About this role
Job summary
We are seeking an experienced nurse prescriber with long term condition management - ideally in Diabetes management. This person will be responsible for the delivery of evidence-based nursing services, working as part of the practice multi-disciplinary team, delivering care within their scope of practice to the patient population.
Able to mentor and supervise student nurses and new-to-practice nurses and other healthcare professionals with the organisation.
Working autonomously, the Nurse Prescriber will be responsible for a number of clinical areas such as public health and screening programmes, including infection prevention and control, chronic disease management, immunisations, health promotion and prevention, well man/woman clinics and cervical screening, Furthermore, they embed population health management approaches within general practice, targeting health inequalities and improving access.
The post-holder will be an integral part of the general practice team, as well as supporting the wider practice nurse network and multi-disciplinary team. They are to participate in formal training events and to promote best practice in their area of expertise as well as supporting the practice management team in the reviewing and delivery of clinical policy and procedure.
Main duties of the job
Consult with patients and their families to undertake assessments of patient need
Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives.
Prescribe medication in accordance with own scope of practice
Teach and advise patients and their families on how to manage their condition
Support in the delivery of enhanced services and other service requirements
Lead on public health campaigns (e.g., flu clinics)
a. Support, mentor, and supervise new-to-practice nurses and other healthcare professionals within the organisation
Provide travel advice services
Provide wound care (ulcer/Doppler, etc.) to patients
Contribute to practice targets (QOF, etc.), complying with relevant guidance
About us
Crondall New Surgery is a part-dispensing GMS practice in the village of Crondall, between Fleet and Farnham on the Surrey Hampshire border. We are part of Fleet PCN which in turn is part of Frimley ICB.
We have 6000 patients, the list size is growing steadily with local housing developments. We currently have partners and salaried GPs, practice nurses, HCA, phlebotomists, dispensers, first contact physio, mental health practitioner and a first class admin team. Home visiting is provided by an excellent paramedic practitioner home visiting service, employed by the local federation.
We cover 4 local care homes and a supported living facility, with weekly GP visits to each establishment.
Extended access commitment is currently one evening a week on a shared basis. There is a high quality local out of hours provider.
We use EMIS web and the Ardens clinical support package.
Our ethos is to offer first class patient care whilst maintaining a personal feel to the practice. We know our patients well and have historically low prescribing and referral patterns.
We are a friendly and supportive practice. We strongly believe that a good work-life balance is key to a fulfilled team. We can support flexible working patterns and clinicians wishing to develop specialist skills or interests.
The team share lunch on a weekly basis, and have regular meetings. Local educational opportunities are excellent.
Job description
Job responsibilities
The following are the core responsibilities of the Nurse Prescriber in delivering health services:
a. Support the Infection Prevention Control (IPC) lead and to work to the IPC Policy
b. Consult with patients and their families to undertake assessments of patient need
c. Support in the long-term condition management within the organisation, including being involved with quality improvement and assurance initiatives
d. Support public health and screening programmes, including immunisations, vaccinations, and cervical screening and also to provide opportunistic health promotion advice
e. Prescribe medication in accordance with own scope of practice
f. Embed population health management approaches within general practice, targeting health inequalities and improving access
g. As required, provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
h. Support, mentor, and supervise new-to-practice nurses and other healthcare professionals within the organisation
i. Be an integral part of the general practice team as well as supporting the wider practice nurse network and multi-disciplinary team
j. Teach and advise patients and their families on how to manage their condition
k. Participate in clinical audits and research projects and implements changes as required, including supporting with the development, and updating of practice protocols/guidelines and procedures locally
l. Work within national and local protocols where these exist
m. Recognise the boundaries of their practice and know when and to whom patients should be referred
n. Support in the delivery of enhanced services and other service requirements
o. Be aware of duties and responsibilities regarding current legislation and adhere to practice policies and procedures on Safeguarding Adults and Safeguarding Children
p. Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events
q. Undertake all mandatory training and induction programmes
r. Contribute to and embrace the spectrum of clinical governance
Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation
t. Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
u. Contribute to public health campaigns (e.g., flu clinics)
v. Provide travel advice services
w. Maintain a clean, tidy, effective working area at all times
x. Contribute to practice targets (QOF, etc.), complying with relevant guidance
y. Maintain accurate clinical records in conjunction with extant legislation ensuring that SNOMED CT codes are used effectivelyz. Maintain chronic disease registers and implement an effective call/recall system
aa. Chaperone patients where necessary
bb. Support the team in dealing with clinical emergencies
cc. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.)
There may be, on occasion, a requirement to carry out other tasks, this will be dependent upon factors such as workload and staffing levels
In addition to the primary responsibilities, the Nurse Prescriber has the following wider responsibilities:
a. Develop, review and implement nursing protocols in conjunction with the partners
b. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
c. Participate in local initiatives to enhance service delivery and patient care
d. Support and participate in shared learning in order to improve patient care
e. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
f. Support with the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
Person Specification
Personal qualities
Essential
- Effective time management (planning and organising)
- Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct
- Understand the requirement for PGDs and associated policy
- Ability to use own initiative, discretion, and sensitivity
- Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
- Ability to identify risk and assess/manage risk when working with individuals
- Ability to work as a team member and autonomously
- Good interpersonal and organisational skills
- Sensitive and empathetic in distressing situations
- Commitment to ongoing professional development
- Clear, polite telephone manner
Desirable
- Demonstrate personal accountability, emotional resilience and work well under pressure
- Knowledge of IT systems including the ability to use word processing skills, emails and the internet
Experience
Essential
- Broad knowledge of general practice and experience of working as a Practice or Community Nurse
- Experience with chronic disease management
- Experience of working autonomously
Desirable
- Experience of infection prevention and control measures
- Experience of managing elderly and housebound patients
- Experience of quality initiatives, i.e., benchmarking
- An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners
Qualifications
Essential
- Registered Nurse (Nursing and Midwifery Council)
- Independent Nurse Prescriber
- Has demonstrable experience in long-term conditions management and quality improvement
- Has evidence of working at the relevant level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework
Desirable
- Post graduate diploma or degree
- Long-term condition management in Diabetes/Respiratory areas
- Mentor or teaching qualification
- Family planning qualification
Clinical Knowledge and Skills
Essential
- Experience of Practice Nurse skills including wound care, ECG, venepuncture, immunisations, new patient medicals and womans health (cervical cytology, contraception etc.)
- Request pathology tests and process the results, advising patients accordingly
- Understanding of the importance of evidence-based practice
- Ability to promote best practice regarding nursing matters
- Ability to work within own scope of practice and understand when to refer to GPs
- Good clinical system IT knowledge and an ability to record accurate clinical notes
- Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face
- Understanding of safeguarding adults and children
- Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service
- Effectively able to communicate and understand the needs of the patient
Desirable
- Broad knowledge of clinical governance
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena and knowledge of health promotion strategies
- Knowledge of national standards that inform general practice (NSF NICE guidelines)
Other
Essential
- Disclosure Barring Service (DBS) check
- Occupational Health clearance
- Meet the requirements and produce evidence for professional revalidation
- Evidence of CPD commensurate with the role
- Access to own transport and ability to travel across the locality
- Flexibility to work outside core office hours
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
Crondall New Surgery
Address
Redlands Lane
Crondall
Farnham
Surrey
GU10 5RF
United Kingdom
Employer's website
https://www.crondallnewsurgery.co.uk/ (Opens in a new tab)