Practice Nurse

Integrated Care System; London Borough of Harrow; On-site; GBP 30,000 - 40,000; Part time

Job summary

A healthcare organization in North London is seeking an experienced Practice Nurse to join its dynamic team. The ideal candidate will have at least 1-2 years of nursing experience in General Practice, focusing on managing chronic diseases. This part-time role offers the opportunity to contribute to patient care in a forward-thinking environment.

Qualifications

• Minimum 1-2 years of nursing experience in General Practice.
• Experience managing chronic conditions like diabetes, asthma, COPD, hypertension.
• Knowledge of public health issues and national standards.

Responsibilities

• Deliver high-quality patient care as part of the multi-professional team.
• Manage a clinical caseload, dealing with patient needs in primary care.
• Engage in chronic disease management, including planning and follow-up.

Skills

Chronic disease management

Autonomous practice

Communication skills

Clinical leadership

Education

Registered General Nurse (NMC registration)

Tools

EMIS web

Job description

We are looking for an enthusiastic PracticeNurse to join our Nursing Team in our busy North London General Practice.

We are a forward thinking practice with 18,000 patients operating over 2 sites. Ourmultidisciplinary team is developing and expanding our services into new waysof working, which include expanding our Nursing Team to take on management ofchronic disease, as well as new ways of working across our local Primary CareNetwork.

Ideally we are looking for somebody withat least 1-2 years nursing experience in General Practice.

We are a training practice and supportteaching of medical students as well as trainee nurses. We are also a part ofa local Primary Care Network of other GP practices and are working to developnew and innovative ways of providing quality care for our patient population.

We have 5 partners, 9 salaried GPs, 3Nurses, 1 HCA, 4 pharmacists, pharmacy technician, dietitian,physiotherapist, social prescriber and a mental health practitioner

The position is open for part-time applications.

For an informal chat or to visit thesurgery, please contact our Practice Manager.

Please note that we will only contact applicantswho have been shortlisted for interview

Main duties of the job

To deliver a high standardof patient care, as part of the multi-professional team, utilising clinicalskills grounded in contemporaneous evidence

To manage a clinicalcaseload, dealing with presenting patients needs in a primary care setting

To provide care for thosewith chronic diseases, including planning, management and appropriate follow-up

To engage in and developnursing services alongside the nursing team and partners

About us

We are a forward thinking practice with 18,000 patients operating over 2 sites. Ourmultidisciplinary team is developing and expanding our services into new waysof working, which include expanding our Nursing Team to take on management ofchronic disease, as well as new ways of working across our local Primary CareNetwork.

We are a training practice and supportteaching of medical students as well as trainee nurses. We are also a part ofa local Primary Care Network of other GP practices and are working to developnew and innovative ways of providing quality care for our patient population.

We have 5 partners, 7 salaried GPs, 3Nurses, 1 HCA, 4 pharmacists, pharmacy technician, dietitian,physiotherapist, social prescriber and a mental health practitioner

Job responsibilities

The post holder isresponsible for the delivery of general practice nursing to the whole practicepopulation. The focus of the role is a) the delivery of evidence-based practicefor patients presenting with long term conditions and b) the provision ofpreventative health care to the practice population and acting within theirprofessional boundaries. Scope and purpose of therole:

Todeliver a high standard of patient care, as part of the multi-professionalteam, utilising clinical skills grounded in contemporaneous evidence

Tomanage a clinical caseload, dealing with presenting patients needs in aprimary care setting

Toprovide care for those with chronic diseases, including planning, managementand appropriate follow-up

Toengage in and develop nursing services alongside the nursing team and partners

Key responsibilities

Assess,plan, implement and evaluate treatment/management/interventions and care forpatients with chronic disease and long term conditions.

Instigatenecessary diagnostic tests and investigations in conjunction withmulti-professional team.

