Job responsibilities

Clinical Responsibilities:

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly
• Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs
• Demonstrate critical thinking in the clinical decision-making process
• Manage patient risk effectively and safely, including high levels of complexity and uncertainty
• Evaluate the safety and effectiveness of your own clinical practice
• Utilise your clinical mentor and other clinical staff appropriately to ensure safe and effective patient care, demonstrating awareness of your own limitations
• Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out.
• Refer patients directly to other services/agencies as appropriate, utilising Practice and local guidelines and in a timely manner
• Pro-actively identify, diagnose, monitor and manage treatment plans for patients at risk of developing a long-term condition as appropriate
• Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, and national and practice protocols, and within own scope of practice.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Provide information and advice on prescribed and over-the-counter medication on medication regimens, side-effects and interactions
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Support patients to adopt health promotion strategies that promote healthy living and to apply principles of self-care
• Recognise, assess and refer patients with mental health needs as appropriate
• Communicate with and support patients receiving bad news

Other responsibilities:

• Recognise and work within own competence and in accordance with the professional code of conduct of the Nursing and Midwifery Council (NMC), Health and Care Professions Council (HCPC) or Faculty of Physician Associates (Royal College of Physicians) as appropriate
• Monitor the safety and effectiveness of own clinical practice through quality assurance strategies such as the use of audit, mentor feedback, case review and peer review
• Maintain accurate and complete documentation and records utilising I.T. as appropriate and in accordance with Practice protocol
• Use own judgement, resourcefulness and common sense
• Deliver care according to evidence based practice, following agreed protocols, local and national guidelines
• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
• Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
• Contribute to achievement of the highest possible quality standards such as the QOF and other agreed Key Performance Indicator targets
• Attend in-house governance, educational and staff meetings as appropriate
• Assist with the training of other staff members and also with the education of doctors, nurses and other health professionals in training as appropriate
• Pro-active engagement with the practice population and wider community to promote healthy living and encourage uptake of services. This may include visits to local schools, community centres and other groups as necessary
• Undertake additional tasks as required within your general role as a Primary Care Practitioner and senior member of the team

Leadership responsibilities:

• Act as a positive role model
• Provide professional leadership as required
• Support the development of others in order to maximise potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and external good practice
• Critically evaluate and review innovations and developments that are relevant to the area of work
• Participate in planning and implementing changes within the area of care and responsibility
• Contribute and participate in the development of local guidelines, protocols and standards
• Ensure the principles of infection control and local/national policies and guidelines are applied throughout the practice, monitoring and implementing changes as required

Physical Requirements

Essential

• Able to undertake the requirements of the post.

Desirable

• Reliable.
• Flexible.
• Excellent attendance record.

Other

Essential

• Aware of accountability of own role and that required of a Registered Physician Associate.
• Ability to assess and manage patient risk effectively and safely.
• Knowledge of health promotion strategies.
• Understanding of evidence-based practice.
• Negotiation and conflict management skills.
• Ability to form good working relationships with a multidisciplinary team.
• Ability to listen and empathise.
• Ability to organise and prioritise workload.
• Demonstrable evidence and commitment to professional development.
• Ability to work independently.
• Ability to work as team player.
• Initiative and drive.
• Pleasant and articulate.
• Able to work under pressure.
• Self-motivated and positive.
• Empathetic, honest, caring.
• Adaptable and forward looking.
• Enthusiastic and energetic.
• Diplomatic and considered.
• Hard working, willing and flexible.
• Observance of strict confidentiality.
• Ability to use own judgement, resourcefulness and common sense.

Desirable

• Knowledge of Quality and Outcomes Framework.

Knowledge/Qualifications/Skills

Essential

• Registered Nurse (NMC) or Registered Paramedic (HCPC) or Registered Physiotherapist (HCPC).
• Masters Degree in Advanced Clinical Practice.
• Minor illness qualification at degree level assessed by OSCEs
• Minor injuries qualification.
• Current registration.
• Independent non-medical prescriber or working towards it or proven ability to use Patient Group Directions.
• Aware of accountability of own role and that required of a Registered Practitioner.
• Good communication (oral and written) and inter personal skills.
• Change management skills and ability to support patients to change lifestyle.
• Negotiation and conflict management skills.
• Keyboard skills.

