registered nurse London, England
Job description
Job Description
1.1 Job Summary
Working as part of a multi-disciplinary team (MDT), the job holder will play a key role in supporting the PCN vision of creating a new wider Community Service, in collaboration with the full MDT, supporting the delivery of policy and procedures, meeting the needs of our patients.
This role plays a pivotal part within the community service, working with support workers and registered nurses throughout the PCN to deliver care for patients and the public, while seeking to improve the quality of care and operational efficiencies across the local healthcare system, demonstrating a passion to deliver excellent service within general practice.
As a Nurse Associate (NA), the role will work alongside doctors, physicians, GPs, registered nurses and other allied health care professionals to provide medical care as an integral part of the multidisciplinary team. NA’s will support the assessment of patient care needs and provide continuing care for the patients, working within the professional boundaries.
1.2 Key Working Relationships
Key relationships include but are not limited to:
· Patients, service users and their representatives
· GPs within the PCN practice
· Overall PCN and GP practice workforce
1.3 Key Responsibilities
Clinical and Patient Client Care
· Provide continuing care to patients across the practice/PCN population.
· Treatment room duties in line with competency e.g. Suture/clip removal, Basic & complex wound care, ECG. Phlebotomy, Urinalysis.
· Monitoring and support of the management of patients with long-term conditions / chronic diseases, using a holistic patient centred approach.
· Partake in Practice MDT, supporting the co-ordination and management of patients living in Care Home.
· Support patients to improve and maintain their mental and physical health and wellbeing.
· Assist in the provision of minor surgery, coil and implant fittings.
· Chaperone patients when required.
· Administering of Medication in accordance within regulatory guidelines for Nursing Associates.
· Empathise with, and support people to improve and maintain their mental and physical health and wellbeing.
· Assist with the implementation and monitoring of clinical care and monitor outcomes
· Contribute to ongoing assessment recognising when it is necessary to refer to others for reassessment.
· Be able to perform cardio-pulmonary resuscitation according to current UK guidelines.
Financial & Resources
· Foster and maintain strong links with all services across the PCN and neighbouring networks.
· To have full knowledge of the budget, ensuring best value for money, and identifying efficiencies as appropriate, ensuring senior managers are aware of the cost implications of any areas of non-compliance.
· To manage resources required for key duties under this Job Description, ensuring value for money at all times and maintain budget management responsibility allocated to the job holder in line with the scheme of delegation, develop, where required, cost-benefit analysis for spending and initiatives.
Research & Development
· Assist in the training and development of trainee Nurse Associates.
· Participate as required in any research studies taken on by the practice.
· Contributes toward the development and embedding of the BHNC and PCN visions, aims and business objectives.
· Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.
· Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
· Explore the potential for collaborative working and take opportunities to initiate and sustain key working relationships with stakeholders as needed for the collective benefit of patients.
· Work with your line manager to access regular ‘clinical supervision’, to enable you to deal effectively with the difficult issues that patients present.
Policy & Service Development
· Assist with the co-ordination of Infection Control policy and audit.
· Proactively provide feedback to you manager when patient care and service provision is impacted by changes to the PCN’s policies, either negative or positive, to support the continual development of the PCN.
· Feedback to your manager (or appropriate policy/service Lead) if you see a need or area of development within policies or service provision while carrying out your role.
· When required, support the evaluation of service provision.
Professional & Organisational Standards
· Maintain confidentiality at all times.
· Represent the organisation positively and professionally.
· Work within policies regarding family violence, vulnerable children and adults, substance abuse and addictive behaviour, and makes referrals as appropriate for safeguarding.
· Adheres to and proactively promotes Infection Control standards and complies with Health & Safety, Corporate, Clinical and Information Governance.
· Manage and maintain set systems and processes to ensure continuity of services to patients.
· Takes responsibility for own development, learning and performance with support from own manager, including participating in clinical supervision and acting as a positive role model for others.
Person Specification
The following information should be evidenced in the candidate’s application for the role.
Factors
Knowledge & Experience
o Detailed knowledge and understanding of appropriate procedures and treatment plans,
o Ability to participate in reflective practice and clinical supervision activities,
o Ability to recognise own limitations in the context of the nursing associate role,
o Understanding of the scope of the role of the Nursing Associate in context of the team and the organisation, and how the role contributes to Quality Improvement,
o Knowledge of the personalised care and community development approaches,
o Able to work with patients and staff in emotional circumstances e.g. terminal illness or bereavement.
o Experience of working in a Primary Care Setting,
o Experience of working with patients with long term conditions.
Qualifications, Professional Memberships & Training
o Completion of Nursing Associate foundation degree qualification,
o Registered Nursing Associate with the NMC.
