Long Term Nurse Lead

Due to the continued development of our nursing services, we are seeking an experienced and highly motivated Long Term Conditions Nurse Lead to provide clinical leadership for the management of chronic disease and support the achievement of excellent patient outcomes.

The successful candidate will lead and develop our long-term conditions service, delivering high-quality care across a broad range of chronic diseases whilst supporting the practice in achieving Quality and Outcomes Framework (QOF) and enhanced service objectives.

This is an exciting opportunity for a skilled clinician who is passionate about preventative healthcare, patient education and improving outcomes for patients living with long-term conditions.

You will work collaboratively with GPs, pharmacists, HCAs, and the wider multidisciplinary team to deliver evidence‑based care, identify opportunities for service improvement and support population health management.

Diabetes Management

• Lead diabetes care delivery within the practice.
• Undertake diabetes reviews and annual assessments.
• Support patients using oral agents, GLP‑1 therapies and insulin.
• Initiate and titrate insulin where appropriately qualified.
• Interpret blood glucose data, HbA1c results and cardiovascular risk factors.
• Promote structured diabetes education and self‑management.

Respiratory Disease Management

• Lead asthma and COPD services.
• Conduct annual reviews and optimise treatment in line with NICE guidance.
• Perform and interpret spirometry and FeNO testing.
• Support accurate diagnosis, monitoring and disease management.
• Deliver inhaler technique education and self‑management support.

Cardiovascular Disease and Prevention

• Manage hypertension, CHD, stroke/TIA, atrial fibrillation and heart failure within scope of practice.
• Support lipid management and cardiovascular risk reduction.
• Optimise therapy in line with national and local guidance.
• Promote prevention and healthy lifestyle interventions.

Clinical Leadership

• Act as a clinical resource for long‑term condition management.
• Support and mentor nursing and HCA colleagues.
• Contribute to audits, quality improvement and service development.
• Participate in MDT meetings and population health initiatives.

QOF and Quality Improvement

• Identify patients requiring review.
• Support achievement of QOF and enhanced service targets.
• Maintain accurate coding and high‑quality records.
• Improve chronic disease outcomes and close care gaps.

Overdale Medical Practice is a progressive, patient‑focused GP practice serving approximately 12,000 patients in Derbyshire. We are committed to delivering high‑quality, accessible primary care while embracing innovation, digital transformation and continuous improvement.

Our multidisciplinary team includes GPs, Advanced Nurse Practitioners, Practice Nurses, Pharmacists, Health Care Assistants, Care Coordinators and administrative colleagues who work closely together to provide outstanding care to our patients. We are proud of our supportive culture, commitment to professional development, and focus on delivering safe, evidence‑based care.

At Overdale Medical Practice, we believe in delivering excellent patient care while supporting our staff to thrive professionally. We encourage innovation, value new ideas, and are committed to creating a positive workplace where every member of the team can make a meaningful contribution.

If you are an experienced clinician passionate about improving the lives of patients with long‑term conditions, we would love to hear from you.

Informal enquiries are welcomed.

Clinical Care and Long‑Term Condition Management.

Lead the delivery and development of long‑term condition management within the practice.

Undertake comprehensive annual reviews, assessments and follow‑up appointments for patients with chronic disease.

Provide holistic, evidence‑based care that supports prevention, early intervention, self‑management and improved health outcomes.

Work within agreed clinical protocols, national guidance, local pathways and professional scope of practice.

Ensure care is personalised, inclusive and responsive to patient needs, preferences and health literacy.