The PCN Long-Term Conditions (LTC) Proactive Care Nurse will work as part of the PCN Proactive Care Team to provide proactive, evidence-based assessment, management and care planning for patients living with complex long-term conditions and frailty across the Primary Care Network. The role is not practice-based and will operate across the PCN footprint, providing support in patients' own homes, care homes and community settings.
The post holder will work with some of the PCN's most frail, vulnerable and clinically complex patients, undertaking holistic assessments, coordinating care, supporting self-management, reducing health inequalities and preventing avoidable hospital admissions.
The successful candidate must demonstrate existing knowledge, qualifications, experience and competency in the management of Diabetes, Respiratory Disease (Asthma and COPD), Heart Failure and Cardiovascular Disease. The post holder will be expected to independently undertake Long-Term Condition Part 2 Reviews from commencement in post and manage complex patients with multiple
An exciting opportunity has arisen for a Long-Term Conditions (LTC) Proactive Care Nurse to support York Road Primary Care Network (PCN). York Road PCN includes 3 practices working over 5 sites: Shaftesbury Medical Centre, Church View Surgery, Garden Surgery, The Medical Centre (Rookwood Ave) & The Medical Centre (846 York Road) and you will be expected to provide support and care to patients registered across all the practices in the PCN, including those within our 3 Care Homes
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York Road PCN LTC Proactive Care Nurse in Leeds employer: South & East Leeds GP Group
South & East Leeds GP Group is an exceptional employer, dedicated to fostering a supportive and collaborative work environment for its Care Coordinators. With a strong focus on employee growth and development, the organisation offers numerous opportunities for professional advancement while prioritising the well-being of both staff and patients. Located in a vibrant community, employees benefit from a culture that values teamwork and innovation, making it a rewarding place to contribute to meaningful healthcare outcomes.
Contact Details:
South & East Leeds GP Group Recruitment Team
