Primary Duties & Areas of Responsibility Clinical Role Assess, plan, develop, implement and evaluate treatment programmes for patients that promote health and well-being. Help the practice develop and deliver specialist primary nurse led services, including chronic disease management (including for all areas of QOF). Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self-manage. Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care. Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated. Make appropriate referrals to other members of the primary, community and secondary care teams. Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team. Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations. Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained Undertake procedures including, I.M and subcutaneous injections, venepuncture, BP management, urinalysis, peak flow, pregnancy testing, stitch/clip removal, acute and chronic wound management and cytology. Provide support and chaperoning to clinicians as required. Promote health and well-being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc... Initiate and carry out programmes of health screening as agreed with the practice clinical team. Enables, supports and encourage individuals, families and groups to address issues which affect their health and social well-being. Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets. Participate in clinical supervision with an identified senior nurse. Maintain accurate records according to NMC rules. Ensure all data protection requirements are met when gathering, recording and storing patient data. Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system. Undertake any additional training requirements deemed necessary for the success of the role. Teaching & Mentoring Role Promote a learning environment for patients, nurses and other health professionals. Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants. Professional Role Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, PLT meetings and nurse team meetings. Maintain a personal progress and training plan to keep up to date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses and appropriate. Promote evidence-based practice through use of the latest research-based guidelines. Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review. Maintain professional registration. Work within the latest NMC Code of Professional Conduct. Record accurate consultation data in patients records in accordance with NMC guidance and other standards. Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation. Work collaboratively with colleagues both internally and externally. Demonstrate leadership. Pro-actively promote the role of specialist nursing expertise within the practice and with the public. Managerial Support Role Participate in protocol development. Identify opportunities to delegate tasks to junior members of the nursing team. Help the practice develop in a cost-effective manner, monitoring and using resources appropriately e.g. stock control of dressings, vaccinations. Participate in practice meetings as required. Participate in audits and inspections as required. As part of the nursing team ensure all appropriate practice policies are fully implemented. Promotes effective communication, relationships and team working within the practice. Provides clinical educational advice to support development of the team and range of services provided. Partakes in clinical supervision for own development purposes. Facilitates and promotes the use of up-to-date technology to develop practice. Working Conditions Exposure to body fluids, blood, wounds etc... Occasional exposure to aggressive behaviours. Requirement to travel between sites and run clinics in branch surgeries along with occasional home visits (mileage reimbursed from base). Terms & Conditions Superannuation: This post is superannuable Health Assessment: This post is subject to a satisfactory pre-employment health assessment. Criminal Records: The successful applicant will be required to complete a Criminal Records bureau (Disclosure) form. Because of the nature of the work, this post is exempt from the provisions of the Rehabilitation of offenders Act 1974. Applicants are not entitled to withhold information about convictions which for other purposes are spent and failure to do so could result in disciplinary action or dismissal. NMC: The post is subject to the successful candidate holding a current, full NMC registration. Data Protection: All members of staff are bound by the requirements of the Data Protection Act 198 and any breaches of the Act of the confidential nature of the work of this post could lead to dismissal. General: The post holder must always comply with the Practice health and Safety Policies and report any incidents to the Practice Manager