Job description

Job responsibilities

The post-holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical responsibilities:

The post-holder will make themselves available to undertake a variety of duties, including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion

Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation

Assessing the health care needs of patients with undifferentiated and undiagnosed problems

Screening patients for disease risk factors and early signs of illness

Developing care plans for health in consultation with patients and in line with current practice disease management protocols

Providing counselling and health education

Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate

Recording clear and contemporaneous consultation notes to agreed standards

Collecting data for audit purposes

Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)

Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate

In general, the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other responsibilities within the organisation:

Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

A commitment to life-long learning and audit to ensure evidence-based best practice

Contributing to evaluation/audit and clinical standard setting within the organisation

Contributing to the development of computer-based patient records

Contributing to the summarising of patient records and read-coding patient data

Attending training and events organised by the practice or other agencies, where appropriate.

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

Using personal security systems within the workplace according to practice guidelines

Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines

Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements

Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.

Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)

Hand hygiene standards for self and others

Managing directly all incidents of accidental exposure

Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice

Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses/training needs are identified, escalating issues as appropriate to the responsible person

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process

Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes

Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager

Safe management of sharps use, storage and disposal

Maintenance of own clean working environment

Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management

Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers

Undertaking periodic infection control training (minimum twice annually)

Correct waste and instrument management, including handling, segregation, and container use

Maintenance of sterile environments

Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.

Personal/professional development:

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients' needs

Effectively manage own time, workload and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise people's needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services:

The post-holder will:

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate.

Person Specification

Experience

Essential

• Experience of working as a GP in primary care
• Experience of audit and improving care for patients

Desirable

• Development of areas of clinical expertise

Qualifications

Essential

• MBBS
• Full registration with GMC
• Certification of completion of training
• Inclusion on Performers' List
• Evidence of continual personal and professional development

Desirable

• MRCGP

Knowledge and Understanding

Essential

• Understanding of the role of primary care services in the wider public health agenda

Desirable

• Knowledge of the demographic characteristics that affect health and social care in the area

Personal Qualities and Skills

Essential

• Clinical effectiveness and efficiency
• Excellent interpersonal and communication skills - in person, written and verbal
• Commitment to working as part of a multi disciplinary primary care team
• Good organisational and time management skills
• Able to work under pressure and on own initiative
• Good IT skills as relevant to General practice
• Commitment to quality and patient satisfaction

Desirable

• Experience of using EMIS Web and Docman

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).

Employer details

Employer name

Alrewas Surgery

Address

Exchange Road

Alrewas

Burton-on-trent

Staffordshire

DE13 7AS

United Kingdom

Employer's website

https://www.alrewassurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Responsibilities:

Assist in and perform routine tasks related to patient care as directed by senior nurse and GPs to promote health and wellbeing.

Such responsibilities may include:

Clinical Skills

Long-term condition management:

Asthma (including peak flow readings and spirometry)

COPD

Diabetes - Reviews including foot checks and care planning

Hypertension, Atrial Fibrillation, Heart Failure, and CHD Management

CKD Management

Screening and health checks:

BP checks, height, weight, BMI, urinalysis, and smoking status

New Patient checks

NHS Health Checks

Mental Health Reviews

Learning Disability Reviews

Women's health and family planning:

Cervical cytology

General family planning services

Procedures and wound care:

Wound care

Suture and clip removal

Travel health:

Advice and preparation

Travel Immunisations

NHS Vaccinations and immunisations

Additional procedures:

Ear syringing

Clinical Responsibilities:

Administer injections under an individualised prescription or PGD

Request pathology tests, such as urine cultures and swabs

Assist GPs with minor surgery and family planning as required

Maintain cold chain procedures to ensure safe storage, rotation, and disposal of vaccines and drugs

Infection Prevention and Control:

Apply infection control measures within the practice in line with local and national guidelines, including:

Universal hygiene precautions

Collection and handling of laboratory specimens

Segregation and disposal of waste materials

Decontamination of instruments and clinical equipment

Reporting and treatment of sharps injuries

Managing blood and body fluid spillages

Ensuring safe disposal of clinical waste and PPE

Support patients and colleagues in adopting effective infection control measures

Lead or participate in infection prevention and control audits to maintain high standards

Emergency Preparedness:

Be proficient in anaphylaxis and resuscitation techniques to respond to emergencies effectively

