Job responsibilities
Clinical:
Assume a clinical workload caring for patients in our general
practice population, in collaboration with GP colleagues.
Provide holistic, individualised healthcare, making appropriate
use of both nursing and medical models of health and illness.
Demonstrate knowledge of the pathophysiology of acute and
chronic conditions commonly seen in practice.
Accept referrals from other members of our multidisciplinary
team.
Undertake the independent assessment of undifferentiated and
undiagnosed problems with attention to physical, emotional, social, cultural
and mental health issues
Use sound judgement in assessing conflicting priorities and
needs.
Formulate a diagnosis utilising medical diagnostic
problem-solving skills including history taking, physical examination, invasive
and non-invasive procedures/investigations
Initiate appropriate diagnostic strategies and therapeutic
interventions including laboratory requests, with attention to safety, cost effectiveness,
acceptability and clinical efficacy.
Develop with each patient (and family) an evidence-based plan
for long-term health, with an emphasis on preventative measures.
Interpret and evaluate diagnostic test results in liaison with
the patient and their GP and initiate treatment accordingly.
Evaluate the patients condition and response to therapeutic
interventions, and modify the plan of care accordingly for optimal outcomes.
Prescribe as an independent nurse prescriber in accordance with
the legal framework for nurse prescribing and the Integrated Care System (ICS)s
nurse prescribing policies.
Initiate independent and collaborative patient referral to
statutory and non-statutory organisations including GPs; specialist
consultants, other services within the ICS, allied health care professionals
and voluntary agencies.
Make use of computer technology and automated information
systems to support decision making, improve the quality and co-ordination of
care and services and to enable faster and more certain communication within
the ICS.
Maintain accurate records according to the Clinical Governance
Framework and the Nursing and Midwifery Council (NMC) Guidelines.
Management:
Evaluate clinical work using audit cycles to effect improvement
in standards of care and better planning of service delivery.
Engage in clinical supervision and reflective self-evaluation
to improve practice and drive professional development.
Manage and adapt responsively to foreseen and unexpected changes
in the work environment.
Communication:
Utilise advanced communication, negotiation and interpersonal
skills in the interests of promoting patient-centred healthcare and effective
teamwork.
Communicate the patients health status using appropriate
terminology, format and technology. The course of this communication process
involves the discussion of complicated issues and the sharing of delicate
information on a regular basis.
Provide health promotion and disease prevention services to both
patients who are healthy and who have acute and /or chronic conditions by offering
anticipatory guidance and counselling to promote health, reduce risk factors
and prevent disease and disability.
Recognise peoples needs for alternative methods of
communication and respond accordingly.
Use networks for sharing relevant information in a safe and
appropriate manner.
Work
closely with the Practice Nurse Lead and Nursing team to ensure a supportive
environment with good communication, sharing knowledge and skills to improve
the effectiveness of our clinical team.
Confidentiality:
Keep strictly confidential all personal information about
patients and their carers, as well as personal information about colleagues and
business information relating to the practice.
Disclose confidential information only to authorised persons in
accordance with Practice policies relating to confidentiality and in compliance
with data protection legislation.
Report actual or potential breaches of data confidentiality to
the Practice Manager.
Health & Safety
Promote and maintain a safe
and secure work environment to benefit their own and others health, in
accordance with the Practice Health & Safety Policy.
Comply with safety instructions
Complete mandatory training and make effective use of other
relevant training to update knowledge and skills.
Use appropriate infection control procedures, ensuring work
areas are maintained to be tidy, clean and free from hazards.
Report identified actual or potential risks to the Practice
Manager.
Report significant events and incidents in a timely manner in
accordance with practice policy.
Equality & Diversity
Act in a way that demonstrates respect for the rights of patients,
carers, colleagues and all other people encountered in the course of their
work, consistent with practice policies and current legislation.
Demonstrate respect for the privacy, dignity and beliefs of
patients, carers and colleagues.
Treat other people fairly and without discrimination, including
but not limited to respect for legally protected characteristics.
Address discriminatory behaviour by others, by challenging this
when appropriate and safe, otherwise by reporting incidents to the Practice
Manager.
Education and Learning:
Proactively maintain a professional development portfolio and
undergo training in specific skills through formal and informal continuing
education activities.
Meet professional development requirements described in the NMC
Post Registration Education and Practice standards (PREP).
Participate in internal training activities implemented by the Practice
and required as part of this employment. These include but are not limited to case
conferences, safeguarding and clinical governance meetings.
Undergo yearly appraisal with a GP partner and Practice
Manager.
Participate in orientation and training of members of the Practice
staff where appropriate.
Discuss with the Practice Manager arrangements to meet identified
training needs. (Such training needs may be anticipated following agreement
between the Practice and the post-holder to expand the postholders scope of
practice).
Participate in teaching students (of all disciplines),
healthcare assistants and others who visit the Practice for learning.
Participate in mentoring, coaching and supporting trainees in
clinical development.
Quality:
Strive to maintain excellent quality of work at the Practice, with
reflective learning and audit.
Understand and apply practice policies, standards and guidance.
Alert GPs and other team members to concerns about quality or
risk.
Contribute suggestions to improve team effectiveness at a
systems level as well as individual performance, including improvements to
policies and procedures.
Work effectively with individuals in other agencies to meet
patients needs.
Effectively manage their own time, workload and resources
