|
|
|
|
Job
Title:
Lead
Nurse Practitioner Grade:
8b Hours:
37.5
hours per week Responsible
to: General
Manager PCT Primary Care Practices Accountable
to: Manager
Adult Community Nursing Job
location: STATEMENT
OF JOB PURPOSE
JOB
SUMMARY [Practice]
is a nurse-led PCT managed medical services practice.
Patients register with the practice and are offered a full range of
primary care services. This position
provides an exciting opportunity to lead an innovative primary health care
service delivery. The
expectation of this advanced nursing position is for the practitioner to see
patients presenting with undifferentiated / previously undiagnosed conditions.
Practitioners working to this level of competence must have the ability
to use complex reasoning, critical thinking, reflection and analysis to inform
their health assessments, clinical judgements and decisions.
They will have a deeper knowledge in areas such as therapeutics, social,
biological and epidemiological sciences, the use and effect of drugs and have
advanced skills in areas such as empowerment, communication, consultation and
the ability to recognise when to refer to others with more advanced or more
appropriate competencies. The
post requires close working with the wider team and affiliated professionals to
ensure that the responsibility of the workload is effectively shared.
The post holder must demonstrate enthusiasm, drive, high levels of
competence, judgement, integrity and personal and professional accountability. It
must be stressed that the ability to set standards, state objectives,
strategically plan, organise, motivate others, provide support and supervision,
monitor and evaluate self and workload are all components of this leadership
role. KEY
RESPONSIBILITIES Clinical 1.
Responsible
for the identification of health and social care needs of the practice
population by undertaking a practice profile in collaboration with the wider
team and to develop a primary health care service provision to meet specific
needs. 2.
To
assess, plan and provide direct consultation to patient population with
undifferentiated / undiagnosed conditions ensuring that practice is effective,
relevant, evidence based and of a high standard. To make differential diagnoses
utilising advanced decision making and problem solving skills. To demonstrate clinical
effectiveness and the rationale behind various methods chosen to meet the
healthcare needs of patients. 3.
Assess,
diagnose and treat specific conditions in accordance with agreed practice
clinical protocols, local clinical guidelines, nationally recognised guidelines
and clinical management plans as agreed with the wider team.
To refer to another member of the practice team deemed appropriate by the
practitioner. To audit outcomes of
care against standards and initiate changes accordingly. 4.
To
undertake general practice nursing services in collaboration with the wider team
to include wound care, diagnostic blood and urine tests, ear care and advice,
new patient registration health checks within the surgery and in the home if
appropriate. 5.
Provide
specific evidence – based practical skills and knowledge in face-to-face and
telephone consultation in the following areas: ·
Ophthalmologic
examination ·
Soft
tissue and ligament injuries ·
Diabetes ·
Asthma ·
Tissue
viability ·
Ear
care ·
Minor
burns ·
Respiratory
illness ·
Bony
injuries ·
Dermatology ·
Cardiovascular
disease ·
Gynaecology ·
Sexual
health ·
Family
planning ·
Gastric
illness ·
Alcohol
dependence ·
Substance
misuse ·
Minor
illness ·
Travel
health ·
Immunisation 6.
To
provide, in collaboration with the patients, evidence based management plans
that includes evaluation and review, and that incorporates cultural preferences,
health beliefs, behaviours and traditional practices. 7.
Offer
a holistic approach to travel health including comprehensive advice to patients
prior to travel where appropriate. 8.
To
provide a comprehensive family planning and sexual health service, to include
advising on available methods and referring patients where appropriate. 9.
To
provide interval health checks for those using hormonal oral or injectable
contraception to include advising patients on reducing the risk of sexually
transmitted diseases. To teach
patients correct condom use and to manage the whole service through evaluation. 10.
To
take the lead in the achievement and maintenance of breast and cervical
screening targets. To include the
initiation and co-ordination of measures to improve uptake where required.
To record and monitor results, including efficient call and recall
systems. To audit smears taken each
year by all team practitioners to demonstrate accurate sampling. 11.
To
provide an effective health promotion service, by the recognition of patients
readiness to change in supporting their attempts to change unhealthy behaviours.
Undertake health surveillance and therapeutic interventions within the
broader health promotion / public health strategy, and to ensure that these are
linked to identified practice and national targets and outcomes.
To manage the service by evaluating the care given. 12.
To
liaise with affiliated professionals when appropriate (health visitors, social
workers, midwives) to ensure that issues around high-risk pregnancy, children at
low – high risk and other family matters are addressed. 13.
To
lead the practice team in organising, implementing and administering the annual
influenza and pneumococcal vaccination programme.
