Job description

Job responsibilities

Clinical responsibilities as previously listed.

Other responsibilities within the organisation:

• Awareness of and compliance with all relevant practice policies/guidelines, e.g. QOF, 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

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-judgmental 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 recognize 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

Qualifications

Essential

• Qualified GP
• MRCGP
• General Practitioner CCT
• Full GMC Registration
• National Performers List registration

Desirable

• Experience using SystemOne
• Educational Supervisor Training completed
• Keen interest in Diabetes care and management

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

Holmhurst Medical Centre

Address

12 Thornton Side

Redhill

RH1 2NP

United Kingdom

Employer's website

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

Job description

Job responsibilities

Job purpose

The Research Nurse will work with the DHC Research Clinical Lead, Research Assistant, participating Primary Care Networks and GP practices to support the safe, effective and high-quality delivery of clinical research across the Federation.

The post holder will coordinate and deliver a portfolio of studies from feasibility and set-up through participant identification, informed consent, study visits, follow-up and close-down. They will provide research nursing expertise, support practices to become research active, and ensure that study activity is undertaken in accordance with approved protocols, Good Clinical Practice, professional standards and DHC policies.

The role complements the DHC Research Assistant. The Research Assistant provides administrative, project and study coordination support, while the Research Nurse holds responsibility for delegated clinical activity, participant assessment and care, clinical procedures, safety monitoring and professional nursing decisions within their competence.

DHC and the research service

DHC is a GP Federation supporting general practice in Surrey and delivering a range of community-based healthcare services. DHC places people at the centre of its work and develops services with local practices, Primary Care Networks and system partners.

The research service works with practices and external academic, NHS and commercial partners to increase high-quality research activity, translate learning into clinical practice and improve care for local populations. The Research Nurse will act as a visible clinical point of contact for studies delivered across DHC and participating practices.

Key working relationships

• DHC Research Clinical Lead and Research Assistant
• DHC clinical, operational, governance, finance and digital teams
• GP partners, practice managers and multidisciplinary practice teams
• Primary Care Network clinical directors and teams
• Principal Investigators, Chief Investigators and study teams
• Study sponsors, contract research organisations and academic partners
• NIHR Research Delivery Network colleagues and research support services
• Research participants, patients, carers and members of the public
• Pharmacy, laboratory, courier and other support services where relevant to a study

Main duties and responsibilities

Research study set-up and coordination

• Review study protocols and associated documentation to understand clinical requirements, participant pathways, resource implications and delivery risks.
• Contribute to robust feasibility assessments, including realistic estimates of eligible populations, recruitment potential, workforce requirements, clinical procedures, equipment and practice capacity.
• Support confirmation that required approvals, agreements, training, delegation and local arrangements are in place before study activity begins.
• Coordinate allocated studies across one or more practices, maintaining oversight of milestones, recruitment targets, follow-up schedules, amendments, monitoring requirements and close-down activity.
• Work closely with the Research Assistant to maintain accurate study trackers, site files, training records, delegation logs, version-controlled documents and communications.

Participant identification, recruitment and care

• Identify and screen potential participants using approved study criteria and authorised clinical systems or searches.
• Assess eligibility within the scope of professional competence and liaise with the Principal Investigator or delegated clinician where clinical confirmation is required.
• Provide clear verbal and written study information, answer questions and support individuals to make a voluntary and informed decision about participation.
• Undertake or support the informed consent process where appropriately trained, delegated and permitted by the protocol.
• Plan and deliver protocol-required participant visits, maintaining continuity, dignity, privacy and a positive participant experience.
• Provide ongoing information and support to participants and carers and escalate clinical concerns promptly through the agreed pathway.
• Promote equitable access to research and adapt communication and delivery approaches to meet individual needs and reach underserved groups.

Clinical research delivery

• Undertake study-specific clinical assessments and procedures within competence and delegation. These may include observations, venepuncture, cannulation, ECG acquisition, spirometry, urinalysis, height, weight and other protocol-defined measurements.
• Collect, label, process, store and arrange transportation of biological samples in accordance with the protocol, laboratory manual and local procedures.
• Administer study medication or interventions only where authorised, trained, competent and appropriately delegated, and in accordance with the protocol and medicines management arrangements.
• Monitor participants for expected and unexpected effects, recognise deterioration or safety concerns, and take appropriate clinical action.
• Maintain equipment, calibration and temperature-monitoring records relevant to allocated studies, reporting defects or excursions promptly.

