Devonport Health Centre

Lead Chronic Disease Nurse

Information:

This job is now closed

Job summary

We are looking for a Chronic Disease Trained Nurse qualified to provide COPD, Asthma, Diabetes, CHD. We would ideally like a Nurse who is able to carry out travel assessments, family planning, immunisations, and smears.

We are flexible on the number of working hours and days for the right candidate. The successful candidate will be joining a friendly team and be supported by 2 Chronis Disease Nurses, 2 Treatment Room Nurses and 2 Health Care Assistants.

Our recall process is structured in a true medication and chronic disease review to minimise the number of appointments for the patients benefit as well as reducing demand.

The successful candidate will be working in an environment where they will be supported by a strong team with an open-door policy. We have weekly meetings which are an opportunity to discuss complex patients and any positive or adverse events which could impact on the care we provide.

Main duties of the job

a. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager

b. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

c. To develop, implement and embed health promotion and wellbeing programmes

d. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

e. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

f. As required, to diagnose and manage acute and chronic conditions

g. To prescribe medication for patients in accordance with PGDs and own scope of practice

h. To co-ordinate the provision of travel medicine services

i. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

j. To maintain accurate clinical records in conjunction with extant legislation

m. To prioritise health issues and intervene appropriately

n. To support the team in dealing with clinical emergencies

o. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

p. To support the clinical team with all safeguarding matters, in accordance with local and national policies

About us

Devonport Health Centre is located on the Cumberland Campus between the Peninsula Dental School and the Cumberland Centre. We have a list of just under 8000 patients and historically the area is deprived. We are one of the Deep End Practices supporting complex patients who not only need medical support but also face social challenges.

Our aim is to work together to help the local population to stay physically and mentally well, to get better when they are ill, and to remain as independent as they can until the end of their lives. To provide accessible healthcare to a high standardlocally to our patients.

We have diversified our team due to the GP shortage across the Southwest and offer appointments and triage from the Minor Ailments Nurse undertaking the ACP course, Clinical Pharmacist, 2 Mental Health Practitioners in addition to on site and remote Locum GPs.

We operate a triage model for acute on the day problems to direct our patients to the right clinician, for the right problem, in the right amount of time, allowing the right amount of time.

We have external providers hold additional clinics at the Health Centre which include Cardiology, Dermatology, Minor Operations, Vasectomy and Clinical Genetics.

Details

Date posted

28 June 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1911-cdrnursedhc

Job locations

53 Damerel Close

Plymouth

PL1 4JZ


Job description

Job responsibilities

a. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager

b. To produce the IPC annual statement in conjunction with the practice manager

c. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

d. To develop, implement and embed health promotion and wellbeing programmes

e. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

f. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

g. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

h. As required, to diagnose and manage acute and chronic conditions

i. To prescribe medication for patients in accordance with PGDs and own scope of practice

j. To review patient medications to enhance compliance

k. To provide guidance to patients on the use of prescribed and over-the-counter medications regarding side effects and dosages

l. To co-ordinate the provision of travel medicine services

m. To request pathology services and process pathology results as required

n. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

o. To maintain accurate clinical records in conjunction with extant legislation

p. To ensure read codes are used effectively by all members of the nursing team

q. To ensure the appropriate maintenance and use of chronic disease registers

r. To develop, implement, embed and participate in well woman clinics

s. To develop, implement, embed and participate in well man clinics

t. To ensure compliance with the practice chaperone policy

u. To prioritise health issues and intervene appropriately

v. To support the team in dealing with clinical emergencies

w. To recognise, assess and refer patients presenting with mental health needs

x. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

y. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

z. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

aa. To support the clinical team with all safeguarding matters, in accordance with local and national policies

bb. To deliver opportunistic health promotion where appropriate

In addition to the primary responsibilities, the Lead Practice Nurse may be requested to:

a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle

b. Develop, review and implement nursing protocols in conjunction with the partners

c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required

d. Participate in local initiatives to enhance service delivery and patient care

e. Support and participate in shared learning within the practice in order to improve patient care

f. Continually review clinical practices, responding to national policies and initiatives where appropriate

g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)

h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

Job description

Job responsibilities

a. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager

b. To produce the IPC annual statement in conjunction with the practice manager

c. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

d. To develop, implement and embed health promotion and wellbeing programmes

e. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

f. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

g. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

h. As required, to diagnose and manage acute and chronic conditions

i. To prescribe medication for patients in accordance with PGDs and own scope of practice

j. To review patient medications to enhance compliance

k. To provide guidance to patients on the use of prescribed and over-the-counter medications regarding side effects and dosages

l. To co-ordinate the provision of travel medicine services

m. To request pathology services and process pathology results as required

n. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

o. To maintain accurate clinical records in conjunction with extant legislation

p. To ensure read codes are used effectively by all members of the nursing team

q. To ensure the appropriate maintenance and use of chronic disease registers

r. To develop, implement, embed and participate in well woman clinics

s. To develop, implement, embed and participate in well man clinics

t. To ensure compliance with the practice chaperone policy

u. To prioritise health issues and intervene appropriately

v. To support the team in dealing with clinical emergencies

w. To recognise, assess and refer patients presenting with mental health needs

x. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

y. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

z. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

aa. To support the clinical team with all safeguarding matters, in accordance with local and national policies

bb. To deliver opportunistic health promotion where appropriate

In addition to the primary responsibilities, the Lead Practice Nurse may be requested to:

a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle

b. Develop, review and implement nursing protocols in conjunction with the partners

