Job responsibilities
Clinical practice
To be the first contact for member practices with their acute mental health triages. To lead and support the member practices with their Mental Health QOF.
To work closely with the Community Mental Health Team - EPUT, and be a part of the complex care MDT meetings, involving many different partners of the Southend East Integrated Neighbourhood Team
Chronic disease management - assess, plan, implement and evaluate individual treatment plans for
patient, including insulin initiation.
Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with
evidence-based practice and national and practice protocols
To demonstrate a positive supportive approach to patients at diagnosis and/or patients with the
development of diabetes related complications.
Work with patients in order to support adherence to prescribed treatments
Establish and maintain highly effective communication skills with patients, carers/relatives, and
professionals across health and social services. This may involve the giving of sensitive and complex
information.
On occasion the post holder will be required to visit patients in their own home e.g. to conduct chronic
disease reviews.
Perform advanced clinical skills in assessment, diagnosis and treatment.
Assess, plan, implement and evaluate care delivery according to changing health care needs.
Collect, collate, evaluate and report information, maintaining accurate patient records.
Involve patients and carers/relatives in the planning and delivery of care and development of services.
Work collaboratively with the multidisciplinary team and outside agencies to ensure patient needs are
met, especially in relation to ongoing care needs
Act as a resource for specialist advice and expert clinical knowledge across the Practice, giving advice
to colleagues on the clinical management of patients.
Provide expert specialist advice and education to patients and carers/relatives to enable the safe and
independent management of their diabetes.
Undertake clinical supervision and education of nursing colleagues on an individual or group basis.
Delivering a quality service
Recognise and work within own competence and professional code of conduct as regulated by the
NMC
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 that maintains and promotes
quality
Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care
Assess effectiveness of care delivery for the nursing team through peer review, benchmarking and
formal evaluation
Maintain quality governance systems for the nursing team, including the adherence to and promoting of
the Care Quality Commission requirements
Implement and review the application of evidence-based practice in nursing
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team,
implementing improvements where required
Evaluate patients response to health care provision and the effectiveness of care
Participate in shared learning across the practice and wider organisation
Identify learning from clinical incidents and near-miss events utilising a structured framework (eg rootcause analysis significant event procedures)
Assess the impact of policy implementation on care delivery
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
Team working
Understand own role and scope in the practice and identify how this may develop over time
Work as an effective member of the team, supporting others and exploring the mechanisms to develop
new ways of working
Prioritise own workload and ensure effective time-management strategies are followed.
Work effectively with others to clearly define values, direction and policies impacting upon care delivery
Be involved in activities that create opportunities to improve patient care
Participate in and support local projects as agreed with the practice management team
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to
protect staff and patients
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health,
safety and security legislation, policies, procedures and guidelines
Apply infection-control measures within the practice according to local and national guidelines
Apply policies that reduce environmental health risks, are culturally sensitive and increase access to
health care for all
Participate in the local implementation strategies that are aligned to the values and culture of general
practice
