About this role
Job summary
At Guiseley and Yeadon Medical Practice, we are looking for a highly motivated Senior Nurse to join our busy medical practice due to some restructuring within the practice over the last year. Our friendly growing team is situated in purpose build premises in the pleasant residential area of Yeadon and Guiseley of Leeds.
We are a training practice and participate in a range of enhanced services and currently work very closely with Aire Valley Surgery. Guiseley and Yeadon Medical Practice have a dedicated large team which consists of 10 Salaried GPs, a Band 5 Nurse, Band 6 Nurse and 4 Health Care Assistants and this role is to lead the Nursing Team at Guiseley and Yeadon Medical Practice. There are 2 Registrars and a Physicians Associate who works closely with the Nursing Team to oversee Long Term Conditions and a dedicated Practice Pharmacist and many others.
Main duties of the job
Guiseley and Yeadon Medical Practice is looking to appoint a Lead Nurse with strategic vision to lead and develop our growing Nursing Team.
JOB SUMMARY
The post holder will demonstrate a high level of expertise providing advice, education and support to staff, patients, their families and carers.
The post holder will be practising autonomously as a Practice Nurse, Advanced Clinical Practitioner or Advanced Nurse Practitioner within the designated speciality area of primary care to provide patient-centred clinical care.
The post holder will support new ways of working that emphasises an efficient and patient focused service, and will ensure the safe treatment, referral including the management of patients with long term conditions in primary care.
You will have responsibility for leading the on-going development of clinical practice and standards of care within the service, including the development of policies, procedures, protocols, and guidelines in collaboration with multidisciplinary colleagues, the management team and partners.
The post holder will deliver a clinical component to their role and there will be protected Management Time protected for matters related to appraisal, clinical audit, teaching, leadership and management, continuous professional development and research.
About us
Guiseley and Yeadon Medical Practice is modern and forward thinking, we enjoy participating in new projects and being involved in Training and Development.
Having gone through significant changes over the last year, we are now ready to put in place permanent members of the Senior Leadership Team. We currently have approximately 11000 patients and we have two sites that everyone works accross.
Job description Job responsibilities
Key Areas of Responsibility
Clinical
1. Work autonomously as a Senior Nurse within the practice, managing patients and delivering individualised direct patient care.
2. Direct responsibility for assessment, examination, investigation, and diagnosis of patients within the agreed scope of your role. The clinical scope of your role will be reviewed at appraisal on an annual basis, based on the Core Capabilities Framework.
3. Appropriately treat patients, resulting in the safe management and appropriate referral of patients. This includes the management of patients with long term conditions and complex care.
4. Receive referrals via a variety of sources, including from the doctor team, nursing colleagues and to manage your caseload and clinical priorities according to agreed protocols and working practices
5. Participate in multidisciplinary meetings, safety huddles, patient reviews and team meetings
6. Undertake a variety of clinical skills and provide treatment/ advice as per your agreed scope of practice, using agreed protocols of clinical practice and professional guidelines. This service may be provided within an urgent care primary care setting, or routine primary care setting, including in the community or home care settings.
7. Within scope of practice and clinical competence request and / or undertake diagnostic procedures and clinical investigations related to plans of care
8. Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Guiseley and Yeadon Medical Practice's policy for Medicines Management
9. Utilise your advanced knowledge and skills relating to the speciality of primary care to provide specialist primary care advice to other members of the multidisciplinary team on the basis of patient assessment.
10. Provide a seamless, high-quality service from assessment through to diagnosis, treatment, and review, referring to other specialists in the community or secondary care as required. Provide guidance to staff, patients and their families and carers on pathway navigation
11. Lead in the development and updating of referral guidelines and policies for the service.
12. Use highly developed communication skills to effectively communicate with colleagues, patients, and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.
13. Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the practice management/nursing / professional structures/partnership as required
14. Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Practice policies for safeguarding including the assessment of mental Capacity, and consideration of Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness)
15. Ensure effective and accurate verbal or written handover of patients between healthcare professionals.
16. Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Practice and professional standards.
17. Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the practice manager and partnership or addressing them if within your own team.
18. Undertake training to develop further advanced clinical practice roles required by the practice to provide a high standard of patient care.
20. Practice within the scope of professional registration
Professional Leadership & Management
1. Provide highly visible and accessible professional leadership and demonstrate expert knowledge and standards of clinical practice in primary care
2. Promote interdisciplinary team and collaborative working practices
3. Meet regularly with team members as a team and on an individual basis as required to support their personal and professional development
4. Promote team working, build rapport and collaborative working practices within the multidisciplinary clinical and management team. Liaise with non-clinical personnel across the organisation and professional groups. Ensuring effective communication and interpersonal skills.
5. Act as a clinical role model demonstrating high standards of advanced clinical practice and provide support or advice to other staff when necessary
6. Lead and support the development of the role according to changing patients needs, service requirements and evidence base practice.
7. Lead and actively participate in practice/local projects, quality initiatives and statutory accreditation processes. This will include the setting and monitoring of clinical standards of care
8. Ensure that all resources are managed in an efficient and cost-effective manner to achieve maximum effect for patients and staff.
9. Adhere to all relevant practice and local policies and procedures and to ensure that they are correctly implemented.
10. Lead in the implementation of multidisciplinary service objectives that reflect practice strategies for patient care.
