Job summary Do you have practice nursing/treatment room skills and want to put them to good use? Are you interesting in joining a friendly and supportive team? Due to retirement, we have an exciting opportunity for a Practice Nurse to join our multi-disciplinary team working across the week between the hours of 0830 and 1830, and ideally one Saturday morning in 3 as part of a rota (we are open one Saturday a month). A qualification in diabetes is desirable. We offer excellent working conditions, a competitive salary, membership of the NHS Pension Scheme, clinical support, and further training and professional development opportunities Main duties of the job The post holder will focus on supporting patients to be healthy, monitoring long-term conditions, health prevention and screening activities in line with the objectives of Bramblehaies Surgery. They will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and be a valued member of the nursing team. The post holder would be able to run a full Practice Nurse Clinic. This would include but not limited to providing general nurse treatment room cover and latterly Chronic Disease Management. The post holder will demonstrate safe, clinical decision making, assessment and expert care. As a Practice Nurse, the applicant will be required to maintain accurate patient records, ensure accurate completion of all necessary documentation associated with patient health care, and contribute to the preparation of any practice development plans. The successful applicant will always promote a professional approach by attire and attitude to patients and staff, both in and out of the practice. They will also be required to maintain their own continuous professional development and ensure their PDP is kept up-to-date, and in-line with the requirements of the practice. About us Bramblehaies Surgery, in Cullompton, is a semi-rural training practice in the heart of Devon serving a population of 7594 patients, providing high standards of care (CQC rating of Good) from a partner owned modern, purpose-built building. Our team currently consists of four GP partners, a salaried GP, Practice Manager, Patient Services Manager, Data Quality & Systems Administrator, Clinical Pharmacist and Pharmacy Technician, Nurse Practitioner, a team of three Practice Nurses headed up by a Lead Nurse, three HCAs, a General Practice Assistant, a committed admin/reception team and our much-needed housekeeping team. Our patient list is growing so no doubt our staff team will continue to grow to meet the needs of the population we provide medical care to. Date posted 04 November 2024 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Part-time Reference number A1872-11-2024 Job locations College Road Cullompton Devon EX15 1TZ Job description Job responsibilities The following are the core responsibilities of the Practice Nurse. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: a. To develop, implement and embed health promotion and well-being programmes b. To implement and evaluate individual treatment plans for chronic disease patients c. To identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to patients health d. To provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF e. To provide wound care (Doppler etc.) to patients f. To provide travel medicine advisory services g. To request pathology services as necessary h. To process pathology results as required i. To provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required j. To maintain accurate clinical records in conjunction with extant legislation k. To ensure read codes are used effectively l. To maintain chronic disease registers m. To develop, implement and embed well woman clinics n. To develop, implement and embed well man clinics o. To chaperone patients where necessary p. To assist GPs with minor surgery, joint injections and coils when required q. To prioritise health issues and intervene appropriately r. To support the team in dealing with clinical emergencies s. To recognise, assess and refer patients presenting with mental health needs t. To implement vaccination programmes for adults and children u. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice) v. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.) w. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual) x. To support the clinical team with all safeguarding matters in accordance with local and national policies y. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately z. To deliver opportunistic health promotion where appropriate Clinical skills will include some or all of the following (this list not exhaustive): Wound care, dressings, and general treatment room skills Urinalysis Contraceptive advice, family planning, sexual health Cytology Warfarin (INR) monitoring Maintaining registers Ear syringing ECG BT, BP, height/weight Diet and lifestyle advice Immunisations (childhood, flu, pneumonia, pertussis, shingles, etc) Injections (B12, Triptorelin, Zoladex and Depo etc) Travel vaccinations (only NHS) Stock checking and ordering of vaccines Chronic Disease Management skills will include some or all of the following (this list is not exhaustive): Hypertension Mental health Diabetes Asthma/COPD CHD Job description Job responsibilities The following are the core responsibilities of the Practice Nurse. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: a. To develop, implement and embed health promotion and well-being programmes b. To implement and evaluate individual treatment plans for chronic disease patients c. To identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to patients health d. To provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF e. To provide wound care (Doppler etc.) to patients f. To provide travel medicine advisory services g. To request pathology services as necessary h. To process pathology results as required i. To provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required j. To maintain accurate clinical records in conjunction with extant legislation k. To ensure read codes are used effectively l. To maintain chronic disease registers m. To develop, implement and embed well woman clinics n. To develop, implement and embed well man clinics o. To chaperone patients where necessary p. To assist GPs with minor surgery, joint injections and coils when required q. To prioritise health issues and intervene appropriately r. To support the team in dealing with clinical emergencies s. To recognise, assess and refer patients presenting with mental health needs t. To implement vaccination programmes for adults and children u. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice) v. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.) w. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual) x. To support the clinical team with all safeguarding matters in accordance with local and national policies y. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately z. To deliver opportunistic health promotion where appropriate Clinical skills will include some or all of the following (this list not exhaustive): Wound care, dressings, and general treatment room skills Urinalysis Contraceptive advice, family planning, sexual health Cytology Warfarin (INR) monitoring Maintaining registers Ear syringing ECG BT, BP, height/weight Diet and lifestyle advice Immunisations (childhood, flu, pneumonia, pertussis, shingles, etc) Injections (B12, Triptorelin, Zoladex and Depo etc) Travel vaccinations (only NHS) Stock checking and ordering of vaccines Chronic Disease Management skills will include some or all of the following (this list is not exhaustive): Hypertension Mental health Diabetes Asthma/COPD CHD Person Specification Experience Essential Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of working autonomously Desirable Experience of chronic disease management Experience of infection prevention and control measures Qualifications Essential Registered Nurse NMC registered Desirable Post graduate diploma or degree in Primary Care Chronic Disease Management Clinical knowledge and skills Essential Wound care/removal of sutures and staples Venepuncture New patient medicals Travel medicine ECGs Immunisations (routine, childhood and travel) Women's health (cervical cytology, contraception, etc) Understanding the importance of evidence-based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understand when to refer to GPs Knowledge of health promotion strategies Understand the requirement for PGDs, PSDs and associated policy Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner SystmOne user skills Ability to work as a team and autonomously Good interpersonal skills Desirable Travel medicine Diabetes management skills and experience Awareness of public health issues in the local area and wider area. Other requirements Essential Right to work in the UK DBS enhanced check Occupational health clearance NMC registration Person Specification Experience Essential Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of working autonomously Desirable Experience of chronic disease management Experience of infection prevention and control measures Qualifications Essential Registered Nurse NMC registered Desirable Post graduate diploma or degree in Primary Care Chronic Disease Management Clinical knowledge and skills Essential Wound care/removal of sutures and staples Venepuncture New patient medicals Travel medicine ECGs Immunisations (routine, childhood and travel) Women's health (cervical cytology, contraception, etc) Understanding the importance of evidence-based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understand when to refer to GPs Knowledge of health promotion strategies Understand the requirement for PGDs, PSDs and associated policy Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner SystmOne user skills Ability to work as a team and autonomously Good interpersonal skills Desirable Travel medicine Diabetes management skills and experience Awareness of public health issues in the local area and wider area. Other requirements Essential Right to work in the UK DBS enhanced check Occupational health clearance NMC registration 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 Bramblehaies Surgery Address College Road Cullompton Devon EX15 1TZ Employer's website https://www.bramblehaiessurgery.co.uk/ (Opens in a new tab)