbidity and cardio-renal-metabolic disease.
• Highly specialist knowledge of diabetes across Type 1, Type 2, atypical presentations and complex multimorbidity.
• Confident with carbohydrate counting, dose adjustment for insulin regimens and use of CGM / Flash data.
• Knowledge of Type 2 remission pathways (Xyla) and structured education programmes.
• Understanding of the wider determinants of health and their impact on communities, including food access and food poverty.
• Autonomous within scope of practice and knows when to escalate.
• Excellent verbal, non-verbal and written communication skills, including complex or potentially distressing conversations with patients and families and managing conflict when appropriate.
• Advanced consultation skills and shared decision-making with people whose lives are shaped by health inequalities.
• Confident with EMIS / SystmOne, digital consultation modes, MDT tools and asynchronous working.
• Able to plan, manage, monitor and review dietetic care for a long-term-conditions cohort.
• Able to obtain and analyse complex clinical and outcomes information.
• Complex analytical and creative problem solving in unpredictable situations.
• Workload management including delegation and day-to-day team leadership.

Desirable

• Understanding of research governance and quality improvement methodology.
• Awareness of the Leeds Proactive Care and Integrated Neighbourhood Health frameworks.

Professional Registration

Essential

• Mandatory registration with the Health and Care Professions Council (HCPC) as a Dietitian.

Desirable

• Membership of the British Dietetic Association (BDA).
• Membership of the BDA Diabetes Specialist Group.

Experience

Essential

• Substantial post-registration dietetic experience in diabetes and multimorbidity.
• Experience of dietetic management of Type 1 and Type 2 diabetes including insulin regimens and carbohydrate counting.
• Experience of dietetic management in CKD stages 3b5, heart failure, MAFLD or severe obesity.
• Experience of delivering structured diabetes education (DAFNE, DESMOND, Confidence with Carbohydrates or equivalent).
• Experience of MDT working across community and acute care.
• Experience of supervising and delegating to other members of staff, dietetic support workers or students.
• Experience of contributing to service development, quality improvement or clinical audit.
• Experience of working with people affected by health inequalities.

Desirable

• Experience of practice-based, PCN-based or community-based dietetic delivery.
• Experience of the National Type 2 Diabetes Path to Remission Programme (Xyla) delivery or referral.
• Experience of gestational diabetes and pre-conception dietetic care.
• Experience of behaviour-change consultation using recognised frameworks.
• Experience of delivering dietetic education to Tier 1 clinicians (nurses, GPs, HCAs).
• Working experience of EMIS and SystmOne clinical systems.
• Experience of contributing to research or service evaluation.

Experience

Essential

• Substantial post-registration dietetic experience in diabetes and multimorbidity.
• Experience of dietetic management of Type 1 and Type 2 diabetes including insulin regimens and carbohydrate counting.
• Experience of dietetic management in CKD stages 3b5, heart failure, MAFLD or severe obesity.
• Experience of delivering structured diabetes education (DAFNE, DESMOND, Confidence with Carbohydrates or equivalent).
• Experience of MDT working across community and acute care.
• Experience of supervising and delegating to other members of staff, dietetic support workers or students.
• Experience of contributing to service development, quality improvement or clinical audit.
• Experience of working with people affected by health inequalities.

Desirable

• Experience of practice-based, PCN-based or community-based dietetic delivery.
• Experience of the National Type 2 Diabetes Path to Remission Programme (Xyla) delivery or referral.
• Experience of gestational diabetes and pre-conception dietetic care.
• Experience of behaviour-change consultation using recognised frameworks.
• Experience of delivering dietetic education to Tier 1 clinicians (nurses, GPs, HCAs).
• Working experience of EMIS and SystmOne clinical systems.
• Experience of contributing to research or service evaluation.

Other

Essential

• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions.
• Adaptable.
• Works effectively independently and as a team player.
• Self-motivated.
• Up to date with safeguarding and other mandatory training.
• Up to date immunisation status.
• Ability to work in different locations across the footprint and to help provide cover for absent colleagues; ability to take part in an extended working day in line with the models flexible-access commitment.
• Access to own transport and ability to travel across the multi-neighbourhood footprint, including home visits.

Desirable

• .

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

South and East Leeds GP Group

Address

Hosted Employers address

1st Floor Park Edge Practice

Asket Drive

Leeds

West Yorkshire

LS14 1HX

United Kingdom

Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Main Duties Of The Job Will Include:

Main duties of the job

Your Duties will include:

Undertake New Patient Health Checks

Undertake NHS Health Checks

Health promotion and Lifestyle advice,

Supporting Long Term Condition Reviews

Diabetic Foot Checks - were trained.

Height, Weight and BMI measurements.

Ensure specimens are recorded and ready for transportation

Providing support in minor surgery clinics if required.

Supporting QOF and BeCCoR priorities.

Maintaining accurate clinical records,

Supporting Infection prevention and control proceedures,

Ensure fridges are routinely cleaned in accordance with current guidance

Stock Control

Work Collaboratively with GP's nurses and admin staff

Administering certain Injections under PSD

Please note this list is not exhaustive.