Support the maintenance of emergency equipment (e.g., trolley and drugs) and attend updates as required

General Duties:

Maintain and ensure cleanliness of equipment used by nurses and GPs

Stock and rotate items in GP and nurse rooms as needed

Chaperone and assist patients during examinations conducted by other clinicians

Ensure the cleanliness and tidiness of treatment rooms

Administrative Tasks:

Order and manage stock such as:

Health Promotion Literature

District Hospital supplies

The input of information and management of patient vaccination records

Participate in administrative systems and ensure accurate documentation of patient medical records following legal and ethical standards

Advise management on potential problems or errors within assigned tasks

Attend and contribute to Practice meetings as needed

Patient Care and Outreach:

Perform any other delegated duties appropriate to the role

Education and Research:

Participate in research projects within the practice as required

Engage in the education and training of students from all disciplines

Assist in the induction of practice staff, with particular emphasis on nursing team members

Liaison and Professional Development:

Maintain effective communication with other agencies and staff involved in patient care, ensuring confidentiality is respected

Participate in continued education through attendance at courses and study days to support professional development

Person Specification

Knowledge and Skills

Essential

• Competent in basic nursing duties required for the post
• Excellent communication and interpersonal skills
• Demonstrable understanding and knowledge of health and safety and infection control requirements
• Competent IT skills

Desirable

• Interest in or knowledge of diabetes management*
• Experience of EMIS Web clinical system *

Qualifications

Essential

• Registered General Nurse with NMC
• A demonstrable commitment to professional development
• Experience of working in a GP Practice

Desirable

• Experience of working within a nursing team
• Using Emis, Accurx, Docman
• Trained in diabetes care and management
• Trained in phlebotomy and wound care

Experience

Essential

• Experience of working in accordance with the UKCC Code of Professional Conduct and the Scope of Professional Practice
• Experience of dealing with the public/patients
• Experience of assisting patients with long term conditions
• Experience of using Microsoft Office software
• Experience of Primary Care

Desirable

• Local experiance within the area

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).

Employer details

Employer name

Alrewas Surgery

Address

Exchange Road

Alrewas

Burton-on-trent

Staffordshire

DE13 7AS

United Kingdom

Employer's website

https://www.alrewassurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Responsibilities:

Develop, implement and embed health promotion and wellbeing programmes.

Managing patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice.

Implementing and evaluate individual specialised treatment plans for chronic disease patients.

Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health.

Providing advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF.

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

Request and collect Pathological Specimens. Upon receipt, to process and interpret pathology ad other test results as required.

Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

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

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

Develop, implement and embed well woman and well man clinics

Prioritise health issues and intervene appropriately

Chaperone patients where necessary

Support the team in dealing with clinical emergencies

Recognise, assess and refer patients presenting with mental health needs

Be an extended and supplementary prescriber, adhering to extant guidance

Support in the provision of vaccination programmes for both adults and children

Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required

Contribute to practice targets (QOF, etc.), complying with local and regional guidance

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

Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual)

Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

Deliver opportunistic health promotion where appropriate

Supporting the lead on Infection Prevention and Control

Involvement in Practice Audits and QOF

Develop Practice administrative and clinical protocols in line with the needs of the patient and current legislation.

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

Person Specification

Qualifications

Essential

• Previous experience in General Practice
• Registered Nurse with Nursing and Midwifery Council (NMC)
• Masters degree required for qualification or degree for Advanced Practice Qualification
• Qualified Independent Nurse Prescriber and on the NMC register
• Evidence of working at an enhanced level, as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
• Minor illness qualified

Desirable

• Qualified Triage Nurse
• Teaching Qualifications

Knowledge and Skills

Essential

• Competent in Advanced nursing duties required for the post
• Excellent communication and interpersonal skills
• Demonstrable understanding and knowledge of health and safety and infection control requirements
• Competent IT skills

Desirable

• Experience of EMIS Web clinical system *

Experience

Essential

• Experience of Primary Care
• Experience of using Microsoft Office software
• Team player

Desirable

• Local experience within the area

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).

Employer details

Employer name

Alrewas Surgery

Address

Exchange Road

Alrewas

Burton-on-trent

Staffordshire

DE13 7AS

United Kingdom

Employer's website

https://www.alrewassurgery.co.uk/ (Opens in a new tab)