c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required

d. Participate in local initiatives to enhance service delivery and patient care

e. Support and participate in shared learning within the practice in order to improve patient care

f. Continually review clinical practices, responding to national policies and initiatives where appropriate

g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)

h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

Person Specification

Qualifications

Essential

  • Registered Nurse (Nursing and Midwifery Council)
  • Mentor or teaching qualification
  • Post graduate diploma or degree (Chronic Disease Management)
  • Nurse prescriber
  • Family planning qualification
  • Experience of working in a primary care environment
  • Experience of leading a nursing team in a primary care environment
  • Experience of chronic disease management
  • Experience of working autonomously
  • Experience of working as a practice nurse or community nurse
  • Experience of infection prevention and control measures
  • Wound care/removal of sutures and staples
  • ECGs
  • Venepuncture
  • New patient medicals
  • Requesting pathology tests and processing the results, advising patients accordingly
  • Understanding the importance of evidence-based practice
  • Understand the requirement for PGDs and associated policy
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understanding when to refer to GPs
  • Chaperone procedure
  • Womens health (cervical cytology, contraception, etc.)
  • Immunisations (routine, childhood and travel)
  • Chronic disease management in [Asthma, COPD, Diabetes, CHD, Stroke]
  • Travel medicine
  • Spirometry
  • Excellent communication skills (written and oral)
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously
  • Good interpersonal skills
  • Problem solving and analytical skills
  • Ability to follow clinical policy and procedure
  • Polite and confident
  • Flexible and co-operative
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations
  • Effectively able to communicate and understand the needs of the patient
  • Commitment to ongoing professional development
  • Punctual and committed to supporting the team effort
  • Flexibility to work outside of core office hours
  • Enhanced Disclosure Barring Service (DBS) check
  • Occupational Health clearance
  • Meet the requirements and produce evidence for nurse revalidation
  • Evidence of continuing professional development (CPD) commensurate with the role of a Lead Practice Nurse

Desirable

  • Completed or working towards formal infection prevention and control training
  • Family planning qualification
  • Experience of managing elderly and housebound patients
  • Experience of quality initiatives, i.e., benchmarking
  • Broad knowledge of clinical governance
  • Knowledge of public health issues in the local area
  • Awareness of issues within the wider health arena
  • Knowledge of health promotion strategies
  • Experience with audit and able to lead audit programmes
  • Experience with clinical risk management
  • Strong IT skills and competent in EMIS/Systmone/ Vision
  • Clear, polite telephone manner
  • Motivated, forward thinker
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • Ability to work under pressure/in stressful situations
  • Effectively utilise resources
Person Specification

Qualifications

Essential

  • Registered Nurse (Nursing and Midwifery Council)
  • Mentor or teaching qualification
  • Post graduate diploma or degree (Chronic Disease Management)
  • Nurse prescriber
  • Family planning qualification
  • Experience of working in a primary care environment
  • Experience of leading a nursing team in a primary care environment
  • Experience of chronic disease management
  • Experience of working autonomously
  • Experience of working as a practice nurse or community nurse
  • Experience of infection prevention and control measures
  • Wound care/removal of sutures and staples
  • ECGs
  • Venepuncture
  • New patient medicals
  • Requesting pathology tests and processing the results, advising patients accordingly
  • Understanding the importance of evidence-based practice
  • Understand the requirement for PGDs and associated policy
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understanding when to refer to GPs
  • Chaperone procedure
  • Womens health (cervical cytology, contraception, etc.)
  • Immunisations (routine, childhood and travel)
  • Chronic disease management in [Asthma, COPD, Diabetes, CHD, Stroke]
  • Travel medicine
  • Spirometry
  • Excellent communication skills (written and oral)
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously
  • Good interpersonal skills
  • Problem solving and analytical skills
  • Ability to follow clinical policy and procedure
  • Polite and confident
  • Flexible and co-operative
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations
  • Effectively able to communicate and understand the needs of the patient
  • Commitment to ongoing professional development
  • Punctual and committed to supporting the team effort
  • Flexibility to work outside of core office hours
  • Enhanced Disclosure Barring Service (DBS) check
  • Occupational Health clearance
  • Meet the requirements and produce evidence for nurse revalidation
  • Evidence of continuing professional development (CPD) commensurate with the role of a Lead Practice Nurse

Desirable

  • Completed or working towards formal infection prevention and control training
  • Family planning qualification
  • Experience of managing elderly and housebound patients
  • Experience of quality initiatives, i.e., benchmarking
  • Broad knowledge of clinical governance
  • Knowledge of public health issues in the local area
  • Awareness of issues within the wider health arena
  • Knowledge of health promotion strategies
  • Experience with audit and able to lead audit programmes
  • Experience with clinical risk management
  • Strong IT skills and competent in EMIS/Systmone/ Vision
  • Clear, polite telephone manner
  • Motivated, forward thinker
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • Ability to work under pressure/in stressful situations
  • Effectively utilise resources

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).

Additional information

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

Devonport Health Centre

Address

53 Damerel Close

Plymouth

PL1 4JZ


Employer's website

https://www.devonporthealthcentre.co.uk/ (Opens in a new tab)

Employer details

Employer name

Devonport Health Centre

Address

53 Damerel Close

Plymouth

PL1 4JZ


Employer's website

https://www.devonporthealthcentre.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Sharon Kershaw

sharon.kershaw@nhs.net

01752561500

Details

Date posted

28 June 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1911-cdrnursedhc

Job locations

53 Damerel Close

Plymouth

PL1 4JZ


Privacy notice

Devonport Health Centre's privacy notice (opens in a new tab)