Practice Nurse RGN

We are seeking an experienced nurse with general practice experience and long term condition management - ideally in Diabetes management. This person will be responsible for the delivery of evidence-basednursing services, working as part of the practice multi-disciplinary team,delivering care within their scope of practice to the patientpopulation.

Able to mentor and supervise student nurses and new-to-practice nurses and other healthcare professionals with the organisation.

Working autonomously, the PracticeNurse will be responsible for a number of clinical areas such as public healthand screening programmes, including infection prevention and control, chronicdisease management, immunisations, health promotion and prevention, wellman/woman clinics and cervical screening, Furthermore, they embed populationhealth management approaches within general practice, targeting healthinequalities and improving access.

The post-holder will be an integralpart of the general practice team, as well as supporting the wider practicenurse network and multi-disciplinary team. They are to participate in formaltraining events and to promote best practice in their area of expertise as wellas supporting the practice management team in the reviewing and delivery ofclinical policy and procedure.

Main duties of the job

Toprovide routine nursing care to patients inaccordance with clinical based evidence, NICE and the NSF

Supportin the delivery of enhanced services and other service requirements

Leadon public health campaigns (e.g., flu clinics)

Providewound care (ulcer/Doppler, etc.) to patients

About us

Crondall New Surgery is a part-dispensing GMS practice in the village of Crondall, between Fleet and Farnham on the Surrey Hampshire border. We are part of Fleet PCN which in turn is part of Frimley ICB.

We have 6000 patients, the list size is growing steadily with local housing developments. We currently have partners and salaried GPs, practice nurses, HCA, phlebotomists, dispensers, first contact physio, mental health practitioner and a first class admin team. Home visiting is provided by an excellent paramedic practitioner home visiting service, employed by the local federation.

We cover 4 local care homes and a supported living facility, with weekly GP visits to each establishment.

Extended access commitment is currently one evening a week on a shared basis. There is a high quality local out of hours provider.

We use EMIS web and the Ardens clinical support package.

Our ethos is to offer first class patient care whilst maintaining a personal feel to the practice. We know our patients well and have historically low prescribing and referral patterns.

We are a friendly and supportive practice. We strongly believe that a good work-life balance is key to a fulfilled team. We can support flexible working patterns and clinicians wishing to develop specialist skills or interests.

The team share lunch on a weekly basis, and have regular meetings. Local educational opportunities are excellent.

Job responsibilities

The following are the core responsibilities ofthe Practice Nurse in delivering health services:

a.Support the Infection Prevention Control(IPC) lead and work to the IPC Policy

b.Consultwith patients and their families to undertake assessments of patient need

c.Supportin the long-term condition management within the organisation, including beinginvolved with quality improvement and assurance initiatives

d.Develop,implement and embed an effective care management programme for the frail andhousebound patients registered with the organisation

e.Supportpublic health and screening programmes, including immunisations, vaccinations,and cervical screening and also provide opportunistic health promotion advice

f.Embedpopulation health management approaches within general practice, targetinghealth inequalities and improving access

g.As required, provide routine nursing careto patients in accordance with clinical based evidence, NICE and the NSF

h.Supportnew-to-practice nurses and other healthcare professionals within theorganisation

i.Teachand advise patients and their families on how to manage their condition

j.Participatein clinical audits and research projects and implements changes as required,including supporting with the development, and updating of practiceprotocols/guidelines and procedures locally

k.Workwithin national and local protocols where these exist

l.Recognisethe boundaries of their practice and know when and to whom patients should bereferred

m.Supportin the delivery of enhanced services and other service requirements

n.Beaware of duties and responsibilities regarding current legislation and adhereto practice policies and procedures on Safeguarding Adults and SafeguardingChildren

o.Participatein the management of patient complaints when requested to do so and participatein the identification of any necessary learning brought about through incidentsand near-miss events

p.Undertakeall mandatory training and induction programmes

q.Contributeto and embrace the spectrum of clinical governance

r.Supportthe practice team with the reviewing and implementation of practice policiesand protocols, ensuring conformance to extant legislation

s.Attenda formal appraisal with their manager at least every 12 months. Once aperformance/training objective has been set, progress will be reviewed on aregular basis so that new objectives can be agreed

t.Leadon public health campaigns (e.g., flu clinics)

v.Providewound care (ulcer/Doppler, etc.) to patients

w.Maintainaccurate clinical records in conjunction with extant legislation ensuring thatSNOMED CT codes are used effectively

x.Contributeto practice targets (QOF, etc.), complying with relevant guidance

y.Maintainchronic disease registers and implement an effective call/recall system

z.Maintaina clean, tidy, effective working area at all times

aa.Chaperonepatients where necessary

bb.Supportthe team in dealing with clinical emergencies

cc.Liaisewith external services/agencies to ensure the patient is supportedappropriately (vulnerable patients, etc.)

Theremay be, on occasion, a requirement to carry out other tasks, this will bedependent upon factors such as workload and staffing levels

Person Specification

• Effective time management (planning and organising)
• Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct
• Understand the requirement for PGDs and associated policy
• Ability to use own initiative, discretion, and sensitivity
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Ability to identify risk and assess/manage risk when working with individuals
• Ability to work as a team member and autonomously
• Good interpersonal and organisational skills
• Sensitive and empathetic in distressing situations
• Commitment to ongoing professional development
• Clear, polite telephone manner
• Demonstrate personal accountability, emotional resilience and work well under pressure
• Knowledge of IT systems including the ability to use word processing skills, emails and the internet

Experience

• Broad knowledge of general practice and experience of working as a Practice or Community Nurse
• Experience with chronic disease management
• Experience of working autonomously
• Experience of infection prevention and control measures
• Experience of managing elderly and housebound patients
• Experience of quality initiatives, i.e., benchmarking
• An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners

Qualifications

• Registered Nurse with NMC
• Has evidence of working at the relevant level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
• Long-term condition management in Diabetes/Respiratory areas
• Mentor or teaching qualification
• Family planning qualification

Clinical Knowledge and Skills

• Experience of Practice Nurse skills including wound care, ECG, venepuncture, immunisations, new patient medicals and womans health (cervical cytology, contraception etc.)
• Request pathology tests and process the results, advising patients accordingly
• Understanding of the importance of evidence-based practice
• Ability to promote best practice regarding nursing matters
• Ability to work within own scope of practice and understand when to refer to GPs
• Good clinical system IT knowledge and an ability to record accurate clinical notes
• Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face
• Understanding of safeguarding adults and children
• Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service
• Effectively able to communicate and understand the needs of the patient
• Broad knowledge of clinical governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena and knowledge of health promotion strategies
• Knowledge of national standards that inform general practice (NSF NICE guidelines)

Other

• Occupational Health clearance
• Meet the requirements and produce evidence for professional revalidation
• Evidence of CPD commensurate with the role
• Access to own transport and ability to travel across the locality
• Flexibility to work outside core office hours

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.

Full-time,Flexible working,Compressed hours