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 at Creech Medical Centre on a part time basis.

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 vacancy is a permanent part time contract of 18 hours per week.

The pay range for this role is £21.83 per hour.

This vacancy will close at midnight on 18th August 2026.

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, COPD and other Long Term Conditions would be desirable.

About us
Established in 2016, Symphony Healthcare Services (Symphony) provides NHS primary care provision across 21 sites within Somerset, linked to 14 general practice contracts. The organisation cares for approximately 132,000 patients and employs around 600 staff.

Symphony is a subsidiary of Somerset NHS Foundation Trust and manages its services through the support of a central team (including HR, finance, corporate and operational governance).

Providing NHS services is at the heart of what we do. Specifically, our vision is to be at the forefront of sustainable, high quality general practice, collaborating with our communities to improve experiences and health outcomes. We work closely with our practice teams to grow, enhance, and transform our services for the benefit of patients and staff.

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

Symphony offers an NHS or NEST Pension, a fantastic range of employee benefits and salary sacrifice schemes (see attached poster), along with flexible working from day of employment and an agile approach to hybrid working (where applicable).

We look forward to hearing from you and receiving your application.

Details
Date posted: 07 August 2026
Pay scheme: Other
Salary: £21.26 to £22.73 an hour
- starting salary is based on qualifications / experience.
Contract: Permanent
Working pattern: Part-time, Flexible working
Reference number: E0215-LTCPNAUG-2026
Job locations: Creech Medical Centre, Hyde Lane, Creech St. Michael, TAUNTON, Somerset, TA3 5FA, United Kingdom

Job responsibilities

• Manage a designated case load of patients with chronic conditions, visiting them in their own home or consulting with them at the practice.
• Interest / specialism in Diabetes advantageous
• Work within the NMC Code
• To mentor junior staff ensuring that they are supported and continually developed.
• To develop the nursing services offered both for the practice and through SHS.
• To support clinical Supervision within the practice.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality
• Deliver care according to NSF, NICE guidelines and evidence-based care
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal appraisal.

Person Specification
Knowledge and Skills
Essential

• Management of patients with Chronic Diseases
• Management of patients with Complex Needs
• Local and National Health Policy
• TEPs Review
• Communication Skills, both written and verbal
• Communication of difficult messages to patients and families
• Resource Management

Desirable

• Clinical Examination skills (PACR)
• Non-Medical Prescribing
• Change Management

Qualifications
Essential

• Registered First Level Nurse
• Evidence of appropriate continuing personal development

Desirable

• Mentor/teaching qualification
• Clinical Supervision Training and Experience

Experience
Essential

• At least 2 years recent nursing experience of working with patients with chronic conditions
• Audit
• QI

Desirable

• Health-needs assessment
• Research
• Knowledge of EMIS/SystemOne and Ardens

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: Creech Medical Centre, Hyde Lane, Creech St. Michael, TAUNTON, Somerset, TA3 5FA, United Kingdom
Employer's website: https://www.symphonyhealthcareservices.com/ (Opens in a new tab)

Employer contact details
For questions about the job, contact: Practice Manager, Nandini McCulloch, nandini.mcculloch1@nhs.net

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