Assist GP's to help deliver effective implementation of management of pts with chronic diseases as detailed by the Quality and Outcomes framework. Support the implementation of evidence-based guidelines in conjunction with the practice nursing team. Encourage the development of integrated services within Primary Care to include integrated practice based teams and multidisciplinary working. Promote your own continuing professional development. Recognise the opportunities for working in partnership with the Primary Health care team. Participate in an annual appraisal. CLINICAL Support the practice in achieving quality indicators and targets of the GMS contract and any relevant National Service Frameworks. Experience in Chronic Disease Management or willingness to undertake training. Undertake opportunistic screening when clinically required. Perform venepuncture and electrocardiography Undertake wound care/ management/dressing techniques. Leg ulcer management, dopplers and compression bandaging. Carry out ear examination and syringing, following appropriate training and assessment. Perform cervical screening and promote breast awareness. Administer adult and paediatric injections under an individualised prescription or Patient Group Direction, ensuring safe storage, rotation and disposal of vaccines and drugs. Provide advice on lifestyle issues, assist and support patients in changing their unhealthy behaviours and refer appropriately. Provide an adult and childhood immunisation service working to Patient Group Directions - following appropriate training if required. Deliver travel health care, including vaccinations and advice for patients - following appropriate training if required. Recognise the signs of child abuse, family violence, vulnerable adults, substance abuse, addictive behaviours, suicidal tendencies and be aware of local, referral procedures. Apply infection control measures when collecting and handling of laboratory specimens, disposing of waste materials, dealing with blood and body fluids spillages and report and treat sharps injuries. Undertake first aid and management of emergencies, eg burns, haemorrhage, hypo/hyperglycaemic emergencies/asthma attacks. Undertake annual training and demonstrates competency in anaphylaxis and resuscitation techniques Research, Audit and Quality Contribute to the provision of equitable, high quality services for patients in the locality. Help support the integration across primary, secondary and tertiary care services. Maintain an interest in national research initiatives and disseminate appropriate information to health professionals if asked to do so. Ensure all care is evidence based using up to date validated literature. Contribute to research and development programmes where required to improve clinical practice. EDUCATION AND TRAINING Following identified training needs, participate in training and facilitation of other practice nurses & health care assistants. Provide mentorship and guidance for health care assistants Participate in partnership programmes of awareness raising, detection and prevention of chronic diseases. Maintain a level of expertise in specific chronic disease management (when appropriate) and other pertinent areas of health care, and seek to develop new and improved skills. Advise members of the public on the concepts of health promotion, education, prevention and protection Seek out new knowledge of nursing and health by reading, enquiring and partaking in continuous education programme. Take responsibility for personal development and education including in service training. Direct, supervise and help mentor nurses and health care assistants in the clinical setting. Actively participate in multidisciplinary education and training. Monitor and maintain consistency of professional standards and take appropriate action if standards are not met. Maintain professional development by attending relevant courses and study days to keep abreast of current knowledge and developments. Abide by the legal requirements and statutory rules relating to practice and record and maintain periodic professional registration with RCN & NMC Participate in an annual appraisal. Completing all mandatory training modules as specified by the Organisation QUALITY Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources. COMMUNICATION Maintain communication and liaise with other disciplines across primary, secondary and tertiary care services as and when necessary Contribute to and work effectively within the primary care team Assist in clinical audit and the setting and monitoring of standards of care. Maintain accurate patient records Advise and support other members of the team aiming towards common objectives. COMPETENCE You are responsible for limiting your actions to those, which you feel competent to undertake. If you have any doubts about your competence during the course of your duties you should immediately speak to the Lead Clinician in the first instance. REGISTERED HEALTH PROFESSIONAL Maintain registration with NMC/ Medical Indemnity provided by the Organisation. SUPERVISION Where the appropriate professional organisation details a requirement in relation to supervision, it is the responsibility of the post holder to ensure compliance with this requirement. If you are in any doubt about the existence of such a requirement, in the first instance advice should be sought from the Lead Clinician. RISK MANAGEMENT It is a standard element of the role and responsibility of all staff that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. RECORDS MANAGEMENT As an employee of the Organisation, you are legally responsible for all records that you gather, create or use as part of your work within the Organisation (including patient health, financial, personal and administrative), whether paper based or on computer. All such records are considered public records, and you have a legal duty of confidence to service users (even after an employee has left the Organisation). You should consult the Practice Manager if you have any doubt as to the correct management of records with which you work. HEALTH AND SAFETY REQUIREMENTS All employees have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the practice to meet its own legal duties and to report any hazardous situations or defective equipment. CONFIDENTIALITY All employees of the Organisation are required to maintain the confidentiality of members of the public and members of staff in accordance with the Practice policies. FLEXIBILITY STATEMENT The content of this Job Description represents an outline of the post only and is therefore not a precise catalogue of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation.