Practice Nurse Team Lead

Job responsibilities

To supervise the performance and day-to-day management of the practice nursing team, including resources and equipment. Prioritising and allocating work to ensure efficiency and effectiveness of the nursing team function. To instruct the team and deal with staff queries on a day-to-day basis. To maintain up to date knowledge of clinical governance requirements and guidelines, updating, developing and implementing practice protocols and procedures accordingly.

The post-holder will work closely with, and under the direction of, the practice and operations managers to improve standards across a wide range of organisational activities. The position is challenging and suitable for someone who wishes to demonstrate initiative with a desire to develop their own skills further, especially in context of the practice digital first approach and proactive participation in a wider practice network and community multidisciplinary teams.

Working in accordance with the UKCC Code of Conduct, the post-holder will provide assessment, treatment, screening, health education services and advice to patients.

The post-holder will work with reference to Practice agreed protocols and guidelines, providing nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners.

The post-holder will have the required level of training and competence and will work within patient group directions where these are available.

Management Responsibilities

Essential

• Enable the nursing team to work effectively to provide a high quality service to patients and to work effectively with other agencies.
• Identify the workforce that is required to provide services to meet the needs of the patient population.
• Supervise the nursing team on a day-to-day basis.
• Monitor and advise on the effective use of physical and financial resources by the Practice nursing team.
• Enable the Practice nursing team to apply and improve clinical governance and risk management systems.
• Lead and monitor the development and implementation of policies, standards and guidelines across the Practice nursing team.
• Analyse, interpret and report data on health and well-being, related needs and service use.
• Allocate, co-ordinate, monitor and assess the work of the nursing team and individuals
• Recruit and select staff to meet the health and well-being needs of the Practice population
• Offer and provide clinical supervision to other members of the Practice nursing team and act as a clinical ''expert''.
• Develop a working environment that promotes healthy, safe and effective work outcomes.

Confidentiality

Essential

• 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. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Personal/Professional Development

Essential

• The post-holder will participate in any training programme implemented by JHP as part of this employment, such training to include:
• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for their own development, learning, and performance and demonstrating their skills and abilities to others.
• This role is considered to be a substantive position and the jobholder will be expected to be proactive in developing their personal and business skills.

Clinical Duties and Responsibilities

Essential

• Treatment Room
• Monitor and supervise the functioning of the treatment room
• Undertake general nursing care in the treatment room
• Treatment and administering to patients needs as agreed by the doctors,
• Including therapeutic / prophylactic injections, ear syringing,
• minor procedures, nebuliser therapy, dressings.
• Assisting with medicals.
• ECG
• Examination :- examine and provide medical care as appropriate during consultations.
• Investigations perform a variety of investigations including phlebotomy
• Follow up and review of individual patients as necessary
• Clinical Areas
• Monitor all clinical areas
• Minimise risk of infection
• Ensure adequate supply of clinical materials/supplies
• Minor Surgery
• Assisting doctors in minor surgical procedures
• Ensuring a supply of sterile disposable instruments and all other necessary equipment
• Dressings of wounds and organising follow up care / removal of sutures etc.
• Maintain record keeping both computerised and minor op procedure log
• Completion of patient consent form
• IUCD Fitting
• Assist GP with IUCD fitting
• Liaising with patient for pre-IUCD swabs and follow up treatment if necessary
• Monitoring adequate supply of iud devices / equipment
• Ensuring patient consent form completed and adequate record keeping maintained
• Immunisation
• Support with updating / written practice protocol
• General travel advice to be given to patients with appropriate information leaflets available
• Immunisation of both children and adults in accordance with D.O.H Guidelines.
• Hypertension Clinics
• To provide a nurse-led service as per local, practice and NICE guidelines.
• Review / follow up patients diagnosed with hypertension.
• Referral for investigations as per guidelines
• Give advice on all aspects of health promotion / self help.
• Medication reviews, where appropriate
• Diabetic Clinics
• To provide a nurse-led service as per local / practice / NICE guidelines.
• Liaise with local diabetes centre and community nurse specialist.
• Review and follow-up patients within the GP/shared care system.
• Provide structured care including patient education of all newly diagnosed Diabetics
• Referrals for any follow on care necessary i.e. :-
• Retinal screening
• Podiatry
• Dietetics
• Patient education / exercise programme.
• Referral to relevant GP as necessary
• Advise patients on all aspects self help / health promotion.
• The above also applies to the CHD / IHD clinics.
• Asthma/COPD Clinic
• To provide patient education and review as per practice / local / NICE guidelines
• Advise patients on all aspects of self help / health promotion
• Medication review / follow up as necessary > referral to GP as necessary.
• Cervical Cytology
• To provide cervical screening for all eligible patients.
• Liaise with the local primary care trust as necessary
• Attend mandatory training as per local guidelines
• Audit results quarterly as per guidelines
• Provide any necessary information / advice to patients re practicing safe sex
• Information contraception / HRT / breast examination / general womens health
• Monitoring of equipment and supplies
• Therapeutic Monitoring
• Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach
• Recognising abnormalities
• Identifying the impact of treatment and implementing or recommending changes as appropriate.
• Wound Care and Management
• Assessing routine wounds including trauma
• Assessing [and prescribing] to support good wound management in complex situations (e.g. use of Doppler technique)
• Patient Health Checks
• Identifying significant abnormalities
• Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues
• Working with patients to develop a management plan where health problems or potential health problems are identified
• Travel Health
• Administering injections and providing guidance in accordance with guidelines
• Identifying problems
• Provision of specialist and evidence based support to the team.

General Responsibilities

Essential

• The Practice Nurse Team Lead will be required to promote and support the mission and vision of the Practice and lead the nursing function on a day to day basis. They will:
• Ensure strict confidentiality when seeing, treating and liaising with patients.
• Adopt, implement and support any changes that are introduced to improve the service.
• At all times provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner.
• Demonstrate their commitment by the efficient completion of all tasks allocated to them.
• Carry out their duties and responsibilities in compliance with health and safety policy and statutory regulations.
• Adhere to equal opportunities policy throughout the course of their employment.
• Effectively manage own time, workload and resources.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance team performance.

Qualifications

Essential

• Registered General Nurse
• Recognised qualification to diploma level or above
• A demonstrable commitment to professional development

Desirable

• Recognised qualifications/certificates in;
• Diabetes management
• Respiratory management
• Cytology management
• Travel Health

Experience

Essential

• Good English language, numeracy and communication skills.
• Leadership skills
• Ability to make decisions within own scope of competence
• Competent in basic nursing duties required for the post.
• IT literate with Microsoft Office Word & Excel.
• Ability to work unsupervised and as part of a team.
• Professional approach to appearance and conduct.
• Awareness and maintenance of confidentiality.
• Full driving licence
• Flexibility of working hours

Desirable

• Working knowledge of SystmOne
• Knowledge of Primary Care, QoF, Enhanced Services
• Accurate and methodical in completing tasks.
• Ability to motivate team members to achieve their allocated tasks on time.
• Proactive and flexible with good time management.
• Ability to listen, to discuss and inform clearly.
• Able to prioritise effectively.
• Ability to use own initiative but seek help and support when needed.
• Reliable.
• Positive can do attitude and ability to identify and resolve problems.
• Able to work in a team.
• Ability to record in writing both clearly and accurately.