The post holder is responsible for the delivery of general practice nursing to the whole practice population. The focus of the role is both the delivery of evidence-based practice for patients presenting with a long-term condition, and the provision of nursing and preventative health care to the practice population. As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making in the management of patients. They will work collaboratively within the general practice team to meet the needs of patients and support the delivery of policy and procedures. Essential key duties. 1. Assist in the organisation and co-ordination of the provision of all nursing services for the practice and developing nursing services to provide evidence based optimum practice. 2. Work together with the Duty Team to manage and provide care for patients with acute/urgent on the day needs. 3. Proactively identify, diagnose and formulate treatment plans for patients at risk of developing a long-term condition. 4. Work with other health care professionals to monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs. 5. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols. Work with patients in order to support adherence to prescribed treatments 6. Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care 7. Implement and participate in vaccination and immunisation programmes for both adults and children. Advise, support and administer vaccinations where appropriate for patients travelling abroad. 8. Support and manage health needs of women presenting for family planning and cervical cytology consultations and other womens health issues. 9. Undertake telephone triage to assess patients and plan any treatment required, bringing patients in or referring to Doctor where appropriate. 10. Provide a mentoring role to colleagues when required. 11. Meet the needs of patients presenting for opportunistic wound care 12. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care 13. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures 14. Participate in the maintenance of quality governance systems and processes across the practice. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, presenting the results and implementing improvements where required 15. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Participate in the education/training of others including General Practice Registrars, medical and nursing students and Health Care Assistants. 16. Provide enthusiastic day-to-day support and mentoring for Health Care Assistants. 17. Participate in or lead Practice Meetings, Primary Health Care Clinical Team meetings and audit meetings 18. Apply infection-control measures within the practice according to local and national guidelines 19. Provide cover for colleagues as and when necessary. 20. Triage and treat patients, making any necessary referrals to other members of the primary health care team. 21. To independently prescribe to patients whilst following agreed protocols. 22. When required work with the local community to provide health promotion information. Key requirements 1. To maintain continuous registration with the NMC. 2. To take part in the revalidation process when relevant. 3. To comply with the code of professional conduct as laid down by the NMC. 4. To maintain a full driving licence. 5. To keep up to date with current trends and procedures. 6. To attend in-service training and maintain a portfolio of professional development. 7. To maintain the highest possible standard of nursing care in line with agreed quality standards. 8. To maintain a professional image and observe confidentiality at all times. 9. To report any accidents, or untoward incidents involving staff, patients or self and provide written reports as required. 10. To participate in annual performance review. 11. This job description is not exhaustive and will be reviewed periodically in consultation with the postholder.