Job responsibilities

The post-holder will manage a patient based 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. As a member of the team and one of the employers they will be expected to set an example to others, assist in education and training and to play a full role in target achievement and service development.

Clinical Responsibilities:

• The GP will make themselves available to undertake a variety of duties including surgery consultations, telephone consultations, visiting patients at home and in nursing homes, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence as required.
• Make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation.
• Screen patients for disease risk factors and early signs of illness.
• Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate in line with the practice timeline guidelines.
• Develop care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well wider guidance such as that from NICE.
• Ensure appropriate follow up of patients.
• Record clear and contemporaneous computerised consultation notes to agreed standards.
• Collect data for audit purposes.
• Compile and issue computer-generated acute and repeat prescriptions avoiding hand-written prescriptions.
• Prescribe generically whenever appropriately and in accordance with the Practice prescribing formulary, NICE guidance and Good Prescribing Practice (as defined by British National Formulary guidance).
• Work with and support other members of the primary health care team in delivering high quality primary care.
• Promote the application of standards and codes of Practice set by the Royal College of General Practice, General Medical Council, Department of Health, and local CCG.
• Play a role in the practice achieving agreed QOF and other key performance indicator targets.
• Take responsibility for targets and services allocated, e.g. a QOF area or an Enhanced Service.

Other Responsibilities within the Organisation:

• Awareness of and compliance with all relevant Practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety.
• Commitment and contribution to achievement of the highest possible quality standards such as the QOF and other targets.
• A commitment to life-long learning and audit to ensure evidence-based best practice.
• Contribute to evaluation/audit and clinical standard setting within the organisation.
• Attendance at regular in-house governance and educational meetings and training as well as events at other agencies as appropriate.
• Assist with the training of other staff members and also with the education of doctors and nurses in training as 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.
• As a GP you will 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 GP will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

• Identify the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Make effective use of training to update knowledge and skills.
• Use appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
• Report potential risks identified.

Equality and Diversity:

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

• Acting in a way that recognizes 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:

The GP will maintain continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for appraisal and revalidation are met. This may include training needed for areas of Practice Development.

Quality:

The GP 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 GP will 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.

Skills

Essential

• Excellent communication skills (written and oral).
• Strong IT skills.
• Clear, polite telephone manner.
• Competent in the use of Office and Outlook.
• EMIS/Systmone/Vision user skills.
• Effective time management (planning and organising).
• Ability to work as a team member and autonomously.
• Excellent interpersonal skills.
• Problem solving and analytical skills.
• Ability to follow clinical policy and procedure.
• Experience with audit and able to lead audit programmes.
• Experience with clinical risk management.

Personal Qualities

Essential

• Polite and confident.
• Flexible and cooperative.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Ability to work under pressure/in stressful situations.
• Effectively able to communicate and understand the needs of the patient.
• Commitment to ongoing professional development.
• Effectively utilise resources.
• Punctual and committed to supporting the team effort.

Clinical Knowledge & Skills

Essential

• Outstanding level of clinical knowledge and skills commensurate with that of an experienced GP.

Experience

Essential

• Experience of working in a primary care environment.
• Experience of continued professional development.

Desirable

• Experience of QOF and clinical audit.
• Experience of medicines management.
• General understanding of the primary care contract.

Eligibility

Essential

• Full GMC registration.
• National Performers List registration (England), noting that confirmation on this list is adequate for DBS confirmation.
• Primary Medical Services Performers Lists (Scotland).
• All Wales Medical Performers List and All Wales Locum Register (Wales).
• Northern Ireland Primary Medical Performers List (PMPL) (Northern Ireland).
• Appropriate defence indemnity (MPS/MDU).
• Evidence of current validation.
• Evidence of last appraisal.
• Eligibility to practice in the UK independently.

Qualifications

Essential

• Qualified GP.
• MRCGP.
• Vocational Training Certificate or equivalent JCPTGP.
• General Practitioner (Certificate of Completion of Training CCT).

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

Job Summary

To work within the professional boundaries of a qualified nurse. To provide and maintain an extremely high standard of nursing care for patients registered at the practice as well as providing nursing assistance to the GP/Nurse Practitioner Team.

Responsible for working as part of the primary care team providing a comprehensive range of general nursing and clinical duties.

The Practice Nurse will be responsible for providing a range of treatment room procedures including wound care, removal of sutures, injections, immunisations, health checks, cervical screening and chronic disease management (please also refer to primary key responsibilities and person specification below).

North House Surgery will ensure that the post holder has access to appropriate clinical supervision and an appropriate named individual in the organisation to provide general advice and support on a day-to-day basis.

Primary Key Responsibilities

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice.
• To develop, implement and embed health promotion and wellbeing programmes.
• To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health.
• To manage patients with chronic disease e.g. respiratory reviews, diabetes reviews etc.
• As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF.
• To prescribe medication for patients in accordance with PGDs and own scope of practice.
• Provide wound care.
• To administer travel vaccinations.
• To request pathology services and process pathology results as required.
• To maintain accurate clinical records in conjunction with extant legislation.
• To ensure read codes are used effectively by all members of the nursing team.
• To ensure compliance with the practice chaperone policy.
• To assist GPs with minor surgery when required.
• To prioritise health issues and intervene appropriately.
• To support the team in dealing with clinical emergencies.
• To recognise, assess and refer patients presenting with mental health needs.
• To administer adult and child vaccinations.
• Women's Health And Screening.
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
• To support the clinical team with all safeguarding matters, in accordance with local and national policies.
• To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
• To deliver opportunistic health promotion where appropriate.

