• Job Description

  Req#: A3901-25-0004?language=en&page=209&sort=publicationDateDesc

  Job summary

  Specialist Long Term Condition Nurse (Diabetes essential)

  Location: GP Practice Riverside Practice, March, Cambridgeshire Hours: 2 days per week Salary: Competitive and negotiable depending on experience Contract: Permanent Start Date: As soon as possible

  Are you passionate about delivering high-quality care to patients with long-term conditions in a primary care setting? We are looking for a Specialist Long Term Condition Nurse to join our friendly and forward-thinking GP Practice team.

  Youll work collaboratively within our multidisciplinary team to manage and support patients with chronic conditions such as diabetes, respiratory disease, cardiovascular disease, and hypertension. This is a fantastic opportunity for someone who is committed to improving patient outcomes and enjoys autonomous, patient-focused care.

  We are ideally looking for a nurse with:

  • Proven experience in long-term condition management within a GP surgery.
  • Warwick Diploma in Diabetes (or currently undertaking).
  • A prescribing qualification is desirable, but we may consider supporting the right candidate to achieve this.

  Join a team where your clinical expertise will be valued, your development supported, and your work-life balance respected.

  Main duties of the job

  • Undertake holistic assessments, reviews, and ongoing management for patients with LTCs.
  • Lead disease-specific clinics (e.g., diabetes, respiratory, cardiovascular).
  • Interpret results and take appropriate actions including medication changes within scope of practice.
  • Use evidence-based guidelines to ensure best practice and continuity of care.
  • Provide support and education to patients to self-manage their conditions effectively.

  • If a qualified prescriber, initiate and manage medication changes.
  • If not qualified, work under Patient Group Directions or alongside prescribers.
  • May be supported to undertake Prescribing Qualification (subject to funding and suitability).

  Team Working

  • Work collaboratively with GPs, nurses, healthcare assistants, pharmacists, and administrative teams.
  • Contribute to MDT discussions and case management of complex patients.
  • Participate in audits, QOF, and service improvement initiatives.

  About us

  About Us: The Riverside Practice is a well-established GP practice located in March, Cambridgeshire. With a dedicated team of healthcare professionals, including GP partners, Salaried GP, Nurse Practitioners, Practice Nurses, Nurse Associate, HCAs and admin support, we are committed to providing high-quality care and support to our patients. We pride ourselves on our supportive work environment and commitment to ongoing professional development.

  Details

  Date posted

  19 August 2025

  Pay scheme

  Other

  Salary

  Depending on experience

  Contract

  Permanent

  Working pattern

  Part-time

  Reference number

  A3901-25-0004

  Job locations

  23 Marylebone Road

  March

  Cambridgeshire

  PE15 8BG

  
  

  Job description

  Job responsibilities

  Specialist Long Term Condition Nurse (Diabetes essential)

  Job Title:

  Specialist Long Term Condition Nurse

  Responsible to:

  Lead Nurse / Practice Manager

  Working Hours:

  2 days per week Wednesday and Friday preferred (negotiable)

  Salary:

  Negotiable depending on qualifications and experience

  Job Summary:

  To deliver high-quality, evidence-based care for patients with long-term conditions (LTCs) in a GP Practice setting. The post holder will take a lead role in the clinical management of conditions such as diabetes (essential), COPD, asthma, hypertension, and cardiovascular disease. They will provide patient education, medication management, and lifestyle support while working closely with GPs and the wider multidisciplinary team.

  Key Responsibilities:

  Clinical Care

  • Undertake holistic assessments, reviews, and ongoing management for patients with LTCs.
  • Lead disease-specific clinics (e.g., diabetes, respiratory, cardiovascular).
  • Interpret results and take appropriate actions including medication changes within scope of practice.
  • Use evidence-based guidelines to ensure best practice and continuity of care.
  • Provide support and education to patients to self-manage their conditions effectively.

  Prescribing & Medication Management

  • If a qualified prescriber, initiate and manage medication changes.
  • If not qualified, work under Patient Group Directions or alongside prescribers.
  • May be supported to undertake Prescribing Qualification (subject to funding and suitability).

