Nurse Job Role

8/8/2019 Nurse Job Role

1/23

Job descriptions for general practice nurse roles

Title: General practice nurse (GPN)

Agenda for Change (AfC) banding: 5

Hours of duty:

Responsible to: Senior GPN/Lead GPN

Accountable to: Senior GPN/Lead GPN

Job summaryThe post holder is responsible or the delivery o basic practice nursing services care to the practicepopulation. Supported by senior nurses within the practice, they will deliver care within the boundaries o theirrole, ocusing upon supporting patients to be healthy, monitoring o long-term conditions, health preventionand screening activities. They will work collaboratively with the general practice team to meet the needs opatients, supporting the delivery o policy and procedures, and providing nurse leadership as required.

Key responsibilitiesClinical practice

Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and preventadverse eects on health and well-being

Implement and evaluate individual treatment plans or patients with a known long-term condition

Identiy, and manage as appropriate, treatment plans or patients at risk o developing a long-term condition

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergencysituations, including initiation o eective emergency care

Support patients to adopt health promotion strategies that encourage patients to live healthily, and applyprinciples o sel-care

Deliver opportunistic health promotion using opportunities such as new-patient medicals

Provide inormation and advice on prescribed or over-the-counter medication on medication regimens, side-eects and interactions

Support patients to adopt health promotion strategies that promote patients to l ive healthily, and encourageprinciples o sel-care

Assess and care or patients presenting with uncomplicated wounds

Support and advise women requesting inormation relating to amily planning needs

Support and manage health needs o women presenting or cervical cytology consultationsRecognise, assess and reer patients presenting with mental health needs in accordance with the NationalService Framework (NSF) for Mental Health

Implement and participate in vaccination and immunisation programmes or both adults and children

Advise, support and, where appropriate, administer vaccinations or patients travelling abroad

Promote and deliver evidence-based care or patients presenting with aural conditions

Assist senior practitioners in providing minor-surgery sessions

This document is intended as a guide only. Crown Copyright September 2006.

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2/23

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are ully inormed and consentto treatment

Communicate with and support patients who are receiving bad news

Communicate eectively with patients and carers, recognising the need or alternative methods ocommunication to overcome dierent levels o understanding, cultural background and preerred ways

o communicatingUtilise communication skills to support patients to adhere to prescribed treatment regimens

Anticipate barriers to communication and take action to improve communication

Estimate and maintain eective communication with individuals and groups within the practice environmentand with external stakeholders

Act as an advocate when representing the patients and colleagues viewpoints to others

Delivering a quality service

Recognise and work within own competence and proessional code o conduct as regulated by the Nursingand Midwiery Council (NMC)

Produce accurate, contemporaneous and complete records o patient consultation, consistent withlegislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to the NSF and the National Institute or Clinical Excellence (NICE) guidelines andevidence-based care

Assess eectiveness o care delivery through sel and peer review, benchmarking and ormal evaluation

Participate in the maintenance o quality governance systems and processes across the organisation andits activities

Utilise the audit cycle as a means o evaluating the quality o the work o sel and the team, implementingimprovements where required

In partnership with other clinical teams, collaborate on improving the quality o health care, responding tolocal and national policies and initiatives as appropriate

Evaluate the patients response to health care provision and the eectiveness o care

Support and participate in shared learning across the practice and wider organisation

Participate in the management, review and identiy learning rom patient complaints, clinical incidents andnear-miss events utilising a structured ramework (eg root-cause analysis)

Participate in the perormance monitoring review o the team, providing eedback as appropriate

Understand and apply legal policy that supports the identication o vulnerable and abused children andadults, being aware o statutory child/vulnerable adult health procedure and local guidance

Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictivebehaviour, and reer as appropriate


3/23

Personal and people development

Take responsibility or own development, learning and perormance including participating in clinicalsupervision and acting as a positive role model

Support the development o others in order to maximise potential

Actively promote the workplace as a learning environment, encouraging everyone to learn rom each otherand rom external good practice

Encourage others to make realistic sel-assessment o their application o knowledge and skills, challengingcomplacency and actions that are not in the interest o the public and/or users o services

Understand own responsibilities and accountability in the delivery o GPN services to patients, ensuring thatthe needs o the patient are the priority

Participate in planning and implementing changes within the area o care and responsibility

Work with other nurses and practice team to ensure sucient sta o appropriate ability, quality and skill-mix are available to meet the needs o patients