Analytical & Judgement Skills
o Ability to identify risk and assess/manage risk when working with individuals,
o Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role,
o Able to determine and obtain necessary data to make accurate and beneficial facility referrals
Communication & Relationships
o High level of written and oral communication skills,
o Ability to actively listen, empathise with people from all backgrounds and provide person-centred support in a non-judgemental way,
o Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders,
o Experience of partnership/collaborative working and of building relationships across a variety of organisations,
o Ability to maintain effective working relationships and to promote collaborative practice with all colleagues,
o Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential.
Planning & Organisational Skills
o Ability to organise and prioritise own delegated workload,
o Ability to work on own initiative,
o Able to meet deadlines.
Qualities & Standards
o Embraces equality and diversity at every opportunity and the NHS core principles; dignity and respect, compassion, be included, responsive care and support and wellbeing,
o Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety,
o Ability to work from an asset-based approach, building on existing community and personal assets,
o Meets DBS reference standards and criminal record checks,
o Able to operate competently with regard to managing data and information in accordance with the Data Protection Act (DPA) (2018) and the General Data Protection Regulation (GDPR), Access to Health Records Act (AHRA) (1990) and the Public Interest Disclosure Act (1998),
o Commitment to reducing health inequalities and proactively working to reach people from all communities,
Personal Ability
o Manage the boundaries of the patient / associate nurse relationship effectively, and to behave professionally at all times,
o Knowledge of IT systems, including ability to use word processing skills, emails, and the internet to create simple plans and reports,
o Excellent interpersonal skills,
o Flexible and adaptable to change,
o Ability to support, supervise, assess, and act as a role model to nursing associate trainees, other learners and care support workers as required within clinical settings
Additional Requirements
o Ability to travel across the PCN area on a regular basis, including visiting GP practices, patients in their own homes,
o Willingness to work flexible hours when required to meet work demands,
o 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,
o Appropriate immunisation status.
This job description is a broad reflection of current duties, but it is not exhaustive. It will be regularly reviewed to reflect priorities and developments during the on-going appraisal and performance review process.
Core Competencies
1. Communication
Communicate with a limited range of people on a day-to-day matters
Presents a positive image of self and the service when communicating with both PCN staff and with patients.
Distributes patient information where required, in line with job role, ensuring secure transfer of information and confidentiality.
Actively listens and asks questions to understand patient needs and ensure correct processes are followed.
Checks accuracy of all information collected and stored, ensuring appropriate health care services are provided for patients.
Uses the most appropriate method to communicate information clearly to a range of audiences, within the network and with patients.
Ensures patients are made aware and kept informed of services provided, and relevant records of communication are accurate and kept up to date.
2. Personal & People Development
Contribute to one’s own personal and professional development
Is aware of own knowledge and skills and able to identify own development needs in order to carry out current role and seeks feedback from others to identify own development needs.
Produces a personal development plan, with an appraiser.
Identifies development needs for own emerging work demands and future career aspiration.
Takes an active part in learning/development activities and keeps a record of them, evaluating effectiveness of own learning/development opportunities, sharing learning with colleagues where appropriate.
Completes mandatory and statutory training, as required within the network for the role.
3. Health, Safety & Security
Support in maintaining others’ and own health, safety, and security
Follows the network’s organisational policies, procedures and risk assessments while working remotely and within the practice, to keep self and others safe at work.
Works in a way that reduces health, safety, and security risks, actively supporting in keeping a healthy, safe, and secure workplace for everyone.
Knows what to do in an emergency at work, how to access appropriate help, and acts immediately in response to the situation.
Reports any issues or potential issues to the appropriate person or authority at work that may put one’s self or others at a health, safety or security risk.
4. Quality
Maintain the quality of one’s work
Carries out own role in line with network and professional policies and procedures.
Asks for help where necessary and works closely with own team.
Ensures own workload is prioritised to ensure patients receive timely referral of services to support their health and wellbeing.
Refers any issues that arise, to relevant people within the network, that are outside the limits of own competence or expertise, to ensure successful and effective service provision to patients.
Uses the network’s resources efficiently and effectively, considering cost and environmental issues while delivering best practice patient care.
Reports any problems, issues or errors made with work immediately to own line manager, actively supporting to solve or rectify the situation.
5. Equality, Diversity & Inclusivity
Actively demonstrate behaviours that are inclusive, support equality, and value diversity
Treats everyone with dignity and respect, without discriminating or offering poor service as a result of others’ differences or different viewpoints to ensure an inclusive service.
Acts in accordance with legislation, policies, procedures and good practice in relation to Equality, Diversity and Inclusivity.
Awareness of the impact of one’s own behaviour and use of language.
