About this role
Job summary
We are looking for an experienced General Practice Nurse to join our North Connect PCN in Northwood.
This role is part-time 25 hours per week on a permanent contract. The successful candidate will be based at Eastbury Surgery.
Main duties of the job
The post holder will be an experienced registered nurse working at enhanced practice level across the Primary Care Network. Working autonomously within an agreed scope of practice, the post holder will provide high-quality, person-centred nursing care for people with long-term conditions, multimorbidity, frailty and other complex health needs. They will use specialist knowledge, enhanced assessment skills and evidence-based clinical decision-making to assess need, develop and review personalised care plans, support self-management and make timely referrals or escalation where required.
The post holder will contribute to population health management, prevention, early identification of disease, delivery of PCN priorities and reduction of health inequalities. They will provide clinical leadership within the general practice nursing workforce, support the development of colleagues and lead or contribute to quality improvement, audit and service development. The post holder will recognise the limits of their competence and seek appropriate advice or refer to an advanced practitioner, GP or other clinician when needed.
About us
The Confederation, Hillingdon CIC works with General Practice and other healthcare providers to deliver its vision for Hillingdon to deliver the best primary care outcomes for patients in the whole of London. We are a not-for-profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves both at scale and complementary to General Practice. We are the provider representative voice for local General Practice into the wider NHS and other Partners. We are of the NHS but independent, innovative and transformational.
The Confederation determines to develop as an attractive place to work, providing rewarding roles and opportunities to grow in order to attract and retain great staff that in turn delivers our vision.
Our Values
We work together to make a difference for patientsWe care enough to go the extra mileWe support, trust, and empowerWe sincerely value each otherWe support primary care to own its destiny
Job description Job responsibilities
Work autonomously and accountably within the NMC Code, local policies, agreed clinical pathways and the limits of the role and individual competence.Undertake comprehensive, holistic nursing assessments for people with long-term conditions, multimorbidity, frailty and complex physical, psychological and social needs.Use enhanced clinical assessment skills and interpret observations, pathology results and other investigations within scope of practice, taking appropriate action and seeking advice where findings fall outside competence.Develop, implement and evaluate personalised care and support plans in partnership with patients, carers and the multidisciplinary team.Independently manage one or more defined long-term condition or specialist clinical areas, such as diabetes, respiratory disease, cardiovascular disease, frailty or another locally agreed priority.Review treatment effectiveness and, where qualified as an independent prescriber, prescribe, deprescribe and review medicines in accordance with evidence, national guidance, local formularies and professional accountability.Provide medicines education, support adherence, identify adverse effects or interactions and refer medicines-related concerns to the appropriate clinician or pharmacy professional.Promote prevention, healthy lifestyles, shared decision-making and supported self-management, including personalised goal setting and signposting to community and voluntary-sector services.Deliver adult and childhood immunisation and vaccination programmes in accordance with current national guidance, Patient Group Directions, Patient Specific Directions and individual competence.Undertake cervical screening, womens health, sexual health and contraceptive care where trained and competent, referring appropriately when needs are outside scope.Provide evidence-based wound care and tissue viability assessment within competence, including escalation of non-healing, infected or complex wounds.Recognise clinical deterioration, red flags, safeguarding concerns and urgent or emergency presentations; initiate immediate care and escalate or refer without delay.Undertake home, care home or community visits when required by the service and when clinically appropriate.Make timely referrals to GPs, advanced practitioners, community services, secondary care and other professionals, with clear safety-netting and follow-up arrangements.Maintain accurate, contemporaneous and complete clinical records, including clear documentation of assessment, clinical reasoning, consent, plans, advice, escalation and outcomes.Where prescribing in the role occurs, working within the individual scope of practice and according to the Confederations non-medical prescribing policy.
Full details can be found in the supporting documents.
Person Specification
Qualifications Essential
Right to Work in the UK Current registration as a Registered Nurse with the Nursing and Midwifery Council, with no restriction affecting the role Nursing degree or equivalent professional qualification Relevant postgraduate modules or recognised CPD supporting practice at enhanced level in primary care Recognised qualification or competency in at least one relevant long-term condition or specialist clinical area Current immunisation and vaccination training, including anaphylaxis and basic life support Cervical sample-taker qualification and evidence of current competence
Desirable
Independent/Supplementary Nurse Prescribing qualification (V300), or currently undertaking with completion agreed Clinical supervision training Leadership or management qualification Additional wound care/tissue viability qualification
Skills, Knowledge & Other Essential
Knowledge and application of safeguarding responsibilities for children and adults at risk Knowledge of NICE guidance, professional standards, QOF and relevant PCN/local service requirements Understanding of population health management, prevention and health inequalities Accurate clinical coding, data quality and use of clinical systems such as EMIS or SystmOne Clinical audit, quality improvement and evaluation of outcomes Incident reporting, complaint management and learning from patient-safety events Development or review of clinical protocols, pathways, guidelines or standard operating procedures Supervision, mentorship and competency development of nursing or support staff Clinical leadership and contribution to service development or redesign Effective multidisciplinary and cross-organisational working Excellent written, verbal and consultation skills Ability to communicate sensitive or complex information and manage difficult conversations Ability to prioritise, organise and manage an autonomous workload safely Confident use of digital technology, remote consultation tools and evidence resources Knowledge of infection prevention, cold-chain management and safe handling of medicines and vaccines Self-directed, reflective and accountable practitioner Highly motivated, compassionate and committed to high-quality person-centred care Flexible team player able to work across professional and organisational boundaries and travel between PCN sites Satisfactory occupational health clearance and enhanced DBS check appropriate to the role
Desirable
Research awareness and critical appraisal of evidence Project or change-management experience
Experience Essential
Significant post-registration nursing experience Recent experience in general practice, primary care or a closely related community setting Autonomous management of patients with long-term conditions within an agreed scope of practice Experience caring for patients with multimorbidity, frailty or complex physical, psychological and social needs Enhanced clinical assessment, clinical reasoning and decision-making skills within scope of practice Safe medicines management and prescribing practice, including monitoring, adherence and adverse effects Health promotion, prevention, screening and supported self-management Delivery of adult and childhood immunisation programmes Delivery of cervical screening and associated follow-up Wound assessment and evidence-based wound care Personalised care planning, shared decision-making and care coordination
Desirable
Womens health, sexual health or contraceptive care within competence
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 The Confederation, Hillingdon CIC
Address The Pembroke Centre
90 Pembroke Road
Ruislip
HA4 8NX
United Kingdom
Employer's website https://www.theconfederationhillingdon.org.uk (Opens in a new tab)