Job description

Job responsibilities

Job TitlePractice Nurse

Responsible toLead Nurses & GP Partners (Clinically)

Practice Manager (Administratively)

Accountable toPartners

SalaryDepending on experience

No. of HoursPart-time to full-time

Job summary

The Practice Nurse will work as part of the primary healthcare team providing Personal Medical Services to the patients of practice.

Job responsibilities

Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs

Cytology

Removal of Sutures

New Patient Medicals/Urinalysis

ECGs

Venepuncture

Hypertension Management

Chronic Disease Management/Reviews

• Providing travel health advice and travel vaccinations in line with training, competency and appropriate PGDs or PSDs.
• Providing wound care, dressings and suture or clip removal.
• Administering B12 injections and other injections under appropriate PGDs or PSDs.
• Administering hormonal or oncology-related injections where directed by secondary care and where appropriate training, governance and authorisation are in place.
• Undertaking health checks and lifestyle advice

Ear syringing

Routine immunisations/Childhood immunisations

Chaperoning and assisting patients where appropriate who are being examined by another clinician

Assisting GPs with minor surgery and coil fittings as required

Requesting pathology tests, for example urine culture, swabs

Interest in Diabetes or Coronary Heart Disease and Contraception.

Following agreed clinical protocols with referral to senior nurses or GPs as appropriate

Other tasks will include

Maintaining and cleaning equipment used by the nurses and GPsMaintaining GP and Nurses rooms, stocking and rotating items as required Chaperoning and assisting patients who are being examined by another clinician.

Maintain general tidiness and cleanliness of nurses and treatment rooms

Ordering of vaccinations to maintain stock levels

Participation in administrative systems in the Practice At all times there will be a need to maintain accurate records

A duty to advise senior nurses of potential problems or errors within a range of assigned tasks

Attend and participate in any Practice meetings when required.

On occasion there may be a requirement to undertake home visits

Any other delegated duties appropriate to the post

Care and Programme Management

The postholder will:

• Contribute to local and national targets, including cervical screening, immunisations and long-term condition care
• Support safe and effective call and recall systems
• Help ensure appropriate coding and documentation of nursing activity
• Contribute to audit and review of nursing outcomes
• Support the identification of patients requiring follow-up or escalation
• Refer or signpost patients to other members of the multidisciplinary team, community services, statutory services or voluntary organisations where appropriate.
• Be aware of safeguarding protocols for children and vulnerable adults and escalate concerns appropriately.
• Support appropriate reimbursement processes for drugs, vaccines, injectables and dressings that the practice can claim back from NHS England.

Working Within Scope of Practice

The postholder will:

• Work within NMC professional standards and their own scope of competence
• Be accountable for their own professional actions
• Recognise professional and personal limitations
• Seek advice and escalate appropriately where clinical issues fall outside their competency
• Maintain evidence of training and competency for key clinical activities.
• Participate in supervision, appraisal and continuing professional development.
• Ensure that any expanded clinical duties are only undertaken following appropriate training, assessment and agreement with the practice.

Health Improvement

The postholder will:

• Provide health promotion and lifestyle advice as part of routine nursing care.
• Support programmes of screening and prevention.
• Encourage uptake of immunisations, cervical screening and other preventive health services.
• Support patients to manage long-term conditions and reduce health risks.
• Help identify opportunities to improve health outcomes for the practice population.

Equality and diversity

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

Acting in a way that recognizes the importance of people's 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-judgmental and respects their circumstances, feelings priorities and rights.

Health & safety

The post-holder will assist in promoting and maintaining their own and others' health, safety and security 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:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder's role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Policies, Protocols and Governance

The postholder will:

• Work within all relevant practice policies and procedural guidance, including infection control, chaperoning, safeguarding, confidentiality, cold-chain, incident reporting and risk management.
• Implement and adhere to local and national guidance, PGDs, PSDs and clinical pathways.
• Contribute to the review and improvement of nursing policies and protocols.
• Alert the Practice Manager and GP partners to risks, gaps or areas requiring improvement.
• Support the practice in meeting CQC, NHS England, ICB, PCN and Public Health requirements relevant to nursing services.

Quality

The postholder will:

• Maintain high standards of nursing care.
• Alert other team members to issues of quality, safety and risk.
• Reflect on their own performance and contribute to improvement.
• Work effectively with colleagues and external agencies to meet patients needs.
• Manage their own time, workload and resources effectively.
• Contribute to the effectiveness and development of the wider practice team.

Confidentiality

The postholder will:

• Follow NHS confidentiality requirements.
• Comply with information governance and Caldicott principles.
• Maintain patient confidentiality at all times.
• Report any breaches or concerns to the appropriate manager.
• Take personal responsibility for safe handling and use of patient information.

Communication

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

Communicate effectively with other team members

Communicate effectively with patients and carers

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

Personal and Professional Development

The postholder will:

• Participate in annual appraisal and development review.
• Take responsibility for maintaining their own professional development.
• Keep up to date with relevant clinical guidance, legislation and professional standards.
• Maintain NMC registration.
• Keep evidence of competency for clinical duties undertaken.
• Participate in training and development agreed with the practice.

