Senior Practice nurse -Home visits

Job responsibilities

Principal Responsibilities:

Able to undertake complex general practice nursing interventions for a wide range of general practice issues and teach and develop other staff to enhance their practice to manage future situations. This will entail being able to demonstrate not only practical knowledge but also a critical understanding of the range of theories and principles that underpin the general practice nursing approach.

Assess capacity for informed consent and support other staff to develop this skill.

Highly developed specialist knowledge and understanding of LTCs, health behaviour and interventions to improve health outcomes, including the use of technologies to support patients at home.

Able to manage clinical care at the highest level independently, from beginning to end, for example from when an individual presents through to the end of the episode, which may include admission, referral or discharge or care at home.

Advanced knowledge and skills in therapeutics to prescribe effective pharmacological and non- pharmacological approaches for the management of LTCs and assess patient concordance.

Is able to respectfully challenge practice, systems and policies in an objective and constructive manner.

Participate in opportunities to influence local policies, pathways and procedures.

Is able to develop, deliver and evaluate training and education packages, for individuals and groups, across a broad range of general practice nursing needs and in collaboration with other disciplines and agencies to facilitate inter-professional/agency learning.

Able to display originality of thought and utilise this in innovative service development and delivery and safe implementation of new policies and guidelines for practice.

Facilitation of Learning:

Demonstrate problem-solving skills underpinned from perspectives, for example in research processes, service and quality improvement techniques, educational theory, or leadership and management theory.

Participate in the planning and implementation of development programmes.

Focus on the improvement of patient safety by developing systems to disseminate learning from incidents and follow up to ensure best practice is embedded in delivery of care.

Act as an experienced work-based learning educator/assessor by providing advice and support to other practitioners and build capability and capacity to support learning in practice settings.

Participate in monthly clinical education meetings.

Leadership & Management:

They may delegate work to other members of the multidisciplinary team and take accountability for the delegated activity.

Able to assimilate information from a range of sources and ensure complex decisions reflect the analysis of these different perspectives even when limited information is available.

Is able to participate in strategy development, presenting a positive role model for general practice nursing, and ensuring this translates into practice development to improve the quality of care.

Able to apply the theoretical perspectives of change management to create an environment for successful change and practice development and utilise conflict management and resolution strategies where appropriate. Demonstrate and evaluative an outcomes-based approach to practice and develop strategies to share this with a wider audience. Is able to appreciate the broadest context of clinical governance and initiate and support others, including service users, to be involved in a range of quality assurance and monitoring activities.

Ensure that quality and audit cycles are completed and results and learning are fed back into practice.

Develop processes for monitoring clinical effectiveness and efficiency to enhance management of resources.

Where required undertake significant event auditing (or equivalent) and be skilled in undertaking objective investigations and in writing objective reports following the completion of the investigation and in presenting this information orally if required.

Able to work effectively with a wide range of professionals and agencies and participate in multi- professional/agency strategies.

Evidence, Research & Development:

To lead at least one special area of expertise to be seen as a local expert and role model able to articulate the most contemporary evidence, approaches to practice and management.

Identify and utilise skills and knowledge of staff to support or undertake research-related activity such as audit, evaluation and wider research for the benefit of the organisation. Monitor impact of evidence utilisation.

Safeguarding Children and Adults:

The organisation has a zero tolerance approach to the abuse of children, young people and vulnerable adults. All employees are required to promote and safeguard the welfare of children and young people and comply with the Local Safeguarding Children Board Procedures and the Children Act (1989, 2004). In accordance with the CCG and Local Safeguarding Adult Board policy all staff must ensure the health and wellbeing of vulnerable adults is appropriately safeguarded.

All staff are required to attend training appropriate to their role in safeguarding children and adults, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuse are noticed in a person.

Postscript:

The post holder may be required to undertake other related duties not specifically mentioned above. Any changes to this role specification will be made in consultation with the post holder.

Brownlow Health operates a No Smoking Policy and is an equal opportunities employer.

Qualifications

Essential

• Registered Part 1 NMC
• Independent / supplementary nursing prescribing V300
• Clinical supervision and mentorship training and experience
• Clinical Examination/Diagnostics
• Masters level study in relevant module(s)

Desirable

• NMC Mentorship Qualification
• MSc in Advanced Practice or RCN Credentialling

Attributes and Behaviours

Essential

• A complete finisher.
• Resilience and drive
• Personal and professional integrity and confidence.
• Flexibility
• Self-starter
• Resourceful
• Strong facilitating skills
• Calm and resolute under pressure.
• Self-motivated and enthusiastic.
• High workload capacity and capable of sustained effort over a long period.
• Effective delegator
• Strong commitment to public services.
• Full driving license

Experience

Essential

• Extensive experience as a senior Practice Nurse in a GP Practice.
• Extensive relevant experience as a non- medical prescriber
• Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
• Knowledge of safeguarding adults policies and procedures and how to apply them
• Autonomous practitioner
• Competent in physical assessment and clinical examination skills appropriate to the role.
• Experience of compiling protocols and clinical guidelines
• Leadership in quality initiates such as clinical benchmarking
• Management of patient with long term conditions
• Management of patients with complex needs

Skills

Essential

• Clinical leadership skills
• Change management skills and ability to support patients to change lifestyle
• High level communication skills
• Ability to communicate difficult information to patients and families
• Negotiation and conflict management skills
• I.T skills
• Ability to undertake audit
• Research knowledge and understanding

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).