Respiratory/FeNO Nurse

Portsdown Group Practice

Information:

This job is now closed

Job summary

We have two exciting opportunities to join our respiratory team and be an integral part of developing our FeNO trial. Portsdown PCN has successfully applied for funding from NHS England to evaluate the use of FeNO testing in different cohorts of patients. We will be a beacon site as part of a national roll-out campaign. The post holder is responsible for ensuring the delivery of safe and effective respiratory nursing care to the whole practices respiratory population. To work collaboratively with the whole general practice team to meet the needs of the patients, supporting delivery of policy and procedures and provide direction to colleagues. If you have the drive and desire to be part of a new way of delivering Respiratory Care in a supportive environment, then we would love to hear from you.

Main duties of the job

The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. The focus of the role is both the delivery of evidence-based practice for patients presenting with a respiratory condition, and to work collaboratively with the whole general practice team to meet the needs of the patients. More information on the attached vacancy pack.

About us

Portsdown Group Practice covers the whole of Portsmouth from postcodes PO1 to PO7. We operate from 6 surgeries: Cosham Park House (PO6 3BG), Crookhorn Lane (PO7 5XP, Heyward Road (PO4 0DY), Kingston Crescent (PO2 8AL), Paulsgrove (PO6 4HJ), and Somerstown (PO5 4EZ). We are our own Primary Care Network (PCN).

We have Clinical Partners, Salaried GPs and a comprehensive Nursing and extended clinical team overseen by our Clinical Team Manager and consisting of Nurse / Paramedic Practitioners, Registered Nurses, HCAs, Physician Associate , MSK Physio Therapists and care co-ordinators. The Pharmacy team consists of Clinical Pharmacists, Pharmacy Technicians and pre-registration trainee Pharmacy Technicians.

The Practice is well established, financially secure and successful. Over the last few years we have earned maximum QOF points.

Job description

Job responsibilities

Title:Respiratory Nurse / FeNO trial

Responsible To:

Clinical Team Manager (clinically)

Operations Manager (administratively)

Main Purpose of the Post:

  • Within the first year in post, the post holder will be an integral part of the team developing and implementing FeNO pathways across the PCN. Portsdown PCN has successfully applied for funding from NHS England to evaluate the use of FeNO testing in different cohorts of patients. We will be a beacon site as part of a national roll-out campaign. The post holder is responsible for ensuring the delivery of safe and effective respiratory nursing care to the whole practices respiratory population. To work collaboratively with the whole general practice team to meet the needs of the patients, supporting delivery of policy and procedures and provide direction to colleagues.

  • The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. The focus of the role is both the delivery of evidence-based practice for patients presenting with a respiratory condition, and to work collaboratively with the whole general practice team to meet the needs of the patients.

  • To work autonomously to undertake the routine assessment of patients demonstrating critical thinking and skills in clinical decision-making in the management of patients, providing clinical management in line with national / local guidelines and in liaison with medical colleagues.

  • To provide a high standard of nursing care in adherence to Practice policies, protocols and guidelines at all times, and ensure maintenance of current clinical knowledge in relation to relevant chronic disease along with basic nursing skills

  • The post holder needs to be flexible in line with the present atmosphere for change within the health service delivery. It is essential that the nurse will work within own level of competency and expand her / his role in accordance with practice requirements and own scope of practice.

Duties & Responsibilities of the Post:

  • To be experienced in nurse-led management and to have a high level of knowledge of Respiratory Disease, specifically Asthma and COPD, and to have undertaken educational courses, minimum foundation level but ideally hold the relevant diploma or certificate level (or be willing to undertake these) to ensure effective competency within the role.

  • To be a nurse with specialist knowledge in the delivery of Respiratory services to patients, ensuring that the needs of the patient are paramount and provide liaison between primary and secondary care in relation to area of responsibility.

  • Take responsibility for own development learning and performance including attendance at regular educational updates and participating in clinical supervision and acting as a positive role model

  • Assess, plan, implement and evaluate individual treatment plans for patients with a known respiratory condition within practice guidelines and promote health and well-being , and prevent adverse effects on health and well-being (ie, smoking cessation, diet, exercise) within practice guidelines

  • To be competent in the undertaking of investigatory tests i.e. peak flow, and understand the results of investigations to be able to have input in the diagnostic process and to manage condition.

  • Be aware of acute exacerbations and be able to refer where appropriate.

  • Be competent in inhaler technique, able to assess chose and teach correct use of inhaler devices and spacers as well as being able to teach correct technique when using a peak flow meter.

  • To hold ARTP full certification in spirometry (or be willing to undertake this)

  • To have a good understanding of QOF requirements and support the Practice in its data collection to achieve all relevant targets.

  • Proactively identify and screen patients at risk of developing a long-term condition as appropriate within practice guidelines

  • Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, within scope of competence. Work with patients in order to support adherence to prescribed treatments

  • The post holder should work within their own level of clinical competency and scope of practice, referring other health care professionals as appropriate.

  • To provide patients and carers with psychological support by discussing relevant intervention and treatment. Providing information on local support networks available.

  • To provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning to ensure competency and compliance.

  • Where the post holder is an independent prescriber; to prescribe safe, effective and appropriate medication as defined by current legislative framework.

  • Be aware of practice-based commissioning and current initiatives to improve existing patient services and be actively involved where appropriate.

  • To work with Partners, Group Business Manager and Clinical Team Manager in identifying issues related to respiratory nursing care and participate in the planning and implementation of changes within area of care and responsibility.

Administrative and Professional Responsibilities:

  • Maintain confidentiality as per NMC The Code for Nurses and Midwives (2018).