Challenges bias, prejudice and intolerance where appropriate and brings it to the attention of the relevant manager.
6. Service Improvement
Proactively contributes to advance the improvement of service, policies, processes and best practice
Carries out own role in line with network policies, procedures and best practice.
Report any non-compliance with the network’s practices to own line manager.
Highlight any areas of practice within one’s own role to one’s own manager, that could be developed for the improvement of the practice.
Passes on ideas to improve clinical practice and service provision to own manager or appropriate person.
Alerts manager if newly implemented ways of working are having a negative impact on the service provided or detrimental impact on network colleagues.
Support the evaluation of the service provision when asked.
7. Leadership & Management
Not applicable to role
Safer Recruitment
Equality & Diversity
The organisation is committed to achieving equality of opportunity for all staff and for those who access services. You must work in accordance with equal opportunity policies/procedures and promote the equality and diversity agenda of the organisation.
Health & Safety
The organisation recognises its duties under the Health and Safety at Work Act (1974) to ensure, as far as it is reasonably practical, the Health, Safety and Welfare at Work of all its employees and, in addition, the business of the organisation shall be conducted so as to ensure that all individuals having access to organisational premises and facilities are not exposed to risk to their health and safety. All staff under contract will be expected to comply with all appropriate Health and Safety policies and ensure all statutory and mandatory training is up to date.
Risk Management
All staff will follow risk management policies and procedures at all times. All staff are personally responsible for risk management issues in respect of yourself and colleagues. If you identify a potential hazard you should report it to your manager / supervisor at once using the organisational incident reporting process. If in doubt you should speak to your manager for guidance.
All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested, to co-operate with any investigation undertaken. All staff must use the safety equipment provided and report any defects to their manager. You must attend risk management training as directed by your manager.
If you are a manager or have line management responsibilities for staff, a department or area of work, you are responsible for the risk management issues in that area. In conjunction with risk management you will ensure that there is an annual risk management audit in your area, risks are identified on the local risk register and that where necessary, an action plan eradicating risks is drawn up and implemented.
Protection of Children and Vulnerable Adults
All employees have a duty for safeguarding and promoting the welfare of children and vulnerable adults. Staff must be aware of the organisational procedure for raising concerns about the welfare of anyone with whom they have contact. The organisation believes that it is always unacceptable for a child, young person or vulnerable adult to experience abuse of any kind and recognises its responsibility to safeguard the welfare of all, by a commitment to practice which protects them.
Clinical Governance
The CGG promotes an open, learning culture ensuring appropriate governance systems and processes are in place to support and develop this culture. The post holder is responsible for ensuring that they are aware and compliant with the CCG’s policies and procedures that govern their work; and if something goes wrong, they have an obligation to report it so lessons can be learned from mistakes, incidents and complaints.
If any member of staff has concerns on any clinical governance matters, they should raise them with their line manager, professional adviser, or a senior member of management.
Infection Prevention and Control
Employees are expected to work to minimise any risk to clients, the public and other staff from Healthcare. Associated Infection including MRSA and C difficle by ensuring they are compliant with the Health Act 2006 – Code of Practice for the Prevention and Control of Healthcare Associated Infections (They Hygiene Code); and by ensuring they are familiar with the practice Infection Control Polices within the practice.
The organisation is committed to reducing Healthcare Associated Infection. All employees are expected to comply with Infection Prevention and Control Strategies. All organisation staff are responsible for protecting themselves and others against infection risks and ensuring a clean safe environment is maintained. All staff regardless of whether clinical or not are expected to comply with current infection control policies and procedures and to report any problems with regard to this to their managers. All staff undertaking patient care activities must attend infection control training and updates as required by the organisation.
Policies and Procedures
Employees are expected to follow organisational policies, procedures and guidance as well as professional standards and guidelines. Copies of policies can be accessed via the staff intranet or external website or via your manager. The organisation operates a policy which promotes a smoke free environment.
Appraisal and Personal Development
The organisation is committed to lifelong learning for all staff and has put in place an appraisal and development infrastructure.
All employees have a responsibility to participate in an annual appraisal with their line manager and to identify performance standards for the post. As part of the appraisal process employees have a joint responsibility with their line manager to identify any learning development needs in order to meet the agreed performance standards.
Job Types: Full-time, Permanent
Salary: £25,147.00-£27,596.00 per year
Benefits:
- Life insurance
Schedule:
- Monday to Friday
Ability to commute/relocate:
- London: reliably commute or plan to relocate before starting work (required)
Work authorisation:
- United Kingdom (required)
Work Location: In person
Application deadline: 18/08/2023
Reference ID: Nurse Associate
