Job summary
This autonomous, evidence based, and patient focused role will see the post holder cover clinical sessions for specific patient groups with long-term conditions. Forming part of a small, supportive, and established team, the post holder will play a crucial role in all aspects of nursing practice and can take lead responsibilities in areas of competency or interest. The Practice Nurse will be responsible for the management, monitoring, and clinical decision making and critical thinking required to run long-term condition clinics such as diabetes, asthma, Chronic ObstructivePulmonary Disease (COPD), and cardiovascular disease (CVD). The focus of the role is both the delivery of evidence-based practice for patients, sometimes with complex needs, presenting with long-term conditions and acute problems that occur because of their chronic disease. Meanwhile, ensuring the provision of preventative health care to the practice population. Together with patients and their carers, the postholder will diagnose, provide specialist intervention, treatment, management, and referral to meet their needs.
Main duties of the job
The post holder will also be enabled to deliver training and peers support to other members of the teamas required. If qualified, and appropriate, the post holder may also prescribe according to patient need. BrisDoc practice services specialise in providing high quality and accessible health care to vulnerable, marginalised and excluded groups. Clinicians will need to be focused on improving health inclusion and removing barriers to holistic healthcare. While working autonomously and potentially in isolation, the post holder will work collaboratively with the wider clinical team (Nurses, Pharmacists, Paramedics, GPs, Consultants, Mental Health Practitioners, Operational Colleagues, and others) to support individual patients and the delivery of the right care first time. BrisDoc are passionate about inclusion and diversity, welcoming applications from individuals of diverse background, as well as personal and career development and so all colleagues are encouraged and fully supported to work towards clinical development aspirations such as prescribing (where not already held), CPD to safely increase their professional boundaries or even ACP status. Supervision and development time is offered flexibly to all clinical staff.
About us
BrisDoc is a proud provider of NHS Healthcare. We have been delivering 'patient care, by people who care' for over twenty years. We run an exciting range of Primary Care Services, including an Urgent Care Service, GP Practices, and the Homeless Health Service. This enables BrisDoc to offer excellent healthcare 24 hours a day, 365 days a year to over one million people across Bristol, North Somerset & South Glos. We're a Social Enterprise and an Employee-Owned Business. This means the decisions we make are for the good of our patients, workforce, and wider community. This involves prioritising the health of our patients, protecting our environment, and improving the social and economic status of our population. Our 'Community Fund' is a staff lead team who work closely with health-based charitable causes, both local and international, to invest time and money in improving the lives of people in disadvantaged communities.By joining BrisDoc, you will be part of an innovative organisation that prides ourselves on being a fantastic place to work; somewhere that you will feel valued, supported, developed and part of a family. We strive to make sure every member of the team feels proud of the work they do and the service that we offer.
Job description
Job responsibilities
Clinical
- Provide nursing care in a variety of settings by holistic assessment, implementation, and evaluation ofprogrammes of care
- Provide information, advice and support to patients face to face and via the telephone
- Assess, plan, develop, implement, and evaluate treatment programmes that promote health and wellbeing
- Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition and who may have complex needs
- Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
- Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care
- Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
- Diagnose and manage both acute and long-term conditions, integrating both drug- and non-drug-based treatment methods
- To provide clinical support to the range of other Health Care Professionals and operational colleagues within the team
- To undertake visits to patients homes as required
- Compose and ensure robust safety netting and risk management for patients presenting to the service
- Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patients needs
- To participate in outreach clinics providing healthcare and lifestyle advice to hard-to-reach groups
- Promote & participate in maintaining a safe, comfortable, and therapeutic environment
- Facilitate and support clinics such as for screening or immunisation
- Be responsible for the safe storage and administration of drugs and equipment
- Participate in setting and monitoring standards to ensure effective care and the delivery of evidencebased practice
- Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient
Prescribers Only
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
Communication
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
- Communicate with and support patients who are receiving bad news
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, languages, and preferred ways of communicating
- Anticipate barriers to communication and take action to improve communication
- Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders
- Act as an advocate for patients and carers
- Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
- To be able to maintain accurate electronic written patient records for users of services provided
- To be aware of responsibilities under the Data Protection Act
Other responsibilities
The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement.
