Nursing Associate

Salary: Band 4
Hours: 37.5 per week
Responsible to: Lead ANP
Key Relationships: Partners, GPs, clinical staff, admin staff and patients at the Regent Health PCN practices. Line manager and HR at HCL.

IMPORTANT NOTE: This job is suitable for NMC registered Nursing Associates only. It is not suitable for NMC registered Nurses.

BACKGROUND
Healthcare Central London Ltd (HCL) is the GP Federation owned by our 30 General Practices covering the Central London (Westminster) area. The organisation supports 4 Primary Care Networks (PCNs). We operate several NHS contracts on behalf of our PCNs including a Community Dermatology Service; Community Cardiology Service and a Secondary Care Referral Service and an out-of-hospitals provision which is sub-contracted to our 30 General Practices.

HOW WE WORK
Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population and practices. We aim to further diversify our income by exploring commercial joint ventures and expanding our research team in the coming years. Our people are our greatest asset. HCL is committed to actively supporting diversity and inclusion and ensuring that all our employees are valued, treated with dignity and respect and enabled and supported to reach their potential.

JOB PURPOSE
The role of the NMC Registered Nursing Associate is to work with the multi professional team to assess, plan, organise and deliver clinical care in line with the Home Visiting service and patient needs, as agreed with supervising clinicians. The nursing associate works independently under the leadership of registered nurses, working within the sphere of nursing and care and within all aspects of the nursing process.

Key Working Relationships
The nursing associate will be working predominantly with house bound patients, GP practices, and other home visiting staff.

MAIN DUTIES AND RESPONSIBILITIES

• To be responsible for providing the appropriate nursing evidence based care for an allocated group of house bound patients.
• Be an accountable professional who is responsible for their actions, working in line with NMC standards of proficiency.
• Recognise and work within the limits of their competency.
• To work as part of a multidisciplinary team using resources efficiently.
• To deliver quality care to patients and to work effectively within the nursing and home visiting team.
• To be competent in carrying out a variety of clinical procedures.

CLINICAL DUTIES

• Assessment and planning of delegated care.
• Monitoring of long-term conditions and well-being of service users including escalation of interventions when necessary.
• Assist with the implementation and monitoring of clinical care and monitor outcomes.
• Administering of Medication in accordance with regulatory guidelines for Nursing Associates.
• Undertake onward referrals to appropriate services and community based care support.
• Assist in specific therapeutic relations to meet the physical, emotional and psychological, social, cultural and spiritual needs of individuals and carers.
• Enter data into clinical systems (patient records) as per HCL guidance and policies.

Promoting Health and Preventing Ill Health

• Empathise with, and support people to improve and maintain their mental and physical health and wellbeing.
• Pro-actively prevent and protect against disease and ill health.
• Engage in public health, community development, and in the reduction of health inequalities.

Provide and Monitor Care

• Provide compassionate, effective care and support to people in a range of care settings.
• Monitor the condition and health needs of people on a continual basis in partnership with people, families, and carers.
• Contribute to ongoing assessment recognising when it is necessary to refer to others for reassessment.
• Communicate effectively with colleagues, service users and carers providing clear verbal, digital or written information and instructions.
• Recognise and report any incidents that could result in poor care outcomes.

Working in Teams

• Contribute to multidisciplinary teams and with external partners and agencies.
• Recognise changing priorities seeking advice and guidance from the Registered Nurse or other senior care professionals as appropriate.
• Collaborate and communicate effectively with nurses, a range of other health and care professionals and lay carers.
• Supervise and co-mentor to healthcare assistants, support workers, carers, trainee nursing associates and, when appropriate, pre-registered healthcare students.

Improving Safety and Quality of Care

• Assist in therapeutic relationships to the specific physical, emotional, psychological, cultural and spiritual needs of individuals and carers.
• Improve the quality of care by contributing to the continuous monitoring of people’s experience of care.
• Implement and monitor current standards and procedures to ensure safeguarding of children and vulnerable adults.
• Identify risks to safety or standards in patient experience and take appropriate action.
• Ensure the privacy, dignity and safety of individuals is maintained at all times.
• Complete incident reporting and participate in investigations.
• Contribute to service development.