To include the identification, targeting and immunisation of vulnerable
patients within the practice population in accordance with local / national
targets are met. 14.
To
identify and maintain registers of those patients with chronic diseases such as
asthma, chronic obstructive pulmonary disease, diabetes, thyroid disease,
epilepsy and coronary heart disease. 15.
To
lead on the development, implementation, delivery and evaluation of programmes
of care for those patients with chronic disease in keeping with National Service
Framework targets and to meet the quality indicators laid down in the PMS
contract. 16.
To
identify and maintain registers of those patients with substance misuse and
alcohol dependence. 17.
To
lead on the development, implementation, delivery and evaluation of programmes
of care and treatment for patients with substance misuse and alcohol dependence. 18.
To
ensure that all ‘high risk’ patients are screened for HIV, Hepatitis A, B, C
status and vaccinated as per recommended programme.
19.
To
develop a comprehensive diabetes nursing service, to include development of a
profile of diabetic patients within the practice, managing newly diagnosed
patients under shared care protocols or in conjunction with the wider primary
health care team and to audit outcomes of care against standards in order to
initiate change as indicated. 20.
To
develop a comprehensive respiratory nursing service, to include management of
emergency asthma attacks and supporting patients and the wider team in the
diagnosis of chronic obstructive pulmonary disease working within agreed
practice and BTS guidelines. To also
manage patients with asthma, including diagnosis, reviewing condition,
responsiveness to treatment and self management plans, auditing outcomes of care
and initiating change in keeping with previously agreed clinical management
plans based on local, national and BTS guidelines.
21.
To
lead on the initiation of protocols and templates to manage the practice
programme for managing patients with coronary heart disease using evidence based
research. To manage this group
reviewing condition / treatments, responsiveness to treatment and self care,
auditing outcomes of care and initiating change in keeping with previously
agreed clinical management plans based on local and national guidelines. 22.
To
support and enable individuals, carers (when appropriate), and other agencies
involved in the well being of homeless people and communities to take action to
meet priority health needs. 23.
To
ensure that your professional responsibilities are met as a practitioner
prescribing as an Independent / Supplementary nurse prescriber. 24.
To
assess patient understanding of treatment proposals, gain valid informed consent
and works within the NMC Code of Professional Conduct to provide care for
patients who lack the capacity to consent to treatment. 25.
To
recognise and address the needs and further referral options for people
suffering family violence, vulnerable adults, substance misuse and other
addictive behaviours. 26.
To
recognise, manage and refer appropriately either ‘in-house’ or to affiliated
service providers those patients presenting with depression, severe enduring
mental health illness, people who are or are at risk of self harm / suicide. 27.
To
assist patients and their carers to meet their spiritual needs in the context of
health and illness. 28.
To
recognise the signs and symptoms of child abuse and have knowledge of other
practitioners and agencies roles and take action in accordance with Trust and
Child Protection Agency procedures. 29.
To
use a range of verbal / non-verbal communication tools to communicate
effectively with patients to ensure delivery of optimal healthcare. 30.
To
be responsible for ensuring that clinical governance standards within the
practice are met, including managing clinical risk pertinent to personal
practice, leading on the formulation of practice policies and management of
meetings to disseminate critical incidences occurring in the practice. 31.
To
lead and co-ordinate the practice team and allied professionals (where
appropriate) within practice meetings to ensure effective communication in order
to ensure high standards and continuity of health care provision to the practice
population. 32.
To
utilise the benchmarking tools contained within the ‘Essence of Care’ to
help and improve the quality of care provided, especially in areas of self-care,
food and nutrition, record keeping, privacy and dignity. 33.
To
lead the team in initiating and developing specific enhanced services under the
PMS contract. 34.
To
provide management and clinical support and guidance for locum staff (nurses and
GPs). 35.
You
will be expected to line manage the salaried GP’s, the nursing team and
healthcare assistant(s) and the Practice Manager along with any locum support
staff. Practice
Clinical Management and Administration
22. To
Chair and manage the agenda for the weekly team meeting.
Information
Technology
Professional
Further Information and
General Responsibilities
courteous manner at
all times and to be the first point of contact for
visitors to the practice in the absence of the practice manager. 2.
To deal sensitively with patients
that may have high levels of anxiety and
aggression caused by lifestyle, pain, and dementia or limited mobility.
This job description is a reflection of the current
position and the post holder is expected to view it as a guide rather than an
exact description of all duties and responsibilities.
It may be subject to variation from time to time. Job
Description prepared by ………….. Agreed job description Post holder name:
Date:
Post
holder signature:
Date:
Managers name:
Date:
Manager’s signature:
Date:
|