Job summary Working in accordance with the NMC Code of Conduct, the post-holder will provide assessment, treatment, screening, health education services and advice to patients. The post-holder will work with reference to practice agreed protocols and guidelines, providing nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners. The post-holder will have the required level of training and competence and will work within patient group directions where these are available. Main duties of the job Management of chronic disease Identifying significant abnormalities Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals Therapeutic monitoring Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach Recognising abnormalities and identifying the impact of treatment and implementing or recommending changes. Wound Care and management Assessing routine wounds including trauma and assessing to support good wound management Patient health checks Identifying significant abnormalities and obtaining appropriate information Working with patients to develop a management plan where health problems or potential health problems are identified Risk assessment Recognising issues and gathering sufficient information to refer (e.g. domesticviolence; child protection; vulnerable adults; senior patients) Health screening Recognising issues and gathering sufficient information to refer Undertaking monitoring tasks and providing advice Providing in-depth monitoring and advice as appropriate and working with the patient in deciding on management plans. Travel health Administering injections and providing guidance in accordance with guidelines and identify problems. Immunisation (adult and child) Administering appropriate immunisation autonomously About us Bridge Street Surgery provides patient services to patients living in Downham Market, Stowbridge, Hilgay, Ten Mile Bank, Southery and other outlying areas. The Surgery's ethos is described as happy, friendly, complementary and very supportive with a strong sense of community. Date posted 29 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time, Flexible working Reference number A2128-25-0000 Job locations 30 Bridge Street Downham Market Norfolk PE38 9DP Job description Job responsibilities Management of chronic disease Identifying significant abnormalities Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals Experience of diabetes and respiratory disease desirable Therapeutic monitoring Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach Recognising abnormalities Identifying the impact of treatment and implementing or recommending changes as appropriate. Wound Care and management Assessing routine wounds including trauma Assessing to support good wound management in complex situations Patient health checks Identifying significant abnormalities Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues Working with patients to develop a management plan where health problems or potential health problems are identified Risk assessment Recognising issues and gathering sufficient information to refer (e.g. drugs; domesticviolence; child protection; vulnerable adults; senior patients; social problems) Health screening Recognising issues and gathering sufficient information to refer (e.g. womens and mens health, sexual health, older people) Undertaking monitoring tasks (e.g. smears) and providing advice as appropriate Providing in-depth monitoring and advice as appropriate to the level of the post-holders specialty and working with the patient in deciding on management plans. Travel health Administering injections and providing guidance in accordance with guidelines Identifying problems Provision of specialist and evidence-based support to the team. Immunisation (adult and child) Administering appropriate immunisation autonomously Working with patients with more complex immunisation issues. First contact Working independently or alongside the general practitioner and making decisions/ recommendations as appropriate. Minor operations Assisting the general practitioner in undertaking some simple procedures Job description Job responsibilities Management of chronic disease Identifying significant abnormalities Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals Experience of diabetes and respiratory disease desirable Therapeutic monitoring Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach Recognising abnormalities Identifying the impact of treatment and implementing or recommending changes as appropriate. Wound Care and management Assessing routine wounds including trauma Assessing to support good wound management in complex situations Patient health checks Identifying significant abnormalities Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues Working with patients to develop a management plan where health problems or potential health problems are identified Risk assessment Recognising issues and gathering sufficient information to refer (e.g. drugs; domesticviolence; child protection; vulnerable adults; senior patients; social problems) Health screening Recognising issues and gathering sufficient information to refer (e.g. womens and mens health, sexual health, older people) Undertaking monitoring tasks (e.g. smears) and providing advice as appropriate Providing in-depth monitoring and advice as appropriate to the level of the post-holders specialty and working with the patient in deciding on management plans. Travel health Administering injections and providing guidance in accordance with guidelines Identifying problems Provision of specialist and evidence-based support to the team. Immunisation (adult and child) Administering appropriate immunisation autonomously Working with patients with more complex immunisation issues. First contact Working independently or alongside the general practitioner and making decisions/ recommendations as appropriate. Minor operations Assisting the general practitioner in undertaking some simple procedures Person Specification Qualifications Essential Registered Nurse (Nursing and Midwifery Council) Experience of working autonomously Experience of infection prevention and control measures Clinical knowledge in the following: Wound care/removal of sutures and staples ECGs Venepuncture New patient medicals Seasonal vaccinations Requesting pathology tests and processing the results, advising patients accordingly Chronic disease management awareness for: Diabetes Asthma/COPD Understanding the importance of evidence-based practice Understand the requirement for PGDs and associated policy Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Chaperone procedure Knowledge of health promotion strategies Desirable Mentor or teaching qualification Post graduate diploma or degree (Chronic Disease Management) Family planning qualification Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of managing elderly and housebound patients Experience of quality initiatives, i.e., benchmarking Broad knowledge of clinical governance Knowledge of public health issues in the local area Awareness of issues within the wider health arena Experience with audit and able to lead audit programmes Experience with clinical risk management Person Specification Qualifications Essential Registered Nurse (Nursing and Midwifery Council) Experience of working autonomously Experience of infection prevention and control measures Clinical knowledge in the following: Wound care/removal of sutures and staples ECGs Venepuncture New patient medicals Seasonal vaccinations Requesting pathology tests and processing the results, advising patients accordingly Chronic disease management awareness for: Diabetes Asthma/COPD Understanding the importance of evidence-based practice Understand the requirement for PGDs and associated policy Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Chaperone procedure Knowledge of health promotion strategies Desirable Mentor or teaching qualification Post graduate diploma or degree (Chronic Disease Management) Family planning qualification Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of managing elderly and housebound patients Experience of quality initiatives, i.e., benchmarking Broad knowledge of clinical governance Knowledge of public health issues in the local area Awareness of issues within the wider health arena Experience with audit and able to lead audit programmes Experience with clinical risk management 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Bridge Street Surgery Address 30 Bridge Street Downham Market Norfolk PE38 9DP Employer's website https://www.mysurgerywebsite.co.uk/index.aspx?pD82015 (Opens in a new tab)