Job Title

Air BalloonSurgery have an exciting opportunity for an independent practitioner withexperience of fitting and removal of LARC intra-uterine coils and subdermalcontraceptive implants. Our LARC service provisionis currently managed by two of our GPs and we are aiming to expand our serviceprovision to offer additional appointments for fitting of LARC intra-uterinecoils and subdermal contraceptive implants overone 3.5-4 hour sessionper month, including pre-fit assessment and counselling and post-fitadvice. Main duties of the jobThe post is an integral part of themultidisciplinary team, responsible for the delivery of highly technical andspecialised nursing skills which will include but not be limited to Assessment and history taking Clinical examination, including bimanual Instigation and interpretation of diagnosticinvestigations Identifying appropriate methods ofcontraception initiation of treatment and plans of care,including independent assessment for provision of medications Provision of all methods of LARC followingdiscussion and assessment ensuring patient can make an informed choice andconsent Appropriate onward referral to other healthand social care professionals if appropriate About usWe are a supportive, friendly and caring practice, and value the importance of being inspired and enthused by our work. We are open to new ideas and ways of working. We ensure a healthy work-life balance is maintained through the decisions we make, and we continually review our working structure to enable this. About us: 4 Partners and 6 Associate (salaried) GPs Mentoring scheme for Associates Home Visits done by ANP and Frail Care Physiotherapist Extensively skilled nursing team, including ANP and Urgent Care Nurses and nurse prescribers Frail Care Physiotherapist Two prescribing clinical practice pharmacists and Pharmacy Technician Extremely supportive and highly-trained Care Navigator team. CPD well supported in-house and with external training GP Training practice Undergraduate teaching Close to the Independant cafes of Church Rd, including the award-winning Bristol Loaf. We are a registered Park-Run Practice. Achieved overall good CQC rating More information Informal enquiries welcome. For more information, please contact Dr Shivani Baynham at Shivani.baynham@ or Kate Francis, Practice Manager, at kate.francis@ . How to Apply Applications can be made by submitting your CV and a covering letter, to myfanwy.saunders@ Job responsibilitiesJobPurpose The post holder will be able to understandcomplex care presentations and establish effective care pathways to address anyneeds in addition to their LARC requirements. This will include those who needadditional consideration due to their complex social, emotional, psychological,and physical needs. The post holder will provide a high level ofpersonal care to patients to ensure they are treated with dignity and respectat all times, are provided with high quality care, clear and understandableinformation in a format/language they understand and feel their individualneeds have been respected and met. The post holder is accountable for their ownpractice without direct supervision and will be a direct provider ofhigher-level nursing practice to patients with contraceptive needs. The post is an integral part of themultidisciplinary team, responsible for the delivery of highly technical andspecialised nursing skills which will include but not be limited to: - Assessment and history taking - Clinical examination, including bimanual - Instigation and interpretation of diagnosticinvestigations - Identifying appropriate methods ofcontraception - initiation of treatment and plans of care,including independent assessment for provision of medications - Provision of all methods of LARC followingdiscussion and assessment ensuring patient can make an informed choice andconsent - Appropriate onward referral to other healthand social care professionals if appropriate Key Dutiesand Responsibilities Analytical Data and Information Analyse and interpretphysical signs and presenting symptoms in relation to investigative findings tosupport a pathway of care for the client Analyse and interpretresults and discuss findings with the client offering information, support andreferral where necessary Analysis of clinicalrecords identifying any issues of concern to senior clinical team or providetreat-ment within scope of practice/competence. Planning and Organisation of Work This is anindependent practitioner post The patient contact isgenerally on a one to one basis, with those patients whose birth gender isfemale Able to planown workload and work independently Carry outnursing duties within Practice Policies and protocols, service procedures andguidelines according to competency and provide feedback on issues of concern toLARC Lead GP Able to planwork for specialist services and be able to plan work and implement carepathways as delegated by the clinical team Able to workwithin therequirements of the Bristol City Council GP Sexual Health specification; Responsibility,for working with medical and nursing colleagues, for the delivery ofcomprehensive LARC services for the practice population Follow Practiceguidelines on confidentiality; adhere