Remote Care Nurse Prescriber

Job description

Job responsibilities

Remote Care Nurse Prescriber

JOB TITLE: Remote Care Nurse Prescriber

REPORTS TO: PCN Clinical Director

CONTRACT TYPE: Full time and Fixed Term (40 hours pw, contract end March 2024)

SALARY: £48k pro rata

LOCATION: Warrington, Remote/ Hybrid Role

We are a forward thinking, supportive, innovative team who are looking for an enthusiastic, experienced prescribing Nurse. This is an opportunity to help us shape and develop the clinical role within our remote care team, to support the delivery of proactive care and ensure we achieve the best outcome for patients.

Capacity within healthcare remains a key area of focus across care settings, and we are developing a remote care service to support this. Currently the service is active in 7 GP practices in Warrington and is planned to expand to all 26 surgeries over the next 4-6 months. The service is focused on improving population health. Using a digital tool called Healthy You, we will remotely support Hypertensive patients with a view to improving their long-term health risks.

Training on new systems and digital tools will be provided.

Job summary

Responsible for reviewing and consulting with patients remotely; diagnosing and treating patients with existing/suspected cardiovascular risk. These patients will have booked remote appointments at fifteen-minute intervals. There may be a requirement to see extra or emergency patients where necessary. The practitioner will need to prioritise the needs of patients, accordingly, prescribing and advising on medication, making any necessary referrals for investigations in the appropriate manner. There will be a focus on promoting healthy lifestyle and encouraging principles of self-care.

Summary of Responsibilities:

Completing clinical reviews via HealthyYou with the support of the clinical record.

o Determine next steps required for the patient to optimise their BP and intervening where required.

Consulting with patients via telephone or video with a view to better management of their hypertension and/or cardiovascular risk.

o Creating a good rapport with patients, building trust and providing support.

o Completing referrals and signposting patients as appropriate.

o Providing comprehensive lifestyle advice.

Prescribe and review medication.

o Assess therapeutic effectiveness.

o Prescribe medication appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.

o Work with patients to support compliance with, and adherence to, prescribed treatments.

Recognise and work within own competence and professional code of conduct as regulated by the NMC.

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.

Prioritise, organise and manage own workload in a manner that maintains and promotes quality.

o Deliver care according to NSF, NICE guidelines and evidence-based care.

Complete clinical admin applicable to the service.

o Review and file investigation results.

o Complete tasks.

Carry out relevant clinical governance activities.

o Complete quality audits in line with the audit schedule.

o Attend meetings where required, including but not limited to clinical governance meeting and PCN meetings.

o Mitigate, investigate and escalate identified risks, incidents and complaints.

Support the wider remote care team including the Operations Manager and Healthcare Administrator where required.

o Inform on best practice to support the development of processes.

o Be a point of clinical escalation for concerns about patient safety.

o Assist in onboarding patients to the remote care service.

Person Specification

A passion for exploring new ways of working, innovating and using digital tools to support the delivery of safe and effective care.

Have a commitment to continuous professional development; specifically an interest in the impact of lifestyle and heart health.

Must be able to work independently with the ability to prioritise workload and risk assess.

Confidence working digitally, across different systems.

Strong communication skills with both patients and colleagues.

Supplementary Information

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 to 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.

All staff are required to maintain complete confidentiality as a condition of employment. Any breach of this requirement will lead to disciplinary action.

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 to 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.

Reporting potential risks identified.

All staff must be aware of the responsibilities placed on them under the Health & Safety at Work Act and 1992 EC Directive on Working with Visual Display Screen Equipment.

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 and non-judgmental to an individual and respects their circumstances, feelings, priorities and rights.

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, work 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 peoples needs for alternative methods of communication and respond accordingly.

Person Specification

Qualifications

Essential

• Relevant Nursing/Health degree
• Active registration with the NMC
• Able to provide evidence of meeting revalidation requirements
• Independent Prescribing Qualification
• Working autonomously in a nursing role
• Management of patients with long term conditions- specifically
• cardiovascular health

Desirable

• Remote clinical consultation skills
• Experience within a GP surgery
• Experience of GP clinical systems; SystmOne and Emis
• Clinical Leadership Skills

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

Chapelford Medical Centre

Address

Santa Rosa Boulevard

Great Sankey

Warrington

Cheshire

WA5 3AN

Employer's website

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