Practice Nurse

We have an exciting opportunity for an experienced, highly motivated practice nurse to join our dynamic nursing team, which consists of one Practice Nurse and two Nurse Associates. Previous GP Practice Nursing experience is essential, additional training can be offered where needed.

Working pattern, hours and salary are negotiable.

We are an Outstanding CQC rated practice. We are a team of 2 GP partners, 1 salaried GP, 1 Practice Nurse, 2 Nurse Associate, 2 pharmacists plus a team of 12 admin and clerical staff members working alongside in-house PCN staff, with approximately 5500 patients.

**Main duties of the job**

To practice autonomously without direct supervision.

Develop an understanding of general practice care delivery standards, inclusive of QOF points and support the Practice to achieve these.

To utilise clinical skills in long term chronic disease management including asthma, CHD, CKD, diabetes, dementia, hypertension and respiratory

Immunisations including children, adults and travel

Wound care management including dressings, suture removal and ulcer care.

ECG recording

Performing diagnostic procedures including BP, peak flow, and urine testing

Spirometry and feno recording and interpretation.

Cervical cytology

Contraceptive and sexual health advice

NHS Health checks and health promotion

Ensuring safe storage, rotation and disposal of drugs and vaccines

Good communications with other team members when clinical findings on routine examination indicate possible action / follow up.

To participate in clinical meetings

To promote the protection of children and vulnerable adults in accordance with local safeguarding procedures.

To adhere to the Infection and Control policy for the service being provided.

**Job description**

**Job responsibilities**

Please see in the person specifications

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

To be instrumental in the support of the Infection Prevention Control (IPC) lead and to work to the IPC requirements by providing audits, training, support and evidence of compliance to the practice manager.

**To support in the publication of the IPC annual statement in conjunction with the practice manager.**

To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice

To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

To develop, implement and embed health promotion and wellbeing programmes

To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

As required, to diagnose and manage acute and chronic conditions

Provide wound care to patients

To review patient medications to enhance compliance

To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages

To co-ordinate the provision of travel medicine services

To request pathology services and process pathology results as required

To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

To maintain accurate clinical records in conjunction with extant legislation

To ensure SNOMED CT codes are used effectively by all members of the nursing team

To ensure the appropriate maintenance and use of chronic disease registers

To ensure compliance with the practice chaperone policy

To assist GPs with minor surgery when required

To prioritise health issues and intervene appropriately

To support the team in dealing with clinical emergencies

To recognise, assess and refer patients presenting with mental health needs

To implement vaccination programmes for adults and children

To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

To support the clinical team with all safeguarding matters, in accordance with local and national policies

To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

To deliver opportunistic health promotion where appropriate

**Person Specification**

**Experience**

**Essential**

– **Confident with diabetes management, insulin initiation and titration.**
– **Trained in cervical screening/cytoloty/smears**

**Desirable**

– Experience of SystmOne
– Any other skills in practice nursing would be advantageous.

**Qualifications**

**Essential**

– Registered Adult Nurse on the NMC register.
– Practice Nurse qualification or accredited Diabetes modules and Cervical Cytology training

**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

Benefits:

– Company pension
– Free parking
– On-site parking
– Sick pay

Work Location: In person