Job summary
Woodlands Surgery in Banbury is looking for an enthusiastic and caring Practice Nurse / Treatment Room Nurse to join our supportive team.

You will provide a range of treatment room and general practice nursing care, helping our patients stay well and manage their health. Your clinical duties will reflect your skills, qualifications and experience, with opportunities to develop further within the role.

Whether you already have general practice experience or are looking to bring relevant nursing skills into primary care, we would love to hear from you. We value kindness, good communication and a willingness to support colleagues and contribute to the team.

We recognise that you may not have every skill on appointment. We are willing to invest in appropriate training and development to help you build your confidence and competencies safely.

We are offering approximately 20 to 30 hours per week, with the possibility of full-time hours for the right candidate. Your working pattern must include Monday afternoon/evening until 8pm, Thursday morning and Friday all day. Additional sessions are available on Tuesday and Thursday afternoons.

If you are passionate about patient care and keen to contribute to a friendly, collaborative nursing team, we would be delighted to hear from you.

Main duties of the job
You will deliver safe, compassionate nursing care through booked appointments, working independently within your competence and alongside our nursing and wider practice team.

Depending on your training and competence, your work may include wound assessment and dressings, immunisations and vaccinations, cervical screening, injections, blood pressure checks, ECGs and blood tests. Depending on your experience and training, you may also support patients with long-term conditions such as asthma, diabetes and hypertension.

You will help patients understand their health and treatment, offer practical advice and recognise when further clinical assessment or support is needed.

Alongside patient care, you will maintain accurate clinical records, complete follow-up administration and contribute to infection prevention, vaccine safety and well-stocked treatment rooms.

We are looking for someone who will share workload fairly, communicate concerns promptly and contribute ideas to improve care and the day-to-day running of the nursing service.

The balance of duties will be agreed around your existing skills and the needs of the practice, with appropriate training and competency development supported.

About us
Woodlands Surgery is a friendly GP practice in Banbury. We are a close-knit team, with nurses, GPs, reception and administrative colleagues all working together to provide safe, compassionate care.

We value kindness, mutual respect and clear communication. Everyone is an equally valued member of the team, whatever their role, and everyone's contribution matters. General practice can be busy and varied, so we support one another, share responsibilities fairly and encourage colleagues to ask for help, raise concerns and contribute ideas.

We also enjoy the chance to catch up over a coffee. We offer a paid coffee break, plenty of free coffee and a great coffee machine to keep us going!

Benefits include access to the NHS Pension Scheme and support for appropriate training and professional development. You do not need to arrive with every general practice nursing skill: we are willing to invest in the right person, with an individual development plan where needed, and support you to develop safely within your professional scope of practice.

We warmly welcome informal visits and conversations before you apply. To arrange a visit, meet the team or discuss the role and working hours, please contact Deb Chronicle, Practice Manager, at deb.chronicle@nhs.net

Job responsibilities
Hours and working pattern

• Approximately twenty to thirty hours per week with the possibility of full-time hours for the right candidate
• Hours will be agreed according to practice needs and clinical room availability
• Essential sessions are Monday afternoon and evening until eight pm, Thursday morning, Friday all day
• Additional sessions are available on Tuesday and Thursday afternoons. Further hours and any full-time working pattern will be discussed with the successful candidate
• Some flexibility to provide additional cover for annual leave and sickness and vaccination clinics is required

Job purpose

• To provide safe and effective treatment room and general practice nursing care as part of the nursing and wider multidisciplinary team
• The post holder will work autonomously within their professional competence and scope of practice following current evidence and clinical guidance and practice policies
• The role requires a proactive and flexible approach with a willingness to support colleagues and share workload appropriately
• Responsibilities will reflect qualifications and competencies and experience. Appropriate training and development will be supported

Clinical care

• Provide nursing services within demonstrated competence which may include venepuncture and collection of clinical specimens
• Blood pressure measurement and monitoring
• ECG recording
• Administration of medicines and injections under the appropriate legal authority
• Adult and childhood immunisations and seasonal vaccination programmes
• Wound assessment and dressings and wound management
• Removal of sutures and clips and staples
• Management of minor wounds and injuries
• Cervical screening and associated women's health procedures
• Contraceptive injections and other relevant interventions
• Routine health checks and observations
• Urinalysis and other point-of-care testing
• Support for other clinical procedures where required
• Provide health promotion and lifestyle advice and patient education to support informed choices and self-management
• Recognise abnormal findings and deterioration and medical emergencies. Take appropriate action and seek advice or escalate to a GP or other clinician when required

Long-term conditions

• Depending on qualifications and experience and agreed responsibilities the role may include monitoring and management of asthma and respiratory disease and diabetes and cardiovascular disease and hypertension and other long-term conditions
• These duties must only be undertaken when appropriately trained and competent

Vaccinations and immunisations

• Maintain vaccination competencies relevant to the role
• Check eligibility and contraindications and consent and vaccination history
• Administer vaccines in accordance with national guidance and the appropriate legal authority and practice protocols
• Maintain accurate records and clinical coding
• Support vaccination programme uptake and participate in campaign clinics
• Follow procedures for vaccine storage and cold-chain management and stock control

Medicines management

• Administer medicines safely within professional competence
• Follow medicines legislation and professional standards and Patient Group Directions or other appropriate legal authority and practice protocols
• Check allergies and contraindications and relevant clinical information
• Record medicines administered accurately
• Recognise and respond to adverse reactions including anaphylaxis
• Store medicines securely and appropriately
• Report medicines-related incidents and errors and near misses

