You will beresponsible for the delivery of practice nursing services to the practicepopulation. You will deliver care within your professional boundariesdemonstrating competence in all aspects of primary care nursing dutiesincluding chronic disease management, cervical cytology, vaccinations andimmunisations, sexual health and contraception, screening, basic wound care andhealth promotion.
You will demonstratesafe, clinical decision making and expert care and will work collaborativelywith the general practice team to meet the needs of patients, supporting thedelivery of policy, procedures, future practice strategy and provide clinicalleadership as required.
You will work underthe clinical supervision of the GPs/Nurse Practitioners/ Practice Nurses/ andline management of Tower Family Healthcare to help deliver the key elements ofthe PMS contract.
In summary thepractice nurse role is to assess, implement and evaluate programmes of careacross the practice population whilst working within the scope of professionalpractice of a registered nurse and practices autonomously within defined areasof practice and established protocols.
Main duties of the job
ChronicDisease Management: undertake chronic disease managementmonitoring clinics (eg asthma, diabetes, CHD, COPD, CKD, hypertension, dementia,RA checks) in line with QOF guidelines.
Vaccination& Immunisations: administerinjections under individual prescriptions, or patient group directions such as;providing adult and childhood immunisation service, depo-provera injections,travel vaccinations, school leaver boosters, flu/pneumonia, shingles,whooping cough, HPV, prostap/zoladex injections, B12 injections. Ensuresafe storage, rotation, expiration and disposal of vaccines and drugs.
HealthPromotion: smoking cessation advice, healthy eatingadvice, lifestyle advice (activity, exercise, alcohol), health checks, weightmanagement,
SexualHealth; giving advice as appropriate, pill checks, coilcheck, family planning advice, sexual health, breast awareness, incontinence,menopause, HRT checks and refer to the GP as appropriate.
WoundManagement: perform basic wound careas appropriate such as removal of sutures, basic dressings, assisting the GPwith minor surgery clinics and coil fittings
Additional Practice Nurse duties may include: ear syringing, nail clippings,anticoagulation clinics, cryotherapy clinics, cervical cytology, health checks, BP/ABPM, height, weight, BMI, urinalysis, smoking status, chlamydia screening, MRSA swabs, ECG, venipuncture, oral GTT, new patient checks, spirometry with reversibility, inhaler instruction. May be required to undertake home visits.
About us
We are a large General Practice with four branches across Bury, Greater Manchester. We provide services to around 50,000 registered patients, a quarter of the population of Bury.
We are a forward thinking General Practice rated as Good by the CQC. We have a strong business plan and a clear focus on providing quality primary care at scale, along with innovative approaches to delivering care through new ways of working and digital transformation.
We are a training and teaching Practice committed to investing in clinicians of the future. We are also involved in cutting edge clinical research projects to discover and deliver better care that will really make a difference to patients in Bury and further afield.
Our clinical team is diverse including GPs and GP Assistants, Practice Paramedics, Pharmacists, Nurse Practitioners, Practice Nurses and highly skilled Health Care Assistants, working closely with a range of additional roles including an Acute Visiting Service and First Contact Physiotherapists.
To allow more time to care, our clinical team is underpinned by a very experienced team of receptionists and administrators, as well as a range of inhouse corporate functions covering themes such as HR, IT, finance, administration and management support and communications.
Job responsibilities
Administrationand Professional Responsibilities
Participate inthe administrative and professional responsibilities of the practice team
Ensure accurateand legible notes of all consultations and treatments are recorded in thepatients journal
Ensure the clinicalcomputer system is kept up to date with accurate details recorded
Ensure accuratecompletion of all necessary documentation associated with patient health care
Attend andparticipate in the practice meetings as required
Assist informulation of practice philosophy, strategy and policy
To assist inseasonal and special projects as requested e.g. flu campaign
To be aware ofresponsibilities under the Date Protection Act
Managementof appointment system
Ensure totalfamiliarity with all appointment systems, including regular and incidentalvariations
Book appointmentsand recalls, ensuring sufficient information is recorded to enable retrieval ofthe medical record
Monitor flow ofpatients into the waiting room, ensuring the appointment system accuratelyreflects the arrival of patients
Monitoreffectiveness of the system and report any problems or variations to the ITLead(s)
InfectionControl
Maintain highstandards of infection control at all times, protecting patients, self andcolleagues. This includes appropriatemaintenance of the clinical equipment and stock. (Check and monitor equipment eg storage,cleaning schedule, fridge temperature checks, emergency trolley and drug storechecks, expiry date checks).
Apply infectioncontrol measures within the practice according to practice, local and nationalguidelines.
Communication
Communicate clearly and effectivelywith patients and carers, recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground and preferred ways of communicating.
Anticipate barriers to communicationand take action to improve communication
Maintain effective communication withinthe practice environment and externally to sustain a high standard,professional approach.
Attend and contribute to practice andprimary care team meetings.
Recognise and work within owncompetence and professional code of conduct as regulated by the NMC
Produce accurate, contemporaneous andcomplete records of patient consultation, consistent with legislation, policiesand procedures.
To uphold confidentiality of patientrecords and practice information.
Prioritise, organise and manage ownworkload in a manner that maintains and promotes quality and meets practiceexpectations
Deliver care according to NSF, NICEguidelines, QOF guidance and evidence-based care
Assess effectiveness of care deliverythrough self and peer review, benchmarking and formal evaluation
Utilise the audit cycle as a means ofevaluating the quality of the work of self and the team, implementingimprovements where required
Evaluate patients response to healthcare provision and the effectiveness of care
Support andparticipate in shared learning across the practice and wider organisation
Activelyparticipate in the practice significant event procedures. Ensure learning andactions from significant event reviews are implemented and reviewed.