Desirable

• At least two years experience post MSc qualification.
• Mentor/teaching qualification.
• Knowledge of health promotion strategies.
• Knowledge of Quality and Outcomes Framework.

Competencies/Qualities/Attributes

Essential

• Practitioner-led management of minor illness and injuries.
• Evidence of working autonomously, with some support and supervision.
• First contact care.
• Proven ability to evaluate the safety and effectiveness of own clinical practice.
• Ability to listen and empathise

Desirable

• Experience of Microsoft Office applications.
• Experience of GP Clinical IT systems.
• Proven competency as an Independent non-medical prescriber.

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).

Job responsibilities

You must work at all times within your own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC), and use your own judgement, knowledge and common sense in your day-to-day activities.

It is expected that you will fully utilise all opportunities for learning under the guidance of the nursing and practice leadership team and will demonstrate evidence of professional development and increasing responsibility for patient care and related duties.

Clinical Responsibilities:

Assess, plan, implement and evaluate programmes of care to improve health and wellbeing and meet the healthcare needs of individuals and groups

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

Enable patients, families and carers to develop their knowledge and understanding about their health and well-being and be as self-managing as possible

Offer health promotion programmes by providing a holistic assessment, which may include:

- BP checks, height, weight, BMI, urinalysis and smoking status

- Breast health awareness

- Cervical screening

- New patient checks

- Well man/woman checks

- Advice for healthy eating, exercise, alcohol consumption and smoking

Perform routine nursing tasks such as Venepuncture, Recording ECG, Spirometry, Chaperoning and assisting patients

Provide a holistic approach to wound management and implement wound care in line with current evidence-based guidelines

Offer advice about childhood and adult vaccinations and administer vaccines according to current guidelines and legislation

Advise and administer vaccinations for patients travelling abroad

Assist in the provision of treatment plans to meet family planning needs

Administer and monitor medication consistent with protocols, standards, and legislation

Assist in the provision of minor surgery and other surgical procedures that are carried out within Haxby Group

Assist in the provision of nursing care within the context of primary care for patients with mental health problems

Delegate aspects of care as appropriate

Monitor and manage maintenance of stock and equipment

Competencies/Qualities/Attributes

Essential

• Gets on well with people at all levels. Ability to listen and empathise. Ability to organise and prioritise workload. Demonstrable commitment to professional development. Practice nursing or other community nursing experience. Evidence of working autonomously, with some support and supervision. First contact care. Proven ability to evaluate the safety and effectiveness of own clinical practice.

Desirable

• Experience of Microsoft Office applications. Experience of GP Clinical IT systems. Experience of audit.

Other

Essential

• Ability to work independently. Ability to work as team player. Initiative and drive. Pleasant and articulate. Able to work under pressure. Self-motivated and positive. Empathetic, honest, caring. Adaptable and forward looking. Enthusiastic and energetic. Diplomatic and considered. Hard working, willing and flexible. Observance of strict confidentiality. Ability to use own judgement, resourcefulness and common sense.

Physical Requirements

Essential

• Able to undertake the requirements of the post.

Desirable

• Reliable. Flexible. Excellent attendance record.

Knowledge/Qualifications/Skills

Essential

• Registered Nurse (NMC). Relevant nursing/health degree. Aware of accountability of own role and that required of a Practice Nurse. Good communication (oral and written) and interpersonal skills. Keyboard skills.

Desirable

• Additional post-registration qualification. Recognised cervical screening qualification. Mentor/teaching qualification. Clinical skills - vaccination, wound care, ear care, venepuncture, recording ECGs, spirometry. Knowledge of health promotion strategies. Change management skills and ability to support patients to change lifestyle.

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).