Job summary Work clinically to provide highly skilled evidence based lower limb nursing services to patients as an essential part of the health care provided by the local GP Practices within the Federation / PCN. We offer both bank and fixed term contracts. Main duties of the job To hold responsibility for the caseload and undertake holistic assessments of patients, including those with complex health needs, make a nursing diagnosis, and develop appropriate plans of care with clear timelines for evaluation. To be responsible for assessing, diagnosing, implementing, planning and reviewing care needs for lower limb management in partnership with patients, carers and multi-professional teams, in line with local policies and procedures, local commissioned service requirements and best practice guidance. Responsible for performing complex Doppler Assessments, interpreting Ankle Brachial Pressure Index (ABPI). Implementing optimum treatment according to findings. To manage and coordinate referrals for holistic Doppler Assessments and measurement of Ankle Brachial Pressure Index (ABPI). Ensure all referrals for lower limb assessment are prioritised accordingly. To work with the wider multidisciplinary team in a proactive way with the aim of preventing hospital admission and reduce GP contact. To demonstrate clinical expertise and competence within the specialty and work autonomously, managing own allocated clinics independently. About us We are Surrey Heath Community Providers Limited, which is a federation of 7 GP practices across 10 sites, covering a population of over 103,000 patients across Surrey Heath. We began in 2016 and now employ around 200 members of staff across our head office sites, and our primary care and unplanned care services. As a GP Federation, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners in the provision of community-based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of primary care and unplanned healthcare services in Surrey Heath, and believe in continuous commitment to quality service delivery and positive patient outcomes. Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when they may be feeling vulnerable. Our vision is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for. Date posted 11 October 2024 Pay scheme Other Salary Depending on experience £18.10 per hour to £21.80 per hour Contract Bank Working pattern Full-time, Part-time, Flexible working Reference number B0037-24-0147 Job locations Theta Building, Lyon Way Frimley Camberley Surrey GU16 7ER Job description Job responsibilities ROLE SUMMARY: Work clinically to provide highly skilled evidence based lower limb nursing services to patients as an essential part of the health care provided by the local GP Practices within the Federation / PCN. Provide assessment and nursing care, advice and information to patients and carers within the Lower Limb / Leg Ulcer clinics at the Surrey Heath Hub or alternative Practice setting. Work under the direction of the Clinical Services Manager, Clinical team Leader or Clinical Director, using skills and knowledge as a registered nurse. Provide educational advice and expertise to other healthcare professionals with the responsibility of prevention and management of complex and acute wounds across the Federation. KEY TASKS AND RESPONSIBILITIES: To hold responsibility for the caseload and undertake holistic assessments of patients, including those with complex health needs, make a nursing diagnosis, and develop appropriate plans of care with clear timelines for evaluation. To be responsible for assessing, diagnosing, implementing, planning and reviewing care needs for lower limb management in partnership with patients, carers and multi-professional teams, in line with local policies and procedures, local commissioned service requirements and best practice guidance. Responsible for performing complex Doppler Assessments, interpreting Ankle Brachial Pressure Index (ABPI). Implementing optimum treatment according to findings. To support and participate in staff training and development to ensure delivery of high quality evidence based nursing care and clinical competence. To manage and coordinate referrals for holistic Doppler Assessments and measurement of Ankle Brachial Pressure Index (ABPI). Ensure all referrals for lower limb assessment are prioritised accordingly. To ensure that local Key Performance indicators (KPIs) and National Wound Care Strategy Lower Limb Guidelines are met. To work with the wider multidisciplinary team in a proactive way with the aim of preventing hospital admission and reduce GP contact. To demonstrate clinical expertise and competence within the specialty and work autonomously, managing own allocated clinics independently. ADDITIONAL RESPONSIBILITIES: Develop effective relationships with the SHCPL Team and the practice teams. Work as part of the multi-disciplinary team (MDT). Communicate effectively with team members, patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. To participate in the development and implementation of relevant policies and procedures. Maintain professional registration, work within own scope of practice, and uphold and follow the standards within the NMC code of conduct at all times ensure safe and effective delivery of patient care. Practice, role model and promote safe and effective skills in all aspects of clinical practice Recognises own limitations in the provision of clinical care and referring to other professionals accordingly and is accountable for his/her own action. Be prepared to undertake direct patient care and clinical duties as required for the needs of the business. Assess effectiveness of care delivery, undertaking service reviews, benchmarking and providing formal evaluation. Proactively contribute to improving the quality of health care responding to local and national policies and initiatives as appropriate. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice, including: o Support students in their learning and development. o Participate in clinical supervision and other professional support activities, as provided by the PCN, practice or local system. We encourage you to undertake the relevant training to act as a supervisor for the local clinical supervision programme. Record personally generated information, maintain up to date, detailed records. o Personally generated information includes information and records relating to audit and clinical work undertaken by the post holder, reference notes relating to clinical/technical information, etc. o Maintaining up-to-date, detailed records of all work done in the practices for which the post holder is accountable (done by the post holder or others). Report and manage any untoward incidents, complaints and clinical emergencies to the appropriate professional within the appropriate times. Job description Job responsibilities ROLE SUMMARY: Work clinically to provide highly skilled evidence based lower limb nursing services to patients as an essential part of the health care provided by the local GP Practices within the Federation / PCN. Provide assessment and nursing care, advice and information to patients and carers within the Lower Limb / Leg Ulcer clinics at the Surrey Heath Hub or alternative Practice setting. Work under the direction of the Clinical Services Manager, Clinical team Leader or Clinical Director, using skills and knowledge as a registered nurse. Provide educational advice and expertise to other healthcare professionals with the responsibility of prevention and management of complex and acute wounds across the Federation. KEY TASKS AND RESPONSIBILITIES: To hold responsibility for the caseload and undertake holistic assessments of patients, including those with complex health needs, make a nursing diagnosis, and develop appropriate plans of care with clear timelines for evaluation. To be responsible for assessing, diagnosing, implementing, planning and reviewing care needs for lower limb management in partnership with patients, carers and multi-professional teams, in line with local policies and procedures, local commissioned service requirements and best practice guidance. Responsible for performing complex Doppler Assessments, interpreting Ankle Brachial Pressure Index (ABPI). Implementing optimum treatment according to findings. To support and participate in staff training and development to ensure delivery of high quality evidence based nursing care and clinical competence. To manage and coordinate referrals for holistic Doppler Assessments and measurement of Ankle Brachial Pressure Index (ABPI). Ensure all referrals for lower limb assessment are prioritised accordingly. To ensure that local Key Performance indicators (KPIs) and National Wound Care Strategy Lower Limb Guidelines are met. To work with the wider multidisciplinary team in a proactive way with the aim of preventing hospital admission and reduce GP contact. To demonstrate clinical expertise and competence within the specialty and work autonomously, managing own allocated clinics independently. ADDITIONAL RESPONSIBILITIES: Develop effective relationships with the SHCPL Team and the practice teams. Work as part of the multi-disciplinary team (MDT). Communicate effectively with team members, patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. To participate in the development and implementation of relevant policies and procedures. Maintain professional registration, work within own scope of practice, and uphold and follow the standards within the NMC code of conduct at all times ensure safe and effective delivery of patient care. Practice, role model and promote safe and effective skills in all aspects of clinical practice Recognises own limitations in the provision of clinical care and referring to other professionals accordingly and is accountable for his/her own action. Be prepared to undertake direct patient care and clinical duties as required for the needs of the business. Assess effectiveness of care delivery, undertaking service reviews, benchmarking and providing formal evaluation. Proactively contribute to improving the quality of health care responding to local and national policies and initiatives as appropriate. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice, including: o Support students in their learning and development. o Participate in clinical supervision and other professional support activities, as provided by the PCN, practice or local system. We encourage you to undertake the relevant training to act as a supervisor for the local clinical supervision programme. Record personally generated information, maintain up to date, detailed records. o Personally generated information includes information and records relating to audit and clinical work undertaken by the post holder, reference notes relating to clinical/technical information, etc. o Maintaining up-to-date, detailed records of all work done in the practices for which the post holder is accountable (done by the post holder or others). Report and manage any untoward incidents, complaints and clinical emergencies to the appropriate professional within the appropriate times. Person Specification Skills and Knowlege Essential Excellent communication and interpersonal skills Ability to advocate on patient, staff and safety or quality issues Ability to demonstrate leadership skills Demonstrates organisational skills: including the ability to make decisions and to prioritise Clear understanding of Primary Care Services Demonstrates understanding and insight into current issues and developments within the NHS Car driver with valid licence Reliable and flexible Ability to work well in stressful situations Innovative and adaptable Assertive Commitment to Continuing Professional Development Desirable Broad range of enhanced clinical skills Good working knowledge of clinical governance and be able to describe practical application thereof Qualifications Essential NMC registration - Adult / General Nurse Relevant nursing degree Post registration qualification in relevant area of practice Teaching and assessing qualification, NMC Assessor and Supervisor status. Desirable Community or Primary Care specialist qualification Management/Leadership Qualification/development programme Clinical supervision training and experience Experience Desirable Experience, underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting Involved in the implementation and management of change Evidence of innovative practice Participation in regular clinical supervision Person Specification Skills and Knowlege Essential Excellent communication and interpersonal skills Ability to advocate on patient, staff and safety or quality issues Ability to demonstrate leadership skills Demonstrates organisational skills: including the ability to make decisions and to prioritise Clear understanding of Primary Care Services Demonstrates understanding and insight into current issues and developments within the NHS Car driver with valid licence Reliable and flexible Ability to work well in stressful situations Innovative and adaptable Assertive Commitment to Continuing Professional Development Desirable Broad range of enhanced clinical skills Good working knowledge of clinical governance and be able to describe practical application thereof Qualifications Essential NMC registration - Adult / General Nurse Relevant nursing degree Post registration qualification in relevant area of practice Teaching and assessing qualification, NMC Assessor and Supervisor status. Desirable Community or Primary Care specialist qualification Management/Leadership Qualification/development programme Clinical supervision training and experience Experience Desirable Experience, underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting Involved in the implementation and management of change Evidence of innovative practice Participation in regular clinical supervision 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 Surrey Heath Community Providers Ltd Address Theta Building, Lyon Way Frimley Camberley Surrey GU16 7ER Employer's website https://www.surreyheathcommunityproviders.co.uk/ (Opens in a new tab)