Practice Nurse

Job responsibilities

Primary key responsibilities

The following are the core responsibilities of the Practice Nurse in delivering health services:

a. Support the Infection Prevention Control (IPC) lead and work to the IPC Policy

b. Consult with patients and their families to undertake assessments of patient need

c. Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives

d. Develop, implement and embed an effective care management programme for the frail and housebound patients registered with the organisation

e. Support public health and screening programmes, including immunisations, vaccinations, and cervical screening and also provide opportunistic health promotion advice

f. Embed population health management approaches within general practice, targeting health inequalities and improving access

g. As required, provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

h. Teach and advise patients and their families on how to manage their condition

i. Participate in clinical audits and research projects and implements changes as required, including supporting with the development, and updating of practice protocols/guidelines and procedures locally

j. Work within national and local protocols where these exist

k. Recognise the boundaries of their practice and know when and to whom patients should be referred

l. Support in the delivery of enhanced services and other service requirements

m. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children

n. Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events

o. Undertake all mandatory training and induction programmes

p. Contribute to and embrace the spectrum of clinical governance

q. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

r. Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed

s. Lead on public health campaigns (e.g., flu clinics)

t. Provide travel advice services

u. Provide wound care (ulcer/Doppler, etc.) to patients

v. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectively

w. Contribute to practice targets (QOF, etc.), complying with relevant guidance

x. Maintain chronic disease registers and implement an effective call/recall system

y. Maintain a clean, tidy, effective working area at all times

z. Chaperone patients where necessary

aa. Support the team in dealing with clinical emergencies

bb. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)

There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels

Wider responsibilities

In addition to the primary responsibilities, the Practice Nurse has the following wider responsibilities:

a. Develop, review and implement nursing protocols in conjunction with the partners

b. Participate in local initiatives to enhance service delivery and patient care

c. Support and participate in shared learning in order to improve patient care

d. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

e. Support with the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

f. Support in the coordination of the nursing team rota

Qualifications

Essential

• Essential criteria
• Registered Nurse (Nursing and Midwifery Council).
• Has evidence of working at the relevant level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Broad knowledge of general practice and experience of working as a Practice or Community Nurse.
• Experience with chronic disease management.
• Experience of working autonomously.
• Experience of Practice Nurse skills including wound care, ECG, venepuncture, immunisations, new patient medicals and womans health (cervical cytology, contraception etc.).
• Understanding of the importance of evidence-based practice.
• Ability to promote best practice regarding nursing matters.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Good clinical system IT knowledge and an ability to record accurate clinical notes.
• Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face.
• Understanding of safeguarding adults and children.
• Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service.
• Effectively able to communicate and understand the needs of the patient.
• Effective time management (planning and organising).
• Request pathology tests and process the results, advising patients accordingly.
• Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct.
• Understand the requirement for PGDs and associated policy.
• Ability to use own initiative, discretion, and sensitivity.
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
• Ability to identify risk and assess/manage risk when working with individuals.
• Ability to work as a team member and autonomously.
• Good interpersonal and organisational skills.
• Sensitive and empathetic in distressing situations.
• Commitment to ongoing professional development.
• Clear, polite telephone manner.
• Disclosure Barring Service (DBS) check.
• Occupational Health clearance.
• Meet the requirements and produce evidence for professional revalidation.
• Access to own transport and ability to travel across the locality.
• Evidence of CPD commensurate with the role.
• Flexibility to work outside core office hours.
• Access to own transport and ability to travel across the locality.

Desirable

• Mentor or teaching qualification.
• Family planning qualification.
• Experience of infection prevention and control measures.
• Experience of quality initiatives, i.e., benchmarking.
• Experience of managing elderly and housebound patients.
• An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners
• Request pathology tests and process the results, advising patients accordingly.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena and knowledge of health promotion strategies.
• Knowledge of national standards that inform general practice (NSF NICE guidelines).
• Demonstrate personal accountability, emotional resilience and work well under pressure.
• Knowledge of IT systems including the ability to use word processing skills, emails and the internet.

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).