Practice Nurse with Extended Skills - Diabetes in Northampton

Practice Nurse with Extended Skills - Diabetes

Job Description for Practice Nurse with Extended Skills MMC TitlePractice Nurse with extended skills Hours of dutyto be agreed on appointment Responsible toDirector of Nursing MMC Accountable toBoard of Directors MMC Job Summary The post holder, acting within their professional boundaries, will provide a high standard of nursing care for MMC patients, including clinical assessment, treatment, and evaluation of care. They will undertake all duties usually expected within the Practice Nurse role, alongside additional responsibilities reflecting their extended skills in long term condition management and independent prescribing within their scope of competence. The post holder will work collaboratively with the general practice team to meet the needs of patients, support the delivery of policy and procedures, and contribute to high quality, evidence based care. They may be required to work across MMC practices and the PCN where necessary.

Key Responsibilities

Clinical Practice Core Practice Nurse Duties

• Holistic clinical assessment and management of patients within scope of practice.
• Support patients to adhere to prescribed treatments and self management plans.
• Childhood and adult vaccinations under PGDs.
• Cervical cytology and smear testing.
• Wound care and dressings.
• Phlebotomy.
• Learning disability health checks.
• Contraception advice and monitoring.
• General health checks.
• ECG recording.
• Administration of injections.
• Ear care.
• Obtain and document informed consent and capacity assessments.
• Ensure infection control standards are maintained.
• Monitor and maintain clinical stock and equipment.
• Recognise and respond to emergency conditions such as anaphylaxis and cardiac arrest.
• Promote health education and selfcare strategies.
• Home visits for chronic disease monitoring and vaccination delivery.
• Maintain uptodate clinical skills and attend nursing team meetings.
• Comply with MMC policies and procedures.

Extended Skills Responsibilities

The post holder will undertake additional duties aligned with their extended competencies:

• Long term condition (LTC) management, including structured reviews for conditions such as asthma, COPD, diabetes, hypertension, and cardiovascular disease.
• Medication titration within scope of competence, utilising local guidelines.
• Independent prescribing within scope of competence, ensuring safe, evidence based prescribing practice.
• Targeted clinical examination relevant to LTC management within scope of competence.
• Contribute to personalised care planning for patients with chronic conditions.
• Provide clinical advice to colleagues within defined boundaries.

Communication

• Use sensitive and effective communication to ensure patients are fully informed and able to consent to treatment.
• Communicate with and support patients receiving difficult or distressing information.
• Adapt communication methods to meet individual needs, including cultural, cognitive, or language barriers.
• Maintain effective communication within the practice team to support highquality service delivery.
• Act as an advocate for patients and colleagues.

Delivering a Quality Service

• Work within professional competence and the NMC Code to deliver evidence based care.
• Comply with NMC revalidation, appraisal processes, and mandatory training.
• Produce accurate, contemporaneous clinical records in line with legislation and practice policies.
• Prioritise and manage own workload to maintain quality and safety.
• Evaluate patient responses to care and adjust plans accordingly.
• Participate in shared learning across the practice and wider organisation.
• Provide constructive feedback to support team performance.
• Understand and apply safeguarding procedures for vulnerable adults and children.

Team Working

• Understand own role and scope, recognising how this may develop over time.
• Work as an effective team member, supporting colleagues and contributing to new ways of working.
• Delegate appropriately, ensuring safe practice and competence assessment.
• Use effective time management strategies.
• Work collaboratively to resolve clinical issues within competence.
• Identify and support opportunities to improve patient care.

Management of Risk

• Assess and manage risk within areas of responsibility.
• Ensure work areas are safe and compliant with health, safety, and security legislation.
• Oversee safe storage, rotation, and disposal of vaccines and medicines.
• Apply infection control measures in line with local and national guidance.

Managing Information

• Use clinical systems and technology to support planning, delivery, and monitoring of care.
• Ensure accurate coding and data entry to support audit, QOF, and monitoring processes.
• Always maintain confidentiality.

Learning and Development

• Share learning with colleagues to support good practice and service development.
• Identify personal learning needs and undertake CPD in discussion with line manager.
• Provide education to patients, carers, families, and colleagues where appropriate.

Equality and Diversity

• Identify and challenge discrimination, promoting equality and inclusion.
• Support others to uphold equality and diversity standards.
• Assist individuals in exercising their rights.
• Monitor adherence to chaperone policies.
• Act as a role model for non discriminatory practice.
• Respect individuals rights to choose, participate in, or refuse care.