Improved Access Practice Nurse

Taurus Healthcare Limited

The closing date is 31 December 2021

Job summary

*New to Taurus employees will normally start at the first pay point on the salary band*

Flexible working (Monday – Friday Evenings and weekend daytime)

£22.89 per hour, however salary is under review.

Across all 6 hubs based in Herefordshire;Hereford, Ledbury, Leominster, Kington, Bromyard, Ross on Wye)

We are recruiting Practice Nurses to join our friendly professional team to provide primary care services for Taurus Healthcare in the evenings, at weekends and Bank Holidays.

We are looking for experienced Practice Nurses with a passion for providing excellent nursing care to deliver general practice nursing services including chronic disease management, cervical cytology, contraception, wound care and supervision of HCA’s and phlebotomists.

Main duties of the job

Main Responsibilities

· Assess, plan, implement and evaluate nursing care to meet the care needs of patients.

· Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care around diet, exercise, alcohol, smoking cessation

· Manage patients presenting with wounds including removal of sutures and clips.

· Administration of immunisations in line with national policy utilising local PGD’s

· Ensuring safe vaccine and cold chain storage.

· Administering routine injections such as B12 and decapeptyl.

· Undertake cervical cytology screening on those who are eligible in line with national guidelines following local procedures

· Give women advice on all forms of contraception aiding them to make an informed choice

Provide sexual health assessment, advice and direct to appropriate testing, performing swabs if necessary.

About us

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

Job description

Job responsibilities

JOB PURPOSE

To provide primary medical services to Herefordshire population outside of regular working hours. Practice a range of clinical skills to deliver general practice nursing care as an autonomous practitioner and support Health Care Assistants and phlebotomists in the clinical area you are working in.

Main Responsibilities

· Assess, plan, implement and evaluate nursing care to meet the care needs of patients.

· Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care around diet, exercise, alcohol, smoking cessation

· Manage patients presenting with wounds including removal of sutures and clips.

· Administration of immunisations in line with national policy utilising local PGD’s

· Ensuring safe vaccine and cold chain storage.

· Administering routine injections such as B12 and decapeptyl.

· Undertake cervical cytology screening on those who are eligible in line with national guidelines following local procedures

· Give women advice on all forms of contraception aiding them to make an informed choice

· Provide sexual health assessment, advice and direct to appropriate testing, performing swabs if necessary.

· To perform venepuncture and ECG’s.

· Hypertension checks, liaising with GP when BP out of target.

· Identify, and manage patients at risk of developing a long-term condition

· Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

· Utilise EMIS web templates to record clinical data

· Sign post individuals to relevant organisations.

· Supervise and support Health Care Assistants and phlebotomists in the clinical area you are working in.

· Accurately document nursing care to NMC standards

· Assists in the collection of Taurus specific outcome data

· To carry any other appropriate duties as required.

Nurse led chronic disease management clinics for those with additional training

· Provide nurse led long term condition clinics for people with diabetes, CHD, heart failure, stroke / TIA, PAD, hypertension, CKD, diabetes, asthma and COPD as required

· Provide and document care using EMIS templates in line with NICE guidance, local policies and QOF requirements

· Perform relevant nurse assessments: spirometry, blood pressure, diabetic foot examination, lifestyle, peak flow.

· Identify patients who are not within QOF / NICE targets and liaise with Hub GP colleague regarding medication. If inappropriate to treat, document rationale so own GP can consider exception reporting.

· Develop self management plans for patients with long-term conditions utilising local care planning tools and literature e.g. diabetes hand held record

· Utilise local resources such as MAP medicine, care pathways and hand held diabetes record.

· Identify and refer those who would benefit from pulmonary rehabilitation, diabetic educational sessions and smoking cessation services.

· Identify and refer individuals who would benefit from risk stratification under the virtual ward teams

Person Specification

Qualifications

Essential

  • RGN current NMC registration with minimum 2 years experience in primary care practice nursing.
  • A demonstrable commitment to professional development.
  • Recent mandatory training in immunisations (HPA standard).
  • Safeguarding adult and children.
  • Contraception and sexual health qualification.
  • Cervical cytology practitioner.
  • In date CPR training (within 18 months).
  • Current clean diving licence.

Desirable

  • Adult and paediatric asthma qualification.
  • COPD qualification / training.
  • Diabetic qualification.
  • Extended practice (insulin).

Experience

Essential

  • Experience of working in primary care.

Desirable

  • Experience of nurse led chronic disease management clinics.
  • Experience of working in a multi-professional 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.

Employer details

Employer name

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

https://www.herefordshiregeneralpractice.co.uk (Opens in a new tab)

For help with your application, contact:

Date posted

12 November 2021

Pay scheme

Other

Salary

£22.89 an hour

Contract

Permanent

Working pattern

Flexible working

Reference number

S0001-21-2633

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Supporting documents

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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.