to the law regarding sexual health adviceto those under sixteen years; Follow organisational policy and good practiceassessment regarding safeguarding young people and vulnerable adults, followingappropriate Practice Safeguarding policies Fitting andremoval of contraceptive subdermal implants in line with practice protocol andwith overall supervision provided by the LARC Lead GP Fitting andremoval of contraceptive IUD/IUCDs in line with practice protocol and withoverall supervision provided by the LARC Lead GP Carry outCervical Cytology screening Counselling andIssuing of Emergency contraception under prescribing supervision of GP. Provide acomprehensive discussion in the event of an unplanned pregnancy and refer toappropriate agencies as necessary Perform a holisticassessment of patients attending for cervical cytology smear tests. Deliver care topatients pertaining to their sexual health needs in line with current FSRHguidance Assess, advise,prescribe, administer and carry out the full range of LARC procedures requiredby patients, following discussion with the individual as to their contraceptionchoices, in line with FSRH current guidance. Satisfy FSRHrequirements forfive yearly LoC re-certification and updatingprofessional practice and reaccreditation Carry outcompetent clinical examination of female patients, including cervical andbimanual examination Be able to diagnose andclinically manage presentations of sexually transmitted infections and relatedconditions, and referral to appropriate Sexual Health Services providingpatients with appropriate advice. Recognise complex issues relating to patientssexual health needs and seek appropriate advice where necessary. Ensure knowledge ofsexual health, in particular contraception is up to date and follow Nationalrecommendations and guidelines for their management. Have an understanding ofHIV and its im-pact on sexual health care and contraception choices To be competentin the management of under 16-year olds and vulnerable adults, working withinFraser Guidelines and liaising with the multi-disciplinary team andsafeguarding team as appropriate If currently not a NMPthen the use of PGDs is essential Maintain accuratecontemporaneous electronic patient records, in line with local and nationalin-formation governance policy/legislation Interpret resultsaccurately and discuss with patients and associated healthcare professionals(HCP) as required. This may include providing advice to HCP outside theservice. Manage results in a timely manner, in accordance with practice policy Always communicate withusers of the service in a sensitive, non-judgemental and supportive manner.Subject matter may be complex and emotive, which may involve breaking badnews. Please see full job description attached for full details. Person SpecificationExperiencePrevious experience of contraception delivery including Intra-uterine LARC and subdermal contraceptive implants Worked in an independent practitioner role. The use of PGDs Experience of working with young people Capacity to apply sound clinical judgement and decision making, including advising others Good understanding of clinical governance and quality outcomes Good understanding of evidence-based medicine Comprehensive understanding of the needs of vulnerable or seldom-heard groups/communities in relation to Sexual Health Understanding of Fraser Competence and Gillick Guidelines, and Safeguarding Children and Adults Competent in basic life support Experienced in working in nurse led specialist services Cervical screening smear taking Evidence of ongoing teaching and training Familiarity with Emis web Understanding of the Bristol City Council GP Sexual Health requirements Understanding of both local and national sexual health agenda including PHOF and Local Fingertips data. QualificationsNMC Registered Adult Nurse Post-Graduate or equivalent experience/portfolio evidence. Holds a Specialist accredited nursing qualification/s in Sexual Health Nursing. i.e., FSRH Contraception Diploma. Holds a recognised teaching course/qualification e.g., ENB 998, SLIP or equivalent; Membership of professional bodies/Forums Non-Medical Prescriber Management of STIs and appropriate accreditation e.g Certificate in management of those with STIs and related conditions/ BASHH STIF+ Competencies Skills and abilitiesCommitment to improving and developing the uptake of LARC within the Practice population, contributing to a decrease in unwanted pregnancy and uptake of LARC in line with PHOF expectations Enthusiasm for the specialty Excellent communication and interpersonal Skills Team working and ability to form good professional relationships at all levels Motivated Non-judgmental Accurate and comprehensive record keeping IT literate numerate Ability to analyse complex data and Information Ability to work under pressure Time Management Ability to communicate bad news with sensitivity / empathy Other RequirementsEnhanced DBS clearance Current NMC registration Right to work in the UK Satisfactory References Satisfactory Occupational Health Clearance Fully Immunised Hep B and MMR Right to work in the UK Indefinitely Immune Hep B and MMR Disclosure 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