PCN Practice Nurse

Clinical practice. frailty and proactive care. • Assess and evaluate treatment programmes that promote health and well-being • Undertake Comprehensive Geriatric Assessments (CGA) • Support anticipatory care planning and advance care planning discussions • Assess, plan, and evaluate individual treatment plans for patients with a known long-term condition • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition as appropriate • Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including holistic and non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs • Prioritise health problems and intervene before appropriately to assist the patient in complex, urgent or emergency situations • Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care • Recognise, assess and refer patients presenting with mental health needs in accordance with the NSF for Mental Health • Implement and participate in vaccination and immunisation programmes for adults. • Support delivery of PCN proactive care and personalised care programmes • Work collaboratively with community services to reduce avoidable admissions and improve patient outcomes Communication • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment • Communicate with and support patients receiving bad news • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating • Anticipate barriers to communication and take action to improve communication • Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders • Act as an advocate when representing patients and colleagues Delivering a quality service • Recognise and work within own competence and professional code of conduct as regulated by the NMC • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures • Prioritise, organise and manage own workload in a manner that maintains and promotes quality • Deliver care according to NSF, NICE guidelines and evidence-based care • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation • Participate in the maintenance of quality governance systems and processes across the practices • Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required • Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate • Evaluate the patients response to health care provision and the effectiveness of care • Support and participate in shared learning across the practice and wider organisation • Assess the impact of policy implementation on care delivery • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance • Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate Leadership personal and people development • Take responsibility for own development learning and performance including participating in clinical supervision and acting as a positive role model • Support the development of others in order to maximise potential • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice • Participate in planning and implementing changes within the area of care and responsibility • Contribute and participate in the development of local guidelines, protocols and standards • Participate in the planning and engagement of practice-based commissioning or similar initiatives • 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 Team working • Understand own role and scope, and identify how this may develop over time • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working • Delegate clearly and appropriately, adopting the principles of safe practice and assessing competence • Ensure clear referral mechanisms are in place to meet patient need • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team • Work effectively with others to clearly define values, direction and policies impacting upon care delivery • Participate in team activities that create opportunities to improve patient care • Participate in and support local projects as agreed with the practice management team Management of risk • Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines • Ensure safe storage, rotation and disposal of vaccines • Support members of the nursing team to undertake mandatory and statutory training requirements • Apply infection-control measures within the practice according to local and national guidelines • Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all • Participate in the local implementation strategies that are aligned to the values and culture of general practice Utilising information • Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information • Review and process data using accurate Read codes to ensure easy and accurate retrieval for monitoring and audit processes • Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition • Understand the responsibility of self and others regarding the Freedom of Information Act Learning and development • Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments • Assess own learning needs and undertake learning as appropriate • Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information • Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning Equality and diversity • Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity • Enable others to promote equality and diversity in a non-discriminatory culture • Support people who need assistance in exercising their rights • Monitor and evaluate adherence to local chaperoning policies • Act as a role model in the observance of equality and diversity good practice • Accept the rights of individuals to choose their care providers, participate in care and refuse care • Assist patients from marginalised groups to access quality care Job description Job responsibilities Clinical practice. frailty and proactive care. • Assess and evaluate treatment programmes that promote health and well-being • Undertake Comprehensive Geriatric Assessments (CGA) • Support anticipatory care planning and advance care planning discussions • Assess, plan, and evaluate individual treatment plans for patients with a known long-term condition • Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition as appropriate • Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including holistic and non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs • Prioritise health problems and intervene before appropriately to assist the patient in complex, urgent or emergency situations • Support patients to adopt health promotion strategies that promote patients to live healthily, and apply principles of self-care • Recognise, assess and refer patients presenting with mental health needs in accordance with the NSF for Mental Health • Implement and participate in vaccination and immunisation programmes for adults. • Support delivery of PCN proactive care and personalised care programmes • Work collaboratively with community services to reduce avoidable admissions and improve patient outcomes Communication • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment • Communicate with and support patients receiving bad news • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating • Anticipate barriers to communication and take action to improve communication • Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders • Act as an advocate when representing patients and colleagues Delivering a quality service • Recognise and work within own competence and professional code of conduct as regulated by the NMC • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures • Prioritise, organise and manage own workload in a manner that maintains and promotes quality • Deliver care according to NSF, NICE guidelines and evidence-based care • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation • Participate in the maintenance of quality governance systems and processes across the practices • Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required • Collaborate on improving the quality of health care in partnership with other clinical teams, responding to local and national policies and initiatives as appropriate • Evaluate the patients response to health care provision and the effectiveness of care • Support and participate in shared learning across the practice and wider organisation • Assess the impact of policy implementation on care delivery • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance • Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate Leadership personal and people development • Take responsibility for own development learning and performance including participating in clinical supervision and acting as a positive role model • Support the development of others in order to maximise potential • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice • Participate in planning and implementing changes within the area of care and responsibility • Contribute and participate in the development of local guidelines, protocols and standards • Participate in the planning and engagement of practice-based commissioning or similar initiatives • 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 Team working • Understand own role and scope, and identify how this may develop over time • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working • Delegate clearly and appropriately, adopting the principles of safe practice and assessing competence • Ensure clear referral mechanisms are in place to meet patient need • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team • Work effectively with others to clearly define values, direction and policies impacting upon care delivery • Participate in team activities that create opportunities to improve patient care • Participate in and support local projects as agreed with the practice management team Management of risk • Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients • Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines • Ensure safe storage, rotation and disposal of vaccines • Support members of the nursing team to undertake mandatory and statutory training requirements • Apply infection-control measures within the practice according to local and national guidelines • Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all • Participate in the local implementation strategies that are aligned to the values and culture of general practice Utilising information • Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information • Review and process data using accurate Read codes to ensure easy and accurate retrieval for monitoring and audit processes • Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition • Understand the responsibility of self and others regarding the Freedom of Information Act Learning and development • Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments • Assess own learning needs and undertake learning as appropriate • Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information • Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning Equality and diversity • Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity • Enable others to promote equality and diversity in a non-discriminatory culture • Support people who need assistance in exercising their rights • Monitor and evaluate adherence to local chaperoning policies • Act as a role model in the observance of equality and diversity good practice • Accept the rights of individuals to choose their care providers, participate in care and refuse care • Assist patients from marginalised groups to access quality care