Job summary
Tonbridge Medical Group
We are currently seeking a committed Practice Nurse specialising in diabetes care managment to join our team at Tonbridge Medical Group (TMG).
Job Summary
To be responsible for providing comprehensive diabetic
management and support for the whole practice population. With a focus on
educating and empowering individuals to better manage their condition and
offering high quality care to our patients. Additionally to be responsible for
the implementation of processes for the effective management of patients with
long-term conditions using evidence-based practice including care for elderly
and housebound patients.
Working as a member of the practice multidisciplinary team, the
post holder will ensure nursing services are delivered effectively to the
entitled patient population.
Main duties of the job
Duties include but not limited to:
Summary of core responsibilities:
- Deliver timely and professional diabetes care
- Identify and assess patient's diabetes care needs
- Provide specialist advice in diabetes management
- Develop and implement health promotion programs
- Implement and evaluate individual treatment plans for chronic disease patients
- Perform cervical smears
- Manage and support patients at risk of long-term conditions
- Provide routine nursing care in accordance with clinical evidence
- Manage acute and chronic conditions
- Suggest medications for patients within scope of practice
- Co-ordinate travel medicine services
- Request and process pathology services
- Maintain accurate clinical records
- Oversee chronic disease clinics and referrals
- Ensure compliance with practice policies
- Prioritise health issues and intervene appropriately
- Support team in clinical emergencies
- Recognise and refer patients with mental health needs
- Implement vaccination programs
- Support patients with prescribed medications
- Liaise with external services for patient support
- Delegate clinical responsibilities safely
- Support team with safeguarding matters
- Refer patients with substance abuse/addictive behavior
- Deliver health promotion initiatives
About us
Tonbridge Medical Group has a list of 17,600 patients. We are a dedicated & passionate team working in a state-of-the-art facility in the centre of Tonbridge.At TMG, we prioritise forward-thinking healthcare delivery and strive to provide the highest level of care to our patient community.
As a training practice, we have 7 partners, 7 salaried GPs, 4 GP registrars, a physician associate, clinical pharmacists, nurses, healthcare assistants, a phlebotomist, and exceptional admin and care navigation teams.
In addition, TMG is part of the Tonbridge Primary Care Network (PCN) and is supported by a fantastic PCN team.
Job description
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 ensure that the Practice's diabetes care is delivered in a timely,
professional manner whilst maintaining equity of access to a coordinated and
seamless service.
b. To identify patient's diabetes care needs using a holistic approach
and to assess and offer specialist advice in in diabetes management patients.
c. To assess the needs of patients ensuring
the provision of healthcare is appropriate, incorporating evidence-based
practice
d. To develop, implement and embed health
promotion and wellbeing programmes
e. To implement and evaluate individual
treatment plans for chronic disease patients that promote health and wellbeing
f.
Performing cervical smears
g. To identify, manage and support patients
at risk of developing long-term conditions, preventing adverse effects to
patients health
h. As required, to provide routine nursing
care to patients in accordance with clinical based evidence, NICE and the NSF
i.
As required, to manage acute and chronic conditions
j.
To suggest medication for patients in accordance with PGDs and own
scope of practice
k. To review patient medications to enhance
compliance
l.
To provide guidance to patients in the use of prescribed and
over-the-counter medications regarding side effects and dosages
m. To co-ordinate the provision of travel
medicine services
n. To request pathology services and
process pathology results as required
o. To oversee the provision of chronic
disease clinics, delivering patient care as necessary, referring patients to
secondary/specialist care as required
p. To maintain accurate clinical records in
conjunction with extant legislation
q. To ensure read codes are used
effectively by all members of the nursing team
r. To ensure the appropriate maintenance and
use of chronic disease registers
s. To ensure compliance with the practice
chaperone policy
t.
To assist GPs with minor surgery when an HCA is not available
u. To prioritise health issues and
intervene appropriately
v. To support the team in dealing with
clinical emergencies
w. To recognise, assess and refer patients
presenting with mental health needs
x. To implement vaccination programmes for
adults and children
y. To support patients in the use of their
prescribed medicines or over-the-counter medicines (within own scope of
practice)
z. To liaise with external services/agencies
to ensure the patient is supported appropriately (vulnerable patients etc.)
aa. To delegate clinical responsibilities
appropriately (ensuring safe practice and the task is within the scope of
practice of the individual)
bb. To support the clinical team with all
safeguarding matters, in accordance with local and national policies
cc. To understand practice and local
policies for substance abuse and addictive behaviour, referring patients
appropriately
dd. 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.
