Primary Care Practice Nurse

Job Summary
West4GPs is a well-established GP practice for over 110 years with approx. 8000 patients. We are located in a newly purpose built Health centre based in Chiswick West London.

We are a high QOF achiever and encourage continued professional development.

We are looking to recruit a Part time Practice Nurse working up to ​3 days per week, who has experience in areas such as childhood and travel immunisations, cytology, INR management, chronic disease management including, diabetes, asthma COPD & CRM etc.

The candidate should be able to work well in a team and demonstrate the ability to direct the work of the nursing team and be proactive in the development of the practice. They would also be expected to take clinical leadership in areas as required.

Main Duties of the Job
To provide nursing services to the whole practice population, including treatment, screening and advice within the professional competence of the post holder. This will cover chronic disease management and preventative care within the nurse remit.

The post holder should demonstrate critical thinking and skills in decision making in the management of patients. The expectation is that you will work collaboratively within the practice team to ensure that the needs of the patients are met and that delivery of policy and procedure are adhered to.

The post holder will be expected to work in accordance with the Professional Code of Conduct of the NMC. As an autonomous practitioner, you will be responsible for the care delivered.

About Us
West4GPs is a friendly practice with a current list size of approximately 8,000 patients. As a practice we have been in situ for over 110 years.

We work with an amazing team of staff, both clinical and administrative. The atmosphere of the practice is supportive, caring and hardworking.

Currently we have 3 GP Partners, 4 Salaried GPs, a Nurse prescriber, Practice Nurse, 3 extremely competent Healthcare Assistants and a dedicated Nurse administrator working alongside 5 reception and 6 office staff.

The practice is part of Chiswick Primary Care Network and we have the benefit of a fabulous ARRS team consisting of Pharmacists, Physios, Paramedics, Social Prescribers and GP support administrators. We are an active member of the PCN.

Staff Development
We aim to maintain a supportive, fulfilling and rewarding environment for all our staff. We encourage personal development and value staff feedback and contributions.

Job Responsibilities
Job Title: Practice Nurse Part Time 3 days
Qualifications: RGN with experience in practice nursing. Diplomas in Asthma, COPD and Diabetes care desirable
Salary: Dependent on qualifications and experience
Based at: West4GPs, Chiswick Health Centre Fishers Lane, Chiswick, W4 1RX
Accountable to: GP Partners
Responsible to: GP Partners (clinically) Practice Manager (managerial)

Summary of Duties
To provide nursing services to the whole practice population, including treatment, screening and advice within the professional competence of the post holder. This will cover chronic disease management and preventative care within the nurse remit.

The post holder should demonstrate critical thinking and skills in decision making in the management of patients. The expectation is that you will work collaboratively within the practice team to ensure that the needs of the patients are met and that delivery of policy and procedure are adhered to.

The post holder will be expected to work in accordance with the Professional Code of Conduct of the NMC. As an autonomous practitioner, you will be responsible for the care delivered.

Key Responsibilities:

• Accountability for own clinical work.
• To provide nursing treatments to patients in participation with General Practitioners or independently, to agreed guidelines and protocols.
• Providing nursing care and clinical services for a full range of procedures, such as wound care, vaccinations, immunisations, child immunisation clinics, INR clinic, blood pressures, phlebotomy, Asthma and COPD reviews and smears alongside new enhanced service requirements such as CRM.
• Managing caseloads
• Developing and auditing standards of nursing care
• Providing family planning advice
• Assist doctors in examinations e.g. coil fittings/ removals
• To be aware of, and act in accordance with, NMC standards and national policies, procedures and legislation.
• To maintain the standards of professional behaviour of the Practice and other professional bodies

Preventative Health and Chronic Disease Management:

• Managing and evaluating screening and immunisation programmes
• Providing health screening, planned and ad hoc, to patients of all ages, and advising and taking action on the findings
• In conjunction with nursing colleagues, managing the nursing care of all those patients with chronic disease and maintaining an appointment and recall system
• To take an active role in nurse run clinics, e.g. asthma, diabetes, C.O.P.D, hypertension, and flu etc.
• Assisting with the implementation, review and maintenance of infection control measures in the practice
• Giving travel advice and vaccinations

Development, Teaching and Education

• Participating in the continuing identification and assessment of the care needs of the practice population
• In conjunction with the Personnel Manager, forming own personal development plan
• Initiating/ contributing to the development and review of practice nurse protocols
• To maintain professional development by attending courses and study days, as agreed with the general practitioners.
• Maintaining accurate patient records both electronically and paper version
• Maintaining equipment and supplies and ensuring correct storage of medical and surgical equipment, including vaccines
• Summarising of patient records onto the clinical computer system
• To participate in education and training of students of all disciplines, within the practice
• Providing regular feedback to the Practice Manager, on request

Liaison and Team Communications:

• Liaising with members of the wider primary care team and agencies outside the practice to ensure appropriate care is provided
• Participating as an active member of the team, and attend meetings as agreed by the doctors/Practice Manager
• All courses/training to be agreed by the doctors/practice manager prior to being booked

Care and Programme Management:

• Initiate and carry out programmes of health screening
• In line with practice policy, manage programmes of care for patients with acute and chronic diseases, by planning, providing and evaluating care
• All the above points in line with surgery policies

Clinical Practice Development:

• To enhance the nursing contribution and quality of care
• Implement strategies for quality assurance and quality audit
• Claim form administration
• To participate in research within the practice

Nursing Management and Administration:

• The team will be accountable for the nursing services. This includes equipment/ instruments/ disposables used in the practice nurses area, doctors rooms and in the surgery public areas, as well as vaccinations, drugs and all clinical stock used in the practice, including safe and appropriate storage.
• To attend to patients who involuntarily emit bodily fluids e.g. vomit, blood, within the surgery premises, using appropriate cleaning materials, in line with health and safety recommendations.
• To provide written reports on occasion, as requested.

All Practice Staff should be aware of their responsibilities under the Health and Safety at Work Act (1974).

Person Specification
Qualifications
Essential

• Registered general Nurse
• Current NMC Registration
• Cervical Cytology qualification
• Up to date training in childhood immunisations
• Clinical supervision training
• Relevant nursing/health degree

Desirable

• Independent or supplementary nurse prescribing qualifications
• Mentor/teaching qualification

Other
Essential

• Ability to work without direct supervision and determine own workload priorities
• Ability to work as part of an integrated multi-skilled team
• Demonstrate commitment to professional development
• Ability to be flexible and adaptable
• Effective team player

Skills
Essential

• Excellent communication skills with patients, families and colleagues.
• Negotiation and conflict management skills
• To be patient focused
• Excellent clinical judgement and decision making skills
• Able to work under pressure
• Able to work in a changing environment
• Ability to provide mentorship and teaching in a clinical setting

Desirable

• Ability to be motivated and forward thinking

Experience
Essential

• Minimum of 3 years post registration experience
• Experience of diagnosing and treating patients
• Evidence of knowledge base and competency in general practice
• At least 2 years recent experience of working in a general practice setting
• Current registration with NMC

Desirable

• Experience of SystmOne
• Experience of Microsoft office
• Experience of clinical audit

Knowledge
Essential

• Competency in basic nursing duties required for the post
• Knowledge of equal opportunities and its significance for health care
• An understanding of legal and ethical issues/responsibilities relating to nursing practice
• Knowledge of local and national health policy.
• Knowledge of patient group direction and associated policy

Desirable

• Knowledge of primary care issues affecting a diverse local population
• Knowledge of clinical governance issues and ability to establish systems in practice

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.
Applicants must have current UK professional registration.