  Team Working

  • Work collaboratively with GPs, nurses, healthcare assistants, pharmacists, and administrative teams.
  • Contribute to MDT discussions and case management of complex patients.
  • Participate in audits, QOF, and service improvement initiatives.

  Professional Development

  • Maintain registration and compliance with NMC Code of Conduct.
  • Attend regular training and updates, including relevant CPD.
  • Reflect on practice and participate in clinical supervision and annual appraisal.

  Desirable Clinics/Skills (not essential):

  • Insulin initiation or titration

  General Responsibilities:

  • Maintain patient confidentiality and adhere to data protection regulations.
  • Follow practice protocols and procedures to ensure compliance and efficiency.
  • Promote a safe working environment by adhering to health and safety regulations.
  • Support equality and diversity in the workplace.
  • Participate in ongoing professional development and mandatory training.
  • Communicate effectively with colleagues, patients, and external healthcare providers.
  • Contribute to practice improvements and participate in audits.

  Confidentiality:

  In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

  In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They 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

  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

  Practice Protocols:

  The practice has Protocols in place for Clinical and Administrative tasks, staff are required to adhere to all Practice Protocols, it is essential that all staff keep up to date with protocols and advise of any changes needed. All protocols are stored on the Practice Intranet.

  Health & Safety:

  The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, the practice Health & Safety Manual, and the practice Infection Control policy and published procedures. This will include:

  Using personal security systems within the workplace according to Practice guidelines

  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

  Actively reporting of health and safety hazards and infection hazards immediately when recognised

  Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

  Undertaking periodic infection control training (minimum annually)

  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 recognizes 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

  Attend compulsory training, such as Fire Awareness and infection control, and any other training the practice feels is necessary for the safe running of the practice.

  Quality:

  The post-holder will strive to maintain quality within the Practice, and will:

  Alert other team members to issues of quality and risk

  Assess own performance and take accountability for own actions, either directly or under supervision

  Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

  Work effectively with individuals in other agencies to meet patients needs

  Effectively manage own time, workload and resources

  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, protocols, standards and guidance

  Discuss with other members of the team how the policies, protocols, standards and guidelines will affect own work

  Participate in audits where appropriate

  Job description

  Job responsibilities

  Specialist Long Term Condition Nurse (Diabetes essential)

  Job Title:

  Specialist Long Term Condition Nurse

  Responsible to:

  Lead Nurse / Practice Manager

  Working Hours:

  2 days per week Wednesday and Friday preferred (negotiable)

  Salary:

  Negotiable depending on qualifications and experience

  Job Summary:

  To deliver high-quality, evidence-based care for patients with long-term conditions (LTCs) in a GP Practice setting. The post holder will take a lead role in the clinical management of conditions such as diabetes (essential), COPD, asthma, hypertension, and cardiovascular disease. They will provide patient education, medication management, and lifestyle support while working closely with GPs and the wider multidisciplinary team.

  Key Responsibilities:

  Clinical Care

  • Undertake holistic assessments, reviews, and ongoing management for patients with LTCs.
  • Lead disease-specific clinics (e.g., diabetes, respiratory, cardiovascular).
  • Interpret results and take appropriate actions including medication changes within scope of practice.
  • Use evidence-based guidelines to ensure best practice and continuity of care.
  • Provide support and education to patients to self-manage their conditions effectively.

  Prescribing & Medication Management

  • If a qualified prescriber, initiate and manage medication changes.
  • If not qualified, work under Patient Group Directions or alongside prescribers.
  • May be supported to undertake Prescribing Qualification (subject to funding and suitability).

  Team Working

  • Work collaboratively with GPs, nurses, healthcare assistants, pharmacists, and administrative teams.
  • Contribute to MDT discussions and case management of complex patients.
  • Participate in audits, QOF, and service improvement initiatives.

  Professional Development

  • Maintain registration and compliance with NMC Code of Conduct.
  • Attend regular training and updates, including relevant CPD.
  • Reflect on practice and participate in clinical supervision and annual appraisal.

