The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. As the deputy team lead for the practice nursing team, the post holder is accountable for nursing service delivery across Monument Surgeries, South Hylton, and New Silksworth Surgery. They will lead and manage all the nursing resources, working closely with the Lead ANP, the Head of GP Clinical Services and Head of GP Support Services to deliver the practice priorities. Clinically, the focus of the role is the delivery of evidence-based practice for patients with acute and chronic conditions and management and preventative nursing interventions to all patients. You will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery and procedures and providing leadership and direction for the nursing team. Hours of work will be apportioned between the managerial and clinical aspects of the role subject to business need.
About us
Sunderland GP Alliance is a not-for-profit collaboration of GP practices in Sunderland.
All GP Practices in Sunderland are members of the organisation, covering approximately 285,000 patients.
The Alliance also runs three practices in Washington (Monument Surgeries), South Hylton and New Silksworth.
Job Responsibilities
Clinical Responsibilities
1. Making professionally autonomous decisions in relation to presenting problems, and provide safe, evidence based, cost effective, and individualised patient care.
2. Where necessary, evaluate patient test results in conjunction with the patients and their GP and ensure the appropriate course of treatment is initiated.
3. Make appropriate referrals to other members of the primary, community and secondary care teams.
4. Help the practice develop and deliver specialist primary nurse led services including chronic disease management.
5. Initiate the role of diagnosis for patients suspected to have a chronic disease such as diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate.
6. 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.
7. 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.
8. Be able to undertake procedures including: venepuncture, BP management, urinalysis, peak flow, spirometry/FeNO testing, pregnancy testing, cytology.
9. Provide support and chaperoning to the doctors for minor surgery and other procedures.
10. Promote health and wellbeing, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc.
11. Initiate and carry out programmes of health screening as agreed with the practice clinical team.
12. Enable, support and encourage individuals, families and groups to address issues which affect their health and social wellbeing.
13. Contribute to the practice achieving its GMS contract obligations.
14. Records clear and contemporaneous consultation notes to agreed standards. Ensures appropriate use of read codes.
15. Ensure all data protection requirements are met when gathering, recording and storing patient data.
16. Complies with all relevant clinical governance, policies and protocols.
17. Completes clinically related administrative and non-clinical duties needed for the delivery of the service.
18. Demonstrates commitment to lifelong learning, and audit to ensure evidence based best practice.
19. Provides active input to the wider primary healthcare team in the process of health needs research/base line data collection/clinical audit.
20. Networks with other agencies (both statutory and voluntary) and develops appropriate links to further the work of the practice and Sunderland GP Alliance.
21. Participates in the collection and collation of statistics towards the preparation of practice reports, performance monitoring and audits.
22. Attends in-house meetings, significant event audit meetings and other meetings as deemed necessary.
Leadership
1. Ensure services adhere to performance targets, taking remedial action where appropriate, including QOF, public health targets (such as smoking cessation and vaccinations), and contractual commitments to the commissioners.
2. Ensure that internal and external quality standards are met and maintained, including standards laid down by the Care Quality Commission and commissioners.
3. Ensure that all registered nurses know and understand the procedures for documenting health records.
4. Support the Lead ANP in the development of clinical protocols that safeguard the wellbeing of patients and address public health, prescribing and other related NHS requirements.
5. Promptly review significant events or complaints related to the nursing team, and recognise, promote and implement learning outcomes.
6. Promote and support partnership working internally and externally to benefit patients, carers, staff, volunteers and the wider community.
7. Hold regular nursing staff meetings to promote communication and information sharing.
8. To act as a positive role model which promotes team working, respect, innovation and excellence.
9. To ensure there is appropriate leadership in place for Infection Control.
Human Resources
1. Promoting a work environment conducive to harmonious work relationships and high staff morale.
2. Be responsible for the appointment, management, support, appraisal, development and discipline of nursing staff.
3. Ensure that staffing levels and skill mix are appropriate, operating appropriate induction processes for new starters, including locums.
4. Operate systems for staff support, appraisal, development and clinical supervision in accordance with regulatory guidelines and the Alliance's policies and procedures.
5. Undertake any training and development required for the effective performance of the role.
6. Support other staff by working with them to identify their training and development needs and supporting with practical experience and mentorship where appropriate.
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Alliance staff and other healthcare workers. They may also have access to information relating to the Alliance as a business organization. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Alliance may only be divulged to authorised persons in accordance with the Alliance's policies and procedures relating to confidentiality, and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Alliance's Health & Safety Policy to include:
1. Identifying the risk involved in work activities and undertaking such activities in a way that manages those risks.
2. Using appropriate infection control procedures particularly those relating to needle stick injuries, maintaining work areas in a tidy and safe way and free from hazards.
3. Ensuring that all accidents or dangerous accidents are reported and investigated, and follow up action taken where necessary.
Equality and Diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues to include:
1. Acting in a way that recognizes the importance of people's rights, interpreting them in a way that is consistent with current legislation.
2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
3. Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings, priorities and rights.
Quality
The post-holder will strive to maintain quality within the practice, and will:
1. Alert other team members to issues of quality and risk.
2. Assess own performance and take accountability for own actions, either directly or under supervision.
3. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team's performance.
4. Work effectively with individuals in other agencies to meet patients' needs.
5. Effectively manage own time, workload and resources.
Communication
The post-holder should recognise the importance of effective communication within the team and will:
1. Communicate effectively with other team members.
2. Communicate effectively with patients and carers.
3. Recognise people's needs for alternative methods of communication and respond accordingly.
Person Specification
Motivation and Skills
* Excellent interpersonal, influencing and negotiating skills
* Excellent written and verbal communication skills
* Demonstrates the ability to communicate complex and sensitive information in an understandable form to a variety of audiences.
* Able to balance the management and clinical aspects of the role
* Work effectively independently and as a team member
* Counselling and feedback skills
* Ability to maintain trust and confidence of patients
* Willingness to share knowledge and collaborate across entire primary health team
* Ability to develop and maintain effective working relationships with multi-disciplinary teams
* Ability to work flexibly
* Ability to recognize own limitations and act upon them appropriately
* Willingness to learn new skills and to problem solve on a daily basis
* An understanding, acceptance and adherence to the need for strict confidentiality
* Gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations or agreed course of action where there may be significant barriers
* Ability to challenge traditional models of working and to suggest improvements for change in a positive and inclusive manner
Other
* Ability to travel between various locations
* Understands the principles of equality and diversity
* Commitment to primary prevention and health improvement
* Commitment to addressing health inequalities and patient empowerment
Experience
* Substantial post-registration nursing experience, with significant recent experience in Practice Nursing in primary care
* Up to date skills and experience in the full range of practice nursing services, including the nurse led management of patients with chronic disease
* Experience of implementing protocols, guidelines and/or service improvements
* Experience of using infection control procedures
* An ability to prioritise work and work under pressure
* Experience of strategic planning
* Working knowledge of key regional and national strategic healthcare developments, particularly as they relate to general practice nursing
* Experience of leading multi-disciplinary teams, ideally in a practice based scenario, including the appointment, management, support, appraisal, development and discipline of staff
* Experience of operating clinical and information governance requirements compliant with statute, CQC regulations and other guidance
* Experience of delivering to performance targets and evolving systems and processes in a continuous improvement culture
* Experience of managing change
Qualifications
* Relevant nursing/health degree or equivalent
* Enhanced DBS check
* UK driving licence
* Current CPR certificate
* UK work permit (if required)
* Additional relevant qualifications in, for example, family planning, mentorship, asthma, diabetes, CHD or cytology
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.
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