Job description

Job responsibilities

Job summary:

The post-holder will manage a caseload and deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.

Clinical responsibilities:

The post-holder will make themselves available to undertake a variety of duties, including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion

Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation

Assessing the health care needs of patients with undifferentiated and undiagnosed problems

Screening patients for disease risk factors and early signs of illness

Developing care plans for health in consultation with patients and in line with current practice disease management protocols

Providing counselling and health education

Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate

Recording clear and contemporaneous consultation notes to agreed standards

Collecting data for audit purposes

Compiling and issuing computer-generated acute and repeat prescriptions (avoiding hand-written prescriptions whenever possible)

Prescribing in accordance with the practice prescribing formulary (or generically) whenever this is clinically appropriate

In general, the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other responsibilities within the organisation:

Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety

A commitment to life-long learning and audit to ensure evidence-based best practice

Contributing to evaluation/audit and clinical standard setting within the organisation

Contributing to the development of computer-based patient records

Contributing to the summarising of patient records and read-coding patient data

Attending training and events organised by the practice or other agencies, 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, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. 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 practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

Using personal security systems within the workplace according to practice guidelines

Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines

Providing advice on the correct and safe management of the specimens process, including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements

Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.

Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)

Hand hygiene standards for self and others

Managing directly all incidents of accidental exposure

Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice

Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses/training needs are identified, escalating issues as appropriate to the responsible person

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process

Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes

Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand-cleansing facilities, wipes etc., and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager

Safe management of sharps use, storage and disposal

Maintenance of own clean working environment

Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management

Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general/patient areas generally clean, sterile, identifying issues and hazards/risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers

Undertaking periodic infection control training (minimum twice annually)

Correct waste and instrument management, including handling, segregation, and container use

Maintenance of sterile environments

Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.

Personal/professional development:

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services:

The post-holder will:

Apply practice policies, standards and guidance

Discuss with other members of the team how the policies, standards and guidelines will affect own work

Participate in audit where appropriate.

Person Specification

Experience

Essential

• Experience of working in a GP Practice
• Experience of working in primary care
• Experience of working within a GP team

Qualifications

Essential

• GMC Registered, not subject to suspension.
• Qualified General Practitioner.
• Currently on the performers list.

Desirable

• Evidence of CPD
• Competence in coil insertion.
• Minor surgery skills.

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

Friar Gate Surgery

Address

Agard Street

Derby

DE1 1DZ

United Kingdom

Employer's website

https://www.friargatesurgery.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

Practice Nurse with Mentor Qualification | 18.75 hours per week | 18 month fixed term contract

Clinical Skills

Long-term condition management:

• Asthma (including peak flow readings and spirometry)
• COPD
• Diabetes - Reviews including foot checks and care planning
• Hypertension, Atrial Fibrillation, Heart Failure, and CHD Management
• CKD Management

Screening and health checks:

• BP checks, height, weight, BMI, urinalysis, and smoking status
• New Patient checks
• NHS Health Checks
• Mental Health Reviews
• Learning Disability Reviews

Women's health and family planning:

• Cervical cytology
• General family planning services

Procedures and wound care:

• Wound care
• Suture and clip removal

Travel health:

• Advice and preparation
• Travel Immunisations
• NHS Vaccinations and immunisations

Additional procedures:

• Ear syringing

Clinical Responsibilities

• Administer injections under an individualised prescription or PGD
• Request pathology tests, such as urine cultures and swabs
• Assist GPs with minor surgery and family planning as required
• Maintain cold chain procedures to ensure safe storage, rotation, and disposal of vaccines and drugs

Infection Prevention and Control

Apply infection control measures within the practice in line with local and national guidelines, including:

• Universal hygiene precautions
• Collection and handling of laboratory specimens
• Segregation and disposal of waste materials
• Decontamination of instruments and clinical equipment
• Reporting and treatment of sharps injuries
• Managing blood and body fluid spillages
• Ensuring safe disposal of clinical waste and PPE

• Support patients and colleagues in adopting effective infection control measures
• Lead or participate in infection prevention and control audits to maintain high standards

Emergency Preparedness

• Be proficient in anaphylaxis and resuscitation techniques to respond to emergencies effectively
• Support the maintenance of emergency equipment (e.g., trolley and drugs) and attend updates as required

General Duties

• Maintain and ensure cleanliness of equipment used by nurses and GPs
• Stock and rotate items in GP and nurse rooms as needed
• Chaperone and assist patients during examinations conducted by other clinicians
• Ensure the cleanliness and tidiness of treatment rooms

Administrative Tasks

Order and manage stock such as:

• Health Promotion Literature
• District Hospital supplies
• Vaccinations to maintain adequate levels

• Participate in administrative systems and ensure accurate documentation of patient medical records following legal and ethical standards
• Advise management on potential problems or errors within assigned tasks
• Attend and contribute to Practice meetings as needed

Patient Care and Outreach

• Perform any other delegated duties appropriate to the role

Education and Research

• Participate in research projects within the practice as required
• Engage in the education and training of students from all disciplines
• Assist in the induction of practice staff, with particular emphasis on nursing team members

Liaison and Professional Development

• Maintain effective communication with other agencies and staff involved in patient care, ensuring confidentiality is respected
• Participate in continued education through attendance at courses and study days to support professional development

Person Specification

Qualifications

Essential

• - Mentor Qualification
• - NMC registered nurse

Desirable

• - Experience using SystmOne, Accurx, Arden's Templates
• - Experience working with deprived populations
• - Delivery of clinical audit
• - QOF management

Experience

Essential

• Experience of working in a GP Practice
• Experience of working in primary care
• Experience of being a Practice Nurse in a GP Practice
• Experience of working within a nursing team

Desirable

• Experience of being a Lead/Senior Practice Nurse
• Experience of being a Mentor

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

Friar Gate Surgery

Address

Agard Street

Derby

DE1 1DZ

United Kingdom

Employer's website

https://www.friargatesurgery.co.uk/ (Opens in a new tab)