Safeguarding: Understand and apply legal issues thatsupport the identification of vulnerable and abused children and adults, and beaware of statutory child/vulnerable patients safeguarding health procedures andlocal guidance
Leadershippersonal and professional development
Takeresponsibility for own learning and performance including participating inclinical supervision and acting as a positive role model.
Undertakementorship for more junior staff, assessing competence against setstandards. Support staff development inorder to maximise potential.
Actively promotethe workplace as a learning environment, encouraging everyone to learn fromeach other and from external good practice
Support andcontribute to the teaching of nursing staff/ medical students/ GP registrarsand administration staff as appropriate
Work with thepartners and practice manager in planning and implementing changes within thearea of care and responsibility
Contribute to thedevelopment of local guidelines, protocols and standards
Participate,undertake and support annual staff appraisal.Assess own learning needs and undertake learning as appropriate ensuringclinical portfolio, continued professional development and registration fit forpurpose
Teamworking
Work as aneffective and responsible team member, supporting others and working with theGP Partners, Practice Manager and nursing team exploring the mechanisms todevelop new ways of working
Delegate clearlyand appropriately, adopting the principles of safe practice and assessment ofcompetence
Create clearreferral mechanisms to meet patient need
Work effectivelywith others to clearly define values, direction and policies impacting uponcare delivery
Discuss,highlight and work with the team to create opportunities to improve patientcare
Manage and leadon the delivery of specifically identified services or projects as agreed withthe practice management team
Specialrequirements for the post
An ability to useyour own judgement, resourcefulness, common sense and local knowledge, torespond to patients enquiries and requests while adhering to practicelimitations
An understandingand acceptance of your own capabilities and awareness of your own limitations
Ability to workwithout direct supervision and determine your own workload priorities
Basic keyboardand computer skills
Flexibility ofworking hours
Communication
Communicateclearly and effectively with patients and carers, recognising the need foralternative methods of communication to overcome different levels ofunderstanding, cultural background and preferred ways of communicating
Anticipatebarriers to communication and take action to improve communication
Maintaineffective communication within the practice environment and externally tosustain a high standard, professional approach
Attend andcontribute to practice and primary care team meetings
Contributionto the implementation of services
Apply practicepolicies, standards and guidance
Discuss withother members of the team how the policies, standards and guidelines willaffect your own work
Participate inaudit where appropriate
Confidentiality
Has been acquiredby you during, or in the course of your employment, or has otherwise beenacquired by you in confidence
Is related topatients including their identity, personal information and all of theirmedical records
Belongs to, or isheld by Tower Family Healthcare whether stored electronically or otherwise andall details of Tower Family Healthcares premises, information, assets,internal communications, intellectual property, technical systems, projects,operating procedures and finance
Relatesparticularly to Tower family Healthcare, or that of other persons or bodieswith whom we have dealings of any sort; andhas not been made public by, or with our authority
Shall be confidential, and (save in the course of ourbusiness or as required by law) you shall not at any time, whether before orafter the termination of your employment, disclose such information to anyperson without our prior written consent. A breach of this clause may betreated as gross misconduct leading to summary dismissal and / or criminalproceedings.
Managinginformation
Use technologyand appropriate software as an aid to management in planning, implementationand monitoring of care, presenting and communicating information
Review andprocess data using accurate Read codes in order to ensure easy and accurateinformation retrieval for monitoring and audit processes
Manage informationsearches using the internet and local library databases
Understandresponsibility of self and others to the practice regarding the Data Protectionand Freedom of Information Act
Collate, analyseand present clinical data and information to the team
Equalityand diversity
You will support the equality, diversity and rights of patients, carers andcolleagues, to include:
Acting in a waythat recognizes the importance of peoples rights, interpreting them in a waythat is consistent with practice procedures and policies, and currentlegislation
Respecting theprivacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in amanor which is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings, priorities and rights
Person Specification
Qualifications
* Registered first level nurse MSc or equivalent with current registration
* Accredited LBC Cytology
* ECDL
* Mentor/teaching qualification Teaching certificate
* Clinical supervision training and experience
Experience
* Minimum 5 years post registration nursing experience
* At least 3 years recent primary care / community nursing experience
* Demonstrate evidence of experience outlined within clinical practice section of job description
* Audit
* Home visit assessment of patients
* Sexual Health including fitting / removal of IUCD and LAC
* Minor Surgery
Skills
* Clinical skills & competency relevant to the practice nurse role.
* Communication skills written and verbal
* Communication of difficult messages to patients and families
* Negotiation and conflict management skills
* Clinical examination
* IT Skills
* Teaching and mentorship in clinical setting
* Change management
* Participate in the care of equipment
Knowledge
* In-depth knowledge and management of patients with long term conditions/chronic diseases
* Demonstrate knowledge and experience of the practice nurse role
* Patient group directions and associated policy
* Ability to identify priorities on health in the area
* Local and national policy / Wider health economy
* EMIS clinical system
Other
* Full UK driving licence business use
* Reliability & commitment to team working
* Highly motivated
* Flexible and responsive to change week/evening /weekend working
* Team player
* Willingness to undertake further training
* Demonstrates the ability to value the opinion of others
* Ability to work within a pressurised environment maintaining a safe, high standard of quality care
* Ability to work across boundaries
* Ability to undertake stock control
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.
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