Participate in local initiatives to enhance service delivery and
patient care
c.
Support and participate in shared learning within the practice in
order to improve patient care
d. Participate in the review of significant
and near-miss events applying a structured approach, i.e., root cause
analysis (RCA)
Job description
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 ensure that the Practice's diabetes care is delivered in a timely,
professional manner whilst maintaining equity of access to a coordinated and
seamless service.
b. To identify patient's diabetes care needs using a holistic approach
and to assess and offer specialist advice in in diabetes management patients.
c. To assess the needs of patients ensuring
the provision of healthcare is appropriate, incorporating evidence-based
practice
d. To develop, implement and embed health
promotion and wellbeing programmes
e. To implement and evaluate individual
treatment plans for chronic disease patients that promote health and wellbeing
f.
Performing cervical smears
g. To identify, manage and support patients
at risk of developing long-term conditions, preventing adverse effects to
patients health
h. As required, to provide routine nursing
care to patients in accordance with clinical based evidence, NICE and the NSF
i.
As required, to manage acute and chronic conditions
j.
To suggest medication for patients in accordance with PGDs and own
scope of practice
k. To review patient medications to enhance
compliance
l.
To provide guidance to patients in the use of prescribed and
over-the-counter medications regarding side effects and dosages
m. To co-ordinate the provision of travel
medicine services
n. To request pathology services and
process pathology results as required
o. To oversee the provision of chronic
disease clinics, delivering patient care as necessary, referring patients to
secondary/specialist care as required
p. To maintain accurate clinical records in
conjunction with extant legislation
q. To ensure read codes are used
effectively by all members of the nursing team
r. To ensure the appropriate maintenance and
use of chronic disease registers
s. To ensure compliance with the practice
chaperone policy
t.
To assist GPs with minor surgery when an HCA is not available
u. To prioritise health issues and
intervene appropriately
v. To support the team in dealing with
clinical emergencies
w. To recognise, assess and refer patients
presenting with mental health needs
x. To implement vaccination programmes for
adults and children
y. To support patients in the use of their
prescribed medicines or over-the-counter medicines (within own scope of
practice)
z. To liaise with external services/agencies
to ensure the patient is supported appropriately (vulnerable patients etc.)
aa. To delegate clinical responsibilities
appropriately (ensuring safe practice and the task is within the scope of
practice of the individual)
bb. To support the clinical team with all
safeguarding matters, in accordance with local and national policies
cc. To understand practice and local
policies for substance abuse and addictive behaviour, referring patients
appropriately
dd. 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.
Participate in local initiatives to enhance service delivery and
patient care
c.
Support and participate in shared learning within the practice in
order to improve patient care
d. Participate in the review of significant
and near-miss events applying a structured approach, i.e., root cause
analysis (RCA)
Person Specification
Qualifications
Essential
- Qualifications
- Registered Nurse (Nursing and Midwifery Council)
- Advanced Diabetes PITstop or equivalent qualification
Desirable
- Mentor or teaching qualification
- Post graduate diploma or degree (Chronic Disease Management)
- Nurse prescriber
- Family planning qualification
Experience
Essential
- Experience of working in a primary care environment
- Experience of chronic disease management
- Experience of working autonomously
- Experience of infection prevention and control measures
- Experience in diabetes care managment
Desirable
- Experience of working as a practice nurse or community nurse
- Experience of managing elderly and housebound patients
- Experience of quality initiatives, i.e., benchmarking
Clinical Knowledge and 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
- 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
- Strong IT skills
- Clear, polite telephone manner
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- Travel medicine
Person Specification
Qualifications
Essential
- Qualifications
- Registered Nurse (Nursing and Midwifery Council)
- Advanced Diabetes PITstop or equivalent qualification
Desirable
- Mentor or teaching qualification
- Post graduate diploma or degree (Chronic Disease Management)
- Nurse prescriber
- Family planning qualification
Experience
Essential
- Experience of working in a primary care environment
- Experience of chronic disease management
- Experience of working autonomously
- Experience of infection prevention and control measures
- Experience in diabetes care managment
Desirable
- Experience of working as a practice nurse or community nurse
- Experience of managing elderly and housebound patients
- Experience of quality initiatives, i.e., benchmarking
Clinical Knowledge and 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
- 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
- Strong IT skills
- Clear, polite telephone manner
Desirable
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
- Travel medicine
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).
Additional information
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).