JOB DESCRIPTION
JOB TITLE: Senior Practice Nurse
GRADE: 7
SALARY: £38,035 to 43,081 (Inc Inner London weighting) depending on experience. FTE
SITE/BASE: Great Chapel Street, but also across Westminster locations
REPORTS TO: GP partners and Practice Manager
DBS CLEARANCE LEVEL REQUIRED - Enhanced
JOB SUMMARY
The post holder will be required to run nurse practitioner clinics both at Great Chapel Street and at partnership sites as agreed with the management team. The post holder is required to be a member of the Practice CQC Management team.
The scope of the post includes the development of effective inter-disciplinary and inter-agency relationships to improve the outcomes for homeless patients accessing services at the practice.
MAIN TASKS AND RESPONSIBILITIES
Clinical
1. Running clinics as part of nurse rota including offering a triage role
Typical Nurse Consultations
• Basic health checks – e.g. height weight BP PMH, etc.
• Screening – Sexual health, Cervical, Blood Borne Virus (BBV) TB
• Contraceptive advice
• Vaccinations
• Wound Care and Dressings
• Spirometry
• ECG recording
• Minor illness/injury
• Harm Reduction advice including but not limited to:
i. Substance Misuse including alcohol and smoking, safer injecting
ii. Chronic Disease Management in adverse circumstances
2. To run regular targeted chronic disease management for conditions such as asthma, diabetes, mental health.
3. To utilize an extensive knowledge of evidence based practice and treatment options to select and deliver a specialised programme to individual patients to prevent unnecessary admission to hospital.
4. Case management of a caseload of complex patients, as agreed.
5. Ensure all patient-related nursing correspondence is promptly reviewed and recorded appropriately in the patient records and that any follow-up action is taken.
6. Adhering to and developing policies and procedures to comply with CQC Regulations
7. Case Management and partnership working with a range of other NHS and allied partner organisations for the purpose of improving patient outcomes.
8. Liaison and Co-ordination of External clinics
9. Liaison with Accident and Emergency and Secondary care around unplanned admissions and discharges
10. Clinical Lead for Partnership working with external agencies e.g. Pathways teams St Mungo’s, St Martins in the Fields outreach team, hostels etc.
Operational
1. To take part in the nurse rota for clinic cover.
2. Attend weekly MDT meetings as required and any other meeting as identified by management team.
3. Co-ordinate and attend case conference and professionals meetings for practice, as required and agreed.
4. Ensure that up to date written and electronic records and activity data are maintained in accordance with professional and practice standards.
5. . Use a range of verbal and non-verbal communication tools to communicate effectively with patients and carers to progress rehabilitation and treatment programmes. This will include patients who may have difficulties in understanding or communicating.
6. Ensure that information is shared as appropriate to team members.
Quality and Information Management
1. To comply with the organisational policies and procedures and to be involved in the reviewing and updating as appropriate.
2. Keep up-to-date and adhere to all relevant regulatory requirements including CQC and NMC standards.
3. To respond promptly to any incident where service quality has fallen below an acceptable standard and report to the GP Partner/ Practice Manager.
4. To be aware of and to highlight to your GP Partner/ Practice Manager any clinical governance issues pertaining to your role and practice.
5. To identify unmet needs in the service and advise the line manager as necessary.
6. To be aware of Health and Safety aspects of your work and implement any policies, which may be required to improve the safety of your work area, including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use is safe.
7. Ensure appropriate data is recorded to allow an analytical overview of case management and outreach activity across the Practice’s projects. Provide reports relating to this data.
8. Contribute to the Annual Report and provide other high quality reports to the practice team and CCG sub-committees as required
9. Use and manipulate essential Microsoft Office software on PC to produce electronic reports to satisfactory standard where necessary
Training and Education
1. To be responsible for maintaining own competency to practice through CPD activities and maintain a portfolio which reflects ongoing personal development.
2. To identify any staff training needs and communicate appropriately to the Clinical lead in effective manner in order to meet the needs of patients and in accordance with agreed strategies.
3. To contribute to the induction and training of new staff and students within the practice.
4. Participate in the staff appraisal scheme as an appraisee and be responsible for complying with agreed personal development programmes to meet individual and service objectives.
5. To actively contribute in the measurement and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or as part of a team.
6. Develop and deliver training for outreach and other working partners around homeless health needs across Westminster in line with agreed training strategy
This is an outline of the postholder’s duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department.
