GP Practice Nurse

Job responsibilities

Clinical Role

• Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care
• Manages minor illness and triage using a range of clinical assessment skills including: history-taking, physical examination, cognitive assessment and an approach that fosters a bio-pyschosocial model: critical thinking and clinical decision making: making objective and appropriate referrals
• Monitors, Interprets and evaluates patient test results in agreeance with the patient, ensure appropriate course of treatment is initiated, or refer on if required
• Delivers care and support planning and anticipatory care
• Make appropriate referrals to primary, community and secondary health care teams
• Delivers person centred care approaches including supporting selfmanagement and behaviour change, practising motivational interviewing, delivering compassionate care and adopting personal outcomes asset- and strength based approaches and co-production
• Role-models the values, behaviours and interactions expected , and ensures patient, family and carer feedback support these in practice
• Understands public health, including health inequalities, epidemiology and prevention
• Utilises a range of skills elated to e-health and technology to enable care and support self-management
• Understands mental health and wellbeing
• Provides assessment, support, advice and if appropriate management of womens health and mens health issues
• Initiate appropriate investigations for patients suspected to have chronic disease i.e. diabetes COPD asthma CHD CVD Heart Failure, Hypertension: referring to other clinicians as appropriate
• Assist practice to develop and deliver specialist primary nurse led services including chronic-disease management.
• Assesses and manages long term conditions: has in-depth expertise in long-term condition assessment, including comprehensive clinical examination to address highly complex health needs and physical and mental health assessment.
• Formulates an action plan for the treatment of the patient with long term conditions, synthesising clinical information based on the patients presentation, history, clinical assessment and findings from relevant investigations, using appropriate evidence-based practice
• Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintain disease registers in liaison with administrative staff. At annual review will assess patients understanding and ability to self-manage
• Initiate and carry out programmes of health screening as agreed with the practice clinical team: promote health and wellbeing, giving general education and advice on weight, diet and healthy eating, activity and exercise, smoking cessation, alcohol consumption and chronic disease management
• Implements non-pharmacological related interventions/therapies dependent on situation and technical requirements of care
• Uses new knowledge in innovative wasy and takes responsibility for developing and changing practice in complex and sometimes unpredictable environments
• Undertake regular medication reviews for groups of patients deemed suitable by the clinical team
• Provide up to date contraceptive and sexual health advice, including prescribing when required
• Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency education, health insurance and vaccinations
• Administer child and adult immunisations and vaccinations in accordance with General Practice contract and following national and local programmes. Competent and up to date with anaphylaxis and resuscitation techniques. Up to date and follow guidelines regarding cold chain ensuring safe storage, rotation, and disposal of vaccine and drug, and that adequate stock levels are maintained
• Competent in procedures including venepuncture, BP management, urinalysis, blood glucose testing, peak flow technique, spirometry, pregnancy testing, cervical screening, wound management, taking swabs
• Provide support and chaperoning to GPs when required including in minor surgery clinics and other procedures
• Enables, supports and encourages individuals, families, carers and groups to address issues which affect their health and social well being
• Contributes to the practice achieving GMS contract obligations
• Maintain accurate records following NMC standards of record keeping
• Ensure all data protection requirements are met when gathering, recording and storing patient data
• Liaise and maintain good working relationships with all members of the practice team. Work within the MDT within the practice and across the wider health system

Teaching and Mentoring Roles

• Contribute and actively promotes a learning environment for patients, individuals/teams in response to service need and personal development planning Provides an educational role to patients, carers, families, and colleagues in an environment that facilitates learning
• Participates in the planning, implementation and teaching for all practice staff, including any seconded staff ie medical students, student nurses, using established models of supervision, mentorship or coaching
• Disseminate learning and information to all team members in order to share good practice. Share information regarding current and possible future developments including courses and conferences
• Assist and/or completes appraisals for other members of the practice nursing team where appropriate

Professional Role

• Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meeting and palliative/anticipatory care planning meetings
• Promote evidence based practice through use of latest research based guidelines
• Monitor the effectiveness of their own clinical practice through quality assurance strategies such as the use of peer audit and review
• Maintain professional registration
• Work within the latest NMC Code of Professional Conduct
• Record accurate consultation date in patients records in accordance with NMC guidance and other standards
• Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation
• Work collaboratively with colleagues both internally and externally
• Maintain a personal progress and training plan to keep up to date with current thinking and developments, as well as identifying own training requirements, attending appropriate courses
• Demonstrate leadership
• Pro-actively promote the role of specialist nursing expertise within the practice and with the public
• Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information
• Act as a role model in the observance of equality and diversity good practice
• Knowledge regarding sources of evidence and ability to generate manage and utilise data
• Has the ability to critically examine research: including its application to clinical practice, facilitating and participating in research and dissemination where appropriate
• Delivers population surveillance and interventions to improve community and individual health and well being
• Provides measurement of effectiveness of care Managerial Role
• Understand own role and scope in the practice and identify how this may develop over time
• Work as an effective and responsible team leader, supporting others and exploring the mechanisms to develop new ways of working
• Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being and participa

Special Attributes

Essential

• Computer literate
• Good communication skills
• An understanding, acceptance and adherence to the need for strict confidentiality

Desirable

• An understanding of QOF and SNOMED Codes.
• Leadership skills

Experience

Essential

• Experience of working in general practice nursing.
• Experience and competent in General Treatment Room Duties
• Experience of working in accordance with the UKCC Code of Practice
• Experience of dealing with the public/patients

Desirable

• Practice Nurse Qualification/Experience
• Experience in Chronic Disease Management (Diabetes, COPD, Asthma, CKD, Stroke, Hypertension)
• Current (within the last 12 months) emergency resuscitation training certificate.
• Experience of EMIS Web Clinical System
• Experience of Docman 10

Other

Essential

• Able to work at the desired times.
• Flexible and able to cover for colleague absence through sickness, annual leave or study leave.
• Experience of primary care

Desirable

• Car Driver
• Clean Driving License

Qualifications

Essential

• Registered General Nurse (diploma or degree level)
• Competent in basic nursing duties required for the post
• Commitment to professional development

Desirable

• Qualifications and Experience in: -
• Cervical Screening
• Childhood Immunisations
• Asthma / COPD
• Diabetes
• Health Promotion
• Heart Disease
• Travel Advice

Knowledge & Skills

Essential

• Ability to work without direct supervision and determine own workload priorities.
• Ability to work as part of an integrated multi-skilled team.
• Able to work under pressure
• Ability to use own judgement, resourcefulness and common sense.
• Willingness and enthusiasm to developing nursing skills.
• Able to work in a changing environment

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).