Information Management

The postholder will:

• Use the clinical system effectively and accurately.
• Record consultations, procedures, immunisations and clinical activity using appropriate coding.
• Support accurate data entry for QOF, local enhanced services and other practice targets.
• Assist with searches, recalls and audit work relevant to nursing services.
• Maintain confidentiality and comply with Caldicott principles and information governance requirements.

Safeguarding

All members of staff have a duty to safeguard and promote the welfare of vulnerable adults, children and young people. The postholder will:

• Attend relevant safeguarding training.
• Follow practice safeguarding procedures.
• Escalate concerns appropriately and promptly.
• Communicate with safeguarding leads and external agencies where required.
• Support the practice in maintaining safe and effective safeguarding processes.

Depending on experience, the successful candidate may also have the opportunity to act as the practices Safeguarding Lead, working with the GP partners, Practice Manager and wider team to support safeguarding processes, training, escalation and liaison with external agencies.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration

Desirable

• BSc in Nursing
• Diploma in various chronic diseases management

Experience

Essential

• Experience of working with the general public
• Experience of working in a healthcare setting
• ECGs
• Venepuncture
• New patient medicals, including height, weight, BP, pulse
• Chaperone procedure
• Ability to record accurate clinical notes

Desirable

• Wound care/removal of sutures and staples
• Understanding of infection prevention and control measures
• Experience of working in a primary care environment

Personal qualities

Essential

• Demonstrate personal accountability, emotional resilience and work well under pressure
• Ability to follow legal, ethical and clinical policy and procedure
• Knowledge of and ability to work to key policies and procedures
• Ability to use own initiative, discretion, and sensitivity
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Ability to work as a team member and autonomously

Desirable

• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• Effectively utilise resources
• Good organisational skills
• Competent in the use of MS Office and Outlook
• Demonstrate personal accountability, emotional resilience and work well under pressure

Essential Criteria

Essential

• Registered Nurse with current NMC registration
• Experience working as a Practice Nurse or in a relevant primary care nursing role
• Competent to deliver core nursing services within general practice
• Competent in cervical screening, or willing to complete any required update training.
• Competent in childhood immunisations and adult vaccinations.
• Experience or training in travel health and travel vaccinations, or willingness to undertake training where appropriate.
• Ability to work autonomously as part of the General Practice team.
• Ability to work safely within own scope of practice.
• Understanding of infection prevention and control, cold-chain processes and vaccine governance.
• Good communication and team-working skills.
• Ability to escalate clinical concerns appropriately.
• Good organisational skills
• Commitment to high-quality, patient-centred care
• Commitment to continuing professional development.
• Ability to use clinical systems and maintain accurate records

Desirable

• Previous experience in general practice.
• Childhood immunisation training.
• Travel health training.
• Experience contributing to audits, recalls or quality improvement
• Experience in long-term condition reviews.
• Understanding of QOF, local enhanced services and recall systems.
• Experience or interest in safeguarding leadership.

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.

Employer details

Employer name

Kings Langley Surgery

Address

The Nap

Kings Langley

Hertfordshire

WD4 8ET

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical Responsibilities

To undertake duties governed by the contract and Direct and Local Enhanced Services including:

A variety of duties including face to face 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

In consultation with patients and in line with current practice disease management protocols, developing care plans for health

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

Administration - dealing with queries, patient test results, referral letters, task, emails and other paperwork and correspondence in a timely manner

Compiling and issuing computer-generated acute and repeat prescriptions

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.

Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate

Develop care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well as wider guidance such as that from NICE.

Person Specification

Qualifications

Essential

• Full GMC registration.
• Performers List registered
• Must be able to start within 3 months of receiving conditional offer of employment
• Must have indefinite right to work in the UK
• The General Medical Practitioner must not be:
• a. Prohibited from performing any such service by regulation 24 of the National Health Service (Performers Lists) (England) Regulations 2013;
• b. Suspended from the list of medical practitioners maintained and published by NHS England in accordance with section 91 of the NHS Act 2006 or from the registers kept under section 2 of the Medical Act 1983;
• c. and/or Subject to interim suspension under 41A of the Medical Act 1983.
• DHPL does not have Home Office sponsorship status. This means that we are unable to provide any assistance with visas and all applicants / employees must have indefinite right to work in the UK in order to qualify for the job roles we offer.

Desirable

• Experience of working in NHS General Practice.
• Keeping up with CPD and good knowledge of current guidelines.
• Understanding of QoF, Medicines Management and the general working of GP practices.
• Understanding of EMIS Systems.
• Excellent communicator and team player.

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

Dacorum Healthcare Providers Ltd

Address

Imex

Maxted Road

Hemel Hempstead Industrial Estate

Hemel Hempstead

Hertfordshire

HP2 7DX

United Kingdom

Employer's website

https://www.dhpltd.net/ (Opens in a new tab)