Effort and Environment
The following information is required for all posts in order for the “effort and environment” factors required for Agenda for Change to be taken into consideration when banding posts.
Information Required / Please complete as appropriate for the rolePhysical
Examples - the nature, level, frequency and duration of the physical effort required for the job e.g. Kneeling, crouching, work in confined space, sitting, standing, walking, lifting, pulling, running, pushing. / Must be able to climb stairs
Must be able to walk around the borough for some distances as part of outreach
Mental
Examples - the nature, level, frequency and duration of the mental effort required for the job e.g. Checking documents, calculations, analyzing statistics, operating machinery, microscope work, assessing patients, formal minute taking, teaching.
Also measures whether the postholder will be subject to interruptions / Analysing complex data and produce reports and articles for peer review.
Write complex reports and policies
Deliver training and presentations
Able to use power point
Chair meetings
Emotional
Examples - the nature, level and frequency of emotional effort required to undertake clinical or non-clinical duties that are generally considered to be distressing and/or emotionally demanding. E.g. giving un-welcome news to staff/patients, dealing with difficult situations / circumstances or, caring for the terminally ill, typing / processing reports / letters transmitting highly distressing events, managing major change etc. / Deal with complex presentations that may be distressing
Deal with complex safeguarding cases which may be distressing.
Communicate with relatives
Deal with difficult and complex situations
Deal with unpredictable situations
Communicate with distressed patients
May uncover distressing information during the investigation process.
Listening to and responding to concerns raised by staff, patients relatives or staff from other organisations
Working conditions
Examples - the nature, level, frequency and duration of demands arising from adverse environmental conditions and hazards which are unavoidable and required for the job. E.g. Frequent use of a VDU, exposure to extreme temperatures, working at heights, unpleasant smells, dust / dirt, aggression, noxious fumes, chemical spills, fleas, lice, body fluids, foul linen.
It also includes any exposure to aggressive / challenging behaviour / Outreach work on streets, in hostels and other locations as required
Clinical environment at Great Chapel Street
Frequent use of PC
Shared office space
May be exposed to aggressive/challenging patients and/or relatives
Great Chapel Street Medical Centre
Job title: Senior Practice Nurse
Grade: 7
Factors / Essential requirements / Desirable requirements / MeasurementE.G:
Application form/CV/Assessment/Interview /
Education & Qualifications:
E.g. Level of Education, professional qualification, registration requirements, evidence of further professional development etc / Registered Nurse with current NMC registrationHealth related Master’s Degree or equivalent experience / Case Management experience
Experience of lone working e.g. District Nursing
Experience of working in resource poor settings
Prescribing qualification
Knowledge:
E.g. Requirement of technical expertise or knowledge specific to the role / Good awareness of the detail within and wider homelessness sector, key partnership organisations and their work
Good awareness of the detail and requirements of the Mental Capacity Act and other key legislation affecting homeless people
Evidence of an understanding of the wider Health economy and its implications for homeless adults
Experience:
Previous experience relevant to the post
E.g. experience necessary to effectively perform role / 5 years post qualifying experience in a senior nurse role
Experience of working in a multi-agency environment including liaison with social services
General experience of working within multi-agency, Policies, Protocols and Guidelines
Experience of developing and providing training/education to large groups of staff / Experience of effective and regular delivery and attendance at clinical supervision
Previous experience of providing health care to the homeless
Skills and Ability:
Additional expertise acquired through practice or training which is a requirement of the post.E.g. Team Leadership, motivational or organisational skills, communication skills etc. / Excellent communication and influencing skills
Excellent presentation skills
Excellent time management skills
Proven leadership skills
Change agent
Ability to prioritise workload and self manage
Ability to develop clear, concise and accurate reports to high level meetings including boards and sub committees.
IT skills – Microsoft Office and use of computer systems to support role. / Qualified to undertake spirometry, ECG and ambulatory blood pressure monitoring
Cervical cytology
Wound management skills
Chronic disease management
Personal Qualities:
Special aptitudes relating to the demands of the postE.g. Team – player, flexible / Approachable with confidence and assurance of own level of knowledge, skills and autonomy
Positive individual who wishes to meet new challenges and to establish new and innovative networks within the local and wider health economy
Willingness to undertake further training requirements as the post determines
Assertive yet able to deal tactfully with difficult and sensitive situations
Ability to travel between sites and to attend local, regional and national meetings as required
Page 1 of 8