• Job Description

  Req#: E0215-BBHLTCN-082025?language=en&page=956&sort=publicationDateD

  Job summary

  Symphony Healthcare Services is seeking an experienced Long Term Conditions / Chronic Disease Nurse, ideally with a specialism / interest in Diabetes, to become part of their dedicated teams that work across the community at Highbridge, Burnham and Berrow medical centres.

  This is an opportunity to work in a collaborative, multidisciplinary environment providing high quality, patient-centred care as part of a team of health professionals and administrative staff. The role will combine assessing undifferentiated patients in both face-to-face consultations and via telephone calls, using digital platforms to triage patient requests and resolve queries from the administrative staff.

  This is a permanent,part time vacancy, for 24 hours per week, working across Monday to Friday. Working patterns (days and times) will be discussed at interview.

  Please note that you will be required to work across all three medical centres, as and when needed. Please consider this before applying.

  Please see the attached links documents for more information.

  Main duties of the job

  You will be an experienced, NMC registered Nurse who, whilst acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of patient care.

  You will be able to demonstrate the ability to make differential diagnosis using decision making and problem solving skills whilst making professional autonomous decisions for which they are accountable. You will also possess the ability to work independently and collaboratively, as part of a multi-disciplinary team, with other health care professionals and disciplines, supporting the delivery of policy and procedures.

  An interest / specialism in Diabetes would be advantageous.

  About us

  Symphony Healthcare Services (Symphony) was established in 2016 as part of the award-winning Symphony Programme Vanguard, developing new models of care. We now support 20 practices across Somerset providing care for 100,000 patients.

  Symphony has developed a model where each practice is encouraged to operate autonomously, but as a subsidiary of NHS Somerset Foundation Trust (SFT), and with the backing and economies of scale from a central support team (particularly for HR, finance, corporate and strategic management matters).

  Providing NHS services is at the heart of what we do. Our vision is to ensure that primary care is sustainable for patients and practices in Somerset, and we aim to be a national exemplar for primary care provision. We work closely with our practice teams to support, develop and transform patient care and working practices with innovation and technology at the heart of what we do.

  Symphony welcome applications from people of all backgrounds and underrepresented groups. When undertaking recruitment and selection for our services, Symphony are committed to equality of opportunity for all.

  Symphony offers a fantastic range of employee benefits (see attached poster), along with flexible working from day of employment and an agile approach to home / office-based working.

  We look forward to hearing from you.

  Details

  Date posted

  05 August 2025

  Pay scheme

  Other

  Salary

  £39,146 to £41,851 a year Starting salary will be based on previous experience.

  Contract

  Permanent

  Working pattern

  Part-time, Flexible working

  Reference number

  E0215-BBHLTCN-082025

  Job locations

  Highbridge Medical Centre

  Pepperall Road

  Highbridge

  Somerset

  TA9 3YA

  
  

  Burnham Medical Centre

  Love Lane

  Burnham-on-sea

  Somerset

  TA8 1EU

  
  

  Berrow Health Campus

  Brent Road

  Burnham-on-sea

  Somerset

  TA8 2JU

  
  

  Job description

  Job responsibilities

  As an Advanced Nurse Practitioner:

  You will bean experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

  You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general practice.

  You will also will demonstrate critical thinking in the clinical decision-making process and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met.

  As a Enhanced Care Practitioner:

  You will be an experienced paramedic acting within their professional boundary to provide care for the presenting patient. This role is expected to develop and evolve over time as the successful post holder gains experience.

  The primary care practitioner will work closely with our GPs to advise treatment and healthcare for patients, to include those presenting in the primary care setting and those in the community.

  You will attend home visits to include residential and nursing homes, where they will liaise with staff, family and other stakeholders in the production of the care plans to be shared with other providers and stakeholders.

  As practitioner, you will also triage acute patients presenting in the surgery environment and demonstrate safe, clinical decision-making and expert care for patients.

  You will work collaboratively with the multi-disciplinary team to meet the needs of our patients.

  Please read the attached job description (JD) carefully before applying.

  Job description

  Job responsibilities

  As an Advanced Nurse Practitioner:

  You will bean experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.

  You will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills at an advanced level, for patients within the general practice.

  You will also will demonstrate critical thinking in the clinical decision-making process and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. In order to work at this level, NMC requirements for advanced practice must be met.

  As a Enhanced Care Practitioner:

  You will be an experienced paramedic acting within their professional boundary to provide care for the presenting patient. This role is expected to develop and evolve over time as the successful post holder gains experience.

  The primary care practitioner will work closely with our GPs to advise treatment and healthcare for patients, to include those presenting in the primary care setting and those in the community.

  You will attend home visits to include residential and nursing homes, where they will liaise with staff, family and other stakeholders in the production of the care plans to be shared with other providers and stakeholders.

  As practitioner, you will also triage acute patients presenting in the surgery environment and demonstrate safe, clinical decision-making and expert care for patients.

  You will work collaboratively with the multi-disciplinary team to meet the needs of our patients.

  Please read the attached job description (JD) carefully before applying.

