Job summary
As a Practice Nurse at Spencer Street Surgery, you will deliver high quality care across areas such as health promotion, chronic disease management, and illness prevention, while supporting the smooth running of clinics and enhancing the overall patient experience. We value teamwork, mutual support and a friendly working environment.
Main duties of the job
The post holder will be responsible for ensuring the
delivery of safe and effective general nursing care, promoting the best
evidence-based care for our patient population working within a
multi-disciplinary team and primary care environment.
About us
Spencer Street Surgery is a long-established GP practice based
in the centre of Carlisle. The practice provides a wide range of NHS primary
care services to the local community and has a patient size of 14,000, operating
out of two sites across the city. It is the practice mission to provide patients
with high quality, safe, and accessible care in a responsive, courteous manner.
Our clinical team includes GPs, Paramedic Practitioners,
Practice Nurses, and Healthcare Assistants.
We have an extensive team of management and administrative
staff.
We are also a part of the Carlilse Primary Care Network, which
enables patients to benefit from a wide range of expertise, including a Frailty
team, Pharmacists, Social Prescribers, Physiotherapists and more.
Job description
Job responsibilities
Clinical Practice
- To provide and maintain a high standard of
nursing care for patients as well as providing nursing assistance to GPs, and
other members of the practice and primary care team
- Assess, plan, develop, implement and evaluate
treatment plans that promote health and wellbeing, and for patients with long
term conditions
- Proactively identify, help in diagnosing and
manage treatment plans for patients at risk of developing a long-term condition
- Undertake long-term condition management clinics,
such as COPD, Spirometry, Asthma, Diabetes, and cardiovascular disease
- Initiate and deliver health promotion and
screening programmes, including cervical screening and sexual health screening
- Assess medications for therapeutic
effectiveness, ensuring alignment with patient needs and evidence-based
guidelines
- Work with patients in order to support adherence
to prescribing treatments
- Prioritise health problems and intervene
appropriately to assist the patient in complex, urgent or emergency situations,
including initiation of effective emergency care
- Support patients to adopt health promotion
strategies that promote patients to live healthy, and apply principles of
self-care
- Support and manage health needs of women
presenting for family planning and cervical cytology consultations
- Recognise, assess and refer patients presenting
with mental health needs in accordance with the NSF for Mental Health. To be aware of local mental health care
pathways, and referral/support systems
- Implement and participate in vaccination and
immunisation programmes for both adults and children
- Advise on, support and administer vaccinations
where appropriate for patients travelling abroad
- Provide a
holistic approach to wound management and implement wound care in line with
current evidence-based guidelines including the use of doppler
- Where the post holder has completed an approved
prescribing qualification for the role: to prescribe safe, effective and
appropriate medication as defined by current legislative framework and within
personal competence and agreed formulary boundaries
- To actively participate in the delivery of
existing targets for General Practice relating to patient care (QOF),
prescribing and others as deemed by the arrangements in the general practice
contract
Communication
- Apply sensitive communication styles to ensure
patients are fully informed and consent to treatment
- Communicate effectively with patients and
carers, recognising the need for alternative methods of communication to
overcome different levels of understanding, cultural background and preferred
ways of communicating
- Establish and maintain effective communication
with individuals and groups within the practice environment and with
stakeholders
- Advocate for patients when representing them
Quality Service Delivery
- Work within
the boundaries of personal competence and uphold professional standards as set
out by the NMC
- Maintain
accurate, timely, and comprehensive records of all patient consultations in
line with relevant legislation, policies, and procedures
- Prioritise,
organise, and manage workload effectively to ensure highquality care is
consistently delivered
- Evaluate the
effectiveness of care through selfreflection, peer review, benchmarking, and
structured evaluation processes
- Contribute
to the development and maintenance of quality governance systems and processes
within the practice
- Take part in
team performance reviews and provide constructive feedback where appropriate
- Understand
and apply legislation and policy relating to the safeguarding of vulnerable or
abused children and adults, including awareness of statutory procedures and
local guidance
- Adhere to
policies relating to domestic abuse, safeguarding of vulnerable adults,
substance misuse, and addictive behaviours, ensuring appropriate referrals are
made
- Reflect on
personal performance and take responsibility for actions, whether working
