Job summary
Addison Road Medical Practice is a forward thinking, dynamic, training practice set in Walthamstow Village set within a purpose built modern building. We care for a diverse community of over 16,500 patients with a growing patient list size and commitment to offer excellent clinical care to our patients.
We are looking for a friendly, motivated and patient-centred Practice Nurse to join our practice. You will work as part of our multi-disciplinary team to deliver the best primary care healthcare service to our patients.
Main duties of the job
Clinical Responsibilities
As Practice Nurse you will be responsible for the normal primary care clinical nursing duties including;
Cervical screeningContraception, sexual health and family planningChild immunisationsSeasonal and adult vaccinationsTravel immunisationsLong term condition managementWound care
With our other practice nurse, also offer supervision and support to our Healthcare Assistant and phlebotomists within the team
About us
At Addison Road Medical Practice we are keen to promote and develop a great team with a 'can do' approach and the opportunity to be innovative and offer carer development opportunities.
We are committedto offer a happy, friendly and supportive environment, where the whole team work together. This is the ethos of the practice from the Partners and Practice Manager, across both clinical and administrative teams.
We are a very enthusiasticteaching practice and often have trainees and students across all areas of the business, as we are passionate to share everything great about working in primary care. We are always keen to be part of new initiatives and work collaboratively with other neighbouring practices and aligned organisations.
Job description
Job responsibilities
To be responsible for the implementation of processes for the
effective management of patients with long-term conditions using evidence-based
practice including care for elderly and housebound patients.
Working as a senior member of the practice multidisciplinary team,
the post holder will ensure nursing services are delivered effectively to the
entitled patient population.
The Practice Nurse will be responsible for a number of clinical
areas such as infection
prevention and control, health promotion, chronic
disease management, health promotion, well women and well man clinics, as well
as actively supporting the practice management team in the reviewing and
delivery of clinical policy and procedure.
Addison Road Medical Practice must ensure that the
post holder has access to appropriate clinical supervision and an appropriate
named individual in the organisation to provide general advice and support on a
day-to-day basis.
The following are the core responsibilities of
the Practice Nurse. There may be, on occasion, a requirement to carry out other
tasks. This will be dependent upon factors such as workload and staffing
levels:
- 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
- To
produce the IPC annual statement in conjunction with the practice manager
- To
develop, implement and embed an effective care management programme for the
frail and housebound patients registered at the practice
- To
assess the needs of patients ensuring the provision of healthcare is
appropriate, incorporating evidence-based practice
- To
develop, implement and embed health promotion and wellbeing programmes
- To
implement and evaluate individual treatment plans for chronic disease patients
that promote health and wellbeing
- To
identify, manage and support patients at risk of developing long-term
conditions, preventing adverse effects to patients health
- As
required, to provide routine nursing care to patients in accordance with
clinical based evidence, NICE and the NSF
- As
required, to diagnose and manage acute and chronic conditions
- To
prescribe medication for patients in accordance with PGDs and own scope of
practice
- To
review patient medications to enhance compliance
- To
provide guidance to patients in the use of prescribed and over-the-counter
medications regarding side effects and dosages
- To
co-ordinate the provision of travel medicine services
- To
request pathology services and process pathology results as required
- To
oversee the provision of chronic disease clinics, delivering patient care as
necessary, referring patients to secondary/specialist care as required
- To
maintain accurate clinical records in conjunction with extant legislation
- To
ensure read codes are used effectively by all members of the nursing team
- To
ensure the appropriate maintenance and use of chronic disease registers
- To
develop, implement, embed and participate in well woman clinics
- To
develop, implement, embed and participate in well man clinics
- To
ensure compliance with the practice chaperone policy
- To
assist GPs with minor surgery when required
- To
prioritise health issues and intervene appropriately
- To
support the team in dealing with clinical emergencies
- To
recognise, assess and refer patients presenting with mental health needs
- To
implement vaccination programmes for adults and children
- To
support patients in the use of their prescribed medicines or over-the-counter
medicines (within own scope of practice)
- To
liaise with external services/agencies to ensure the patient is supported
appropriately (vulnerable patients etc.)
- To
delegate clinical responsibilities appropriately (ensuring safe practice and
the task is within the scope of practice of the individual)
- To
support the clinical team with all safeguarding matters, in accordance with
local and national policies
- To
understand practice and local policies for substance abuse and addictive
behaviour, referring patients appropriately
- To
deliver opportunistic health promotion where appropriate
In addition to the primary responsibilities,
the Practice Nurse may be requested to:
- Develop
and review audit protocols and process for the practice, effectively utilising
the audit cycle
- Develop,
review and implement nursing protocols in conjunction with the partners
- Support
all members of the nursing team, providing guidance when necessary, conducting appraisals
and training needs analyses as required
- Participate
in local initiatives to enhance service delivery and patient care
- Support
and participate in shared learning within the practice in order to improve
patient care
- Continually
review clinical practices, responding to national policies and initiatives
where appropriate
- Participate
in the review of significant and near-miss events applying a structured
approach, i.e., root cause analysis (RCA)
- Coordinate
the nursing team rota, ensuring sufficient staff are available to meet patient
needs
- Lead
the planning and implementation of changes within the nursing team, enhancing
the provision of services to patients
- Support the practice team with the
reviewing and implementation of practice policies and protocols, ensuring
conformance to extant legislation
Job description
Job responsibilities
To be responsible for the implementation of processes for the
effective management of patients with long-term conditions using evidence-based
practice including care for elderly and housebound patients.
