Job responsibilities
Parklands Medical Practice
JOB DESCRIPTION
Lead Practice Nurse
Department: Nursing
Responsible To: The Partners
Location: All
Parklands Medical Practice sites and Parklands patient population.
Grade: Band 6 or 7 (Agenda for Change)
Hours: To be agreed
1.
JOB PURPOSE
To work as manager of a team of
nurses within the Parklands Medical Practice identifying and managing patients
with complex needs using highly specialist nursing knowledge.
2. PRIMARY
DUTIES AND AREAS OF RESPONSIBILITY
KEY
ROLE - MANAGE HEALTH INTERVENTIONS
The Practice Nurse Manager is
expected to work together with their General Practitioners, District Nurses,
Social Services and other primary and secondary care colleagues to deliver
programmes of care in specialist clinics to a caseload of patients with complex
needs. Support and guidance on areas of professional activity, and service
development are provided by the GPs with special interests.
The post is managed rather
than supervised. The PNM will act as providers of care, taking responsibility
for ensuring all health and social care needs are met so that the patients
condition stays as stable as possible and wellbeing is increased. The PNM is
accountable for their own professional actions and will be required to:
Use high-level assessment skills to identify
individuals needs which affect their physical, mental and social well-being.
Review medication and arrange for medications to be
prescribed as required.
Provide clinical care and health promoting
interventions.
Teach and educate patients and their carers how to
identify subtle changes in a patients condition that may indicate acute
exacerbation of an underlying condition.
Be seen by colleagues as having the key role as care
co-ordinator for patients with complex chronic disease conditions.
Develop therapeutic relationships with patients,
promoting the principles of self-care and contingency management.
Undertake and refer patients for a range of physical
and functional tests and assessments, in order to inform decision-making and
care pathway development.
Monitor indicators of long term conditions,
anticipating possible decline and proactively managing this to ensure optimum
wellbeing and independence.
Assess risk which affects the health and safety of
individuals.
Update patients medical records, and inform other
professionals about changes in condition.
Plan, implement, monitor and review specialised
programmes of health interventions for individuals.
Promote peoples equality, diversity and rights.
Support people to manage disability, loss and
change.
Contribute to the protection of individuals from
abuse and raise any safeguarding concerns.
Work positively with patients and carers, taking
account of their expressed wishes.
Prepare patients and their families for changes in
condition.
Evaluate outcomes in collaboration with GP.
Work within relevant legislation for example Health
and Safety, NMC code of professional conduct and NICE guidelines.
Work within all relevant practice policies and
procedural guidelines.
KEY ROLE - MANAGE clinical
nursing
Provides leadership and support for other members of
the primary health care team, and leads the co-ordination of team activities as
relevant to clinical nursing.
The PNM will work independently using own initiatives and is accountable for their own professional actions for
delivering highly quality care in all
areas of nursing relevant to primary care
Develop, monitor, evaluate and review processes for
delivering a care service to a defined caseload within a practice population,
working collaboratively with GP and practice colleagues and other agencies to
ensure a multidisciplinary approach to care.
Work in partnership with GPs sharing information and
planning together.
Develop, sustain and evaluate collaborative
approaches with colleagues to achieve objectives.
Evaluate, prioritise and review demands for services
ie audits outcomes of care against standards and initiates change as necessary.
Oversee audits done by the nursing team and collate
findings to effect change as required.
Contribute to the practice compliance with the
Health and Social Care Act (2008), as assessed by CQC inspection.
KEY ROLE - PROMOTE
HEALTH / PUBLIC HEALTH
Enable, encourage and support individuals and families
to address issues which affect their health and social well-being.
Provide information so patients and families can
make choices about current and future care needs.
Play an active role in raising public awareness and
promoting the needs of patients with chronic disease and other defined health
issues.
Identify and deliver training / talks / lectures to
groups as required.
Act as an advocate for patients as appropriate.
KEY ROLE - MANAGE / LEAD SELF / OTHERS
The PNM has a role in promoting
good leadership for all grades of staff as well as all students including
medical students.