Safety, governance and quality

• Deliver research in accordance with Good Clinical Practice, the UK Policy Framework for Health and Social Care Research, applicable clinical trial regulations, approved protocols, ethical requirements and DHC policies.
• Record, assess within professional scope, and report adverse events, serious adverse events, incidents, protocol deviations and safeguarding concerns within required timescales.
• Maintain participant confidentiality and process personal and research data lawfully, accurately and securely.
• Ensure source data, participant records and case report forms are complete, contemporaneous, attributable and available for verification.
• Support monitoring visits, audits and inspections, respond to data queries and implement agreed corrective and preventive actions.
• Identify and escalate risks or barriers affecting participant safety, data quality, recruitment, retention, timelines or study delivery.
• Contribute to the development, review and consistent use of research standard operating procedures and work instructions.

Data, performance and reporting

• Enter and validate research data on paper and electronic systems accurately and within study timescales, maintaining a clear audit trail.
• Maintain accurate recruitment and activity records and provide progress information to the Research Clinical Lead, investigators, sponsors and relevant research networks.
• Work with the Research Assistant to resolve missing data, document queries, follow-up requirements and study administration issues.
• Use recruitment, retention, quality and delivery information to identify improvement opportunities and recommend practical action.

Engagement and capacity building

• Build effective relationships with practices and PCNs, including teams with limited research experience, and support them to develop confidence and capacity to participate in research.
• Promote relevant study opportunities to clinicians, staff, patients and communities using approved materials and messages.
• Support study initiation, training and research awareness sessions for DHC and practice staff.
• Share learning from research activity and contribute to embedding evidence and best practice into clinical services.
• Represent DHC professionally at relevant internal and external meetings, study meetings and research events.

Professional practice and team contribution

• Work at all times within the Nursing and Midwifery Council Code, professional scope of practice and DHC clinical governance arrangements.
• Maintain professional registration, revalidation, mandatory training, Good Clinical Practice training and study-specific competencies.
• Manage and prioritise a varied workload across locations, working autonomously while seeking advice or escalation when required.
• Provide day-to-day clinical guidance and support to the Research Assistant and other colleagues without transferring responsibility for tasks outside their role or competence.
• Support induction, peer learning and development of staff involved in research delivery.
• Participate in supervision, appraisal, continuing professional development and service improvement activity.

General responsibilities

Confidentiality and information governance: Protect confidential and personal information and comply with DHC information governance, records management and data protection requirements.

Safeguarding: Recognise and respond to safeguarding concerns in accordance with DHC procedures and statutory responsibilities.

Infection prevention and control: Follow DHC and site-specific infection prevention and control policies and maintain safe clinical practice.

Health, safety and risk: Take reasonable care of personal and others safety, follow lone-working and incident-reporting procedures, and escalate risks.

Equality, diversity and inclusion: Treat participants, carers, colleagues and partners with dignity and respect, promote inclusion and make reasonable adjustments within the role.

Sustainability: Use resources responsibly and support environmentally sustainable ways of working where consistent with safe study delivery.

Flexibility: Travel between DHC, practice and partner sites as required. Some study activity may require flexibility outside normal working hours, subject to contractual arrangements and reasonable notice.

This job description describes the principal duties of the post and is not an exhaustive list. Duties may be reviewed and amended in consultation with the post holder to reflect service development, changes in research delivery and organisational need, provided they remain appropriate to the role.

Person Specification

Research Governance and Clinical Skills

Essential

• Current or recent Good Clinical Practice training, or willingness to complete before undertaking delegated research activity. Understanding of informed consent, participant safety, confidentiality and accurate source documentation.
• Competence in venepuncture, or willingness and ability to complete competency-based training. Ability to undertake clinical observations and maintain accurate records.

Desirable

• Knowledge of the UK Policy Framework for Health and Social Care Research and clinical trial regulatory requirements.
• Cannulation, ECG, spirometry, sample processing, vaccination or study medication experience, where relevant.

