Locum Practice Nurse

Job description

Job responsibilities

JOB SUMMARY

The post holder must have recent General Practice Nurse experienced, who acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.

You may be asked to provide proof of your right to work in the UK.

1. SCOPE AND PURPOSE OF THE ROLE

• To deliver a high standard of patient care as a Practice Nurse (PN) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
• To manage a clinical caseload, dealing with presenting patients needs in a primary care setting
• To lead the nursing team (where applicable)and ensure the highest standards of care are provided for the patients
• To develop the nursing services offered by the practice

2. JOB DIMENSIONS

• To manage own clinical workload in general practice responding effectively to patient need and ensuring patient choice and ease of access to services.
• To mentor and support HCAs in developing and maintaining their skills

3. PRIMARY DUTIES & AREAS OF RESPONSIBILITY

A. CLINICAL ROLE:

The post-holder will:

• Provide direct access to a PN, both in the Practice and over the telephone, for the general practice population
• Make professionally autonomous decisions for which he/she is accountable
• Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
• Instigate necessary invasive and non-invasive diagnostic tests or investigations.
• Prescribe safe, effective and appropriate medication as defined by current legislative framework, under GP supervision.
• Provide safe, evidence-based, cost-effective, individualised patient care
• Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care
• Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
• Refer patients to other services/agencies, including GPs as appropriate
• Assist the Practice in delivering specialist primary care services, such as long term disease management (diabetes, asthma, chronic obstructive pulmonary disease, coronary heart disease and hypertension)
• Work with GPs and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
• Work with multi-disciplinary team within the Practice, and across the wider CCG, to promote integrated and seamless pathways of care
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery

Help develop and set up new patient services and participate in initiatives to improve existing patient services

B. TEACHING AND MENTORING ROLE:

The post-holder will:

• Promote a learning environment for patients and other health professionals.
• Contribute to the planning and implementation of the teaching for Health Care Assistants, within the Practice.

C. PROFESSIONAL ROLE:

The post-holder will:

• Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
• Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review
• Maintain their professional registration
• Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained
• Work within the latest NMC Code of Professional Conduct
• Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards
• Keep up to date with pertinent health-related policy and work with the practice team to consider the impact and strategies for implementation
• Work collaboratively with colleagues within and external to the practice.
• Demonstrate leadership

D. MANAGERIAL ROLE :

The post-holder will :

Act as team leader and mentor for HCAs and through this, support their personal development. Conduct regular appraisals with individuals as their line manager.

Encourage and develop teamwork within the practice.

Participate in multi-disciplinary protocol and Patient Group Directions

Identify appropriate opportunities to delegate both clinical and administrative tasks to more junior staff.

Help the practice operate in a cost-effective manner.

Identify and manage nursing care risks on a continuing basis.

Participate in practice meetings and practice management meetings, reporting progress as required.

Participate in audits and inspections as appropriate.

Work closely with the doctors and administrative managers in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.

Ensure that all Practice Policies are fully implemented

5. HEALTH AND SAFETY/RISK MANAGEMENT

The post-holder must comply at all times with the Practices Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.

The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).

The post holder will be responsible for the safe storage and management of vaccines and medicines in accordance with the practice cold chain policy.

The post holder will be responsible for maintaining a supply of oxygen for emergency use within the practice. Liaising with the leasing company to maintain a constant supply.

6. EQUALITY AND DIVERSITY

The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.

7. RESPECT FOR PATIENT CONFIDENTIALITY

The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

8. COMMUNICATION & WORKING RELATIONSHIPS

• The post-holder will establish and maintain effective communication pathways with the following :

GPs both within the practice and the CCG as a whole

HCAs

Practice Manager

Practice Administrators

Medical and Nursing Colleagues within the CCG

9. SPECIAL WORKING CONDITIONS

• The post-holder will have contact with body fluids ie, wound exudates; urine etc while in clinical practice.

10. REHABILITATION OF OFFENDERS ACT 1994 (optional)

Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1994 (Exceptions) Order 1995. Applicants for posts are not entitled to withhold information about convictions which for other purposes are spent under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in disciplinary action or dismissal by the Practice. Any information given will be completely confidential and will be considered only in relation to an applicant of a position to which the order applies.

Person Specification

Qualifications

Essential

• Registered General Nurse (Currently registered with the Nursing & Midwifery Council)

Desirable

• Teaching / Mentoring experience and /or qualification

Experience

Essential

• Minimum of 5 years post registration experience
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence in all aspects of the NP role
• Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD ,
• Cervical Smear sampling
• Evidence of working autonomously and as part of a team
• Proven ability to evaluate the safety and effectiveness of their own clinical practice

Desirable

• Interpreting and implementing local and National policy agendas for health
• Previous experience of managing and developing a nursing team
• Spirometry

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Barnsley Road Surgery

Address

899 Barnsley Road

Sheffield

S5 0QJ

Employer's website

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