Practice Nurse in Bacup

The post holder is responsible for the delivery of practice nursing services to the practice population. Supported by the Nurse Manager, they will deliver care within the boundaries of their role, working within practice protocols, focusing upon supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities.

The duties will include all tasks normally undertaken by an experienced RN and in addition any roles agreed between the nurse and the doctors as appropriate, having regard to current training. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of practice policies and procedures and will also need to have an understanding of the public health profile and population needs in order to be proactive in ensuring services are met.

• Carry out annual reviews and management for all long-term conditions, maintaining the annual recall system.
• Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs.
• Following agreed clinical protocols with referral to senior nurses or GPs as appropriate assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being.
• Deliver opportunistic health promotion using opportunities such as new-patient medicals.
• Cytology - Support and manage health needs of women presenting for cervical cytology consultations.
• Respiratory diploma is desirable.
• Diabetic knowledge.
• Family Planning - Support and advise women requesting information relating to family planning needs and contraception.
• Travel Clinic - Offer travel health advice by providing comprehensive advice to patients prior to travel including; vaccinations and medicines, safe sex, food hygiene, sun protection.
• Able to document Consultations according to NMC guidelines.
• Ensures awareness of statutory and local clinical protection procedures, including systems of referral.
• Ability to recognise signs and symptoms of child abuse.
• Routine immunisations/Childhood immunisations - Implement and participate in vaccination and immunisation programmes for both adults and children and ensure vaccines are administered under patient group directions.
• Able to recognize and manage anaphylaxis according to current UK guidelines.
• Able to perform Cardio-pulmonary resuscitation according to current UK guidelines.
• Ability to obtain and document informed consent (either verbal or written).
• Ensure infection control guidelines are maintained.
• Chaperoning and assisting where appropriate who are being examined by another clinician.
• Assisting GPs with minor surgery, vasectomy and family planning clinics.
• Requesting pathology tests, for example urine culture, swabs.
• Confidentiality of information gained at work must be preserved at all times.
• Assist in practice audits, CQC compliance evidence and QOF recalls.
• Take lead on local incentive project relevant to role.

Irwell Medical Practice is a consistently high QOF & QF achiever. In our last CQC inspection (2017), we were rated outstanding. Due to staff development, we are looking for a nurse, ideally with experience in Chronic Disease management; however, support and training will be given. We have a great nursing team with a good skill mix in a supportive environment.

We are an established Training Practice with 6 Partners, 6 Salaried GPs, 5 Practice Nurses, 1 Nursing Associate, 4 Trainee Nurse Associates, 3 Healthcare Assistants and 1 Advanced Nurse Practitioner with a practice population of just over 15,000 and growing.

Working as part of a progressive and effective primary care team, the successful applicant should have at least a minimum of 1 year post-registration experience. Be highly organised, motivated, and computer literate and be able to demonstrate continuing professional development. Showing a commitment to promoting nursing in primary care is essential for this exciting post.

Demonstrate specialist competence, innovation and clinical leadership in the assessment, intervention in and delivery of general practice nursing in all contexts appropriate to individuals needs across the whole age range for the general practice population. This requires:

• Ability to assess and manage the range of conditions encountered in general practice using a variety of assessment tools and consultation models appropriate to the patient and situation using physical and clinical examination skills to inform the assessment and decision-making for the on-going management of the patient.
• Advanced communication skills that include skills of influencing and negotiation to enable information to be delivered in understandable formats for patients and behaviour change supported where necessary.
• Effective multidisciplinary and multi-agency team working, alongside the ability to work independently and accept professional accountability and responsibility for the delivery of whole episodes of care, and supporting and developing others in the general practice nursing team to collaborate effectively, ensuring nursing care is guided by precedent and clearly defined policies, procedures and protocols.
• Delivery and co-ordination of evidence-informed, person-centred and negotiated care across the age spectrum.
• Use of technology to support independence and patient self-care at home to improve self-care and reduce exacerbations.
• Role modelling and embodiment of non-judgmental, value-based care encompassing the 6Cs in practice and expectation and promotion of these values in other team members.
• Competence in delivering evidence-informed care across a wide range of minor acute and LTCs, ensuring effective evaluation of therapeutic and other approaches to condition management alongside ability to assess patient concordance.

Qualifications:

• Essential: Registered Nurse
• Desirable: NMC Mentorship Qualification

Experience:

• Essential: Experience of working in the NHS
• Desirable: Experience of working in General Practice

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.

Applicants must have current UK professional registration.