Primary Duties & Areas of Responsibility
Clinical Role
Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence-based, cost-effective, individualized 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. Help the practice develop and deliver specialist primary nurse-led services, including chronic disease management (including for all areas of QOF).
Initiate the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma, and CHD, referring to other clinicians as appropriate. Manage programmes of care for patients with chronic diseases by planning, providing, and evaluating care under agreed guidelines and patient group directions. Maintain disease registers in liaison with administrative staff.
Undertake annual reviews of patients' understanding and ability to self-manage. Undertake regular medication reviews for 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.
Be competent in anaphylaxis and resuscitation techniques. Ensure safe storage, rotation, and disposal of vaccines and drugs and that adequate stock levels are maintained. Undertake procedures including: venepuncture, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing, cytology, and wound management. Provide support and chaperoning to the doctors for minor surgery and other procedures. Promote health and wellbeing, 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. Enable support and encourage individuals, families, and groups to address issues which affect their health and social wellbeing. Contribute to the practice achieving its contract obligations including quality, organisational, and access targets. Where the post holder is an independent prescriber: to ensure safe, effective, and appropriate medication as defined by current legislative framework.
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.
Promote a learning environment for patients, nurses, and other health professionals. Assist with the planning, 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, nurse team meetings, and gold standard framework 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 as appropriate.
Promote evidence-based practice through the use of the latest research-based guidelines. Monitor the effectiveness of 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. Participate in protocol development.
Help the practice develop in a cost-effective manner, monitoring and using resources appropriately e.g. stock control of dressings, vaccinations. Participate in clinical meetings, taking on responsibilities and reporting back as required. Participate in audits and inspections as required.
As part of the nursing team ensure all appropriate practice policies are fully implemented. Promote effective communication, relationships, and team working within the practice. Provide clinical educational advice to support the development of the team and range of services provided. Partake in clinical supervision for own development purposes.
Facilitate and promote the use of up-to-date technology to develop practice.
Working Conditions
Exposure to body fluids, blood, wounds, etc.
Terms & Conditions
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 or the confidential nature of the work of this post could lead to dismissal.
General: The post holder must comply at all times with the Practice health and Safety Policies and report any incidents to the Practice Manager.
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