Contribute and participate in the development o local guidelines, protocols and standards

Participate in the engagement o practice-based commissioning or similar initiatives

Critically evaluate and review innovations and developments that are relevant to own practiceKeep up-to-date with new developments locally and nationally identiying those that will enhance theteams work

Ensure awareness o sources o support and guidance (eg patient advice and liaison service PALS) andprovide inormation in an acceptable ormat to all patients, recognising any diculties and reerring whereappropriate

Promote the role o the GPN in the provision o care

Team working

Understand own role and scope in the organisation and identiy how this may develop over time

Work as an eective and responsible team member, supporting others and exploring the mechanisms todevelop new ways o working

Delegate clearly and appropriately, adopting the principles o sae practice and assessment o competenceo those taking on delegated duties

Ensure clear understanding and utilisation o reerral mechanisms within the practice

Accept delegation rom other nurses, prioritise own workload and ensure eective time-managementstrategies are embedded in own practice

Work eectively with others to clearly dene values, direction and policies impacting upon care delivery

Participate in team activities that create opportunities to improve patient careParticipate in and support local projects as agreed with the practice management team


4/23

Management of risk

Manage and assess risk within the areas o responsibility, ensuring adequate measures are in place to protectsta and patients

Monitor work areas and practices to ensure they are sae and ree rom hazards and conorm to health,saety and security legislation, policies, procedures and guidelines

Ensure sae storage, rotation and disposal o vaccines and drugs is undertaken. Where appropriate, oversee

the monitoring, stock control and documentation o controlled drug usage according to legal requirementsUndertake mandatory and statutory training

Apply inection 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 healthcare or all

Participate in the local implementation strategies that are aligned to the values and culture o general practice

Utilising information

Use technology as an aid to management in planning, implementation and monitoring, presenting andcommunicating inormation

Review and process data using accurate Read codes about patients in order to ensure easy and accurateretrieval or monitoring and audit processes

Manage inormation searches using the internet and local library databases, or example, the retrieval orelevant inormation or patients on their condition

Understand own and others responsibility to the individual organisation regarding the Freedom oInormation Act

Collate, analyse and present clinical data and inormation to the team using appropriate charts and/or graphsto enhance care

Learning and development

Act as mentor to students, assessing competence against set standards as requested and i appropriately qualied

Disseminate learning and inormation gained to other team members in order to share good practice andinorm others about current and uture developments

Assess own learning needs and undertake learning as appropriate

Make eective use o learning opportunities within and outside the workplace, evaluating their eectivenessand eeding back relevant inormation

Provide an educational role to patients, carers, amilies and colleagues in an environment that acilitates learning

Equality and diversity

Identiy patterns o discrimination, take action to overcome this, and promote diversity and qualityo 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 good practice relating to equality and diversityAccept the rights o individuals to choose their care providers, participate in care and reuse care. Assistpatients rom marginalised groups to access quality care


5/23

Person specificationCriteria Essential Desirable

Knowledge Knowledge o needs o patientswith long-term conditions

Aware o accountability o ownrole and other roles in a nurse-

led serviceKnowledge o health promotionstrategies

Awareness o clinical governanceissues in primary care

Knowledge o patient groupdirections and associated policy

Ability to identiy determinantson health in the local area

Knowledge o public healthissues in the local area

Awareness o local and nationalhealth policy

Awareness o issues within thewider health economy

Skills Clinical skills cervical cytology,immunisation and vaccination,ear care, minor surgery

Change-management skills andability to support patients tochange liestyle

Communication skills, bothwritten and verbal

Ability to communicate dicultmessages to patients andamilies

Negotiation and confict-management skills

IT skills

Experience o teaching andmentorship in a clinical setting

Experience Minimum 2 years post-registration experience

At least 1 year recent primary andcommunity nursing experience

Management o long-termconditions

Involvement in implementingand using protocols and clinicalguidelines

Experience o audit

Participation in quality initiativessuch as clinical benchmarking

Qualifications Registered rst level nurse

Clinical supervision training andexperience

Relevant nursing/health degree

Mentor/teaching qualication

Other Sel-directed practitioner

Highly motivated

Flexibility

Enthusiasm

Team player

Ability to work acrossboundaries


6/23

Title: Senior general practice nurse (GPN)

AfCbanding: 6

Hours of duty:

Responsible to: GP/Lead GPN

Accountable to: GP/Lead GPN

Job summaryThe post holder is responsible or the delivery o general practice nursing to the whole practice population.The ocus o the role is both the delivery o evidence-based practice or patients presenting with a long-term condition, and the provision o preventative health care to the practice population. As an autonomouspractitioner the nurse is responsible or the care delivered, demonstrating critical thinking and skills inclinical decision-making in the management o patients. They will work collaboratively within the generalpractice team to meet the needs o patients, support the delivery o policy and procedures, and providenurse leadership as required.


Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being

Assess, plan, implement and evaluate individual treatment plans or patients with a known long-term condition

Proactively identiy, diagnose and manage treatment plans or patients at risk o developing a long-termcondition as appropriate

Work with other health care proessionals to diagnose, monitor, manage and treat long-term conditions,including non-drug-based treatment methods using a management plan, and in line with national and localpolicies and practice needs

Review medication or therapeutic eectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols

Work with patients in order to support adherence to prescribed treatments

Provide inormation and advice on prescribed or over-the-counter medication on medication regimens,side-eects and interactions


Support patients to adopt health promotion strategies that promote patients to l ive healthily, and applyprinciples o sel-care

Support and manage health needs o women presenting or amily planning and cervical cytology consultations

Recognise, assess and reer patients presenting with mental health needs in accordance with the NSF forMental Health


Advise, support and administer vaccinations where appropriate or patients travelling abroad


Meet the needs o patients presenting or opportunistic wound care


7/23

Communication

Demonstrate sensitive communication styles to ensure patients are ully inormed and consent to treatment

Communicate with and support patients receiving bad news

Communicate eectively with patients and carers, recognising the need or alternative methods ocommunication to overcome dierent levels o understanding, cultural background and preerred wayso communicating

Anticipate barriers to communication and take action to improve communicationEstimate and maintain eective communication with individuals and groups within the practice environmentand with external stakeholders

Act as an advocate when representing patients and colleagues


Recognise and work within own competence and proessional code o conduct as regulated by the NMC

Produce accurate, contemporaneous and complete records o patient consultation, consistent with

legislation, policies and proceduresPrioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care


Participate in the maintenance o quality governance systems and processes across the practice


Collaborate on improving the quality o health care in partnership with other clinical teams, responding tolocal and national policies and initiatives as appropriate

Evaluate the patients response to health care provision and the eectiveness o careSupport and participate in shared learning across the practice and wider organisation

Participate in the management and review o patient complaints, and identiy learning rom clinical incidentsand near-miss events using a structured ramework (eg root-cause analysis)

Assess the impact o policy implementation on care delivery

Participate in the perormance monitoring review o the team, providing eedback as appropriate

Understand and apply legal policy that supports the identication o vulnerable and abused children andadults, being aware o statutory child/vulnerable adult health procedure and local guidance

Work within policies regarding amily violence, vulnerable adults, substance abuse and addictive behaviour,and reer as appropriate


8/23

Leadership personal and people development

Take responsibility or own development learning and perormance including participating in clinicalsupervision and acting as a positive role model

Support the development o others in order to maximise potential


Encourage others to make realistic sel-assessment o their application o knowledge and skills, challengingany complacency and actions that are not in the interest o the public and/or users o services

Act as a clinical leader in the delivery o GPN services to patients, ensuring that the needs o the patient arethe priority

Participate in planning and implementing changes within the area o care and responsibility

Work with practice management to ensure sucient sta o appropriate ability, quality and skill-mix areavailable to meet current and uture service delivery

Contribute and participate in the development o local guidelines, protocols and standards

Participate in the planning and engagement o practice-based commissioning or similar initiatives

Ensure awareness o sources o support and guidance (eg PALS), and provide inormation in an acceptableormat to all patients, recognising any diculties and reerring where appropriate

Promote the role o the senior GPN in the provision o care

Team working

Understand own role and scope, and identiy how this may develop over time


Delegate clearly and appropriately, adopting the principles o sae practice and assessing competence

Ensure clear reerral mechanisms are in place to meet patient need

Prioritise own workload and ensure eective time-management strategies are embedded within the cultureo the team


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 riskManage and assess risk within the areas o responsibility, ensuring adequate measures are in place to protectsta and patients


Ensure sae storage, rotation and disposal o vaccines and drugs. Oversee the monitoring, stock control anddocumentation o controlled drug usage according to legal requirements

