Job summary
Are you looking to take the next step in your career: moving to workingin a small GP Practice, from community care to primary care or perhaps movingfrom secondary care to primary care. Whatever the reason, our practice aim isto ensure good patient care whilst considering the wellbeing of the staff apriority. Hartcliffe is known to be an area of high deprivation and whilst thisbrings many recognised challenges, the role also provides a great many rewards.
Our Lead Nurse is relocating which means that we are looking for apractice nurse to help make our amazing team complete again. You wouldlead a team of Practice Nurses and Healthcare Assistant and will undertake allaspects of the practice nurse role including cervical screening, babyimmunisations and chronic disease management. Ideally youwill already be an experienced nurse with management/leadership experience(this can be a supported development role) and have experience in at least one chronicdisease speciality.
As a core member of the leadership team your input to our practice team andour patients will be important. You will be integral to the delivery ofhigh-quality patient care &quality improvement initiatives for ourpatients.
Main duties of the job
The Lead Practice Nurse will be responsible for the management of thepractice nursing team, consisting of nurses and HCA.
They will be responsible for several clinical areas such as infectionprevention and control, chronic disease management, health promotion, as well assupporting the practice management team in the reviewing and delivery ofclinical policy and procedure.
About us
We have recently undergone a successful expansion of thepartnership from 2 to 4GP partners and our Clinical team now comprises anadditional3 Nurses, 1 Paramedic, 1 HCA, Pharmacist, Social prescriber, Mental Health Nurse and whole team meet daily to chat/ have lunch and support one another.
1. Practice profile:
2. GMS practice in South Bristol (an area of higherdeprivation)
3. Newly Accredited training practice for GP ST training
4. Part of Swift Primary Care Network
5. Operating from shared health centre premises, leased fromNHS Estates.
6. Growing list of 7,000 + patients
7. CQC rated Good
8. Voted GP practice of the year 2018 Bristol & Bath
We areforward thinking and work in close collaboration with our South BristolLocality as well as our neighbouring 7 practices as part of the SWIFT PCN.
We believe small is beautiful and feel we have made asuccess of the small practice where continuity of care, flexibility, team working,and compassion enable great patient care and an excellent clinical experience. Ourfocus in on delivering a supportive, relaxed, and fun environment to work in.
Job description
Job responsibilities
Job responsibilities
9. The following are the core responsibilities of the Lead Practice Nurse.There may be, on occasion, a requirement to carry out other tasks. This will bedependent upon factors such as workload and staffing levels:
10. To act as the Infection Prevention Control (IPC) lead and to work tothe IPC Policy providing audits, training, support and evidence of complianceto the practice manager
11. To produce the IPC annual statement in conjunction with the practicemanager
12. To develop, implement and embed an effective care managementprogramme for the frail and housebound patients registered at the practice
13. To assess the needs of patients ensuring the provision of healthcareis appropriate, incorporating evidence-based practice
14. To develop, implement and embed health promotion and wellbeingprogrammes
15. To implement and evaluate individual treatment plans for chronicdisease patients that promote health and wellbeing
16. To identify, manage and support patients at risk of developinglong-term conditions, preventing adverse effects to patients health
17. As required, to provide routine nursing care to patients inaccordance with clinical based evidence, NICE and the NSF
18. As required, to diagnose and manage acute and chronic conditions
19. To prescribe medication for patients in accordance with PGDs and ownscope of practice
20. To review patient medications to enhance compliance
21. To provide guidance to patients on the use of prescribed andover-the-counter medications regarding side effects and dosages
22. To co-ordinate the provision of travel medicine services
23. To request pathology services and process pathology results asrequired
24. To oversee the provision of chronic disease clinics, deliveringpatient care as necessary, referring patients to secondary/specialist care asrequired
25. To maintain accurate clinical records in conjunction with extantlegislation
26. To ensure read codes are used effectively by all members of thenursing team
27. To ensure the appropriate maintenance and use of chronic diseaseregisters
28. To develop, implement, embed and participate in well woman clinics
29. To develop, implement, embed and participate in well man clinics
30. To ensure compliance with the practice chaperone policy
31. To assist GPs with minor surgery when required
32. To prioritise health issues and intervene appropriately
33. To support the team in dealing with clinical emergencies
34. To recognise, assess and refer patients presenting with mental healthneeds
35. To implement vaccination programmes for adults and children
36. To support patients in the use of their prescribed medicines orover-the-counter medicines (within own scope of practice)
