Nurse Prescriber in Maldon

The post holder will be accountable for ensuring the higheststandard of clinical care is provided within the relevant setting. To work asan autonomous nurse prescriber, responsible for the delivery of nursingservices, working as part of the practices multidisciplinary team, deliveringcare within their scope of practice, to the entitled patient population.

The post holder emphasis will be on patient safety, patientexperience, patient engagement, and clinical outcomes. The postholder will have clinical responsibilityfor supporting the partners in activities relating to the delivery of high-qualityservices, including involvement in maintaining activity levels, managing servicepressures and maintaining the highest standards of care.

The post holder will be responsible for a number of clinical areas such as minor illness clinics,health promotion, Diabetes care, chronic disease management, health prevention,as well as supporting the partners and clinical teams in reviewing clinicalpolicy, protocols and procedures to deliver high quality sustainable care forpatients.

The post holder will have developed skills across a widerrange of subject matter, including diagnostic and therapeutic interventions.

Main duties of the job

Conduct comprehensive assessments ofpatients.Prescribe, review medications fortherapeutic effectiveness.Work with doctors, nurse practitionersand pharmacists. Manage acute and chronic conditions,integrating drug and non-drug treatment methods into care plans.Conduct health screening, preventativecare measures. Maintain accurate patientrecords.Provide health education and advice topatients regarding their conditions, treatment and medicationmanagement.Complete management of care, highlevel complex clinical decision making.Provide clinical support to Practice Nurses, HCA.Provide clinical support for wound care, INR dosing, BP monitoring and titration,contraception(list is not exhaustive).Work with the clinical team to provideappropriate staffing, daily and longer-term basis.Attend monthly clinical meetings, provide clinicalservice updates.Manage patients with a range of acuteand chronic medical conditions.Evaluate and implement individual specialisttreatment plans for chronic disease patients.Identify, manage and support patients at risk ofdeveloping long-term conditions.Run Minor illness clinics.Provide wound care.Provide specialist clinics, referring patients to secondary/specialist care.complete medication authorisations.Prescription signing.Provide clinical advice for members of the team.

About us

The Burnham Surgery is a General Practitionerpartnership open to all patients living within our Practice boundary ofBurnham-on-Crouch and surrounding villages. We work in partnership with ourpatients and our Patient Participation Group to provide quality medical carefor our patients.

TheBurnham Surgery aims and objectives are to provide high quality, safe andresponsive care, which is effective, appropriate and timely within a safeenvironment. To ensure the practicemeets the needs of our registered patient\’s population without restriction ordiscrimination and ensuring the practice always adheres to informationgovernance regulations.

Job responsibilities

Conduct comprehensive assessments ofpatients to determine their healthcare needs and develop appropriate treatmentplans.

Prescribe and review medications fortherapeutic effectiveness, ensuring they align with evidence-based practicesand national guidelines.

Work closely with doctors, nurse practitionersand pharmacists to ensure coordinated and safe patient care.

Manage both acute and chronic conditions,integrating drug and non-drug treatment methods into care plans.

Conduct health screening and preventativecare measures for the enrolled patient population

Maintain accurate and up-to-date patientrecords, documenting assessments, treatment plans and outcomes.

Provide health education and advice topatients regarding their conditions, treatment options and medicationmanagement

Complete management of episodes of care and highlevel complex clinical decision making.

Provide clinical support to Practice Nurses, HCAand other colleagues as required.

Provide clinical support for colleagues for thefollowing: wound care advice, INR dosing, BP monitoring and titration,contraception advice (list is not exhaustive).

Work within broader scope of the practice, ableto lead in situations that are complex and unpredictable and offer supervisionto others.

Work with the clinical team to provideappropriate staffing on both a daily and longer-term basis.

Support the Practice Manager to ensure Systm1 scheduledrota appointments align with QOF requirements.

Attend monthly clinical meetings, provide clinicalservice updates as required.

Manage patients presenting with a range of acuteand chronic medical conditions, providing subject matter expert advice topatients.

Evaluate and implement individual specialisttreatment plans for chronic disease patients.

Identify, manage and support patients at risk ofdeveloping long-term conditions, preventing adverse effects to the patients\’health.

