Job responsibilities

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

a. To support the Infection Prevention Control (IPC) lead and to work to the IPC Policy supporting the implementation of audits, training, support and evidence of compliance to the practice manager

b. To support the production of the IPC annual statement in conjunction with the Infection Control Lead.

c. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice

d. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

e. To develop, implement and embed health promotion and wellbeing programmes

f. To undertake cervical cytology, and manage call and recall of patients

g. To implement contraception and sexual health services

h. To implement vaccination programmes for adults and children

i. Managing minor ailments and injuries

j. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

k. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

l. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

m. As required, to manage chronic conditions

n. To prescribe medication for patients in accordance with PGDs and own scope of practice

o. To review patient medications to enhance compliance

p. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages

q. To co-ordinate the provision of travel medicine services

r. To request pathology services and process pathology results as required

s. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

t. To maintain accurate clinical records in conjunction with extant legislation

u. To ensure read codes are used effectively by all members of the nursing team

v. To ensure the appropriate maintenance and use of chronic disease registers

w. To develop, implement, embed and participate in well woman clinics

x. To develop, implement, embed and participate in well man clinics

y. To ensure compliance with the practice chaperone policy

z. To assist GPs with minor surgery when required

aa. To prioritise health issues and intervene appropriately

bb. To support the team in dealing with clinical emergencies

cc. To recognise, assess and refer patients presenting with mental health needs

dd. An understanding of the Quality and Outcomes Framework (QOF) and other enhanced services

ee. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

ff. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

gg. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

hh. To support the clinical team with all safeguarding matters, in accordance with local and national policies

ii. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

jj. To deliver opportunistic health promotion where appropriate

Secondary responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle

b. Develop, review and implement nursing protocols in conjunction with the partners

c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required

d. Participate in local initiatives to enhance service delivery and patient care

e. Support and participate in shared learning within the practice in order to improve patient care

f. Continually review clinical practices, responding to national policies and initiatives where appropriate

g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)

h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

Experience

Essential

• Experience of chronic disease management.
• Experience of working autonomously.
• Experience of infection prevention and control measures.

Desirable

• Experience of working in a primary care environment.
• Experience of working as a practice nurse or community nurse.
• Experience of managing elderly and housebound patients.
• Experience of quality initiatives, i.e., benchmarking

Qualifications

Essential

• Registered Nurse (Nursing and Midwifery Council)

Desirable

• Mentor or teaching qualification
• Post graduate diploma or degree (Chronic Disease Management)
• Nurse prescriber
• Family planning qualification

Other Requirements

Essential

• Flexibility to work outside of core office hours.
• Disclosure Barring Service (DBS) check.
• Occupational Health Clearance.
• Meet the requirements and produce evidence for nurse revalidation.
• Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse.

Skills

Essential

• Excellent communication skills (written and oral)
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure
• Clear, polite telephone manner

Desirable

• Strong IT skills

Clinical Knowledge/Skills

Essential

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Understanding the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Chaperone procedure.
• Womens health (cervical cytology, contraception, etc.).
• Immunisations (routine, childhood and travel).
• Chronic disease management.
• Spirometry.

Desirable

• Travel medicine.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.
• Knowledge of health promotion strategies.

Personal Qualities

Essential

• Polite and confident
• Flexible and co-operative
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• Ability to work under pressure/in stressful situations
• Effectively utilise resources
• Other requirements

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).

Job responsibilities

Key Clinical Responsibilities

1. To provide a first point of contact for patients with undifferentiated and undiagnosed health needs.

2. Provide domiciliary visits

3.Using advanced assessment skills of history taking and clinical examination, make a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals as necessary.

4. Provide ongoing education and health promotion in relation to primary prevention/secondary prevention.

5. Organise and manage own patient caseload.

6. Request, interpret and evaluate diagnostic tests to assess patients' clinical problems or monitor progress.

7. Manage patients with long term conditions, including the development, implementation and evaluation of individualised treatment plans.

8. To provide a holistic nursing assessment drawing on knowledge about the wider determinants of health and ill health.

9. Independently prescribe medication within own scope of practice and undertake medication reviews in accordance with current guidance.

10. Participate in the development and implementation of Practice/PCN and wider system clinical pathways and guidelines where appropriate.

11. Provide clinical care within own scope of practice and recognise, assess and appropriately refer patients presenting with mental health or safeguarding needs.

12. Provide expert nursing advice to other nurses working in practice/primary care setting.

13. Establish links with Secondary Care providers to help deliver changes in care pathways and protocols.

14. Work with nursing/medical teams in providing proactive management of patients with chronic diseases in accordance with local/national policy.

15. Collating data and involvement in Chronic Disease Management for disease specific areas including Hypertension, Diabetes, Cardiovascular Disease, Asthma and COPD as part of the Quality and Outcomes Framework.

16. Reviewing patients on other registers including Mental Health, Frailty and Epilepsy Registers and inputting data where appropriate as part of the Quality and Outcomes Framework.

17. Undertaking audit of patients requiring review of further intervention.

Clinical Developments

1. Establish initiatives which will contribute to improving access to quality services such as rapid access to minor injuries/ minor illness, Chronic Disease management.

2. Contribute to the establishment and maintenance of peer clinical supervision and appraisal.

3. Take an active role in clinical governance, quality improvement, clinical audit and significant event/ near miss review, contributing to the development and implementation of clinical policies, pathways and guidelines.

General Responsibilities.

1. To contribute to the overall development and implementation of clinical developments at practice level.

2. Provide evidence of continued professional development.

3. Participate in regular and ongoing appraisal, taking responsibility for professional competency.

4. To be aware of and utilise risk management strategies both clinical and organisational in all aspects of practice.

5. Maintain current NMC registration and practise in accordance with the NMC Code and revalidation requirements.

6. To comply with health, safety and welfare of self and others within the requirements of health and safety regulations.

7. To ensure confidentiality at all times and comply with the practice Caldicott requirements.

Experience

Essential

• * Experience of working in primary care.
• * Experience of assessing and managing acute and chronic conditions.
• * Experience of prescribing and undertaking medication reviews.
• * Experience of chronic disease management.
• * Evidence of safe clinical decision making and working within own scope of practice.
• *Working knowledge of the British National Formulary.

Desirable

• * Experience of clinical audit and quality improvement.
• * Experience of clinical risk management.
• * Triage experience
• * Relevant chronic disease qualifications/competencies.
• * Women's health

Other Requirements

Essential

• * Access to appropriate transport and ability to travel within the locality to undertake domiciliary visits

Qualifications

Essential

• Relevant Nursing Qualification (RGN or equivalent)
• An Independent Prescriber Qualification
• Nurse Practitioner Qualification.

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).