Job Title

The post holder is responsible for the delivery of general practice nursing care to the whole practice population. Key elements of the role are the delivery of evidence based practice for patients presenting with an immediate nursing need or a long term condition and the provision of preventative health care to the practice population.They will demonstrate safe clinical decision-making and provide expert care in the management of patients. The post holder is expected to work collaboratively with all members of the practice team to meet the needs of patients and support practice objectives, policies and procedures. The post holder will work within their scope of practice and in accordance with local policies and procedures and the NMC Code of Professional Conduct.Main duties of the jobAssisting in and performing routine tasks related to patient care as indicated by patient need - including but not limited to wound care, Doppler, removal of sutures/clips, urinalysis, chronic disease management, venepuncture, routine immunisations and childhood immunisationsFollowing agreed clinical protocolsUpholding the standards required for Infection Prevention and ControlMaintaining clinical rooms, stocking and rotating items as requiredOrdering of vaccines to maintain stock levels, if requiredMaintaining accurate recordsAttending and participating in any practice/clinical meetingsUndertaking home visits, if requiredSupporting income generation for the Practice as relevant to the role (e.g. QoF)About usSussex Primary Care (SPC) is a GP Federation that came about in response to a need from GP Partners in local practices who were seeking a different future. In 2019 we took on our first two practices and now have seven practices and a remote GP service, SPC Connect, reflecting a combined list of over 50,000 patients.We are a learning organisation that listens to our team of staff, patients and partners to guide our future. At the heart of our vision are our patients and their needs.Our Team benefit from working alongside a large NHS trust and the agility and pace of change you would expect from a small business.Job responsibilitiesA. ClinicalAssist in and perform routine tasks related to patient care as indicated by patient need including:CytologyRemoval of Sutures/ clipsTravel ClinicAsthma and COPD ManagementVenepunctureHypertension Management / 24 hour ambulatory BPDiabetes ManagementEar syringingRoutine immunizations/Childhood immunisationsChaperoning and assisting patients where appropriate who are being examined by another clinicianRequesting pathology tests, for example urine culture, swabsFollowing agreed clinical protocols.Maintaining and cleaning equipment used by the nurses and GPs and upholding the standards required for Infection prevention and control.Maintaining GP and Nurses rooms, stocking and rotating items as requiredMaintain general tidiness and cleanliness of nurses and treatment roomsSupervision of the HCAOrdering of Health Promotion LiteratureOrdering of vaccinations to maintain stock levels if requiredParticipation in administrative systems in the practiceMaintain accurate recordsadvise other team members of potential problems or errors within the range of assigned tasksAttend and participate in any practice / clinical meetings monthly.On occasion there may be a requirement to undertake home visitsSupport and manage the QoF programmes and income generation for the practice relevant to roleAny other delegated duties appropriate to the postB. CommunicationUtilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatmentCommunicate with and support patients who are receiving bad newsCommunicate 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 communicatingAnticipate barriers to communication and take action to improve communicationMaintain effective communication within the practice environment and with external stakeholdersRegularly engage with Sussex Primary Care Head of NursingAct as an advocate for patients and colleaguesEnsure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriateC. Delivering a quality serviceRecognise and work within own competence and professional code of conduct as regulated by the NMCProduce accurate, contemporaneous and complete records of patient consultation, consistentPrioritise, organise and manage own workload in a manner that maintains and promotes qualityDeliver care according to NSF, NICE guidelines and evidence-based careAssess effectiveness of care delivery through self and peer review, benchmarking and formal evaluationInitiate and participate in the maintenance of quality governance systems and processes across the organisation and its activitiesUtilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where requiredIn partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriateEvaluate patients response to health care provision and the effectiveness of careSupport and participate in shared learning across the practice and wider organisationUse a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and nearmiss eventsAssess the impact of policy implementation on care deliveryWorking with the practice management monitor and develop the performance of the GPN team in accordance with local policiesUnderstand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidanceWorking with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour.Provide guidance and support to ensure appropriate referral if required in line with legislation, policies and proceduresSupport the lead nurse/ANP in the delivery of practice nursing services ensuring that the needs of the patient are a priorityTake responsibility for own learning and performance including participating in clinical supervision and acting as a positive role modelCritically evaluate and review innovations and developments that are relevant to the area of workContribute to the development of local guidelines, protocols and standardsPromote the role of the Practice Nurse in general practiceUnderstand own role and scope and identify how this may develop over timeWork as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of workingDelegate clearly and appropriately, adopting the principles of safe practice and assessment of competenceCreate clear referral mechanisms to meet patient needPrioritise own workload and contribute to effective timemanagement strategies embedded within the culture of the teamWork effectively with others to clearly define values, direction and policies impacting upon care deliveryDiscuss, highlight and work with the team to create opportunities to improve patient careManage and lead on the delivery of specifically identified services or projects as agreed with the practice management teamAgree plans and outcomes by which to measure successF. Management of riskManage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patientsMonitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelinesEnsure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriateApply infection-control measures within the practice according to local and national guidelinesAdvocate for policies that reduce environmental health risks, are culturally sensitive and increase access to health care for allG. Managing informationUse technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating informationReview and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processesManage information searches using the internet and local library databasesUnderstand responsibility of self and others to the practice and primary care trust regarding the Freedom of Information ActH. Learning and developmentUndertake mentorship for more junior staff, assessing competence against set standardsDisseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (eg courses and conferences)Assess own learning needs and undertake learning as appropriateProvide an educational role to patients, carers, families and colleagues in an environment that facilitates learningI. Equality and diversityIdentify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunityEnable others to promote equality and diversity in a nondiscriminatory cultureSupport people who need assistance in exercising their rightsMonitor and evaluate adherence to local chaperoning policiesAct as a role model in the observance of equality and diversity good practiceAccept the rights of individuals to choose their care providers, participate in care and refuse careAssist patients from marginalised groups to access quality careIf you would like further information about the role please contact ACP Clinical Lead, [email protected] SpecificationQualificationsRegistered Nurse.General Practice or other relevant experience Specialist courses appropriate to primary care, eg: CHD, diabetes, family planning, asthma and COPD care & infection control management.ExperienceRegistered Nurse with experience of working as a qualified Nurse Experience of prioritising needs and making informed decisions in care delivery. Knowledge of current primary care organisational policy and national legislation.Experience of working in a GP practice.Experience of supervising/line management.Skills & KnowledgeAbility to provide quality patient care, responsive to needs.Ability to work independently and to make informed decisions.Excellent interpersonal skills.Excellent communication skills and ability to present information to others in a user-friendly format.Ability to demonstrate competencies in a range of chronic disease areas.Ability to develop innovation in practice.Understanding of TPP SystemOne computer system and read code usage in general practice.Analytical and problem solving skills.Personal SkillsHighly motivatedFlexibilityTeam playerAbility to work across boundariesDisclosure and Barring Service CheckThis 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. #J-18808-Ljbffr