Public Health Nurse

Job description

Job responsibilities

Outreach and Prevention to Staffordshire, Shropshire, Telford and Stoke-on-Trent

• Contribute to a sustainable model of prevention with a strong focus on ensuring engagement with those individuals in the population most at risk of sexual ill-health, to promote awareness and accessibility of the service.
• Support the delivery of a dedicated annual Prevention and Outreach plan
• Working in partnership with other providers to engage and support vulnerable and hard to reach people through a make every contact count (MECC) approach.
• Working in partnership with other providers to engage and support vulnerable and hard to reach people through a make every contact count (MECC) approach.
• Work within information sharing agreements with partner organisations (and others where relevant, eg for the C-Card plus scheme).
• Develop and manage referral pathways where appropriate, to local services and develop good working relationships and clear lines of communication to best support high-risk groups.
• Identify sources of information, advice and guidance that is consistent in its message across all services and can be shared and targeted at relevant groups, including young pregnant women, Sex worker, men who have sex with men, and other at risk groups. This should include local, national and virtual support networks.
• Contribute to the review of communications to promote early testing of HIV to tackle the high percentage of late diagnosis.

• Work in partnership with Inclusion Comms and Marketing to ensure co-ordination and delivery of a social media strategy that networks with professionals, service users, and the general public and vulnerable communities and provides them with regular innovative, engaging sexual health education and other relevant content. Ensure that information and advice on all aspects of sexual health and contraception are consistent and easily accessible for service users online.

• Work with the wider prevention team on the design and delivery of health promotion activities targeting MSM with the aim to prevent the transmission of STIs and HIV by encouraging condom use, promoting safer sex and regular testing and screening.
• Support the coordination across Staffordshire, Stoke-on-Trent, Shropshire and Telford of a unified model for the C-Card Plus scheme (as per service spec) to embed condom distribution into wider sexual and reproductive health delivery outlets to include;

• General practice
• Community pharmacies
• Education setting
• Work-based learning providers
• Support housing providers
• Groups such as youth offending teams or looked after children's teams.

• Acknowledge and be aware of the specific sexual health needs of those most at risk of poor sexual health and chaotic lives, ensure services are designed to target these identified groups, as per the service spec.
• Promote contraception and sexual health services through prevention, diagnosis and treatment and the promotion and supply of contraception in community settings
• Ensure outreach sexual health services are easily accessible for young people at times and locations that best suit their need.
• Ensure that a holistic view is taken of a young persons needs and possible risks. Ensure referral pathways are in place where any concerns around factors not directly relating sexual health such as substance misuse, mental health or exploitation of any kind need to be referred to relevant partners for their assessment or for advice and guidance
• Ensure Prevention services adapt to any changes to the local landscape of sex work and continue to meet the needs of this group accordingly.
• Access to appointments should be prioritised for young people. In partnership with colleagues, enabling partner agencies to reach the service quickly and efficiently to make an appointment or get advice.

Specific Needs Telford

• Support the CDS co-ordinator ensure the specific needs of Telford are met. There is a detailed outline in the Service Spec. In brief this includes:

Improving Quality and Developing Practice

• Support audit activities that monitor and improve the quality of healthcare and the effectiveness of their own and others practice within prevention and health advising.
• Responsible for ensuring the delivery of high standards of care through employing appropriate clinical governance frameworks, e.g. Care Quality Commission Provider Compliance.
• Participate in clinical audit and continual evaluation of the post with a view to informing future service developments.
• The post holder will be responsible for safe use of their own equipment.

Developing Self and Others

• Actively participate in development activities including appraisal, clinical supervision and peer review of own practice.

• Contribute to the learning environment of the clinical area, promoting learning opportunities for all staff and encourage enquiry.
• Attend / coordinate health promotion activities, facilitating groups as appropriate.
• Seek support and advice from senior clinicians in respect of issues or challenges with individual patients.

Decisions and Judgements

• Practice autonomously, demonstrating a self-directed approach to the delivery of high quality, safe and effective care within the context of a multi-disciplinary team.
• Contribute to risk assessment, risk management and the development of multidisciplinary treatment plans.
• The post holder will be responsible for the issue of appropriate pharmacological treatments under PGD or as a NMP.
• Provide specialist advice and expertise in the assessment, management and treatment of patients with Sexual Health condition.
• The post holder will ensure that personal practice and the practice of those s/he supervises adheres to relevant Codes of Conduct, legislation and policies and procedures.
• To be aware and follow procedures for Safeguarding children and vulnerable adults.
• Have an in-depth knowledge of the Fraser Guidelines regarding provision of contraception to people under the age of 16. Be able to assess Fraser competence as part of a team of professionals and be aware of referral pathways for Safeguarding children as stipulated by the local Safeguarding Childrens Board, liaising with other professionals as necessary.
• Maintain electronic patient record on Rio, to plan and document clinical records and workload

Communication and Relationships

• • Communicate highly complex and emotive clinical information to patients and carers employing sensitivity and empathy at all times.
  • Frequently required to deal with sensitive and emotional situations, safeguarding referrals of children and vulnerable adults.