Experience

Essential

• Post-registration nursing experience and evidence of safe autonomous clinical practice.
• Experience of assessing patients, recognising deterioration and escalating concerns.

Desirable

• Experience in primary care, community care or clinical research.

Qualifications

Essential

• Registered Nurse with current NMC registration.

Desirable

• Degree-level study or equivalent relevant experience; post-registration research or clinical qualification.

Communication and Partnership Working

Essential

• Excellent written and verbal communication. Ability to explain complex information clearly and sensitively to participants, carers and professionals.
• Ability to build constructive relationships across clinical, operational and external partner teams and contribute effectively to multidisciplinary working.

Desirable

• Experience presenting or delivering training to staff or stakeholder groups.
• Experience supporting research-naive sites or community engagement.

Digital and Data Skills

Essential

• Confident use of Microsoft 365 and clinical or research data systems, with accurate data entry and a clear understanding of audit trails.

Desirable

• Experience of electronic case report forms, primary care clinical systems or research reporting systems.

Values, Behaviours and Practical Requirements

Essential

• Commitment to safe, person-centred care; integrity; inclusion; continuous improvement; accountability; teamwork; flexibility; and learning.
• Ability to travel between DHC, practice and partner locations in a timely manner.

Desirable

• Evidence of supporting service development or quality improvement.
• Full UK driving licence and access to transport, subject to reasonable adjustments.

Study Delivery and Organisation

Essential

• Ability to interpret and work to detailed protocols, manage participant visits and coordinate competing deadlines with close attention to detail.
• Ability to plan and prioritise a mobile workload, work independently, maintain reliable documentation and escalate appropriately.

Desirable

• Experience of study set-up, feasibility, recruitment, consent, follow-up, monitoring visits, close-down or commercial research.
• Experience coordinating work across multiple sites or organisations.

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

Dorking Healthcare Ltd.

Address

Holmhurst Medical Centre

12 Thornton Side

Redhill

Surrey

RH1 2NP

United Kingdom

Employer's website

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

Job description

Job responsibilities

The postholder will be responsible for the safe and efficient delivery of COVID-19 vaccines to patients in their homes across the East Surrey area. They will also be responsible for entering data into the appropriate clinical systems and maintaining effective communication with the Primary Care Network (PCN).

This work will be carried out in collaboration with the practice teams within the relevant PCN.

Key Responsibilities

• To assist practices with the administration of vaccinations for their patient lists, both in surgeries and in patients homes.
• To take responsibility for the collection and safe transport of vaccine supplies and consumables from practices within the PCN, following the appropriate governance processes.
• To visit housebound patients, assess their clinical suitability for vaccination, and obtain informed consent before administering the vaccine, as appropriate.
• To enter data promptly into point-of-care systems and update the practices with any relevant information.

• To manage your own workload efficiently and effectively on a daily basis, with support from the practice teams.

• Adhere to DHC policies and procedures, as well as relevant legislation, including the requirements of any professional bodies.

• Attend mandatory training as identified by DHC and ensure that it is kept up to date at all times.

• Maintain the confidentiality of information relating to patients, staff, and DHC business, in accordance with the Data Protection Act 2018 and the Caldicott Principles.

Person Specification

Experience

Essential

• Experience working as part of a team.
• Working knowledge of health and safety, including the safe transport of medication and adherence to cold chain procedures.
• Strong communication skills.
• Approachable and able to respond to the needs of frail patients.
• Used to working independently and self-motivated.
• Ability to assess and respond to risks or unexpected events with sound clinical reasoning.
• Working knowledge of Mental Capacity and its application in practice.
• Trained and competent in managing anaphylaxis.

Desirable

• Full driving licence and access to a car.

Qualifications

Essential

• Registered nurse or relevant healthcare professional qualified to deliver vaccines independently.
• Current training in vaccine delivery.

Desirable

• Current NHSE approved training for delivering vaccines.

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.

Employer details

Employer name

Dorking Healthcare Ltd.

Address

Holmhurst Medical Centre

12 Thornton Side

Redhill

RH1 2NP

United Kingdom

Employer's website

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