Nurse Manager

Job summary

To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients. Working as a senior member of the practice multi-disciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population. The senior practice nurse will be responsible for a number of clinical areas such as infection prevention and control, health promotion, chronic disease management, health prevention, well women and well man clinics, as well as actively supporting the practice management team in the reviewing and delivery of clinical policy and procedure.

Responsibilities

The following are the core responsibilities of the senior practice nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

• To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager
• To produce the IPC annual statement in conjunction with the practice manager
• To develop, implement and embed an effective care management for the frail and housebound patients registered at the practice
• To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
• To develop, implement and embed health promotion and well-being programmes
• To implement and evaluate individual treatment plans for chronic disease patients, which promote health and well-being
• To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients’ health
• As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
• As required, to diagnose and manage acute and chronic conditions
• To prescribe medication for patients in accordance with PGDs and own scope of practice
• To review patient medications to enhance compliance
• To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages
• To co-ordinate the provision of travel medicine services
• To request pathology services and process pathology results as required
• To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
• To maintain accurate clinical records in conjunction with extant legislation
• To ensure read codes are used effectively by all members of the nursing team
• To ensure the appropriate maintenance and use of chronic disease registers
• To ensure compliance with the practice chaperone policy
• To prioritise health issues and intervene appropriately
• To support the team in dealing with clinical emergencies
• To recognise, assess and refer patients presenting with mental health needs
• To implement vaccination programmes for adults and children
• To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
• To support the clinical team with all safeguarding matters, in accordance with local and national policies
• To understand practice and local policies , referring patients appropriately
• To deliver opportunistic health promotion where appropriate
• Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
• Develop, review and implement nursing protocols in conjunction with the partners
• Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning within the practice in order to improve patient care
• Continually review clinical practices, responding to national policies and initiatives where appropriate
• Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA)
• Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
• Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

Requirements

Person specification

• Senior practice nurse
• Registered nurse
• Post graduate diploma or degree (Chronic Disease Management)
• Nurse prescriber – desirable
• Mentor or teaching qualification
• Family planning qualification – desirable
• Experience of working in a primary care environment
• Experience of leading a nursing team in a primary care environment
• Experience of working as a practice nurse
• Experience of chronic disease management
• Experience of working autonomously
• Experience of infection prevention and control measures

Clinical knowledge and skills

• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals
• Chaperone procedure
• Requesting pathology tests and processing the results, advising patients accordingly
• Travel medicine
• Diabetes
• Hypertension
• Asthma
• Spirometry
• CHD
• Immunisations (routine, childhood and travel)
• Women’s health (cervical cytology, contraception IUD, IUS)
• Ear care
• Understand the importance of evidence-based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Understanding of infection prevention and control measures
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Understand the requirement for PGDs and associated policy

Skills

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• EMIS user skills
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Ability to lead audit programmes
• Ability to lead clinical risk management
• Ability to deliver teaching and/or mentorship

Personal qualities

Essential/Desirable

• Polite and confident
• Flexible and co-operative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure/in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilise resources
• Punctual and committed to supporting the team effort

Other requirements

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Occupational health clearance
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of a senior practice nurse

About us

We are a local GP Surgery based in Selsdon 11859 patients,

• 2 Partners
• 5 SGP
• 2 full time nurses
• 1 HCA and 1 Phlebotomist
• Training Practice

Benefits package

• 5 weeks holiday plus 1 weeks study leave
• NHS pension
• Uniform provided
• A lot of support from all the teams