Support members o the nursing team to undertake mandatory and statutory training requirements

Apply inection-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 or all



9/23


Use technology as an aid to management in planning, implementation and monitoring, presenting andcommunicating inormation

Review and process data using accurate Read codes to ensure easy and accurate retrieval or monitoring andaudit processes

Manage inormation searches using the internet and local library databases, or example, the retrieval o

relevant inormation or patients on their conditionUnderstand the responsibility o sel and others regarding the Freedom o Inormation Act

Collate, analyse and present clinical data and inormation to the team using appropriate charts and/orgraphs to enhance care


Act as a mentor or more junior sta and students, assessing competence against set standards as requested

Disseminate learning and inormation gained to other team members in order to share good practice and inormothers about current and uture developments




Identiy patterns o discrimination, take action to overcome this, and promote diversity and qualityo opportunity




Act as a role model in the observance o equality and diversity good practice

Accept the rights o individuals to choose their care providers, participate in care and reuse care. Assistpatients rom marginalised groups to access quality care


10/23


Knowledge Knowledge o managemento patients with long-termconditions

Knowledge o accountability o

own role and other roles in anurse-led service

Knowledge o health promotionstrategies

Knowledge o local and nationalhealth policy

Wider health economyawareness

Knowledge o clinicalgovernance issues in primary

careKnowledge o patient groupdirections and associated policy

Knowledge o public healthissues

Ability to identiy determinantson health in the local area

Knowledge o public healthissues in the area

Skills Clinical leadership skills

Clinical skills cervical cytology,immunisation and vaccination,ear care, minor surgery





Ability to provide teaching andmentorship in a clinical setting

IT skills


11/23

Criteria Essential Desirable


At least 2 years recent primaryand community nursingexperience

Experience o nurse-ledmanagement o long-termconditions

Experience o implementingprotocols and clinical guidelines

Experience o quality initiativessuch as clinical benchmarking

Audit experience


Community nursing specialist

qualication or equivalentRelevant nursing/health degree



Independent/supplementarynurse prescribing qualication


Highly motivated

Flexibility

Enthusiasm

Team playerAbility to work acrossboundaries


12/23

Title: Lead general practice nurse (GPN)

AfCbanding: 7

Hours of duty:

Responsible to: GP

Accountable to: GP

Job summaryThe post holder is responsible or ensuring the delivery o sae and eective nursing care to the wholepractice population. As the team leader or the GPN team, the post holder is accountable or nursingservice delivery. They will lead and manage all the nursing resource, working closely with the practicemanager and GPs to deliver the practice priorities. Clinically, the ocus o the role is the delivery oevidence-based practice or patients with long-term conditions and management and preventative nursinginterventions to all patients. As autonomous practitioners the nurse is responsible or the care delivered,demonstrating critical thinking and skills in clinical decision-making. They will work collaboratively withthe whole general practice team to meet the needs o patients, supporting the delivery o policy and

procedures, and providing leadership and direction or the nursing team.


Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being

Assess, plan, implement and evaluate individual treatment plans or patients with a known long-term condition

Proactively identiy, diagnose and manage treatment plans or patients at risk o developing a long-term condition

Work with other health care proessionals to diagnose, monitor, manage and treat long-term conditions,including using non-drug-based treatment methods, in line with national and local policies and practice needs

Review medication or therapeutic eectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols

Work with patients in order to support adherence to prescribed treatments



Support patients to adopt health promotion strategies that promote them to live healthily, and apply principleso sel-care

Support and manage health needs o women presenting or amily planning and cervical cytology consultations

Assess, identiy and reer patients presenting with mental health needs in accordance with the NSF for MentalHealth as required


Advise, support and, where appropriate, administer vaccinations or patients travelling abroad




13/23

Communication

Demonstrate sensitive communication styles to ensure patients are ully inormed and consent to treatment


Communicate eectively with patients and carers, recognising the need or alternative methods ocommunication to overcome dierent levels o understanding, cultural background and preerred wayso communicating

Anticipate barriers to communication and take action to improve communicationEstimate and maintain eective communication within the practice environment and with external stakeholders

Act as an advocate when representing patients and colleagues

Participate in practice team meetings, delivering the nursing agenda

Produce written documents that evidence the contribution o the nursing team to the practice priorities

