Job responsibilities
Job description
JOB PURPOSE:To lead and develop high quality patient care to meet the
holistic health care needs of a practice population. To work within NMC Code of
Conduct and to agreed practice standards and protocols.
PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES: works independently using own initiative and is
accountable for their own professional actions. Provides support and leadership
for other members of the team
Administers adult and child immunisations and vaccinations in accordance
with national and local programmes. Is competent in anaphylaxis and
resuscitation techniques. Ensures safe storage, rotation and disposal of
vaccines and drugs and adequate stock levels are maintained.
Offers comprehensive travel health advice for patients prior to travel
including malaria prophylaxis, safe sex, food hygiene, sun protection, first
aid and emergency medication, health insurance and vaccinations.
Undertakes procedures to include, venepuncture, BP management,
urinalysis, peak flow, spirometry, new patient health checks, pregnancy
testing, stitch/clip removal, ear syringing and cytology and wound management.
Provides a comprehensive family planning service.
Recognises and understands the importance of observing, documenting and
communicating the signs and symptoms of child and adult abuse.
Works within all relevant practice and ICB policies and procedural
guidelines e.g. infection control, chaperoning and patient group directions.
Takes a lead in areas such as diabetes, asthma, and COPD management,
undertakes the establishment and running of disease management clinics and
provides specialist nursing care for the patients or communities that the
practice serves.
Initiates the process of diagnosis with patients suspected to have a
chronic disease e.g. diabetes, COPD, asthma, CHD referring to other clinicians
as appropriate.
Manages programmes of care for patients with chronic diseases by
planning, providing and evaluating care under agreed local/national guidelines,
protocols and patient group directions.
Takes lead and manages programmes of care for all areas of womens health
including providing and evaluating care under agreed local/national guidelines,
protocols and patient group directions.
Maintains disease registers.
Audits outcomes of care against standards and initiates changes as
necessary.
Undertakes annual review of patients understanding and ability to self
manage.
Refers to other members of the extended primary health care team e.g.
chiropodist, dietician, specialist nurses.
If needed, to assist with preparation of specimens for collection by the
courier.Deal with any queries arising.
health promotion -Initiates and carries out programmes of
health screening.Contributes to profiling of the practice population. Enables,
encourages and supports individuals, families and groups to address issues
which affect their health and social well-being. Represents individuals and
families interests when they are not able to do so themselves. Provides healthy
lifestyle and smoking cessation advice to individuals and groups. Develops and
maintains the health promotion material within the practice. Makes referrals to
statutory and voluntary agencies as appropriate.
Infection Control lead -Support patients and colleagues in
adopting sound infection control measures. Apply infection control measures
within the practice according to local and national guidelines. Ensure waste is
disposed of in accordance with practice Infection control policy, and monitor
other practice users for compliance with policy. Participate in infection
control audit cycle when required.
Promotes effective
communication and relationships within the team. Works collaboratively as a team
member to achieve the objectives of the GMS contract and aspirations of the
team. Provides expert clinical advice on educational opportunities that will
facilitate the development and support of their specialist knowledge and skills
to ensure the development of clinical practice. Partakes in clinical supervision
for own development. Contributes to the appraisals for Health Care Assistant. Able to undertake annual PDPs if required. Recognises the development needs
of others and provides clinical supervision. Actively participates in clinical
and practice meetings. Develops own knowledge and practice to meet
objectives/changes in service.
influence and develop policy - Create and capitalise upon
opportunities to influence the setting of policies which will affect health and
social well being. Develops and maintains clinical protocols for the surgery and
the team, ensuring they are reviewed and approved annually.
Monitors and uses resources appropriately
within the team e.g. dressings, vaccines, stationary. Ensures stock rotation in
own and doctors clinical rooms. Undertake stock ordering on a weekly basis,
being mindful of budget, and fluctuations in service provision.
Ensures own IT skills are
sufficient to enable use of the practice IT systems to undertake own audit and
recall programs. Makes effective use of the clinical system by ensuring the
consistent and accurate entering of data and use of Read Codes. Facilitates the
use of up to date information technology in order to collate accurate and
timely information as and when required by the practice and ICB. Makes
recommendations and initiates raising of practice standards and service
delivery. Contributes to a satisfactory call and recall system of patients, and
undertakes own searches
research and development - Contributes to ICB/Service/Team
audit/Research activity as required. Present audit findings at practice meetings
when requested. Identifies, applies and disseminates research findings relating
to specialist practice.
Administration and general duties -Attend practice and nurse
meetings as and when required by the practice manager. Undertakes ordering of
supplies as required. Ensures supplies are stored in a safe, and clean
environment. With cupboards locked, and potentially dangerous equipment,
chemicals and medicines out of the way of patients and visitors. Ensures all
care is documented in accordance with practice, ICB, NHS England protocols.
Undertake routine checks on equipment as required by practice protocols.
Ensures own work area is kept clean, tidy, and of professional appearance in
order to facilitate effective working. Ensure waste is disposed of in
accordance with practice Infection control policy.