Job summary
Due to the promotion of our Practice Nurse to Deputy Lead Practice Nurse, an exciting opportunity has become available for an experienced Practice Nurse to join North Street Medical Care.

North Street Medical Care serves approximately 21,500 patients across three sites in Romford and Chadwell Heath, within the London Borough of Havering.

We are seeking a Practice Nurse with previous General Practice experience. The successful candidate will be required to work across all practice sites.

Main duties of the job
The successful candidate will have previous experience in General Practice and be qualified to undertake Cervical Screening and Childhood Immunisations. Qualifications in Asthma and Diabetes management would be advantageous.

The post holder will be responsible for delivering safe, effective, and evidence-based nursing care to the practice population. This includes the assessment and management of patients with acute and chronic conditions, as well as providing health promotion and preventative care interventions.

Working collaboratively with the wider multidisciplinary team, the Practice Nurse will support the delivery of high-quality patient care and clinical procedures. The role will also contribute to achieving key performance targets, including the Quality and Outcomes Framework (QOF), Local Incentive Schemes (LIS), Directed Enhanced Services (DES), Childhood Immunisation targets, and any other contractual or organisational objectives.

About us
North Street Medical Care is a progressive and patient-focused practice committed to delivering high-quality healthcare and excellent patient outcomes. We pride ourselves on our strong team ethos, professional standards, and collaborative approach to care. The practice is rated Good by the Care Quality Commission (CQC).

The successful candidate will join an established and supportive multidisciplinary team comprising Practice Nurses, GPs, Healthcare Assistants, an Advanced Nurse Practitioner, Physician Associate, Clinical Pharmacists, Physiotherapists, a Dietitian, and Paramedics. This provides an excellent opportunity to work within a diverse and professional clinical environment dedicated to delivering outstanding patient care.

Job responsibilities
Clinical

• Provide general nursing care to practice population who are referred or self-refer in the practice or in home setting including assessment, planning, delivery and evaluation of:
  • Wound management
  • Ear irrigation
  • Immunisation/injection including basic travel
  • Post-operative wound care
  • Administer nebuliser
  • Spirometry/respiratory testing
  • Cervical cytology
  • ECG
  • Blood pressure and other physiological measurements
• Help the practice develop and deliver specialist primary nurse led services including chronic disease management. Initiate the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate
• Manage programs of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintain disease registers in liaison with administrative staff. Undertake annual review of patients understanding and ability to self-manage
• Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations. Administer Yellow Fever vaccinations as the practice is a Yellow Fever Centre.
• Administer child and adult immunisations and vaccinations in accordance with national and local programs. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained
• Assist in preparation for and delivery of minor surgery including preparation, manipulation and care of specialist equipment and instruments
• Undertake autonomous comprehensive assessment of patient need and develop care plan in accordance with local and national protocols
• Make judgements on range complex issues requiring analysis, assessment and solution
• Deliver care to specialist groups in accordance with practice protocols and QOF guidance, local and national guidance
• Provide health screening to practice population
• Autonomously refer to multidisciplinary team for referral/treatment/discharge
• Visit patients in their homes to deliver primary nurse led services
• Take part in extended hours rota when required e.g. Saturday morning clinics
• Safely use and manipulate equipment used in examination and treatments
• Computer literate with practice patient record system and electronic communication systems
• Safely manage hazardous biological substances including blood/urine/vomit/faeces/vaginal secretions
• Communicate effectively with patients, relatives and carers regarding treatment and progress of patients, maintaining confidentiality of all patient information
• Manage issues arising from sensitive situations e.g. unwanted pregnancy, sexually transmitted infection, child protection issues mental health
• Breaking bad news and communicating with patients with life threatening and distressing diagnoses and the bereaved
• Act as patient advocate/chaperone
• Awareness and provision of evidence based care
• Physically handle patients to assess/treat in emergency situations
• To provide home visits to patients.

Person Specification
Qualifications
Essential

• Registered Nurse
• Qualified Cervical smear sample taker

Desirable

• Nurse prescriber
• EMIS knowledge

Experience
Essential

• Must have experience of working in General Practice
• Experience of chronic disease management

Desirable

• EMIS Web experience
• Experience of working as a practice nurse or community nurse
• Experience of prescribing and undertaking medication reviews

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.
Applicants must have current UK professional registration.