Ensure awareness o sources o support and guidance (eg PALS) and provide inormation in an acceptableormat to all patients, recognising any diculties and reerring where appropriate

Delivering a quality serviceRecognise and work within own competence and proessional code o conduct as regulated by the NMC

Produce accurate, contemporaneous and complete records o patient consultation, consistent withlegislation, policies and procedures

Prioritise, organise and manage own and others workload in a manner that maintains and promotes quality

Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care

Assess eectiveness o care delivery or the nursing team through peer review, benchmarking andormal evaluation

Lead on the maintenance o quality governance systems or the nursing team

Implement and review the application o evidence-based practice in nursingUtilise the audit cycle as a means o evaluating the quality o the work o sel and the team, implementingimprovements where required

Lead the quality agenda in responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the eectiveness o care

Lead and participate in shared learning across the practice and wider organisation

Lead in the management and review o patient complaints, and identiy learning rom clinical incidents andnear-miss events utilising a structured ramework (eg root-cause analysis)


Monitor the perormance o the GPN team in accordance with local policiesUnderstand and apply legal policy that supports the identication o vulnerable and abused children andadults, being aware o statutory child/vulnerable adult health procedure and local guidance

Work within policies regarding amily violence, vulnerable adults, substance abuse and addictive behaviour,and reer as appropriate

Interpret national strategies and policies into local implementation strategies that are aligned to the valuesand culture o general practice


14/23

Management function

Identiy the nursing requirement to meet the practice population need, assessing the impact andimplementation o skill-mix in the delivery o care

Lead the recruitment and selection o nurses into the GPN team

Implement induction programmes or new nursing sta, ensuring they are able to unction within thepractice team

Assess competences o nurses within the teamUndertake appraisals in line with best practice and local policies

Manage and monitor sickness, absence and annual leave requests in line with best practice and local policies

Participate in perormance-monitoring review o the team, providing eedback as appropriate

Instigate and lead perormance management and ormal disciplinary procedures i required

Collate, analyse and present clinical data and inormation rom the team

Communicate essential nancial restraints with the team and discuss with them ideas or eective andecient working within these constraints

Manage, i agreed, nursing budget within nancial principles


Take responsibility or own development, learning and perormance including participating in clinicalsupervision and acting as a positive role model

Support the development o others in order to maximise sta potential


Lead others to make realistic sel-assessment o their knowledge and skills, challenging any complacency and

actions that are not in the interest o the public and/or users o serviceAct as a clinical leader in the delivery o GPN services to patients, ensuring that the needs o the patient arethe priority

Lead in the planning and implementation o changes within the area o care and responsibility

Lead and participate in the development o local guidelines, protocols and standards

Lead the nursing team in the planning and engagement o practice-based commissioning or similar initiatives

Promote the role o the nursing team in the provision o care

Team workingUnderstand own role and scope in the practice and identiy how this may develop over time

Work as an eective and responsible team leader, supporting others and exploring the mechanisms todevelop new ways o working

Delegate appropriately, adopting the principles o sae practice and assessment o competence o nurses

Ensure clear reerral mechanisms are in place to meet patient need

Prioritise own and others workload and ensure eective time-management strategies are embedded withinthe culture o the team


Lead nursing team activities that create opportunities to improve patient careParticipate in and support local projects as agreed with the practice management team


15/23

Management of risk


Monitor work areas and practices to ensure they are sae and ree rom hazards and conorm to health, saetyand security legislation, policies, procedures and guidelines

Ensure the sae storage, rotation and disposal o vaccines and drugs. Oversee the monitoring, stock control and

documentation o controlled drug usage according to legal requirementsAct as a role model to support members o the nursing team to undertake mandatory and statutory trainingrequirements


Apply policies that reduce environmental health risks, are culturally sensitive and increase access to healthcare or all



Use technology and appropriate sotware packages as an aid to the planning, implementation andmonitoring o care, presenting and communicating inormation

Review and process data using accurate Read codes in order to ensure easy and accurate inormationretrieval or monitoring and audit processes

Manage inormation searches using the internet and local library databases

Understand the responsibility o sel and others regarding the Freedom o Inormation Act

Collate, analyse and present clinical data and inormation to the team using appropriate charts and/orgraphs to enhance care


Act as mentor or more junior sta and students, assessing competence against set standards

Disseminate learning and inormation to other team members in order to share good practice and inorm othersabout current and uture developments (eg courses and conerences)