  Person Specification

  Experience

  Essential

  • Advanced Nurse Practitioner:
  • Minimum 5 years post-registration experience
  • At least 2 years recent primary / community nursing experience
  • Nurse prescribing
  • Nurse-led management of minor illness, minor ailments and injuries
  • Nurse-led triage
  • Compiling protocols and clinical guidelines
  • Audit
  • Research
  • QI
  • Enhanced Care Practitioner:
  • Qualified paramedic or specialist paramedic registered with the HCPC
  • A minimum of 5 years paramedic work experience
  • Evidence of appropriate continuing professional development activity
  • Ability to assess and manage patient risk effectively and safely

  Desirable

  • Advanced Nurse Practitioner:
  • Health-needs assessment
  • Enhanced Care Practitioner:
  • Diploma or Degree in a healthcare related discipline

  Qualifications

  Essential

  • Advanced Nurse Practitioner:
  • Registered first level nurse
  • MSc or equivalent
  • Independent/supplementary nurse prescribing qualification
  • Advanced nursing specialist qualification
  • Relevant nursing/health degree
  • Clinical supervision training and experience
  • Enhanced Care Practitioner:
  • GCSE or equivalent in English and Mathematics
  • A Level qualifications or equivalent
  • Evidence of continual professional development.

  Desirable

  • Advanced Nurse Practitioner:
  • Mentor/teaching qualification
  • Enhanced Care Practitioner:
  • Evidence of continual professional development

  Knowledge and Skills

  Essential

  • Advanced Nurse Practitioner:
  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Clinical governance issues in primary care
  • Patient group directives and associated policy
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Resource management
  • Enhanced Care Practitioner:
  • Excellent interpersonal and communication skills
  • Knowledge of primary care operating environment
  • Excellent analytical skills, including analysis of data
  • Time management skills and the ability to prioritise workload
  • Demonstrable commitment to and focus on quality and safety
  • Strong IT skills

  Desirable

  • Advanced Nurse Practitioner:
  • Knowledge of public health issues
  • Able to identify determinants on health in the area
  • Knowledge of public health issues in the area
  • Enhanced Care Practitioner:
  • Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working
  • Understanding of the South Somerset Symphony Programme and New Models of Care
  • Understanding of the NHS GP Contract
  • Use of EMIS searches and protocols
  • Able to multi-task and cope with an unpredictable work pattern

  Person Specification

  Experience

  Essential

  • Advanced Nurse Practitioner:
  • Minimum 5 years post-registration experience
  • At least 2 years recent primary / community nursing experience
  • Nurse prescribing
  • Nurse-led management of minor illness, minor ailments and injuries
  • Nurse-led triage
  • Compiling protocols and clinical guidelines
  • Audit
  • Research
  • QI
  • Enhanced Care Practitioner:
  • Qualified paramedic or specialist paramedic registered with the HCPC
  • A minimum of 5 years paramedic work experience
  • Evidence of appropriate continuing professional development activity
  • Ability to assess and manage patient risk effectively and safely

  Desirable

  • Advanced Nurse Practitioner:
  • Health-needs assessment
  • Enhanced Care Practitioner:
  • Diploma or Degree in a healthcare related discipline

  Qualifications

  Essential

  • Advanced Nurse Practitioner:
  • Registered first level nurse
  • MSc or equivalent
  • Independent/supplementary nurse prescribing qualification
  • Advanced nursing specialist qualification
  • Relevant nursing/health degree
  • Clinical supervision training and experience
  • Enhanced Care Practitioner:
  • GCSE or equivalent in English and Mathematics
  • A Level qualifications or equivalent
  • Evidence of continual professional development.

  Desirable

  • Advanced Nurse Practitioner:
  • Mentor/teaching qualification
  • Enhanced Care Practitioner:
  • Evidence of continual professional development

  Knowledge and Skills

  Essential

  • Advanced Nurse Practitioner:
  • Advanced clinical practice skills
  • Management of patients with long-term conditions
  • Management of patients with complex needs
  • Clinical examination skills
  • Accountability of own role and other roles in a nurse-led service
  • Local and national health policy
  • Clinical governance issues in primary care
  • Patient group directives and associated policy
  • Communication skills, both written and verbal
  • Communication of difficult messages to patients and families
  • Negotiation and conflict management skills
  • Change management
  • Resource management
  • Enhanced Care Practitioner:
  • Excellent interpersonal and communication skills
  • Knowledge of primary care operating environment
  • Excellent analytical skills, including analysis of data
  • Time management skills and the ability to prioritise workload
  • Demonstrable commitment to and focus on quality and safety
  • Strong IT skills

  Desirable

  • Advanced Nurse Practitioner:
  • Knowledge of public health issues
  • Able to identify determinants on health in the area
  • Knowledge of public health issues in the area
  • Enhanced Care Practitioner:
  • Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working
  • Understanding of the South Somerset Symphony Programme and New Models of Care
  • Understanding of the NHS GP Contract
  • Use of EMIS searches and protocols
  • Able to multi-task and cope with an unpredictable work pattern

  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

  Symphony Healthcare Services Limited

  Address

  Highbridge Medical Centre

  Pepperall Road

  Highbridge

  Somerset

  TA9 3YA

  
  

  Employer's website

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

  Employer details

  Employer name

  Symphony Healthcare Services Limited

  Address

  Highbridge Medical Centre

  Pepperall Road

  Highbridge

  Somerset

  TA9 3YA

  
  

  Employer's website

  https://www.symphonyhealthcareservices.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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