  • Ensure accurate notes of all consultations and treatments are recorded in the patients notes and on computers, as per NMC guidelines.

  • Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.

  • Assist with the development of practice protocols.

  • Attend and participate in practice meetings as required.

  • Awareness of statutory protection procedures including referral and recognition of signs and symptoms of child abuse.

  • Awareness of referral mechanisms for mental health issues, family violence, vulnerable adults and addictive behaviours.

  • Actively take part in mandatory and internal / external training as requested.

  • Be aware of government guidelines in relation to confidentiality, clinical information etc.

  • Adhere to and follow all policies and protocols as listed in the Staff Handbook and contract.

Confidentiality:

  • As per both Government legislation and Practice policies ensure that all confidentiality, data protection and information governance policies and guidelines are followed and strictly adhered to. Reporting any infringements to the Operations Office immediately.

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

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

  • Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and Diversity:

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

  • 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.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

  • Participation in an annual staff performance review.

  • Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

  • Alert other team members to issues of quality and risk.

  • 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.

  • Effectively manage own time, workload and resources.

Communication/Information:

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

  • Communicate effectively with other team members.

  • Communicate effectively with patients and carers.

  • Recognize peoples needs for alternative methods of communication and respond accordingly.

Contribution to the Implementation of Services:

The post-holder will:

  • Apply practice policies, standards and guidance

  • Discuss with other members of the team how the policies, standards and guidelines will affect own work

Any other delegated duties considered appropriate to the post.

This job description is not intended to be exhaustive, but to indicate the main areas of responsibility. It may be changed after consultation with the post holder. The employee shares with the employer, the responsibility for review and modification of duties. Suggestions and discussions are welcome.

Policies and Procedures - the duties and responsibilities of the post will be undertaken in accordance with the policies, procedures and practices of the Practice, which may be amended from time to time. You are required to be flexible and the practice reserves the right to alter such fixed hours as may be considered necessary to ensure the surgery runs smoothly.

Business operates between the hours of 0700 2100 hours Monday to Friday (0800 1300 Saturday), with possible requirement for some future evening and weekend working as the business develops.

Person Specification

Knowledge

Essential

  • Understanding of respiratory anatomy and function and understanding of more common respiratory pathophysiology and respiratory conditions.
  • Understanding of holistic care and management of long-term conditions and their impact on physical and mental wellbeing.
  • Awareness and implementation of evidence-based guidelines
  • Knowledge of national standards that inform practice i.e. NICE guidelines and National Service Frameworks
  • Understanding accountability arising from the NMC Code for Nurse and Midwives (2018)
  • Understanding of the benefits of non-pharmacological interventions for respiratory illnesses / conditions (such as smoking cessation, weight management, physical activity and exercise).

Desirable

  • Specialist knowledge of respiratory disease including disease specific management pathways.
  • Knowledge of self-management access to information and resources, knowledge of local support groups and local social prescribing routes (e.g. singing, exercise).

Skills

Essential

  • Ability to assess and manage patient risk effectively and safely
  • Able to undertake a holistic nursing respiratory assessment and impact on social and psychological well-being.
  • Excellent interpersonal, verbal and written communication skills, understanding of motivational skills and empathic communication
  • Team player and ability to work across boundaries
  • Time management and ability to prioritise workload
  • Able to analyse data and information, drawing out implications for the individual patient / impact on care plan
  • Able to assess smoking status, provide very brief advice for smoking cessation and refer to appropriate stop smoking service

Desirable

  • Specialist clinical assessment skills for example chest auscultation, physical assessment.
  • Able to interpret relevant investigations/test e.g. spirometry. Experience of SystmOne
  • Evidence of training, including pathophysiology, pharmacological treatments, inhaler training.
  • Autonomous working according to level of competence

Experience

Essential

  • Experience in nurse led management of long term conditions
  • Evidence of appropriate continuing professional development
  • Evidence of working autonomously and as part of a team
  • Proven ability to evaluate safety and effectiveness of own clinical practice

Desirable

  • Interpreting and implementing local and national policy agendas for health
  • Audit skills
  • Leadership experience
  • Minimum 5 years post registration experience and recent experience in a primary care or community nurse setting

Qualifications

Essential

  • Registered Nurse, registered with the NMC
  • Foundation respiratory training and relevant investigatory skills, working towards or holds diploma in Asthma and COPD
  • ARTP foundation certificate in Spirometry
  • Smoking Cessation NCST module

Desirable

  • Nursing degree (BSc). Teaching / Mentoring experience and / or qualification
  • Recognised relevant post graduate education level 6 or above in respiratory. Independent nurse prescriber
  • ARTP full certificate in Spirometry.
  • Smoking cessation level 2 certificate

Tier 2 Certificate of Sponsorship

Applications from job seekers who require current Tier 2/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.

From 6 April 2017, Tier 2/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.

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

Portsdown Group Practice

Address

92 Kingston Crescent

Portsmouth

PO2 8AL


Employer's website

https://www.portsdowngrouppractice.co.uk/


For help with your application, contact:

Ian Cummings

ian.cummings@nhs.net

02392627765

Date posted

30 July 2021

Pay scheme

Other

Salary

£16.83 to £19.64 an hour

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A2111-21-6118

Job locations

92 Kingston Crescent

Portsmouth

PO2 8AL


3 Heyward Road

Southsea

Hampshire

PO4 0DY


Crookhorn Lane

Waterlooville

Hampshire

PO7 5XP


Cosham Park Avenue

Portsmouth

PO6 3BG


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Email:

nhsbsa.nhsjobs@nhsbsa.nhs.uk

Telephone:

0300 330 1013

Outside UK:

+44 300 330 1013

Opening times:

Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.