Identiy patterns o discrimination and take action to overcome this and promote diversity and equalityo opportunity





Accept the rights o individuals to choose their care providers, participate in care and reuse care. Assistpatients rom marginalised groups to access quality care


16/23


Knowledge Skills in management o patientswith long-term conditions

Awareness o accountability oown and others roles in a nurse-

led serviceKnowledge o health promotionstrategies

Awareness o local and nationalhealth policy

Wider health economy awareness

Knowledge o clinical governanceissues in primary care

Knowledge o patient groupdirections and associated policy

Leadership skills

Management knowledge

Human resources (HR) awareness

Knowledge o public health issues

Ability to identiy determinants onhealth in the local area

Knowledge o public health issues

in the area


Skills in management o staand teams

Negotiation skills

Clinical skills cervical cytology,immunisation and vaccination,

ear care, minor surgery




Negotiation and confict-

management skills

Teaching and mentorshipexperience in a clinical setting

IT skills


17/23




Experience in nurse-ledmanagement o long-termconditions

Experience in implementingprotocols and clinical guidelines

Experience in quality initiativessuch as clinical benchmarking

Audit skills

Team leader experience


Community nursing specialist

qualication or equivalentRelevant nursing/health degree



Independent/supplementarynurse prescribing qualication


Highly motivated

Flexibility

Enthusiasm

Team playerAbility to work acrossboundaries


18/23

Title: Advanced nurse practitioner in general practice

AfC Banding: 8

Hours of duty:

Responsible to: GP

Accountable to: GP

Job summaryThe post holder is an experienced nurse who, acting within their proessional boundaries, will provide careor the presenting patient rom initial history taking, clinical assessment, diagnosis, treatment and evaluationo care. They will demonstrate sae, clinical decision-making and expert care, including assessment anddiagnostic skills, or patients within the general practice. The post holder will demonstrate critical thinking inthe clinical decision-making process. They will work collaboratively with the general practice team to meetthe needs o patients, supporting the delivery o policy and procedures, and providing nurse leadership asrequired. In order to work at this level NMC requirements or advanced practice must be met.


Assess, diagnose, plan, implement and evaluate treatment/interventions and care or patients presentingwith an undierentiated diagnosis

Clinically examine and assess patient needs rom a physiological and psychological perspective, and planclinical care accordingly

Assess, diagnosis, plan, implement and evaluate interventions/treatments or patients with complex needs

Proactively identiy, diagnose and manage treatment plans or patients at risk o developing a long-termcondition (as appropriate)

Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-basedtreatment methods into a management plan

Prescribe and review medication or therapeutic eectiveness, appropriate to patient needs and inaccordance with evidence-based practice and national and practice protocols, and within scope o practice

Work with patients in order to support compliance with and adherence to prescribed treatments



Support patients to adopt health promotion strategies that promote healthy liestyles, and apply principles

o sel-careSupport and manage health needs o women presenting or amily planning, cervical cytology or sexualhealth consultation

Assess, identiy and reer patients presenting with mental health needs in accordance with the NSF forMental Health


Advise, support and administer vaccinations or patients travelling abroad, where appropriate



Undertake minor surgery as appropriate to competence


19/23

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are ully inormed and consentto treatment


Communicate eectively with patients and carers, recognising the need or alternative methods ocommunication to overcome dierent levels o understanding, cultural background and preerred ways

o communicatingAnticipate barriers to communication and take action to improve communication

Maintain eective communication within the practice environment and with external stakeholders

Act as an advocate or patients and colleagues

Ensure awareness o sources o support and guidance (eg PALS) and provide inormation in an acceptableormat to all patients, recognising any diculties and reerring where appropriate


Recognise and work within own competence and proessional code o conduct as regulated by the NMCProduce accurate, contemporaneous and complete records o patient consultation, consistent withlegislation, 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


Initiate and participate in the maintenance o quality governance systems and processes across theorganisation and its activities


In partnership with other clinical teams, collaborate on improving the quality o health care responding tolocal and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the eectiveness o care

Support and participate in shared learning across the practice and wider organisation

Use a structured ramework (eg root-cause analysis) to manage, review and identiy learning rom patientcomplaints, clinical incidents and near-miss events


Monitor and develop the perormance o the GPN team in accordance with local policies

Approve the perormance o the team, providing eedback as appropriate

Understand and apply legal issues that support the identication o vulnerable and abused children andadults, and be aware o statutory child/vulnerable patients health procedures and local guidance

Ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substanceabuse and addictive behaviour. Provide guidance and support to ensure appropriate reerral i required


20/23


Take responsibility or own learning and perormance including participating in clinical supervision and actingas a positive role mode

Support sta development in order to maximise potential


Encourage others to make realistic sel-assessment o their application o knowledge and skills, challengingany complacency or actions that are not in the interest o the public and/or users o services

Critically evaluate and review innovations and developments that are relevant to the area o work

Enlist support and infuence stakeholders and decision-makers in order to bring about new developments inthe provision o services

Lead the GPN team and ensure support structures are in place or the smooth running o the practice

Take a lead role in planning and implementing changes within the area o care and responsibility

Work with practice management to ensure sucient sta o appropriate ability, quality and skill-mix areavailable to meet current and uture service delivery, that selection and recruitment processes are eectiveand that equality o treatment o the team incorporates quality HR principles and processes

Contribute to the development o local guidelines, protocols and standards

Maintain eective communication with those responsible or the overall commissioning and procurement process

Maintain active involvement in the planning and processes o practice-based commissioning or similar initiatives

Market the role o the advanced nurse practitioner in general practice

Team working

Understand own role and scope and identiy how this may develop over time


Delegate clearly and appropriately, adopting the principles o sae practice and assessment o competence

Create clear reerral mechanisms to meet patient need

Prioritise own workload and ensure eective time-management strategies are embedded within the cultureo the team


Discuss, highlight and work with the team to create opportunities to improve patient care

Manage and lead on the delivery o specically identied services or projects as agreed with the practicemanagement team

Agree plans and outcomes by which to measure success


21/23

Management of risk



Ensure appropriate supervision o sae storage, rotation and disposal o vaccines and drugs. Oversee the

monitoring, stock control and documentation o controlled drug usage according to legal requirementswhere appropriate

Ensure the nursing team undertakes mandatory and statutory training requirements


Advocate or policies that reduce environmental health risks, are culturally sensitive and increase access tohealth care or all

Interpret national strategies and policies into local implementation strategies that are aligned to the valuesand culture o general practice

Managing information

Use technology and appropriate sotware as an aid to management in planning, implementation andmonitoring o care, presenting and communicating inormation

Review and process data using accurate Read codes in order to ensure easy and accurate inormationretrieval or monitoring and audit processes

Manage inormation searches using the internet and local library databases

Understand responsibility o sel and others to the practice and primary care trust regarding the Freedom andInormation Act

Monitor and conrm that the nursing team are receiving and processing data and inormation in an

agreed ormatCollate, analyse and present clinical data and inormation to the team

Communicate essential nancial restraints with the team and discuss with them ideas or eective andecient working within these constraints

Manage, i agreed, the nursing budget within nancial principles


Undertake mentorship or more junior sta, assessing competence against set standards

Disseminate learning and inormation gained to other team members in order to share good practice and inormothers about current and uture developments (eg courses and conerences)




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Identiy patterns o discrimination and take action to overcome this and promote diversity and equalityo opportunity





Accept the rights o individuals to choose their care providers, participate in care and reuses care. Assistpatients rom marginalised groups to access quality care

NB: This list is not exhaustive and may be added to or amended according to the needs o the practice.


Knowledge Advanced clinical practice skills

Management o patients withlong-term conditions

Management o patients withcomplex needs

Clinical examination skills

Accountability o own role andother roles in a nurse-led service

Local and national health policy

Wider health economy

Clinical governance issues inprimary care

Patient group directions andassociated policy

Knowledge o public health

issuesAble to identiy determinants onhealth in the area

Knowledge o public healthissues in the area



Communication o dicultmessages to patients andamilies


Change management

Teaching and mentorship in aclinical setting

Resource management


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Nurse-led management ominor illness, minor ailmentsand injuries

Nurse-led triage

Compiling protocols and clinicalguidelines

Leadership in quality initiativessuch as clinical benchmarking

Leading a team

Audit

Research

Nurse prescribing

Project management

Working with communitydevelopment initiatives

Health-needs assessment


MSc or equivalent

Relevant nursing/health degree



Extended/independent nurse

prescriber qualication

Community nursing specialistqualication


Highly motivated

Flexibility

Enthusiasm

Team player

Ability to work acrossboundaries

Nurse Job Role

Documents