Secondary Responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

• Develop and review audit protocols and process for the practice, effectively utilising the audit cycle.
• Develop, review and implement nursing protocols in conjunction with the partners.
• Support all members of the nursing team, providing guidance when necessary, participating in appraisals and training needs analyses as required.
• Participate in local initiatives to enhance service delivery and patient care.
• Support and participate in shared learning within the practice in order to improve patient care.
• Continually review clinical practices, responding to national policies and initiatives where appropriate.
• Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA).

Experience

Essential

• Experience of working autonomously.
• Experience of infection prevention and control measures.

Desirable

• Experience of working in a primary care environment.
• Experience of working as a practice nurse or community nurse.

Other Requirements

Essential

• Flexibility to work outside of core office hours.
• Disclosure Barring Service (DBS) check.
• Occupational Health clearance.
• Meet the requirements and produce evidence for nurse revalidation.
• Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse.

Personal Qualities

Essential

• Polite and confident.
• Flexible and co-operative.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Effectively able to communicate and understand the needs of the patient.
• Commitment to ongoing professional development.
• Punctual and committed to supporting the team effort.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• Ability to work under pressure/in stressful situations.
• Effectively utilise resources.

Qualifications

Essential

• Registered Nurse (Nursing and Midwifery Council).

Skills

Essential

• Excellent communication skills (written and oral).
• Effective time management (planning and organising).
• Ability to work as a team member and autonomously.
• Good interpersonal skills.
• Problem solving and analytical skills.
• Ability to follow clinical policy and procedure.
• Clear, polite telephone manner.

Desirable

• Strong IT skills.

Clinical Knowledge and Skills

Essential

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Understanding the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Chaperone procedure.
• Womens health (cervical cytology).
• Immunisations (routine, childhood and travel).
• Chronic Disease Management.

Desirable

• Travel medicine.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.
• Knowledge of health promotion strategies.

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

Job Summary

To work within the professional boundaries of a qualified nurse. To provide and maintain an extremely high standard of nursing care for patients registered at the practice as well as providing nursing assistance to the GP/Nurse Practitioner Team.

Responsible for working as part of the primary care team providing a comprehensive range of general nursing and clinical duties.

The Practice Nurse will be responsible for providing a range of treatment room procedures including wound care, removal of sutures, injections, immunisations, health checks, cervical screening and chronic disease management (please also refer to primary key responsibilities and person specification below).

North House Surgery will ensure that the post holder has access to appropriate clinical supervision and an appropriate named individual in the organisation to provide general advice and support on a day-to-day basis.

Primary Key Responsibilities

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice.
• To develop, implement and embed health promotion and wellbeing programmes.
• To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health.
• To manage patients with chronic disease e.g. respiratory reviews, diabetes reviews etc.
• As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF.
• To prescribe medication for patients in accordance with PGDs and own scope of practice.
• Provide wound care.
• To administer travel vaccinations.
• To request pathology services and process pathology results as required.
• To maintain accurate clinical records in conjunction with extant legislation.
• To ensure read codes are used effectively by all members of the nursing team.
• To ensure compliance with the practice chaperone policy.
• To assist GPs with minor surgery when required.
• To prioritise health issues and intervene appropriately.
• To support the team in dealing with clinical emergencies.
• To recognise, assess and refer patients presenting with mental health needs.
• To administer adult and child vaccinations.
• Women's Health And Screening.
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
• To support the clinical team with all safeguarding matters, in accordance with local and national policies.
• To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
• To deliver opportunistic health promotion where appropriate.

Secondary Responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

• Develop and review audit protocols and process for the practice, effectively utilising the audit cycle.
• Develop, review and implement nursing protocols in conjunction with the partners.
• Support all members of the nursing team, providing guidance when necessary, participating in appraisals and training needs analyses as required.
• Participate in local initiatives to enhance service delivery and patient care.
• Support and participate in shared learning within the practice in order to improve patient care.
• Continually review clinical practices, responding to national policies and initiatives where appropriate.
• Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA).

Experience

Essential

• Experience of working autonomously.
• Experience of infection prevention and control measures.

Desirable

• Experience of working in a primary care environment.
• Experience of working as a practice nurse or community nurse.

Personal Qualities

Essential

• Polite and confident.
• Flexible and co-operative.
• High levels of integrity and loyalty.
• Sensitive and empathetic in distressing situations.
• Effectively able to communicate and understand the needs of the patient.
• Commitment to ongoing professional development.
• Punctual and committed to supporting the team effort.
• Motivated, forward thinker.
• Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• Ability to work under pressure/in stressful situations.
• Effectively utilise resources.

Clinical Knowledge and Skills

Essential

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Understanding the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Chaperone procedure.
• Womens health (cervical cytology).
• Immunisations (routine, childhood and travel).
• Chronic Disease Management.

Desirable

• Travel medicine.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.
• Knowledge of health promotion strategies.

Skills

Essential

• Excellent communication skills (written and oral).
• Effective time management (planning and organising).
• Ability to work as a team member and autonomously.
• Good interpersonal skills.
• Problem solving and analytical skills.
• Ability to follow clinical policy and procedure.
• Clear, polite telephone manner.

Desirable

• Strong IT skills.

Qualifications

Essential

• Registered Nurse (Nursing and Midwifery Council).

Other Requirements

Essential

• Flexibility to work outside of core office hours.
• Disclosure Barring Service (DBS) check.
• Occupational Health clearance.
• Meet the requirements and produce evidence for nurse revalidation.
• Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse.

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).