independently or under supervision
- Collaborate
effectively with professionals from other agencies to ensure patients needs
are met
Personal Development
- Take
responsibility for personal learning, development, and performance, actively
engaging in clinical supervision and serving as a positive role model by
demonstrating skills and practices to colleagues undertaking similar roles
- Contribute
to and participate in the creation, review, and implementation of local
guidelines, protocols, and standards
- Engage fully
in any training programmes provided by the practice as part of the role
- Take part in
an annual performance review and maintain accurate records of personal and
professional development activities
Team Working
- Understand the scope and responsibilities of the
role and recognise how it may evolve over time
- Contribute as an effective, accountable, and
supportive member of the team
- Engage in team activities that promote
opportunities to enhance patient care
- Collaborate with colleagues to establish shared
values, direction, and policies that influence the delivery of care
Risk Management
- Manage and assess risks within areas of
responsibility, ensuring appropriate measures are in place to safeguard both
staff and patients
- Monitor the work environment and practice
setting to ensure they remain safe, hazardfree, and compliant with all
relevant health, safety, and security legislation, policies, and guidelines
- Ensure the safe storage, rotation, and disposal
of vaccines and medications
- Implement and adhere to infection prevention and
control measures within the practice
Full job description attached to advertisement for further details.
Job description
Job responsibilities
Clinical Practice
- To provide and maintain a high standard of
nursing care for patients as well as providing nursing assistance to GPs, and
other members of the practice and primary care team
- Assess, plan, develop, implement and evaluate
treatment plans that promote health and wellbeing, and for patients with long
term conditions
- Proactively identify, help in diagnosing and
manage treatment plans for patients at risk of developing a long-term condition
- Undertake long-term condition management clinics,
such as COPD, Spirometry, Asthma, Diabetes, and cardiovascular disease
- Initiate and deliver health promotion and
screening programmes, including cervical screening and sexual health screening
- Assess medications for therapeutic
effectiveness, ensuring alignment with patient needs and evidence-based
guidelines
- Work with patients in order to support adherence
to prescribing treatments
- Prioritise health problems and intervene
appropriately to assist the patient in complex, urgent or emergency situations,
including initiation of effective emergency care
- Support patients to adopt health promotion
strategies that promote patients to live healthy, and apply principles of
self-care
- Support and manage health needs of women
presenting for family planning and cervical cytology consultations
- Recognise, assess and refer patients presenting
with mental health needs in accordance with the NSF for Mental Health. To be aware of local mental health care
pathways, and referral/support systems
- Implement and participate in vaccination and
immunisation programmes for both adults and children
- Advise on, support and administer vaccinations
where appropriate for patients travelling abroad
- Provide a
holistic approach to wound management and implement wound care in line with
current evidence-based guidelines including the use of doppler
- Where the post holder has completed an approved
prescribing qualification for the role: to prescribe safe, effective and
appropriate medication as defined by current legislative framework and within
personal competence and agreed formulary boundaries
- To actively participate in the delivery of
existing targets for General Practice relating to patient care (QOF),
prescribing and others as deemed by the arrangements in the general practice
contract
Communication
- Apply sensitive communication styles to ensure
patients are fully informed and consent to treatment
- Communicate effectively with patients and
carers, recognising the need for alternative methods of communication to
overcome different levels of understanding, cultural background and preferred
ways of communicating
- Establish and maintain effective communication
with individuals and groups within the practice environment and with
stakeholders
- Advocate for patients when representing them
Quality Service Delivery
- Work within
the boundaries of personal competence and uphold professional standards as set
out by the NMC
- Maintain
accurate, timely, and comprehensive records of all patient consultations in
line with relevant legislation, policies, and procedures
- Prioritise,
organise, and manage workload effectively to ensure highquality care is
consistently delivered
- Evaluate the
effectiveness of care through selfreflection, peer review, benchmarking, and
structured evaluation processes
- Contribute
to the development and maintenance of quality governance systems and processes
within the practice
- Take part in
team performance reviews and provide constructive feedback where appropriate
- Understand
and apply legislation and policy relating to the safeguarding of vulnerable or
