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NHS Jobs; Castle Cary; On-site; GBP 28,000 - 40,000; Full time

Job summary

NHS Jobs in Castle Cary seeks an experienced Practice Nurse to provide high-quality, patient-centred care across a broad range of general practice nursing services.

You will work within multidisciplinary teams, with training and supervision available for those developing general practice skills. Role may include long-term condition management, immunisations, wound care and health promotion, depending on experience.

Job description

Practice Nurse Experienced or New to General Practice

Working as part of our multidisciplinary primary care teams, you will provide high-quality, evidence-based and patient-centred nursing care across a broad range of General Practice Nursing services. The precise scope of the role will depend upon your existing qualifications, experience and competencies. We do not expect every applicant to already be competent in every area listed below. For nurses who are new to General Practice, or those wishing to extend their existing Practice Nursing skills, appropriate training, supervision and competency development will be supported. Depending on experience and competency, the role may include: Long-term condition management Undertaking structured reviews and ongoing management of patients with long-term conditions Supporting the management of conditions such as asthma, COPD, diabetes, cardiovascular disease and hypertension Performing Spirometry Monitoring blood pressure and other relevant clinical observations Supporting patients with personalised care, self-management and lifestyle interventions Identifying deterioration, clinical concerns or changes requiring escalation to an appropriate clinician Immunisations and vaccinations Delivering routine adult immunisation programmes Childhood and baby immunisations in accordance with the national immunisation schedule Seasonal influenza and COVID-19 vaccination programmes Shingles, pneumococcal and other eligible vaccination programmes Reviewing vaccination histories and identifying outstanding immunisations Providing appropriate patient and parent/carer advice regarding vaccination Working in accordance with current national guidance, Patient Group Directions and practice protocols Women's health and contraception Depending upon qualifications and competency, this may include: Cervical screening and associated health promotion Contraceptive reviews and routine pill checks Supporting patients with contraceptive choices and providing appropriate information and advice, alongside the GP team Administration of injectable contraception where appropriate Long-acting reversible contraception (LARC) services Intrauterine contraception (coil) fitting and removal, where appropriately trained and qualified Contraceptive implant fitting and removal, where appropriately trained and qualified Supporting sexual and reproductive health promotion and signposting or referring patients where appropriate Wound care and treatment-room nursing Wound assessment and ongoing wound management Simple and complex dressings according to competency Suture and clip removal Assessment of wound healing and identification of infection or deterioration Supporting patients with ongoing wound-care plans Other treatment-room procedures appropriate to the Practice Nurse role Ear care Assessment of patients presenting with ear-related symptoms within scope of competence Otoscopic examination and ear checks Assessment and management of excessive ear wax Providing advice regarding appropriate ear care and wax-softening preparations Ear irrigation, where clinically appropriate and in accordance with training, competency and practice protocols Recognising symptoms or findings requiring onward referral or medical assessment Phlebotomy, investigations and specimen testing Venepuncture and collection of blood samples Urinalysis and appropriate interpretation/action within scope of competence Collection and preparation of other clinical specimens Undertaking appropriate point-of-care testing where available Recording and acting upon results in accordance with practice protocols and level of competence Recognising abnormal findings and escalating concerns appropriately Health promotion and patient education Providing evidence-based advice and support regarding smoking cessation Diet, nutrition and weight management Physical activity Alcohol consumption Cardiovascular risk reduction Supporting patients to understand and manage their health conditions Promoting independence, self-care and shared decision-making General clinical care Depending upon competency and the services provided by the practices, duties may also include: Routine clinical observations and assessments ECG recording Blood pressure monitoring Injections and medicines administered under appropriate authorisation Supporting minor surgery and other practice-based procedures Chaperoning where appropriate Recognising and responding appropriately to acutely unwell or deteriorating patients Providing appropriate first aid and emergency care within the practice environment Making appropriate referrals or escalating clinical concerns to GPs or other members of the multidisciplinary team Clinical administration and professional responsibilities Maintaining accurate, timely and contemporaneous clinical records Ensuring appropriate clinical coding and documentation Reviewing and maintaining recall systems where relevant to the role Working in accordance with practice policies, clinical protocols and current evidence-based guidance Maintaining appropriate infection prevention and control standards Following safeguarding procedures for children and adults at risk Maintaining patient confidentiality and information governance standards Participating in clinical audit, quality improvement and significant-event learning where appropriate Maintaining professional competence through continuing professional development and training Team and cross-organisational working Working collaboratively with GPs, Practice Nurses, Healthcare Assistants, pharmacists, administrative colleagues and the wider multidisciplinary team Contributing to practice meetings, clinical discussions and service development Supporting colleagues and sharing knowledge and good practice Liaising with community, secondary care and other healthcare professionals as required Contributing to the development and delivery of high-quality nursing services across our practices Opportunities to work across both Millbrook Surgery and Glastonbury Health Centre, supporting greater variety, collaboration, shared learning and professional development Development for nurses new to General Practice If you are new to General Practice, please do not be discouraged by the breadth of the competencies listed above. We do not expect you to arrive with all these skills. We recognise that General Practice Nursing is a broad and specialist role, and we are keen to support Registered Nurses with strong transferable clinical skills who would like to develop a career in primary care. Your clinical duties will be matched to your existing experience and competencies, with appropriate training, supervision and development provided to enable you to broaden your skills safely over time. For experienced Practice Nurses, we would equally welcome the opportunity to utilise your existing expertise and discuss areas in which you may wish to further develop or take a particular clinical lead.