Lead Nurse - Brighton

Job responsibilities

Act as a clinical leader in the delivery of practice nursing services to patients, ensuring that the needs of the patient are the priority

Lead the nursing team in the planning and implementation of local guidelines, protocols and standards, and of local projects or initiatives

Promote the role of the nursing team in the provision of care

Participate in practice team meetings, delivering the nursing agenda and run nurse department meetings

Promote a learning environment with a no blame culture

Support the QoF strategy and delivery for long term condition management, maximising income

Responsible for managing and maximising ICB, PHE and NHSE driven targets (childhood immunisations, flu campaigns, smears etc)

Support the development of others in order to maximise staff potential

Lead others to make realistic self-assessment of their knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or users of service

Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model

To be the infection control lead and complete IPC audits, develop action plans and ensure implementations embedded.

Report to SPC as required working closely with SPC Head of Nursing

Line manager the practice nurses, providing regular supervision and annual completion of;

Appraisals

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 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 through self and peer review, benchmarking and formal evaluation.

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate and developing the wider primary care multi-disciplinary team.

Evaluate patients response to health care provision and the effectiveness of care.

Support and participate in shared learning across the practice and wider organisation.

Use a structured framework (e.g. root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events.

Assess the impact of policy implementation on care delivery.

Understand and apply legal issues that support the identification of vulnerable children and adults, and work to the statutory safeguarding procedures and local guidance.

Understand own role and scope and identify how this may develop over time.

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

Contribute nursing view to practice management

Create clear referral mechanisms to meet patient need.

Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.

Work effectively with others to clearly define values, direction and policies impacting upon care delivery.

Discuss, highlight and work with the team to create opportunities to improve patient care.

Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.

Agree plans and outcomes by which to measure success.

Participate in research programs and audit as directed by the management team.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis

Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly

Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan

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

Support and manage health needs of women presenting for family planning and cervical consultations.

Implement and participate in vaccination and immunisation programs for both adult and children including patients travelling abroad.

Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions

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 healthy lifestyles, and apply principles of self-care.

Make professionally autonomous decisions and be accountable for safe, evidence based, cost effective, individualised patient care.

Where the post holder is an independent prescriber, to ensure safe, effective and appropriate prescribing as defined by current legislative framework and local guidance.

Lead the practices work on infection prevention and control (IPC), maintaining standards and taking into account CQC requirements.

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 and preferred ways of communicating

Anticipate barriers to communication and take action to improve communication.

Maintain effective communication within the practice environment, SPC central team and with external stakeholders.

Act as an advocate for patients and colleagues.

Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Produce written documents that evidence the contribution of the nursing team to the practice priorities

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.

Lead on the implementation of infection-control measures within the practice according to local and national guidelines.

Advocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.

Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.

Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.

Manage information searches using the internet and local library databases.

Understand responsibility of self and others to the practice regarding requirements such as the Freedom and Information Act and confidentiality.

Collate, analyse and present clinical data and information as required.

Undertake mentorship for more junior staff, assessing competence against set standards. Undertake annual appraisal for each member of the nursing team, ensuring CPD plans are monitored and executed in line with practice strategy.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences).

Assess own learning needs and undertake learning as appropriate.

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.

Enable others to promote equality and diversity in a non-discriminatory culture.

Support people who need assistance in exercising their rights.

Monitor and evaluate adherence to local chaperoning policies.

Act as a role model in the observance of equality and diversity good practice.

Accept the rights of individuals to choose their care providers, participate in care and refuse care.

Assist patients from marginalised groups to access quality care.

Undertake any training required in order to meet the needs of the practice.

Qualifications

Essential

• Relevant 1st nursing degree/Msc
• Mentor/teaching qualification
• Evidence of continuous professional development.

Desirable

• Independent Prescribing Course

Skills and Knowledge

Essential

• Awareness of accountability of own and others roles in a nurse led service
• Knowledge of health promotion strategies
• Knowledge of local and national health policy
• Knowledge of clinical governance issues in primary care
• Knowledge and skills of learning from patient safety incidents and significant events
• Clinical leadership skills
• Change management skills and ability to support patients in behaviour change
• Skilled communicator including supporting and appropriately challenging others, influencing, negotiating and conflict management. Ability to communicate difficult messages to patients and families.
• Skills and knowledge in identifying and raising safeguarding concerns for adults and children
• Experience of delivering and implementing Infection Prevention and Control policies within Primary Care

Experience

Essential

• Working autonomously in a senior nursing role within Primary Care
• Experience of clinical audit
• Experience in nurse led management of long term conditions
• Experience in implementing protocols and clinical guidance
• Team Leader/Line management experience
• Teaching and mentoring experience in primary care

Desirable

• Experience in Quality Improvement Initiatives
• Community Nursing Experience

Personal Skills

Essential

• A natural curiosity backed by excellent critical analytical skills.
• Assertive and confident to challenge poor conduct and behaviours.
• Strong patient focus.
• Excellent time management, prioritisation and organisational skills and ability to manage and deliver to agreed deadlines.
• Highly Motivated and enthusiastic

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).