Duties and responcibilities The duties and responsibilities to be undertaken may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Associate Director of Clinical Services, GP or Federation / PCN Director, and will be dependent on current and evolving practice need.
Minor Illness Managment
- To demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, working within their scope of practice.
- To participate in assessing, diagnosing and treating patients presenting with minor illness, including giving advice on and prescribing medicines (where this is within the scope of practice, competence and confidence).
- To discharge patients or refer them as appropriate to other healthcare professionals / external agencies.
- To provide appropriate care and services to patients in all age ranges and level of health care needs, according to their level of competency and code of conduct.
- To work closely with the wider urgent care teams in delivering high quality patient centred clinical care.
- To support the triage and streaming process, including contributing to the triage and streaming decision making when required.
- To participate in assessing patients with more complex presentations waiting to see the streaming clinician (GP or Advanced Clinical Practitioner).
- To work in partnership with patients and their carers to assess individual health needs, plan appropriate care and use every appropriate opportunity to promote health and reduce the incidence or exacerbation of disease.
- To be capable and confident in digital consultation where this is required.
- To work as an autonomous practitioner within appropriate clinical and professional guidelines.
Broader Clinical Responsibilities
- To provide routine practice clinical services as required and within your scope of competence, such as cervical screening, phlebotomy, suture removal, wound dressings, ECGs and 24 hour ambulatory blood pressure monitoring.
- Develop and facilitate a good working relationship with the Federation, PCN, practices and community services, as relevant the role.
- Work with patients and carers in order to support compliance with and adherence to prescribed treatments and treatment plans and to work with them to overcome barriers, including being actively involved in relevant patient and carer support groups.
- Provide information and advice on prescribed or over-the-counter medication, on medication regimens, side-effects and interactions.
- Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
- Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care, implementing motivational interviewing and making every contact count approaches.
- To administer drugs and vaccines as a qualified prescriber or via Patient Group Directions (PGDs) and Patient Specific Directions (PSDs) as appropriate.
- To identify and assess risks to the health of patients, documenting their health status and counselling them appropriately with referral to a General Practitioner as appropriate.
- Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
- Anticipate barriers to communication and take action to improve communication.
- Work as an effective and responsible team member, supporting others and exploring mechanisms to develop new ways of working.
- To develop and audit nursing / AHP standards.
- To actively participate in the local offer of clinical supervision.
Team working
- To participate in the administrative and professional responsibilities of the Federation and any relevant Practice team and attend meetings of the Federation / PCN, contributing to decision making and the development of the Federation and PCN.
- To contribute to the formulation of and the ongoing review of Federation / PCN policies and procedures.
- To act as a resource person to other members of the Federation and PCN team and to liaise as necessary with other statutory and non-statutory agencies such as Social Services to ensure appropriate care is provided.
Administration
- To ensure that all consultations, including telephone consultations, are fully and accurately recorded on the clinical computer system following agreed guidelines.
- To take responsibility for supporting QOF/IIF/PCN DES which may include recalling patients, managing failing targets and problem solving to improve health outcomes for patients.
Teaching Training and Auidt
- To contribute to and participate in clinical audit.
- To contribute to the provision of a suitable learning environment for pre and post registration nursing / AHP students, medical students and registrars.
- To act as a mentor / supervisor for pre and post registration healthcare professionals.
- To identify own training needs and develop a programme to meet them in collaboration with the Clinical Services Manager taking opportunities to update professional skills both in formal teaching sessions and by personal study.
- To ensure all e-learning and mandatory training is up to date.
Professional Conduct
- To act at all times in accordance with the NMC / HCPC code of conduct and be professionally accountable for your actions.
- To be familiar with and adhere to any relevant Federation, PCN and Practice protocols or guidelines.
- Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
No job description can be entirely comprehensive. However this job description is intended to provide a detailed guide to the work initially required. It may be changed from time to time to meet changing circumstances. The potholder is expected to be flexible and co-operative in accordance with the needs of the Federation, PCN and Practices. All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g., health and safety, equal treatment and diversity, confidentiality and clinical governance).
Leadership
Act as a clinical leader in the delivery of practice nursing / AHP services ensuring that the needs of the patient are a priority. Including acting as team leader / supervisor for Administrative staff, HCAs, Nursing Associates or junior AHPs involved with delivering clinics / services under your supervision. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Contribute to performance reviews and appraisals for team members and individuals under your supervision.
Please refer to the attached JD to refer to Surrey Heath Community Providers requirements for the following in this role: Equal opportunites Equality and Diversity Confidentiality, Data Protection Risk Management Personal and Professional Development, Quality Communication Heath and Saftey.
Speacial Working Conditions
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practices Health & Safety Policy. The post-holder is required to travel independently between their base, care homes and practice sites (where applicable), and to attend meetings etc. hosted by other agencies. The post-holder may have contact with body fluids i.e. wound exudates; urine etc. Carry Out other duties as reasonably required by the Clinical Director.
This is not intended to be an exhuastive list of responcibilites, and is expected that you will participate in a wider range of activites.