Senior Practice nurse -Home visits

NHS; Liverpool; On-site; GBP 35,000 - 45,000; Full time

Job summary

A leading healthcare organization in Liverpool is seeking a Senior Practice Nurse who is an experienced autonomous practitioner to deliver advanced clinical care for complex chronic conditions. The ideal candidate will manage clinical care independently and contribute to policy development and staff training. They should possess strong expertise in General Practice and be a registered nurse with prior experience in a GP setting. This role offers a range of incentives including mentorship and support for staff wellbeing.

Benefits

Protected study leave

Comprehensive mentorship and induction programme

Wellbeing support

Qualifications

• Extensive experience as a senior Practice Nurse in a GP Practice.
• Competent in physical assessment and clinical examination skills appropriate to the role.
• Knowledge of clinical governance, confidentiality, data protection and information governance.

Responsibilities

• Undertake complex general practice nursing interventions for a wide range of clinical presentations.
• Independently manage clinical care episodes from initial presentation to completion.
• Contribute to the development and review of local policies, pathways, and procedures.

Skills

Clinical leadership skills

Change management skills

High level communication skills

Ability to communicate difficult information

Negotiation and conflict management skills

Ability to undertake audit

Research knowledge and understanding

Education

Registered Part 1 NMC

Independent / supplementary nursing prescribing V300

Clinical supervision and mentorship training

Masters level study in relevant module(s)

MSc in Advanced Practice or RCN Credentialling

Job description

The Senior Practice Nurse is an experienced autonomous practitioner and non medical prescriber with strong expertise in General Practice and a thorough understanding of the Quality Outcomes Framework and wider quality targets. They deliver advanced clinical care for complex chronic conditions, particularly for housebound patients, while working effectively within multi professional and multiagency settings. Operating at an advanced level of practice, they provide leadership through staff training, supervision, and support, and contribute to clinical audits, research, and service improvement. The role also involves developing and updating local protocols, guidelines, and procedures to ensure high quality, evidence based care.

Main duties of the job

Undertake complex general practice nursing interventions across a wide range of clinical presentations, applying advanced practical skills and a critical understanding of the theories underpinning primary care.

Assess patients capacity for informed consent and support colleagues in developing this competency.

Apply highly developed specialist knowledge of longterm conditions, health behaviours, and evidence based interventions, including the use of technology to support patients at home.

Independently manage clinical care episodes from initial presentation through to completion, including referral, admission, discharge, or ongoing homebased care.

Use advanced therapeutic knowledge to prescribe and evaluate pharmacological and nonpharmacological treatments, assessing patient concordance and adjusting care plans accordingly.

Challenge practice, systems, and policies constructively and objectively to support continuous improvement.

Contribute to the development and review of local policies, pathways, and procedures.

Design, deliver, and evaluate training and education for individuals and groups, working collaboratively across disciplines to support interprofessional learning.

Demonstrate originality and innovation in service development, ensuring safe implementation of new guidelines, policies, and models of care.

About us

Brownlow is proud to be an exceptional employer, offering strong support for staff wellbeing through a dedicated wellbeing team and a wide range of benefits and incentives. These include protected study leave with a financial allowance and a comprehensive six-month mentorship and induction programme.

We are committed to equality, diversity, and inclusion, and aim for our workforce to reflect the diverse community we serve. We actively encourage applications from individuals who identify as having protected characteristics, particularly those with linguistic diversity, members of the LGBTQ+ community, people from Black, minority ethnic or minority faith backgrounds, and those who are disabled and/or neurodiverse. We recognise that structural and systemic barriers may discourage some groups from applying, and we welcome feedback on any such barriers so we can work to address them.

Extended access sessions will form part of your contracted hours. If you are successful at interview and are registered with any Brownlow practice, you will be required to change practices as a condition of employment.

Other job locations include:

• Ropewalks Surgery, 26 Argyle Street, L1 5DL
• Kensington Neighbourhood Centre,157 Edge Ln, Liverpool L7 2PF
• Marybone Health Centre,2 Vauxhall Rd, Liverpool L3 2BG

Job responsibilities

Able to undertake complex generalpractice nursing interventions for a wide range of general practice issues andteach and develop other staff to enhance their practice to manage futuresituations. This will entail being able to demonstrate not only practicalknowledge but also a critical understanding of the range of theories andprinciples that underpin the general practice nursing approach.

Assess capacityfor informed consent and support other staff to develop this skill.

Highlydeveloped specialist knowledge and understanding of LTCs, health behaviour andinterventions to improve health outcomes, including the use of technologies tosupport patients at home.

Ableto manage clinical care at the highest level independently, from beginning toend, for example from when an individual presents through to the end of theepisode, which may include admission, referral or discharge or care at home.