abused children and adults, including awareness of statutory procedures and
local guidance
- Adhere to
policies relating to domestic abuse, safeguarding of vulnerable adults,
substance misuse, and addictive behaviours, ensuring appropriate referrals are
made
- Reflect on
personal performance and take responsibility for actions, whether working
independently or under supervision
- Collaborate
effectively with professionals from other agencies to ensure patients needs
are met
Personal Development
- Take
responsibility for personal learning, development, and performance, actively
engaging in clinical supervision and serving as a positive role model by
demonstrating skills and practices to colleagues undertaking similar roles
- Contribute
to and participate in the creation, review, and implementation of local
guidelines, protocols, and standards
- Engage fully
in any training programmes provided by the practice as part of the role
- Take part in
an annual performance review and maintain accurate records of personal and
professional development activities
Team Working
- Understand the scope and responsibilities of the
role and recognise how it may evolve over time
- Contribute as an effective, accountable, and
supportive member of the team
- Engage in team activities that promote
opportunities to enhance patient care
- Collaborate with colleagues to establish shared
values, direction, and policies that influence the delivery of care
Risk Management
- Manage and assess risks within areas of
responsibility, ensuring appropriate measures are in place to safeguard both
staff and patients
- Monitor the work environment and practice
setting to ensure they remain safe, hazardfree, and compliant with all
relevant health, safety, and security legislation, policies, and guidelines
- Ensure the safe storage, rotation, and disposal
of vaccines and medications
- Implement and adhere to infection prevention and
control measures within the practice
Full job description attached to advertisement for further details.
Person Specification
Skills and Knowledge
Essential
- Knowledge of accountability of own role and other roles in a nurse-led service
- Knowledge of health promotion strategies
- Knowledge of clinical governance issues in primary care
- Ability to change care management skills to support patients
- Excellent verbal communications skills, able to communicate difficult messages to patients and families
- Good written communication skills, clear concise record keeping
- IT skills, EMIS clinical system
- Time management, able to organise workload
- Knowledge of national policy standards which inform and have implications for Practice, NICE, NSF, QOF
Desirable
- Knowledge of local and national health policy
- Wider health economy awareness
Other
Essential
- Must be flexible in working hours / able to work at desired times including evenings and Saturdays
- Own transport
Experience
Essential
- Minimum 2- 3 years experience
- Primary, community care experience
- Experience of nurse-led management of long-term conditions
- Experience of developing and implementing protocols and clinical guidelines
- Portfolio evidence of continuous professional development
- Ability to work as part of a team as well as an autonomous practitioner
Desirable
- Multi-disciplinary and multi agency working
- Audit experience
Qualifications
Essential
- Registered (first level) Nurse
- Current NMC registration
- Evidence of post registration education
- Educated at diploma, degree level
Desirable
- Diploma in chronic disease management
- Cervical cytology, family planning, sexual health qualifications/training
- Independent prescribing qualification
Person Specification
Skills and Knowledge
Essential
- Knowledge of accountability of own role and other roles in a nurse-led service
- Knowledge of health promotion strategies
- Knowledge of clinical governance issues in primary care
- Ability to change care management skills to support patients
- Excellent verbal communications skills, able to communicate difficult messages to patients and families
- Good written communication skills, clear concise record keeping
- IT skills, EMIS clinical system
- Time management, able to organise workload
- Knowledge of national policy standards which inform and have implications for Practice, NICE, NSF, QOF
Desirable
- Knowledge of local and national health policy
- Wider health economy awareness
Other
Essential
- Must be flexible in working hours / able to work at desired times including evenings and Saturdays
- Own transport
Experience
Essential
- Minimum 2- 3 years experience
- Primary, community care experience
- Experience of nurse-led management of long-term conditions
- Experience of developing and implementing protocols and clinical guidelines
- Portfolio evidence of continuous professional development
- Ability to work as part of a team as well as an autonomous practitioner
Desirable
- Multi-disciplinary and multi agency working
- Audit experience
Qualifications
Essential
- Registered (first level) Nurse
- Current NMC registration
- Evidence of post registration education
- Educated at diploma, degree level
Desirable
- Diploma in chronic disease management
- Cervical cytology, family planning, sexual health qualifications/training
- Independent prescribing qualification
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).