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Practice nurse
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Job role: Practice Nurse
Job type: Permanent
Salary: DOE
Location: Carrfield Medical Centre, Sheffield
Working hours: 3 days per week, Monday, Tuesday, and Wednesday
Accountable To
Lead Practice Nurse / Practice Manager / GP Partners
About Us
We are a rapidly growing GP-led organisation with a mission to ensure that all patients have access to comprehensive, coordinated, and continuous care within a sustainable primary care system.
We recognise the significant challenges currently facing primary care and understand the impact these pressures can have on both patient care and staff wellbeing. Our vision is to transform the way primary care is delivered by reimagining services from the ground up, placing a strong emphasis on data-driven insights, innovative technology, and clinical excellence.
We are committed to improving patient access, enhancing the patient experience, and delivering better health outcomes for our communities. Through a culture of collaboration, innovation, and continuous improvement, we strive to provide high-quality care that meets the evolving needs of our patients while creating a positive and supportive environment for our staff.
Our team is passionate about delivering safe, effective, and compassionate healthcare and we are looking for individuals who share our values and ambition to help shape the future of primary care.
Job Purpose
To provide high-quality nursing care to the practice population, promoting health and wellbeing through assessment, treatment, screening, health education, and chronic disease management. The post holder will work collaboratively with the multidisciplinary team to deliver safe, effective, patient-centred care and contribute to the achievement of practice clinical and quality objectives, including Quality and Outcomes Framework (QOF) targets.
The post holder will provide high-quality nursing care within both the practice and sometimes in a community setting, including undertaking home visits for patients who are unable to attend the surgery.
Key Responsibilities
Clinical Practice
The Practice Nurse will:
- Deliver evidence-based nursing care within their scope of practice.
- Undertake patient assessments, treatment, and evaluation of care.
- Maintain accurate and contemporaneous clinical records.
- Identify and manage patients at risk and escalate concerns appropriately.
- Adhere to practice policies, professional standards, and clinical guidelines.
- Promote equality, diversity, and patient-centred care throughout all aspects of service delivery.
Home Visits
The Practice Nurse will:
- Undertake home visits for housebound patients and those unable to attend the practice when clinically appropriate.
- Assess, plan, and deliver nursing care within the patient's home environment.
- Monitor and manage long-term conditions during home visits where appropriate.
- Undertake clinical procedures including wound care, medication monitoring, observations, and other delegated nursing interventions within scope of practice.
- Identify and escalate concerns regarding a patient's physical health, mental wellbeing, safeguarding needs, or home circumstances.
- Maintain accurate and contemporaneous clinical records following each visit.
- Liaise effectively with GPs, community services, secondary care providers, and other members of the multidisciplinary team to ensure continuity of care.
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Long-Term Condition Management
The Practice Nurse will:
- Undertake annual reviews and ongoing management of patients with long-term conditions.
- Manage nurse-led clinics for:
- Diabetes
- Asthma
- COPD
- Hypertension
- Coronary heart disease
- Heart failure
- Stroke and TIA
- Atrial fibrillation
- Monitor clinical outcomes and support achievement of QOF indicators.
- Develop and review personalised care plans.
- Support medicines optimisation and adherence.
- Refer patients to other healthcare professionals and services where appropriate.
Respiratory Care
The Practice Nurse will:
- Conduct annual asthma and COPD reviews.
- Assess asthma control and exacerbation history.
- Assess and record inhaler technique.
- Provide self-management education and personalised action plans.
- Promote smoking cessation and healthy lifestyle changes.
Diabetes Management
The Practice Nurse will:
- Conduct diabetic annual reviews.
- Perform and record diabetic foot assessments.
- Monitor HbA1c, blood pressure, and cardiovascular risk factors.
- Provide patient education to support self-management.
- Support patients with treatment plans and lifestyle modifications.
Health Promotion and Disease Prevention
The Practice Nurse will:
- Promote healthy lifestyles and preventative healthcare.
- Provide advice regarding:
- Smoking cessation
- Weight management
- Diet and nutrition
- Physical activity
- Alcohol consumption
- Support national and local screening programmes.
- Encourage patient participation in preventative health initiatives.
Immunisations and Vaccinations
The Practice Nurse will:
- Administer childhood and adult immunisations in accordance with national guidance.
- Deliver seasonal vaccination programmes.
- Maintain vaccine storage, cold chain management, and documentation requirements.
- Ensure accurate clinical coding and recording of vaccinations.
Cervical Screening
The Practice Nurse will:
- Undertake cervical cytology screening in accordance with national standards and training requirements.
- Support patient education and informed consent.
- Ensure results are appropriately managed and followed up.
Clinical Procedures
The Practice Nurse will be competent and appropriately trained to undertake:
- Venepuncture
- Blood pressure monitoring
- NHS Health Checks
- Urinalysis
- Height, weight, and BMI assessments
- Wound care and dressings
- Ear irrigation or microsuction (where trained)
- Other delegated clinical procedures appropriate to the role
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Quality and Outcomes Framework (QOF)
The Practice Nurse will:
- Support the achievement of QOF targets through effective patient management and accurate clinical coding.
- Participate in recall and review systems for long-term conditions.
- Ensure clinical activity is coded accurately and in a timely manner.
- Identify patients requiring review and support completion of clinical indicators.
- Contribute to audits and quality improvement initiatives.
Clinical Administration
The Practice Nurse will:
- Maintain accurate patient records using the practice clinical system.
- Process and action clinical information in accordance with practice protocols.
- Contribute to effective communication within the multidisciplinary team.
- Participate in the development and review of practice protocols and procedures.
Safeguarding and Governance
The Practice Nurse will:
- Act in accordance with safeguarding policies and procedures.
- Report concerns relating to vulnerable adults and children.
- Always maintain patient confidentiality.
- Comply with Information Governance and Data Protection requirements.
- Participate in incident reporting, significant event reviews, and clinical governance activities.
Professional Development
The Practice Nurse will:
- Maintain NMC registration and professional competence.
- Participate in annual appraisal and personal development planning.
- Undertake mandatory and role-specific training.
- Keep up to date with changes in clinical practice, national guidance, and primary care developments.
Person Specification
Essential
- Registered Nurse with current NMC registration.
- Experience of working in a primary care or community healthcare setting.
- Knowledge of long-term condition management.
- Experience of delivering immunisations and vaccinations.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a multidisciplinary team.
- Competent IT skills and experience of electronic clinical systems.
Desirable
- Qualification in cervical cytology.
- Chronic disease management qualifications.
- Respiratory disease management training.
- Diabetes management qualification.
- Independent prescribing qualification.
- Experience of EMIS.
- Experience of QOF management and clinical coding.
Benefits
- 27 days annual leave (pro-rata) plus 8 bank holidays (pro-rata)
- NHS Pension Scheme
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 the Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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