Advancedknowledge and skills in therapeutics to prescribe effective pharmacological andnon- pharmacological approaches for the management of LTCs and assess patientconcordance.

Is able torespectfully challenge practice, systems and policies in an objective andconstructive manner.

Participate inopportunities to influence local policies, pathways and procedures.

Is able todevelop, deliver and evaluate training and education packages, for individuals and groups, across a broad range of general practice nursing needs and incollaboration with other disciplines and agencies to facilitateinter-professional/agency learning.

Able to displayoriginality of thought and utilise this in innovative service development and delivery and safeimplementation of new policies and guidelines for practice.

Facilitationof Learning:

Demonstrate problem-solvingskills underpinned from perspectives, for example in research processes,service and quality improvement techniques, educational theory, or leadershipand management theory.

Participatein the planning and implementationof development programmes.

Focus on theimprovement of patient safety by developing systems to disseminate learningfrom incidents and follow up to ensure best practice is embedded in delivery ofcare.

Act as anexperienced work-based learning educator/assessor by providing advice andsupport to other practitioners and build capability and capacity to supportlearning in practice settings.

Participate inmonthly clinical education meetings.

Leadership & Management:

They may delegate work to othermembers of the multidisciplinary team and take accountability for the delegatedactivity.

Able to assimilate informationfrom a range of sources and ensure complex decisions reflect the analysis ofthese different perspectives even when limited information is available.

Is able to participate instrategy development, presenting a positive role model for general practicenursing, and ensuring this translates into practice development to improve thequality of care.

Able to apply the theoretical perspectives of change management tocreate an environment for successful change and practice development andutilise conflict management and resolution strategies where appropriate.Demonstrate and evaluative an outcomes-based approach to practice anddevelop strategies to share this with a wider audience.Is able to appreciate the broadest context of clinical governance andinitiate and support others, including service users, to be involved in a rangeof quality assurance and monitoring activities.

Ensure that quality and auditcycles are completed and results and learning are fed back into practice.

Develop processes for monitoring clinical effectiveness and efficiencyto enhance management of resources.

Where required undertake significant event auditing (or equivalent) andbe skilled in undertaking objective investigations and in writing objectivereports following the completion of the investigation and in presenting thisinformation orally if required.

Able to work effectively with a wide range of professionals andagencies and participate in multi- professional/agency strategies.

Evidence, Research &Development:

To lead at least one special area of expertise to be seen as a localexpert and role model able to articulate the most contemporary evidence,approaches to practice and management.

Identify and utilise skills and knowledge of staff to support orundertake research-related activity such as audit, evaluation and widerresearch for the benefit of the organisation.Monitor impact of evidence utilisation.

Safeguarding Children andAdults:

The organisation has a zero tolerance approach to the abuse ofchildren, young people and vulnerable adults. All employees are required topromote and safeguard the welfare of children and young people and comply withthe Local Safeguarding Children Board Procedures and the Children Act (1989,2004). In accordance with the CCG and Local Safeguarding Adult Boardpolicy all staff must ensure the health and wellbeing of vulnerable adults isappropriately safeguarded.

All staff are required to attend training appropriate to their role insafeguarding children and adults, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuseare noticed in a person.

The post holder may be requiredto undertake other related duties not specifically mentioned above. Any changes to this role specification willbe made in consultation with the post holder.

Brownlow Health operates a NoSmoking Policy and is an equal opportunities employer.

Person Specification

Qualifications

• Registered Part 1 NMC
• Independent / supplementary nursing prescribing V300
• Clinical supervision and mentorship training and experience
• Clinical Examination/Diagnostics
• Masters level study in relevant module(s)
• MSc in Advanced Practice or RCN Credentialling

Attributes and Behaviours

• A complete finisher.
• Resilience and drive
• Personal and professional integrity and confidence.
• Flexibility
• Resourceful
• Calm and resolute under pressure.
• Self-motivated and enthusiastic.
• High workload capacity and capable of sustained effort over a long period.
• Strong commitment to public services.
• Full driving license

Experience

• Extensive experience as a senior Practice Nurse in a GP Practice.
• Extensive relevant experience as a non- medical prescriber
• Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
• Knowledge of safeguarding adults policies and procedures and how to apply them
• Competent in physical assessment and clinical examination skills appropriate to the role.
• Experience of compiling protocols and clinical guidelines
• Leadership in quality initiates such as clinical benchmarking
• Management of patient with long term conditions
• Management of patients with complex needs

Skills

• Clinical leadership skills
• Change management skills and ability to support patients to change lifestyle
• High level communication skills
• Ability to communicate difficult information to patients and families
• Negotiation and conflict management skills
• Ability to undertake audit
• Research knowledge and understanding

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.