Develop ones own knowledge and practice to meet
objectives / changes in service.
Promote effective communications and relationships
within the primary healthcare team and wider organization.
Work collaboratively with General Practitioners,
Nurse Practitioners, Practice Nurses,
Social Services departments and others to plan and implement care programmes
for the management of long term conditions and other health needs.
Contribute to the development of staff and students
to enable them to meet objectives.
Partake in clinical supervision for own development.
Undertake training for other nurses on specific
aspects of chronic disease, long term conditions and other health issues
relevant to primary care.
Take responsibility for the development and training
of members of the nursing team ensuring high standards of care are maintained
at all times.
KEY ROLE - INFLUENCE AND DEVELOP POLICY
Contribute to the setting of policies which will
affect health and social well-being services in the Primary Care setting.
Write protocols / care pathways and procedures for SPNs
service.
Implement agreed practice policies and BDCT policies
where appropriate within own service area.
KEY ROLE - MANAGE RESOURCES
Plan, evaluate and recommend the use of resources.
Use and maintain resources appropriately.
.No financial / budgetary responsibility required
for this post.
KEY ROLE - MANAGE AND USE INFORMATION
Use data to actively seek out patients who will
benefit from chronic disease management.
Obtain, analyse, share and use current information
for decision making.
Maintain high standards of record keeping.
Make recommendations to raise standards of practice
and service delivery.
Provide accurate and timely information as requested
by the Practice.
KEY ROLE -
RESEARCH AND DEVELOPMENT
Critically evaluate research and integrate theory
into best practice so that all care and clinical decisions are based upon sound
evidence.
Regularly read and be able to critique research /
evidence-based papers.
Contribute to CCG / service audit and research
activity as required.
WORKING
CONDITIONS
Working hours are between Monday and Friday, with
occasional Saturday mornings on a rota basis.
Frequent exposure to body fluids, blood and wounds.
Occasional exposure to aggressive behaviour.
Working to all practice and CCG policies and
guidelines.
Frequent requirement to travel between sites
Occasional requirement to perform home visits.
PAYBAND: Agenda
for Change Band 6 or 7
METHOD
OF PAYMENT: Monthly
by bank credit transfer
HOURS
OF WORK: to be confirmed
SUPPERANNUATION: This post is optionally
superannuable.
TERMS AND CONDITIONS: All terms will be
agreed by the Practice and may be amended from time to time.
Successful applicants will
be required to complete a DBS application form.
2.
REHABILITATION OF
OFFENDERS ACT 1974
Because of the nature of
this work, this post is exempt from the provisions of section (42) of the Rehabilitation of Offenders Act
1974 (exemptions) Order 1975. Applicants for this post are not entitled to
withhold information about convictions which for other purposes are spent
under the provisions of the Act and in the event of employment, any failure to
disclose such convictions could result in disciplinary action or dismissal. Any
information given will be completely confidential and will be considered only
in relation to an application for a position to which this order applies.
3.
DATA PROTECTION ACT
All members of staff are
bound by the requirements of the Data protection Act 1998 and any breaches of
the Act or of the confidential nature of the work of this post could lead to
dismissal.
4.
GENERAL
Health
and Safety/Risk Management
The post holder must comply
at all times with the PCTs Health and Safety Policies, in particular by
following agreed safe working procedures and reporting incidents using the
PCTs Risk Incident Reporting System.
Equality
and Diversity
The post holder must
co-operate with all policies and procedures designed to ensure equality of
employment. Co-workers, patients and
visitors must be treated equally irrespective of gender, ethnic origin, age,
disability, sexual orientation, religion etc.
Training
and Personal Development
The post holder must take
responsibility in agreement with his/her line manager for his/her own personal
development by ensuring that continuous professional development remains a
priority. The post holder will undertake
all mandatory training required for the role.
Respect
for Patient Confidentiality
The post holder should
respect patient confidentiality at all times and not divulge patient
information unless sanctioned by the requirements of the role.