Assesspatient needs from a holistic view, including physical and psychosocial needsand plan care accordingly

Workalongside other health care professionals to identify, diagnose, monitor andmanage treatment plans for patients at risk of developing long-term conditionsas appropriate

Reviewmedication for therapeutic effectiveness, appropriate to patient needs and in accordancewith evidence-based practice, national, local and practice protocols andformularies

Workwith patients and their carers in order to support compliance with andadherence to management plans

Promotehealth and well-being through the use of health promotion, health education,screening and therapeutic communication skills

Implementand participate in vaccination an immunisation programmes for both adults andchildren

Advisepatients with general travel health advice, support and administer vaccinationswhere appropriate for patients travelling abroad

Supportand manage patients presenting for wound care, in accordance withevidence-based practice, national, local and practice protocols and formularies

Communication:

Utiliseand demonstrate appropriate communication skills to ensure patients are fullyinformed and are able to consent to treatment

Communicateeffectively with patients and carers,recognising the need for alternative methods of communication and takinginto account cultural background, preferred method of communication anddifferent levels of understanding

Communicateeffectively with members of the healthcare team, including external agencies

Attendand contribute to practice meetings

Professional and QualityRole:

Recogniseand work within own competence and current professional code of conduct asregulated by the NMC

Maintainprofessional registration

Recognizeones own limitations and be willing to ask for help

Contributeto the practice achieving quality targets in order to achieve high standards ofpatient care and service delivery

Prioritise,organize and manage own workload in a manner that maintains and promotesquality

Delivercare in conjunction with the multi-professional team according to NICEguidelines and current evidence

Participatein continuing professional development opportunities, as agreed in annualappraisals, to ensure that competence in all aspects of the role is maintainedand in line with the practice development and that of affiliated networkactivity

Keepaccurate, contemporaneous and complete records of all patient interactions,consistent with legislation, policies and procedures

Monitoreffectiveness of their own clinical practice through quality assurancestrategies such as audit and peer review

Workcollaboratively within and external to the practice, including the localnetwork to assist in providing new and innovative systems of providing patientcare, including health and wellbeing, as well as assisting in evaluating suchinitiatives

Supportand participate in shared learning across the practice and wider organisation,including participation in significant event, complaints and safeguarding meetings

Leadership:

Act as an advocate in the delivery ofPractice Nurse services to patients, ensuring that the needs of thepatient are the priority

Take responsibility for own developmentlearning and performance including participating in clinical supervisionand acting as a positive role mode

Participate in planning and implementingchanges within the area of care and responsibility

Contribute and participate in the developmentof local guidelines, protocols and standards

Provide nursing representation in the localnetwork, providing guidance and education to network practices asrequired, particularly in relation to health and wellbeing

Teamworking Role:

Understandown role and scope and how this may develop over time

Contributeto the development of the nursing team

Participatein supervision and mentoring of junior staff, GP registrars, medical/nursingstudents and administrative staff

Encourageand develop teamwork within the practice

Workalongside community partners to provide holistic patient care and wellbeingservices

Followagreed practice referral mechanisms to ensure patient care and safety

Participatein the development of clinical protocols, guidelines and standards inconjunction with the healthcare team

Identifyopportunities to delegate both clinical and administrative tasks as appropriateand engage in discussion with the nursing team as to the most effectivestrategies to implement these

Helpthe practice operate in a cost-effective manner

Participatein weekly practice meetings and other relevant meetings

Workalongside the multi-professional team in improving systems formonitoring/measuring performance against quality targets

Ensurepractice policies are implemented and maintained/updated

Management of Information:

Usetechnology and appropriate practice agreed software to aid planning,implementation and monitoring of care

Keepaccurate and timely records as episodes of patient care to ensure quality andaid accurate information retrieval for monitoring and audit processes

Participatein quality searches and presentation of clinical data to aid qualityimprovement

Ensureaccurate and confidential completion and transfer of patient information

Befamiliar with and act in accordance with NMC record keeping Guidance for Nursesand Midwives