Working as a senior member of the practice multidisciplinary team,
the post holder will ensure nursing services are delivered effectively to the
entitled patient population.
The Practice Nurse will be responsible for a number of clinical
areas such as infection
prevention and control, health promotion, chronic
disease management, health promotion, well women and well man clinics, as well
as actively supporting the practice management team in the reviewing and
delivery of clinical policy and procedure.
Addison Road Medical Practice must ensure that the
post holder has access to appropriate clinical supervision and an appropriate
named individual in the organisation to provide general advice and support on a
day-to-day basis.
The following are the core responsibilities of
the Practice Nurse. There may be, on occasion, a requirement to carry out other
tasks. This will be dependent upon factors such as workload and staffing
levels:
- 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
- To
produce the IPC annual statement in conjunction with the practice manager
- To
develop, implement and embed an effective care management programme for the
frail and housebound patients registered at the practice
- To
assess the needs of patients ensuring the provision of healthcare is
appropriate, incorporating evidence-based practice
- To
develop, implement and embed health promotion and wellbeing programmes
- To
implement and evaluate individual treatment plans for chronic disease patients
that promote health and wellbeing
- To
identify, manage and support patients at risk of developing long-term
conditions, preventing adverse effects to patients health
- As
required, to provide routine nursing care to patients in accordance with
clinical based evidence, NICE and the NSF
- As
required, to diagnose and manage acute and chronic conditions
- To
prescribe medication for patients in accordance with PGDs and own scope of
practice
- To
review patient medications to enhance compliance
- To
provide guidance to patients in the use of prescribed and over-the-counter
medications regarding side effects and dosages
- To
co-ordinate the provision of travel medicine services
- To
request pathology services and process pathology results as required
- To
oversee the provision of chronic disease clinics, delivering patient care as
necessary, referring patients to secondary/specialist care as required
- To
maintain accurate clinical records in conjunction with extant legislation
- To
ensure read codes are used effectively by all members of the nursing team
- To
ensure the appropriate maintenance and use of chronic disease registers
- To
develop, implement, embed and participate in well woman clinics
- To
develop, implement, embed and participate in well man clinics
- To
ensure compliance with the practice chaperone policy
- To
assist GPs with minor surgery when required
- To
prioritise health issues and intervene appropriately
- To
support the team in dealing with clinical emergencies
- To
recognise, assess and refer patients presenting with mental health needs
- To
implement vaccination programmes for adults and children
- To
support patients in the use of their prescribed medicines or over-the-counter
medicines (within own scope of practice)
- To
liaise with external services/agencies to ensure the patient is supported
appropriately (vulnerable patients etc.)
- To
delegate clinical responsibilities appropriately (ensuring safe practice and
the task is within the scope of practice of the individual)
- To
support the clinical team with all safeguarding matters, in accordance with
local and national policies
- To
understand practice and local policies for substance abuse and addictive
behaviour, referring patients appropriately
- To
deliver opportunistic health promotion where appropriate
In addition to the primary responsibilities,
the Practice Nurse may be requested to:
- Develop
and review audit protocols and process for the practice, effectively utilising
the audit cycle
- Develop,
review and implement nursing protocols in conjunction with the partners
- Support
all members of the nursing team, providing guidance when necessary, conducting appraisals
and training needs analyses as required
- Participate
in local initiatives to enhance service delivery and patient care
- Support
and participate in shared learning within the practice in order to improve
patient care
- Continually
review clinical practices, responding to national policies and initiatives
where appropriate
- Participate
in the review of significant and near-miss events applying a structured
approach, i.e., root cause analysis (RCA)
- Coordinate
the nursing team rota, ensuring sufficient staff are available to meet patient
needs
- Lead
the planning and implementation of changes within the nursing team, enhancing
the provision of services to patients
- Support the practice team with the
reviewing and implementation of practice policies and protocols, ensuring
conformance to extant legislation
Person Specification
Experience
Essential
- - Experience of working 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
Desirable
- - Experience of managing elderly and housebound patients
- - Experience of quality initiatives, i.e., benchmarking
Clinical Knowledge & Skills
Essential
- - Wound care/removal of sutures and staples
- - 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)
- - Chronic disease management in either Diabetes, Asthma, COPD and/or Hypertension
Desirable
- - Immunisations Travel
- - Spirometry
- - 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
Qualifications
Essential
- Registered Nurse (Nursing and Midwifery Council)
Desirable
- Mentor or teaching qualification
- Post graduate diploma or degree (Chronic Disease Management)
- Nurse prescriber
- Family planning qualification
Person Specification
Experience
Essential
- - Experience of working 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
Desirable
- - Experience of managing elderly and housebound patients
- - Experience of quality initiatives, i.e., benchmarking
Clinical Knowledge & Skills
Essential
- - Wound care/removal of sutures and staples
- - 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)
- - Chronic disease management in either Diabetes, Asthma, COPD and/or Hypertension
Desirable
- - Immunisations Travel
- - Spirometry
- - 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
Qualifications
Essential
- Registered Nurse (Nursing and Midwifery Council)
Desirable
- Mentor or teaching qualification
- Post graduate diploma or degree (Chronic Disease Management)
- Nurse prescriber
- Family planning qualification
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).