37. To liaise with external services/agencies to ensure the patient issupported appropriately (vulnerable patients etc.)
38. To delegate clinical responsibilities appropriately (ensuring safepractice and the task is within the scope of practice of the individual)
39. To support the clinical team with all safeguarding matters, inaccordance with local and national policies
40. To understand practice and local policies for substance abuse andaddictive behaviour, referring patients appropriately
41. To deliver opportunistic health promotion where appropriate
42. In addition to the primary responsibilities, the Lead Practice Nurse maybe requested to:
43. Develop and review audit protocols and process for the practice,effectively utilising the audit cycle
44. Develop, review and implement nursing protocols in conjunction withthe partners
45. Support all members of the nursing team, providing guidance whennecessary, conducting appraisals and training needs analyses as required
46. Participate in local initiatives to enhance service delivery andpatient care
47. Support and participate in shared learning within the practice inorder to improve patient care
48. Continually review clinical practices, responding to nationalpolicies and initiatives where appropriate
49. Participate in the review of significant and near-miss eventsapplying a structured approach,, root cause analysis (RCA)
50. Coordinate the nursing team rota, ensuring sufficient staff areavailable to meet patient needs
51. Lead the planning and implementation of changes within the nursingteam, enhancing the provision of services to patients
52. Support the practice team with the reviewing and implementation ofpractice policies and protocols, ensuring conformance to extant legislation
Person Specification
Experience
Essential
53. Experience of leading a nursing team
54. Experience of chronic disease management
55. Experience of working autonomously
56. Experience of infection prevention and control measures
Desirable
57. Experience of working in a primary care environment
58. Experience of working as a practice nurse or community nurse
59. Experience of managing elderly and housebound patients
60. Experience of quality initiatives,, benchmarking
Qualifications
Essential
61. Registered Nurse (Nursing and Midwifery Council)
Desirable
62. Mentor or teaching qualification
63. Post graduate diploma or degree (Chronic Disease Management)
64. Nurse prescriber
65. Family planning qualification
Clinical Knowledge and Skills
Essential
66. Understanding the importance of evidence-based practice
67. Understand the requirement for PGDs and associated policy
68. Ability to record accurate clinical notes
69. Ability to work within own scope of practice and understanding when to refer to GPs
70. Chaperone procedure
71. Immunisations routine, childhood and travel
72. Excellent communication skills written and oral
73. Effective time management planning and organising
74. Ability to work as a team member and autonomously
75. Good interpersonal skills
76. Problem solving and analytical skills
77. Ability to follow clinical policy and procedure
78. Clear, polite telephone manner
Desirable
79. Wound care, removal of sutures and staples
80. ECGs
81. Venepuncture
82. ABPI measurement and compression bandaging
83. Womens health cervical cytology, contraception, etc.
84. Chronic disease management
85. Travel medicine
86. Spirometry
87. Experience with audit and able to lead audit programmes
88. Experience with clinical risk management
89. Strong IT skills and competent in EMIS
Personal Qualities
Essential
90. Polite and confident
91. Flexible and co-operative
92. High levels of integrity and loyalty
93. Sensitive and empathetic in distressing situations
94. Effectively able to communicate and understand the needs of the patient
95. Commitment to ongoing professional development
96. Punctual and committed to supporting the team effort
97. Motivated, forward thinker
98. Problem solver with the ability to process information accurately and effectively, interpreting data as required
99. Ability to work under pressure/in stressful situations
100. Effectively utilise resources