- Ability to adhere to organisational policies
- Maintain active NMC or HCPC registration
- Continue to develop and expand own personal clinical expertise
- Understand own role and scope and identify how this may develop over time
- In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve
- Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care
- Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement
- Participate in research programmes as appropriate
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
- Maintain and ensure the effective use of clinical stock levels
- Supervise and support other members of staff in their practice where appropriate
- 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
- Attend all mandatory training courses and the updates and any study days as appropriate to the post
- Attend performance and development reviews with the line manager
Please refer to the full job description and person specification for more info.
Please note: Sponsorship is not available for this role.We reserve the right to close, extend or amend the closing date depending on the level of interest in the role.
Job description
Job responsibilities
Clinical
- Provide nursing care in a variety of settings by holistic assessment, implementation, and evaluation ofprogrammes of care
- Provide information, advice and support to patients face to face and via the telephone
- Assess, plan, develop, implement, and evaluate treatment programmes that promote health and wellbeing
- Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition and who may have complex needs
- Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
- Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care
- Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
- Diagnose and manage both acute and long-term conditions, integrating both drug- and non-drug-based treatment methods
- To provide clinical support to the range of other Health Care Professionals and operational colleagues within the team
- To undertake visits to patients homes as required
- Compose and ensure robust safety netting and risk management for patients presenting to the service
- Make effective referrals to system partners and other care providers to ensure a holistic provision of care for patients needs
- To participate in outreach clinics providing healthcare and lifestyle advice to hard-to-reach groups
- Promote & participate in maintaining a safe, comfortable, and therapeutic environment
- Facilitate and support clinics such as for screening or immunisation
- Be responsible for the safe storage and administration of drugs and equipment
- Participate in setting and monitoring standards to ensure effective care and the delivery of evidencebased practice
- Participate in team discussions to ensure and drive best practice, using the best available evidence to provide exemplary world class care to every patient
Prescribers Only
- Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
Communication
- Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
- Communicate with and support patients who are receiving bad news
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, languages, and preferred ways of communicating
- Anticipate barriers to communication and take action to improve communication
- Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders
- Act as an advocate for patients and carers
- Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
- To be able to maintain accurate electronic written patient records for users of services provided
- To be aware of responsibilities under the Data Protection Act
Other responsibilities
The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement.
- Ability to adhere to organisational policies
- Maintain active NMC or HCPC registration
- Continue to develop and expand own personal clinical expertise
- Understand own role and scope and identify how this may develop over time
- In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve
- Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care
- Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement
- Participate in research programmes as appropriate
- Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
- Maintain and ensure the effective use of clinical stock levels
- Supervise and support other members of staff in their practice where appropriate
- 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
- Attend all mandatory training courses and the updates and any study days as appropriate to the post
- Attend performance and development reviews with the line manager
Please refer to the full job description and person specification for more info.
Please note: Sponsorship is not available for this role.We reserve the right to close, extend or amend the closing date depending on the level of interest in the role.