• Appropriately define the boundaries of their practice and relationships with patients, carers, relatives and staff.
• Work closely with Consultants, Specialty Doctors and GPs to ensure the Sexual healthcare needs of patients are met.

• • • To provide advice, information, counselling and education on all aspects of contraception and sexual health.

Physical / Emotional Demands of the Job

• The post holder will be required to concentrate frequently when undertaking assessments and interventions and when prescribing medication.
• Ability to lean over couch/ bed to examine patients
• The post holder will be frequently exposed to emotional circumstances when working with patients.
• The post holder will frequently be exposed to difficult patients who may exhibit challenging behaviour, including the risk of violence and aggression, deliberate self-harm or the risk of suicide.

Person Specification

Essential and desirable

Essential

• Nursing or midwifery qualification and registered with the Nursing and Midwifery Council
• Degree level qualification in health / social care Faculty of sexual reproductive health or University course in contraception, STI and sexual health skills or willingness to work towards Clinical experience working with integrated sexual health services.
• STIF core or willingness to work towards
• DFSRH or clinical experience issuing contraception under PDG
• Evidence of Specialist qualification relevant to area of practice
• Safeguarding Level 3
• Evidence of working effectively in a multi-disciplinary health and social care setting (integrated sexual health services, infectious disease service, acute medical or other relevant discipline)
• Experience of working with a range of statutory and non-statutory agencies
• Experience of engaging in service development activities
• Evidence of promoting research, evidence based practice, clinical excellence and quality approaches to support outcome focussed care
• Experience in facilitating learning within clinical practice
• An ability to deal with challenging situations
• Experience of the administration and management of medicines according to policy and local protocols
• Experience of working with young people and vulnerable groups
• Competent to run a nurse-led clinic
• Knowledge of various approaches to HIV and Sexual health assessment
• Knowledge of the principles of Care Co-ordination
• Awareness of harassment, social exclusion issues and the effects of person and institutional discrimination
• Knowledge/awareness of relevant legislation and guidance in HIV and sexual Health
• Skills in assessing, planning and evaluating HIV and Sexual Health care/treatment interventions
• Competently complete care pathways for patients requesting sub-dermal contraceptive implants, diagnosis and management of bacterial and viral STIs, microscopy and the ability to recognise complex/ unstable health problems e.g. PID/seroconversion.
• Skills in interacting therapeutically with patients who have a range of presenting problems
• Knowledge of current research in sexual health speciality.
• Skills in co-ordinating complex care packages
• An ability to work independently and within a team
• An ability to co-ordinate, develop and deliver a program of health promotion interventions to patients
• Standard keyboard skills, ability to use the internet, email and basic word-processing skills.
• To work flexible hours according to service needs. e.g. evenings and Saturdays
• An ability to assimilate new concepts and approaches to care
• Demonstrate values that are complementary to those of the Trust
• Imagination, determination and a questioning attitude
• Enthusiasm, flexibility and an ability to work under pressure and meet deadlines
• A problem solving approach to professional practice
• Ability to motivate and organise others to ensure best practice.
• Excellent communication and interpersonal skills
• An ability to meet contractual requirements
• An ability to travel within the geographical work area, and have a full clean UK driving licence.
• A willingness to undertake further training in sexual healthcare of patients as agreed with managers

Desirable

• Training in venepuncture (post holder will be required to complete this training within 3 months if not already held)
• Non-medical independent prescribing (and recorded on the appropriate regulatory register)
• STIF intermediate competencies
• Competent in sub dermal implant fitting (or willingness to undertake training)
• Experience of working in community and/or outreach settings
• Experience of managing, supervising and supporting teams
• Knowledge/awareness of legislation and guidance in related topics, including the Mental Capacity Act 2005, the Human Rights Act (1998), The National Service Framework and Clinical Governance
• Negotiating skills
• Non-verbal and verbal presentation skills
• Skills in writing and presenting reports
• An ability to coordinate and deliver teaching programs and skills in teaching and assessing

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.

Certificate of Sponsorship

Applications from job seekers who require current 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 (Opens in a new tab).

From 6 April 2017, 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 (Opens in a new tab).

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

Inclusion

Address

Openclinic Sexual Health Service (various locations)

Stafford - South / North Staffordshire - Telford and Wrekin

Stafford - South / North Staffordshire - Telford and Wrekin

ST16 3SR

Employer's website

https://www.mpft.nhs.uk (Opens in a new tab)