Provide wound care.

Provide specialist clinics delivering patientcare as necessary, referring patients to secondary/specialist care as required.

To complete medication authorisations forpatients.

Provide general clinical advice for queries forall members of the team.

Take calls from outside members of themulti-disciplinary teams, work with external agencies.

Participate in the review of significant andnear-miss events applying a structured approach i.e. root cause analysis.

Clinical Quality and Patient Experience

Address the concerns of patients and servicesusers and respond to their suggestions for local quality improvements inservices.

Work with the Practice Manager and clinicalteams to ensure the effective resolution of complaints and any subsequentlearning, undertaking risk management and reviewing patient experience as necessary.

Act as a positive clinical role model. Lead by example to motivate others, ensuringthe highest standard of care.

To work with the clinical team to ensure thestandards of cleanliness and hygiene in their areas comply with policies andprocedures.

Support the development of protocols, processand best practice to ensure the highest standard of care.

Maintain accurate clinical records inconjunction with extant legislation.

Support on CQC compliance for clinical bestpractice, ensuring process and policies align to CQC compliance standards.

Support the Practice Manager with developing andmaintaining robust CQC standards, reviewing current processes and policies.

Work with the Practice Manager on Quality andcompliance standards, issues and risk.

Safeguarding

To support the delivery of Safeguarding Adultsand Children Governance framework and processes within the organisation. Encourage the clinical team to promptly elevate highly complex safeguarding cases to the Practice Manager.

Equality & Diversity

The postholder will support the equality,diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of people\’s rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is nonjudgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development

The postholder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Training may need to be undertaken outside of normal practice hours, and off site.

Quality

The postholder will strive to maintain quality within the Practice, and will:

Alert other team members to issues of quality and risk.

Assess own performance and take accountability for own actions, either directly or under supervision.

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team\’s performance.

Work effectively with individuals in other agencies to meet patients needs.

Effectively manage own time, workload and resources.

Communication

The postholder should recognize the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with patients and carers.

Confidentiality:

While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this Job Description, the postholder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organization. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety

All employees are subject to the requirementsof the Health & Safety at Work Act. The postholder is required to ensure, as an employee, that his/her work methods do not endanger other people or themselves. The postholder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Using personal security systems within the workplace according to Practice guidelines.

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update knowledge and skills.

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

General Terms and Conditions

All employees are employed on an initial assessment basis.

All employees must comply with the practice\’s opportunities policy, and must not discriminate on the grounds of race, colour, ethnic or national grounds, sex, marital status, disability or any other grounds that cannot be shown to be justifiable.

This Job Description may be reviewed in the light of changed service needs and developments. Any changes will be fully discussed with the postholder. The postholder may be required to carry out other duties appropriate to the grade of the post.

Person Specification

Experience

• Experience
• Experience of working in primary care
• Experience of working within a nursing team
• Experience of chronic disease management
• Experience of prescribing and undertaking medication reviews
• Clinical Knowledge and skills
• Wound Care/Removal of sutures and staples
• ECGs
• Chaperone procedures
• Requesting pathology tests and processing the results, advising patients accordingly
• Diabetes management
• Asthma
• CHD
• Immunisations (routine, childhood and travel)
• Understands the importance of evidence-based practice
• Broad knowledge of clinical governance
• Knowledge of CQC standards
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Knowledge of public health issues in the local area
• Knowledge of health promotion strategies
• Understands the requirements for PGDs and associated policy
• Skills
• Excellent communication skills (written and oral)
• Clear, polite telephone manager
• Competent in the use of Office and Outlook
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure
• Ability to design effective protocol and processes
• Experience with audit and able to lead audit programmes
• Experience with clinical risk management
• Personal Qualities
• Polite and confident
• Flexible and cooperative
• Motivated, forward thinking
• Problem solver with the ability to process information accurately and effectively interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure/in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort
• Experience of working in a GP practice
• Awareness of issues within the wider health arena

Qualifications

• Registered Nurse
• Post Graduate Education completion of additional postgraduate education and clinical training.
• Qualified Nurse Prescriber
• Qualified Triage Nurse
• Teaching qualification
• ALS, PALS

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.