Contributing to Integrated Care

• Provide person-centred care for people, including those with complex needs.
• Engage with a range of professionals and carers from other organisations and settings who may be participating in the care of a person and their family.
• Undertake a key role in relation to communication and collaboration.

PROFESSIONALISM

• Act in the best interests of service users, carers, families and communities cared for.
• Engage in reflective practice including management of self and reflection on own reactions.
• Participate in Quality Improvement activities.
• Act professionally at all times.

TEACHING AND TRAINING

• Be proactive in seeking opportunities to continue to develop own knowledge and skills.
• Work in partnership with manager to develop and deliver on Specific, Measurable, Achievable, Relevant and Time-bound (SMART) objectives at annual appraisal and personal development planning meeting.
• Take responsibility for organising and attending statutory / mandatory updates in accordance with organisational requirements.
• Act as an excellent role model by upholding and implementing good practice in the workplace.

Person Specification

Education/Qualifications

• Essential: Registered Nursing Associate on the NMC register.
• Educated to a minimum level 5 Foundation degree level specific to nursing associate practice.
• GCSEs Grade A-C in Maths and English or equivalent.
• Care Certificate.

Experience

• Essential: Previous experience of working within primary care.
• Relevant experience of working self-directed or as part of a team.
• Evidence of continuing professional development.

Skills and Abilities

• Essential: Understanding of the scope of the role of the Nursing Associate in context of the team and the organisation.
• Understands and acts in line with NMC professional standards for practice contained within the Code.
• Relevant clinical skills in the area of work.
• Excellent interpersonal and communication skills.
• Ability to communicate effectively with patients/relatives, carers and other members of the multi-disciplinary team.
• Ability to develop effective and appropriate relationships with people, their families, carers and colleagues.
• Ability to deal with non-routine and unpredictable nature of workload and individual patient contact.
• Insight into how to evaluate own strengths and development needs, seeking advice when needed.
• Ability to work well as part of a multidisciplinary team.
• Ability to work on own initiative.
• Ability to organise and prioritise own workload effectively.
• Able to recognise own limitations in the context of the nursing associate role.
• Knowledge of when to seek advice and elevate to an appropriate registered health or care professional.
• Ability to participate in reflective practice and clinical supervision activities.
• IT awareness and ability to use NHS systems.
• Ability to support, supervise and act as a role model to nursing associate students, other learners and health care support workers as required within the clinical setting.

Additional Information

• Professional Standards: All staff must comply with the Healthcare Central London (HCL) Staff Code of Conduct and demonstrate the Values and Behaviours.
• Equal Opportunities and Dignity at Work: HCL aims to ensure that no job applicant or employee receives less favourable treatment on the grounds of race, colour, creed, nationality, ethnic or national origin, sex, marital status or on the grounds of disability or sexual preference.
• Performance Appraisal and Development Review (PADR): All staff will actively participate in the annual Performance Appraisal and Development Review process with their line manager.
• Safeguarding: HCL is committed to safeguarding and protecting children and vulnerable adults.
• Confidentiality and Data Protection: Employees will have access to confidential information and will be required to ensure that the highest level of confidentiality is maintained at all times.
• Health and Safety: All staff are required to comply with the requirements of the Health and Safety at Work Act and other relevant health and safety legislation and HCL Policies and Procedures.
• Infection Control: All staff are required to follow HCL infection control policies and comply with all measures known to be effective in reducing infection risk.
• Engaging patients and the public: HCL is committed to putting patients, their carers and the public at the heart of everything we do.

The above list of duties is not intended to be exhaustive and you will be required to undertake any other duties commensurate with the grade and in line with the requirements of the post.

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.

Probation Period: All posts in HCL are subject to a 6 month probationary period.

Nationality: This post is open to UK nationals, EU and certain non‑EU citizens.

Notice Period: Four weeks.

Method of Payment: Monthly direct credit transfer into bank or building society.

NHS Pension, Modern office, Hybrid working, Free tea/coffee etc., Cycle to work scheme, Life Assurance scheme, EAP.