Person Specification
Qualifications & Training
Essential
- Evidence of continuing professional development
- Current NMC registration
- Long Term Condition management qualification or workplace experience and willing to work towards
Desirable
- Leadership capability, either through a formal management qualification or previous experience
- Advanced Level (3) Clinical Assessment, Reasoning and Clinical Decision Making (PACR) or equivalent workplace experience and willing to work towards
- Independent nurse prescribing qualification
- Training in sexual health and contraception to diploma level
Knowledge and Experience
Essential
- Experience of treating patients of all ages (from neonatal to geriatric)
- Experience of autonomous clinical decision making
- Knowledge and understanding in meeting the needs of diverse groups
- Experience of working in a multidisciplinary environment with a wide range of individuals at different levels
- Knowledge in the delivery of Health Care Advice and Health Promotion
- Knowledge of equal opportunities and its significance for health care
- Understanding of legal and ethical issues / responsibilities relating to clinical practice
- Understanding of the key legislative frameworks relating to health service delivery including data protection, information governance, consent, and capacity
- Understanding of Quality Outcomes Framework (QOFs)
- Experience of developing relationships with external agencies and organisations
Desirable
- Knowledge and understanding of diversity and patients with gender dysphoria
- Experience working with people with a forensic history
- Experience in working with people who don't have English as a first language
- Experience in working with people experiencing domestic violence
- Experience of using EMIS computer software
- Experience of working with hard-to-reach groups
- Experience working in General practice
- Understanding of the new evolving NHS structure
- Understanding of the Care Quality Commission and its role in Primary Care
Skills, Abilities and Attributes
Essential
- Motivated by the provision of high-quality patient care
- Good clinical judgment and decision-making skills
- Ability to maintain accurate records
- Ongoing commitment to personal development
- Able to use own initiative and achieve measurable improvement against stated objectives
- Able to work under pressure and to deal with emergency situations and/or difficult clients and stressful situations professionally
- Organised, systematic, and flexible. Good time management being able to prioritise work and work under pressure
- Able to always maintain confidentiality with regards to staff and patients
- Able to remain impartial and non-judgmental during times of sensitivity, stress, and potential conflict
Other
Essential
- Ability to work flexibly in relation to the operational times of all our services (this may include some unsocial hours)
- Ability to travel to other BrisDoc and external sites for meetings
Person Specification
Qualifications & Training
Essential
- Evidence of continuing professional development
- Current NMC registration
- Long Term Condition management qualification or workplace experience and willing to work towards
Desirable
- Leadership capability, either through a formal management qualification or previous experience
- Advanced Level (3) Clinical Assessment, Reasoning and Clinical Decision Making (PACR) or equivalent workplace experience and willing to work towards
- Independent nurse prescribing qualification
- Training in sexual health and contraception to diploma level
Knowledge and Experience
Essential
- Experience of treating patients of all ages (from neonatal to geriatric)
- Experience of autonomous clinical decision making
- Knowledge and understanding in meeting the needs of diverse groups
- Experience of working in a multidisciplinary environment with a wide range of individuals at different levels
- Knowledge in the delivery of Health Care Advice and Health Promotion
- Knowledge of equal opportunities and its significance for health care
- Understanding of legal and ethical issues / responsibilities relating to clinical practice
- Understanding of the key legislative frameworks relating to health service delivery including data protection, information governance, consent, and capacity
- Understanding of Quality Outcomes Framework (QOFs)
- Experience of developing relationships with external agencies and organisations
Desirable
- Knowledge and understanding of diversity and patients with gender dysphoria
- Experience working with people with a forensic history
- Experience in working with people who don't have English as a first language
- Experience in working with people experiencing domestic violence
- Experience of using EMIS computer software
- Experience of working with hard-to-reach groups
- Experience working in General practice
- Understanding of the new evolving NHS structure
- Understanding of the Care Quality Commission and its role in Primary Care
Skills, Abilities and Attributes
Essential
- Motivated by the provision of high-quality patient care
- Good clinical judgment and decision-making skills
- Ability to maintain accurate records
- Ongoing commitment to personal development
- Able to use own initiative and achieve measurable improvement against stated objectives
- Able to work under pressure and to deal with emergency situations and/or difficult clients and stressful situations professionally
- Organised, systematic, and flexible. Good time management being able to prioritise work and work under pressure
- Able to always maintain confidentiality with regards to staff and patients
- Able to remain impartial and non-judgmental during times of sensitivity, stress, and potential conflict
Other
Essential
- Ability to work flexibly in relation to the operational times of all our services (this may include some unsocial hours)
- Ability to travel to other BrisDoc and external sites for meetings
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).
Additional information
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).
