Job responsibilities
JOB TITLE: SENIOR NURSE MANAGER
REPORTS TO: THE PARTNERS (Clinically)
PRACTICE MANAGER (Administratively)
HOURS: 37.5 hours per week
Job summary:
Working in accordance with the NMC Code of Conduct, the post-holder will lead and develop the practice of the practice nursing team in the provision of assessment, treatment, screening, health education services and advice to patients.
The post-holder will develop (and ensure that the nursing team work with reference to) practice-agreed protocols and guidelines to provide nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners.
The post-holder will have the required level of training and competence and will work within patient group directions where these are available. A nurse with prescribing qualifications will use them appropriately.
Management responsibilities:
- Enable the nursing team to work effectively and provide a high quality service to patients and to work effectively with other agencies.
- Identify the workforce that is required to provide services to meet the needs of the patient population and negotiate with the practice management team for this workforce
- Monitor and advise on the effective use of physical and financial resources by the practice nursing team
- Enable the practice nursing team to apply and improve clinical governance and risk management systems
- Lead and monitor the development and implementation of policies, standards and guidelines across the practice nursing team
- Analyse, interpret and report data on health and well-being, related needs and service use
- Allocate, co-ordinate, monitor and assess the work of the nursing team and individuals
- Recruit and select staff to meet the health and well-being needs of the practice population
- Supervise and assess staff performance and development
- Offer and provide clinical supervision to other members of the practice nursing team and act as a clinical ''expert''
- Develop a working environment that promotes healthy, safe and effective work outcomes
Clinical responsibilities:
- Identify, assess and diagnose patients with complex health needs across the practice population
- Lead the introduction and use of technical and specialist nursing treatments for patients with complex healthcare needs
- Prescribe products to meet the needs of patients within the practice population
- Lead and develop programmes to improve health and well-being and meet the specific needs of communities, groups and individuals
- Work with others to change policies and improve health and well-being and reduce inequalities
- Lead the implementation and evaluation of evidence-based practice to improve the services offered by the practice nursing team
- Lead the team in quality assurance, development and clinical governance.
- Work with other members of the practice team in the implementation of specific aspects of the NSFs.
- Management of chronic disease:
- Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals
- Checking compliance with and adherence to appropriate treatments, using an holistic patient-centred approach
- Recognising abnormalities
- Identifying the impact of treatment and implementing or recommending changes as appropriate.
- Wound care and management:
- Assessing routine wounds including trauma
- Assessing [and prescribing] to support good wound management in complex situations (e.g. use of Doppler technique)
- Working with patients to develop a management plan where health problems or potential health problems are identified
- Identifying health trends and public health issues and working with the team and others to combat these.
- Recognising issues and gathering sufficient information to refer (eg drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems)
Health screening:
- Providing in-depth monitoring and advice as appropriate and working with the patient in deciding on management plans
- Considering the issues in the light of the practice population.
- Provision of specialist and evidence based support to the team
- Working with public health initiatives, ensuring the work of the team is up to date.
- Immunisation (adult and child):
- Working with public health initiatives, ensuring the work of the team is up to date.
- Leading the team in achieving the immunisation guidelines and targets
- Working as an autonomous practitioner on more complex cases.
- Minor surgical procedures:
- Leading the development of the nurses role in the delivery of the service.
- Dealing with more complex problems and prescribing if appropriate.
- Ensuring that appropriate systems are in place for effective patient monitoring.
