GP Practice Nurse

Job responsibilities

JOB DESCRIPT

JOB TITLE: GP PRACTICE NURSE

REPORTS TO: PRACTICE DIRECTOR (ADMINISTRATIVE); GP PARTNERS (CLINICAL)

SALARY: HIGH BAND 6 OR EARLY BAND 7 DEPENDING ON THE EXPERIENCE

START DATE: ASAP

PERMANENT APPOINTMENT (First 12 months probationary period)

JOB SUMMARY

To be responsible for the delivery of good quality General Practice Nursing to the practice population.

The focus of the role is both the delivery of evidence-based practice for patients presenting with a long-term condition, and the provision of preventative health care to the practice population. As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making in the management of patients. They will work collaboratively within the General Practice team to meet the needs of patients, support the delivery of policy and procedures, and provide nurse leadership as required.

Good communication is extremely important within the Practice, with patients and with outside agencies and you will be expected to help ensure that everyone who comes into contact with it holds the Practice in high regard. Absolute discretion is required in protecting patients confidentiality.

MAIN DUTIES AND RESPONSIBILITIES

1. Main Responsibilities:

Will be in charge of QOF and deliver maximum possible results.

Assess, plan, develop, implement and evaluate treatment programs that promote health and well-being

Assess, plan, implement, evaluate individual treatment plans for patients with a known long- term conditions

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition

Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions

Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and Practice policies

Work with patients in order to support adherence to prescribed treatments

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

To be competent in anaphylaxis and resuscitation and attend regular update sessions

Support patients to adopt health promotion strategies that promote them to live healthily, and apply principles of self-care

Support and manage health needs of women presenting for family planning and cervical cytologyconsultations

Advise on breast self-awareness, demonstrating breast self-examination and provide supporting literature where required

Give basic knowledge on peri-menopausal symptoms and make appropriate referral

Advise on the increased peri and post-menopausal risk of osteoporosis and heart disease.

Advise on basic incontinence management and make referral where appropriate

Implement and participate in vaccination and immunisation programmes for both adults and children. Understand the medico-legal principles of informed consent

Advise, support and, where appropriate, administer vaccinations for patients travelling abroad and ensure safe storage, vaccine stability, rotation and disposal of vaccines

Promote and deliver evidence-based care for patients presenting with aural conditions. Demonstrate safe & proficient use of instruments for aural toilet

Meet the needs of patients presenting for opportunistic wound care

Undertake opportunistic screening

Carry out new patient checks

Undertakes opportunistic blood tests after discussion with the GP

Assist GPs in minor surgery when health care assistant is away

Offer smoking cessation advice individually in opportunistic consultations

Supports infection control measures within the Practice, and educate colleagues in adopting sound infection control measures

To be able to give basic advice and appropriate referral on issues covering, testicular cancer, family planning and sexual health for men

2. Delivering a Quality Service

Recognise and work within own competence and professional code of conduct as regulated by theNMC

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own and others workload in a manner than maintains and promotes quality

Deliver care as an individual and team according to NICE guidelines and evidence-based care

Assess effectiveness of care delivery for the nursing team through peer review, benchmarking and formal evaluation

Utilise the audit cycle as a means of evaluating the quality of work of self and the team, implementing improvements where required

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the Practice and wider organisation

Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events utilising a structured framework

Assess the impact of policy implementation on care delivery

Participate in the performance monitoring of the nursing team, providing feedback as appropriate

Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Work in conjunction with the complex care nurse and care-coordinators appointed by the primary care network

Take part in research activities under supervision of the GPs

3. Infection Prevention and Control

Applies infection control measures within the Practice. This includes:

Being the infection control lead of the practice

Universal hygiene precautions

The collection and handling of laboratory specimens

Segregation and disposal of waste materials

Decontamination of instruments and clinical equipment

Reporting and treatment of sharps injuries

Dealing with blood and body fluid spillage

Assist patients and colleagues in adopting sound infection control measures

CONFIDENTIALITY

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal and sensitive data.

HEALTH & SAFETY

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified.

EQUALITY AND DIVERSITY

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Qualities and Attributes

Essential

• Qualities/AttributesAble to demonstrate enthusiasm to developing nursing skills
• An understanding, acceptance and adherence to the need for strict confidentiality
• Ability to use own judgement, resourcefulness and common sense
• Ability to work without direct supervision and determine own workload priorities
• Ability to work as part of an integrated multi-skilled team
• Pleasant and articulate
• Able to work under pressure
• Able to work in a changing environment
• Able to use own initiative

Desirable

• Flexibility of working hours
• Car driving licence
• Experience in Primary Care

Qualifications

Essential

• Registered General Nurse
• Recognised qualification to degree/ diploma level
• A demonstrable commitment to professional development

Desirable

• 2 year experience of working in a GP Practice
• Experience of diagnosis and treatment of minor illnesses
• Evidence of involvement in Research and Development

Experience

Essential

• Experience of working in accordance with the NMC Code of Professional Conduct
• Experience of dealing with the public/patients
• Experience of multi-skilled approach to Chronic Disease Management

Desirable

• Understanding of the health needs assessment process
• Experience of EMIS clinical system
• Understanding of clinical coding in general and Read coding in particular
• Experience of working with new technologies in health care practice
• Experience of working in accordance with the NMC Code of Professional Conduct
• Experience of dealing with the public/patients
• Experience of multi-skilled approach to Chronic Disease Management
• Effective communication and interpersonal skills
• Knowledge and understanding of current national developments and trends in health care, quality assurance and practice development and Primary Care Network
• Computer literate

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).