  Desirable Clinics/Skills (not essential):

  • Insulin initiation or titration

  General Responsibilities:

  • Maintain patient confidentiality and adhere to data protection regulations.
  • Follow practice protocols and procedures to ensure compliance and efficiency.
  • Promote a safe working environment by adhering to health and safety regulations.
  • Support equality and diversity in the workplace.
  • Participate in ongoing professional development and mandatory training.
  • Communicate effectively with colleagues, patients, and external healthcare providers.
  • Contribute to practice improvements and participate in audits.

  Confidentiality:

  In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

  In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They 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

  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

  Practice Protocols:

  The practice has Protocols in place for Clinical and Administrative tasks, staff are required to adhere to all Practice Protocols, it is essential that all staff keep up to date with protocols and advise of any changes needed. All protocols are stored on the Practice Intranet.

  Health & Safety:

  The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, the practice Health & Safety Manual, and the practice Infection Control policy and published procedures. This will include:

  Using personal security systems within the workplace according to Practice guidelines

  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

  Actively reporting of health and safety hazards and infection hazards immediately when recognised

  Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

  Undertaking periodic infection control training (minimum annually)

  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 recognizes 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

  Attend compulsory training, such as Fire Awareness and infection control, and any other training the practice feels is necessary for the safe running of the practice.

  Quality:

  The post-holder will strive to maintain quality within the Practice, and will:

  Alert other team members to issues of quality and risk

  Assess own performance and take accountability for own actions, either directly or under supervision

  Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

  Work effectively with individuals in other agencies to meet patients needs

  Effectively manage own time, workload and resources

  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, protocols, standards and guidance

  Discuss with other members of the team how the policies, protocols, standards and guidelines will affect own work

  Participate in audits where appropriate

  Person Specification

  Qualifications

  Essential

  • CriteriaEssential
  • QualificationsRegistered Nurse (NMC)
  • Relevant LTC training (e.g. Warwick Diploma)
  • Experience working in a GP practice or primary care setting
  • Proven experience in managing patients with diabetes, asthma, COPD, hypertension
  • Skills & Knowledge
  • Understanding of national LTC guidelines (e.g., NICE)
  • Ability to work independently and as part of a team
  • Excellent communication and patient education skills
  • Other Requirements
  • Commitment to ongoing CPD
  • Flexible and adaptable

  Desirable

  • Independent Nurse Prescriber
  • Additional qualifications in Diabetes, Respiratory, or CVD care
  • Experience running LTC clinics autonomously
  • Experience participating in QOF and clinical audits
  • Knowledge of SystmOne/EMIS clinical systems
  • Spirometry, ECG, wound care
  • Motivational interviewing or health coaching techniques
  • Willingness to train as a prescriber (if not already qualified)

  Person Specification

  Qualifications

  Essential

  • CriteriaEssential
  • QualificationsRegistered Nurse (NMC)
  • Relevant LTC training (e.g. Warwick Diploma)
  • Experience working in a GP practice or primary care setting
  • Proven experience in managing patients with diabetes, asthma, COPD, hypertension
  • Skills & Knowledge
  • Understanding of national LTC guidelines (e.g., NICE)
  • Ability to work independently and as part of a team
  • Excellent communication and patient education skills
  • Other Requirements
  • Commitment to ongoing CPD
  • Flexible and adaptable

  Desirable

  • Independent Nurse Prescriber
  • Additional qualifications in Diabetes, Respiratory, or CVD care
  • Experience running LTC clinics autonomously
  • Experience participating in QOF and clinical audits
  • Knowledge of SystmOne/EMIS clinical systems
  • Spirometry, ECG, wound care
  • Motivational interviewing or health coaching techniques
  • Willingness to train as a prescriber (if not already qualified)

  Disclosure and Barring Service Check

  This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Additional information

  Disclosure and Barring Service Check

  This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Employer details

  Employer name

  The Riverside Practice

  Address

  23 Marylebone Road

  March

  Cambridgeshire

  PE15 8BG

  
  

  Employer's website

  https://www.riversidepractice.com/ (Opens in a new tab)

  Employer details

  Employer name

  The Riverside Practice

  Address

  23 Marylebone Road

  March

  Cambridgeshire

  PE15 8BG

  
  

  Employer's website

  https://www.riversidepractice.com/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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