Job description

Job responsibilities

Key responsibilities

1. Conducting thorough assessments, physical examinations and diagnostic tests.
2. Formulating differential diagnoses and developing evidence based management plans.
3. Prescribing medications and treatments in accordance with clinical guidelines and protocols.
4. Providing health education and promoting self-management strategies to patients and their families.
5. Collaborating with GP's, nurses and other healthcare professionals to optimise patient care and outcomes.
6. Participating in clinical audits and continuous professional development activities.

Job description and responsibilities

1. Ensure that confidentiality is maintained at all times, with a duty not to disclose ant confidential information after employment ends.
2. To work independently using own initiative and is accountable for own professional actions.
3. To assess, diagnose, plan, implement and evaluate treatment/intervention and care for patients present with an undifferentiated diagnoses.
4. To assess, diagnose, plan, implement and evaluate treatment/intervention and care for patients with complex needs.
5. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition.
6. Clinically examine and assess patients needs for a physiological and psychological perspective and plan clinical care accordingly.
7. Diagnose and manage both acute and chronic conditions. integrating both drug and nondrug based treatment methods into a management plan.
8. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols and within scope of practice.
9. To work with patients to support compliance with and adherence to prescribed treatments.
10. Provide information and advice on prescribed or over the counter medication on medication regimens, side effects and interactions.
11. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations including initiation of effective emergency care.
12. Support patients to adopt health promotion strategies to promote healthy lifestyles and apply principle of selfcare.
13. Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for mental health.
14. Carry out the partners instructions and requests.
15. All staff are required to take their share in providing cover, when necessary, for colleagues who may be absent as a result of holidays or illness.
16. Maintain a smart appearance and be helpful wherever possible.
17. All staff should be conversant with and adhere to all written guidelines and protocols.

Extra duties and responsibilities

1. To provide accurate, contemporaneous and complete records of patients consultations, consistent with legislation, policies and procedures.
2. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
3. IPC compliance and waste disposal.
4. Deliver care according to NSF,NICE guidelines and evidence based care.
5. Maintain practice effective communication within practice environment and with external stakeholders.
6. To raise any significant events and discuss learning opportunities in clinical and MDT meetings.
7. Target outstanding QOF and arrange for this to be completed.
8. Liaise with colleagues and ensure hand over is carried out.
9. All patient identifiable data is locked away at the end of the day.

The post holder must be aware of the responsibility placed on him/her under the Health & Safety at work Act 1974 and ensure that agreed safety procedures are carried out in order to maintain a safe environment for employees, patients and visitors.

All employees should understand that it is their personal responsibility to comply with all other organisational and statutory requirements eg confidentiality, equal opportunities, child protection, in house complaints procedure, fire alarm protocols and all protocols that relate to their specific role etc.

Understand and apply legal issues that support the identification of vulnerable and abused children and adults and to be aware of statutory / vulnerable patients health procedures and local guidance.

Other information

Overtime, to cover annual leave and sickness is an essential part of the job.

Confidentiality

In the course of seeking treatment, patient 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.

In the performance of the duties outlines in this job description, the post holder may have access to confidential information relating to patient and their carers, practice staff and other healthcare workers. They may also have access to information relating to practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues and other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety policy, the practice health and safety manual, and the practice information control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines.

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.

Making effective use of training to update knowledge and skills.

Using appropriate infection control procedures, maintaining work area in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazards immediately when recognised.

Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Equality and diversity:

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

1. Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies and current legislation
2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
3. Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.
4. To act as an advocate for patients.
5. Monitor and evaluate adherence to local chaperoning policies.
6. Act as a role model in the observations of equality and diversity good practice.

Personal/Professional development

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

1. Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
2. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
3. Mandatory training must be completed when due and certificate produced for HR file
4. Utilise the audit cycle as a mean of evaluating the quality of work of self and the team, implementing improvements where required.

The post-holder will strive to maintain quality within the practice and will:

1. Alert other team members to issue of quality and risk
2. Assess own performance and take accountability for own actions, either directly or under supervision
3. Contribute to the effectiveness of the team by reflecting on own team activities and making suggestions on ways to improve and enhance the teams performance
4. Work effectively with individuals in other agencies to meet patients needs
5. Effectively manage own time, workload and resources
6. Use a structured framework to manage, review and identify learning from patient complaints, clinical incidents and near miss events

The post-holder should recognise the importance of effective communication within the team and will strive to:

1. Communicate effectively with other team members
2. Communicate effectively with patients and carers
3. Recognise peoples needs for alternative methods of communication and respond accordingly
4. Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Contributions to the implementation of services:

The post-holder will:

1. Apply practice policies, standards and guidance
2. Discuss with other members of the team how the policies, standards and guidelines will affect own work
3. Participate in audit where appropriate

Person Specification

Qualifications

Essential

• Registered nurse with current NMC registration. Masters degree in Advanced Clinical Practice or Advanced Nursing Practice. Prescribing qualification and experience.

Desirable

• Teaching/mentoring experience and/or qualification.

Experience

Essential

• Understanding of evidence based practice.
• Polite, confident, flexible and cooperative. Excellent interpersonal, verbal and written communication skills. Reflective practitioner, motivated and a forward thinker, willingness to undertake training at a higher level if necessary. Problem solver with the ability to process information accurately and effectively, interpreting data as required.
• Understanding of the national and local health agenda, awareness of legal and ethical issues of the role. Skills in clinical examination and diagnostic techniques, empathetic and sensitive in distressing situation as well as the ability to work under pressure/ in stressful situations.
• Extensive experience working autonomously in primary care or community settings. Commitment to continuous professional development and evidence based practice.

Desirable

• Ability to be self motivated. Ability to think strategically. Experience of use of medical software package- SystmOne/Ardens.
• Evidence of clinical audit, evaluation research and implementation of evidence based practice. Interpreting and implementing local and national policy agendas for health.

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 .

Employer details

Employer name

Ash Grove Medical Centre

Address

Ash Grove Medical Centre

England Lane

Knottingley

West Yorkshire

WF11 0JA