Lead Practice Nurse

Allscreens Nationwide Ltd; Yeadon; On-site; GBP 42,000 - 54,000; Full time

Job summary

Guiseley and Yeadon Medical Practice is seeking a Senior Nurse to deliver high-quality patient care across primary care settings. You will manage caseloads, assess and diagnose within your scope, and work within established protocols to ensure safe, effective treatment and timely referrals.

The role emphasizes professional leadership, multi-disciplinary collaboration and ongoing education to maintain high standards of care in a busy community practice.

Qualifications

• Qualified and registered nurse with current NMC registration.
• Experience in primary care and handling diverse patient needs.
• Proven leadership and mentoring in clinical settings.

Responsibilities

• Provide autonomous clinical care and manage patient caseload within scope.
• Assess, examine, investigate and diagnose in line with agreed protocols.
• Treat and refer patients to ensure safe management and appropriate escalation.

Skills

Clinical leadership

Team collaboration

Communication skills

Nursing assessment

Medicines management

Education

NMC registered nurse

Tools

Electronic reporting system

Job description

Key Areas of Responsibility Clinical

• 1. Work autonomously as a Senior Nurse within the practice, managing patients and delivering individualised direct patient care.
• 2. Direct responsibility for assessment, examination, investigation, and diagnosis of patients within the agreed scope of your role. The clinical scope of your role will be reviewed at appraisal on an annual basis, based on the Core Capabilities Framework.
• 3. Appropriately treat patients, resulting in the safe management and appropriate referral of patients. This includes the management of patients with long term conditions and complex care.
• 4. Receive referrals via a variety of sources, including from the doctor team, nursing colleagues and to manage your caseload and clinical priorities according to agreed protocols and working practices
• 5. Participate in multidisciplinary meetings, safety huddles, patient reviews and team meetings
• 6. Undertake a variety of clinical skills and provide treatment/ advice as per your agreed scope of practice, using agreed protocols of clinical practice and professional guidelines. This service may be provided within an urgent care primary care setting, or routine primary care setting, including in the community or home care settings.
• 7. Within scope of practice and clinical competence request and / or undertake diagnostic procedures and clinical investigations related to plans of care
• 8. Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Guiseley and Yeadon Medical Practice's policy for Medicines Management
• 9. Utilise your advanced knowledge and skills relating to the speciality of primary care to provide specialist primary care advice to other members of the multidisciplinary team on the basis of patient assessment.
• 10. Provide a seamless, high-quality service from assessment through to diagnosis, treatment, and review, referring to other specialists in the community or secondary care as required. Provide guidance to staff, patients and their families and carers on pathway navigation
• 11. Lead in the development and updating of referral guidelines and policies for the service.
• 12. Use highly developed communication skills to effectively communicate with colleagues, patients, and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.
• 13. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the practice management/nursing / professional structures/partnership as required
• 14. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Practice policies for safeguarding including the assessment of mental Capacity, and consideration of Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness)
• 15. Ensure effective and accurate verbal or written handover of patients between healthcare professionals.
• 16. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Practice and professional standards.
• 17. Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the practice manager and partnership or addressing them if within your own team.
• 18. Undertake training to develop further advanced clinical practice roles required by the practice to provide a high standard of patient care.
• 20. Practice within the scope of professional registration

Professional Leadership & Management

• 1. Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice in primary care
• 2. Promote interdisciplinary team and collaborative working practices
• 3. Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development
• 4. Promote team working, build rapport and collaborative working practices within the multidisciplinary clinical and management team. Liaise with non-clinical personnel across the organisation and professional groups. Ensuring effective communication and interpersonal skills.
• 5. Act as a clinical role model demonstrating high standards of advanced clinical practice and provide support or advice to other staff when necessary
• 6. Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.
• 7. Lead and actively participate in practice/local projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care
• 8. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.
• 9. Adhere to all relevant practice and local policies and procedures and to ensure that they are correctly implemented.
• 10. Lead in the implementation of multidisciplinary service objectives that reflect practice strategies for patient care.
• 11. Demonstrate effective leadership skills, supporting the senior management team and partnership in service development and lead as delegated on the implementation of any of these changes.
• 12. Monitor standards and maintain high quality care. Report any clinical incidents via the practices electronic reporting system for significant events and elevate issues promptly and appropriately
• 13. Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.
• 14. Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients, and relatives.
• 15. Escalate any concerns or complaints promptly
• 16. Participate in the recruitment and selection of staff.
• 17. Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.
• 18. Accountable for own practice, always acting within the Professional Code of Professional Conduct
• 19. Maintain a working knowledge of local and national professional policy and strategy.
• 20. Attend and when required chair multidisciplinary meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescales
• 21. Clinical leadership of practice immunisation programmes. Working in collaboration with the practice manager, partnership, and local teams to ensure safe delivery of all immunisations.

Reports/searches training

• 1. To provide clinical leadership for cervical cytology in the practice and to ensure our process are safe and effective. Review policy

Education & Training

• 1. Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Practice.
• 2. Act as mentor/ assessor to staff members and students as required, providing educational advice and support. Ensure staff can access appropriate training support and guidance
• 3. Students - Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff, in collaboration with the partnership team and leadership team.
• 4. Provide support and guidance to all levels of practice staff in their clinical role.
• 5. Ensure that pre and post registration students receive appropriate learning experience whilst allocated to the practice.
• 6. Participate in provision and identification of in-service training need for all nursing team staff.
• 7. Participate in education and practice development, liaising with practice, local and national educational leads to ensure educational objectives are delivered
• 8. Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge
• 9. Take responsibility for ensuring personal and completion of any statutory or mandatory training as required for. Informing line manager if there is any deviance from training attendance
• 10. Participate in the annual appraisal process, delegating duties to team members as appropriate, to ensure all staff within the team have personal development plans which support revalidation
• 11. Maintain links with local higher education institutions and participate in in the delivery of new and established advanced and nursing practice programmes as required.