11. Demonstrate effective leadership skills, supporting the senior management team and partnership in service development and lead as delegated on the implementation of any of these changes.
12. Monitor standards and maintain high quality care. Report any clinical incidents via the practices electronic reporting system for significant events and escalate issues promptly and appropriately
13. Utilise the highest level of interpersonal and communication skills when dealing with complex, sensitive or emergency situations.
14. Maintain an awareness of professional and ethical issues to ensure care is delivered in a professional timely and courteous manner by all members of the team, respecting the different spiritual and cultural backgrounds of colleagues, patients, and relatives.
15. Escalate any concerns or complaints promptly
16. Participate in the recruitment and selection of staff.
17. Responsibility for completing or delegating the preparation and daily review of staff duty rotas, ensuring that the team provides most effective service provision.
18. Accountable for own practice, always acting within the Professional Code of Professional Conduct
19. Maintain a working knowledge of local and national professional policy and strategy.
20. Attend and when required chair multidisciplinary meetings as a representative of the service. Ensure minutes and agreed actions are communicated to stakeholders according to agreed timescales
21. Clinical leadership of practice immunisation programmes. Working in collaboration with the practice manager, partnership, and local teams to ensure safe delivery of all immunisations.
Reports/searches training
1. To provide clinical leadership for cervical cytology in the practice and to ensure our process are safe and effective. Review policy
Education & Training
1. Act as an expert educational resource for clinical staff, patients, and carers by providing formal and informal education. Promote and develop a positive learning environment throughout the Practice.
2. Act as mentor/ assessor to staff members and students as required, providing educational advice and support. Ensure staff can access appropriate training support and guidance
3. Students - Lead and actively participate in the delivery of educational programmes for all grades of nursing, medical and allied health professional staff, in collaboration with the partnership team and leadership team.
4. Provide support and guidance to all levels of practice staff in their clinical role.
5. Ensure that pre and post registration students receive appropriate learning experience whilst allocated to the practice.
6. Participate in provision and identification of in-service training need for all nursing team staff.
7. Participate in education and practice development, liaising with practice, local and national educational leads to ensure educational objectives are delivered
8. Recognise the limits of own professional practice and competence, undertake further training and academic qualifications as required to maintain own specialist knowledge
9. Take responsibility for ensuring personal and completion of any statutory or mandatory training as required for. Informing line manager if there is any deviance from training attendance
10. Participate in the annual appraisal process, delegating duties to team members as appropriate, to ensure all staff within the team have personal development plans which support revalidation
11. Maintain links with local higher education institutions and participate in in the delivery of new and established advanced and nursing practice programmes as required.
Person Specification
Experience Essential
Supervision, teaching and coaching of staff Multi-professional problem solving in teams Strategy and policy development Experience of managing and leading a broad range of staff Budget management experience Experience of improving quality for patients, staff and service Experience of working with a wide range of stakeholders
Other Essential
Proven ability to analyse complex problems and to develop and successfully implement practical and workable solutions to address them. Ability to think and plan tactically and creatively, and to prioritise work programs in the face of competing demands; A strong sense of personal and team accountability coupled to a clear understanding of the boundaries around delegated authority; Ability to collaborate constructively with internal and external partners to create the conditions for successful partnership working; A good understanding of the changing NHS environment. Financial Management.
Desirable
Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships;
Qualifications Essential
Qualifications and/or Knowledge Registered nurse A good knowledge of, and experience in, general practice, primary and community care Track record of significant continuous professional and management development Leadership training or equivalent experience Up to date in all current issues related to professional nursing practice and health service management Understanding of the emerging integrated care system arrangements and the implications for general practice A good working knowledge and interest in new models to strengthen and improve primary care and ideas on how to implement these for the development locally An understanding of the key priorities within QoF and NHS Long Term Plan An understanding of population health and population health management Knowledge of local health issues within own PCN Knowledge of staff management processes Post-graduate management qualification Application form and pre-employment checks
Desirable
Post-graduate management qualification
Aptitude and Abilities Essential
Assertive and confident in approach An interest in leadership within primary care and the wider health and social care system Ability to think and plan tactically and creatively Ability to develop and maintain constructive relationships with all professional disciplines Ability to analyse complex clinical issues/problems, identify necessary action and make recommendations and follow these through Strong sense of commitment to openness, honesty and integrity in undertaking the role Ability to prioritise Advanced decision-making skills Sound political judgement and thorough understanding of working with complex policy and diverse interest groups; Successful project management Workforce planning / role redesign
Desirable
Successful project management Workforce planning / role redesign
Values Essential
Excellent inter-personal and communication skills with good listening skills; High level of work organisation, self-motivation, drive for performance and improvement, and flexibility in approach and attitude; Strong sense of commitment to openness, honesty and integrity in undertaking the role. Demonstrates enthusiasm towards teaching and sharing knowledge
Desirable
Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovative service delivery and partnerships;
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 Aire Valley Surgery
Address Guiseley and Yeadon Medical Practice
Yeadon Health Centre
17 South View Road
Yeadon
LS19 7PS
United Kingdom
Employer's website https://www.airevalleysurgery.nhs.uk (Opens in a new tab)