Learning and Development:

Participatein annual appraisal

Assessown learning needs and undertake learning/continuing professional developmentas agreed in annual appraisal and in conjunction with the Nurse Lead. Personaldevelopment will be encouraged and supported by the practice and should be inaccordance with practice requirements

Remainup to date with professional/clinical developments to inform safe and effectivepractice

Participatein education and training of all members of the healthcare team including GPregistrars and medical/nursing students

Bewilling to develop your own role in line with new developments within thepractice. If expansion of the current role is required, full training andsupport will be given

Ensurerelevant professional development needs are met to meet NMC requirements- thepractice will support these

Supportlocal networking and attend local educational forums as appropriate

Equality & Diversity:

Actin a way that promotes equality and diversity amongst patients, carers andcolleagues, recognising the importance of individuals rights and interpretingthem in a way that is consistent with current legislation, practice policiesand procedures

Respectthe privacy, dignity, needs and beliefs of patients, carers and colleagues

Acceptthe right of individuals to choose their care providers, participate in andrefuse care

Health and Safety/RiskManagement:

Complywith the practices Health and Safety policy and the Infection Control Policy,following agreed safe working procedures and reporting incidents using thepractices reporting system

Engagein significant event meetings and implement recommendations in partnership withthe practice team

Complywith the Data Protection Act (1998) and the Access to Health records Act (1990)

Confidentiality:

Inthe performance of duties outlined in this job description, the post holder mayhave access to confidential information relating to patients, their carers,practice staff and other healthcare workers. They may also have access toinformation relating to the practice as a business organization. All suchinformation from any source is to be regarded as strictly confidential

Informationrelating to patients, carers, colleagues, other healthcare workers or thepractice may only be divulged to authorized persons in accordance with thepractice policies and procedures relating to confidentiality and the protectionof personal and sensitive

This job description is intended to provide anoutline of the key tasks and responsibilities of the post holder. There may beother duties required of the post-holder commensurate with the position. Thisdescription will be open to regular review and may be amended to take intoaccount development within the practice and of the individual. All members ofstaff should be willing and prepared to take on additional duties or relinquishexisting duties in order to maintain effective patient care and efficient runningof the practice.

Person Specification

Qualifications

• Registered General Nurse holding current registration with the NMC
• Evidence of autonomous work and as part of a team
• Experience in management of chronic conditions including diabetes; asthma; COPD; hypertension
• Evidence of ability to evaluate the effectiveness of own clinical practice
• Evidence of ability to diagnose, manage and evaluate care for chronic/long term conditions (recent relevant courses/CPD)
• Evidence of up to date evidence base for clinical nursing practice in general practice
• Evidence of knowledge of contemporaneous public health issues relevant to practice
• Knowledge of national standards that inform practice
• Understanding of accountability and arising from the NMC Code of Conduct and medico-legal aspects of Independent Nurse Prescribing
• Excellent communication skills, both verbal and written
• Evidence of clinical leadership skills
• Evidence of ability to manage time and workload effectively
• Evidence of ability to work across professional boundaries
• Ability to analyse data, drawing out implications for individual patient/management
• Self-directed practitioner, motivated and adaptable
• Independent Nurse prescribing Qualification recorded with the NMC
• Teaching qualification
• Willingness to develop as nurse practitioner
• Recent primary/community nursing experience
• Evidence of ability to work across boundaries and engage with secondary and community care sectors
• Experience of working with the child immunisation programme
• Experience of health needs assessment
• Experience of health promotion and wellness services
• Experience of travel health
• Experience of home visit assessment of patients
• Evidence of ability to recognize/assess needs of local population and how these needs may be met
• Ability to consider wider public health issues and their role in public health initiatives, individually and as part of the wider MDT
• Familiar with EMIS web or similar medical software package
• Evidence of ability to think strategically
• Full UK driving license

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.