Infection prevention and control

• Follow current guidance and practice policies
• Maintain appropriate hand hygiene and aseptic technique
• Handle and dispose of clinical waste and sharps safely
• Ensure equipment is appropriately cleaned and maintained and stored
• Report concerns and contribute to audits and improvement work

Clinical records and administration

• Maintain clear and accurate and contemporaneous clinical records with appropriate coding
• Record consultations and observations and treatments and vaccinations and advice promptly
• Complete administration arising from consultations in a timely manner
• Review and act on results and correspondence for which responsibility has been accepted within competence and agreed procedures
• Complete relevant referrals and forms and documentation
• Support accurate coding and data quality and contractual requirements relevant to the nursing service
• Use allocated administration time effectively to keep results and recalls and other nursing responsibilities up to date

Workload organisation

• Manage personal workload safely and effectively
• Work with colleagues to share nursing workload appropriately
• Identify pressures and backlogs and outstanding work and raise these promptly with the appropriate manager
• Use appointments in accordance with agreed practice arrangements
• Ensure protected and embargoed and procedure-specific appointments are used appropriately and released when no longer required under agreed arrangements
• Contribute to discussions about appointment templates and patient access and service improvement
• Respond flexibly where reasonably possible to changing clinical demand

Team working and communication

• Work respectfully and collaboratively with all colleagues
• Participate in nursing and practice meetings
• Communicate clinical concerns and workload pressures and operational difficulties promptly
• Support colleagues during periods of increased demand
• Contribute to a positive and supportive working environment
• Share relevant knowledge and good practice
• Support healthcare assistants and nursing associates and students and other colleagues within competence and responsibility
• Liaise with community teams and pharmacies and secondary care and other professionals as required

Safeguarding

• Maintain safeguarding children and adults training required for the role
• Remain alert to abuse and neglect and exploitation and other safeguarding concerns
• Follow practice and local procedures and escalate concerns promptly
• Maintain professional curiosity and accurate documentation

Professional responsibilities

• Maintain current NMC registration and follow the NMC Code
• Work within professional competence and scope of practice
• Take responsibility for clinical decisions and actions
• Maintain appropriate professional indemnity arrangements where required
• Participate in supervision and appraisal and professional development
• Maintain evidence for NMC revalidation
• Keep mandatory training and clinical updates current
• Identify learning needs and discuss these with the appropriate manager
• Undertake procedures only when appropriately trained and assessed as competent

Quality and safety and governance

• Follow current evidence and clinical guidance and local pathways and practice protocols
• Participate in audit and quality improvement and service development
• Report incidents and significant events and near misses and patient safety concerns
• Contribute constructively to reviews and shared learning
• Identify and escalate risks
• Support the review of nursing procedures and patient pathways
• Maintain confidentiality and comply with information governance requirements

Stock and equipment and treatment rooms

• Keep clinical areas clean and safe and appropriately stocked
• Monitor supplies and expiry dates and stock rotation
• Arrange replenishment through agreed processes and minimise waste
• Check equipment before use and report faults
• Follow arrangements for calibration and maintenance and servicing
• Support checks of emergency equipment and supplies

Training and development

• Applicants are not expected to be competent in every clinical area on appointment
• We will support appropriate training and competency development where this meets individual and practice needs
• An individual development plan may be agreed including development in immunisations and cervical screening and wound and leg ulcer care and long-term condition management
• All duties must remain within professional scope of practice and demonstrated competence
• The post holder will maintain clinical competencies and attend relevant updates and support learning by colleagues where appropriate

Confidentiality

• Treat information about patients and carers and staff and the practice as confidential
• Access and use and disclose information only in accordance with professional responsibilities and UK GDPR and the Data Protection Act and practice policies

Equality and diversity and dignity

• Treat patients and carers and colleagues with dignity and respect
• Recognise individual needs and promote equality and avoid unlawful discrimination
• Support reasonable adjustments and accessible care

Health and safety

• Follow practice health and safety policies
• Take reasonable care for personal safety and the safety of others
• Report hazards and incidents
• Follow procedures for lone working and manual handling and hazardous substances and clinical equipment

General

• This job description outlines the main responsibilities and is not exhaustive
• Duties may develop in response to patient needs and clinical practice and service requirements
• Additional duties must be appropriate to the role and professional registration and training and competence
• Significant or permanent changes will normally be discussed with the post holder

Person specification
Qualifications

• Essential: Current NMC registration with a professional scope of practice appropriate to the role; Evidence of continuing professional development; Appropriate training and competency for the clinical procedures undertaken
• Desirable: Cervical screening qualification or competency; Training and competency in childhood immunisations; Training and competency in adult immunisations; Relevant training in wound care or long-term condition management

Experience

• Essential: Experience of delivering direct patient care and undertaking nursing procedures relevant to the role; Experience of working collaboratively within a healthcare team; Experience of maintaining accurate and timely clinical records; Ability to recognise clinical deterioration and seek appropriate advice or support
• Desirable: Experience of working in general practice or primary care; Experience of wound assessment and wound care; Experience of adult or childhood immunisation programmes; Experience of cervical screening; Experience of long-term condition monitoring or management; Experience using EMIS Web or a similar clinical system

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 Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer contact
Practice Manager: Deb Chronicle, deb.chronicle@nhs.net

Woodlands Surgery's privacy notice is available on request.