Job opportunities

Practice Nurse (Respiratory Trained) – Launceston Medical Centre

Hours: Minimum 16 Hours
Salary: TBC Dependent on Experience
Closing date: 29/02/2024


Launceston Medical Centre has a fantastic opportunity for an experienced Practice Nurse to become part of our amazing team. We are a busy, committed team working together in a recently extended and refurbished Practice in Launceston, close to the beautiful beaches of the north coast of Cornwall and surrounded by moorland countryside. The successful candidate will work within the support team to the GPs, already comprising of a Nurse Practitioner, Minor Illness Nurse and 6 Paramedics, in addition to our Nurses and HCAs. We have 6 Partners and 7 Salaried GPs(including remote GPs) with very experienced Management, IT, Reception, and Administration support. Additional allied professionals who work within our team are our Clinical Psychologist, Pharmacist, Physiotherapists and Social Prescriber. We are also proud to be a training practice.

The work ethic at Launceston Medical Centre is that we place people first in everything we do. We run our own Primary Care Network together with our neighbourhood Practice, Tamar Valley Health, and we use our resources for the benefit of the whole community inclusively. We recognise and accept our responsibility in playing our part in making our community healthier and happier.

The benefits of working within our team are that we value each person as an individual and respect their aspirations. We are honest, open, trustworthy, and supportive and encourage our team to improve and advance their skill base. We also benefit from living and working in one of the most beautiful parts of the country!

The ideal candidate will be able to provide the full range of General Practice Nursing care.
The post is for a minimum 16 hours a week, with the requirement to cover any absence of your nursing colleagues, therefore flexibility is an essential requirement.
Rate of pay is dependent upon relevant experience.

The post holder is responsible for the delivery of General Practice Nursing to the whole Practice population (17,000 patients), who will be supported by their Team Lead. The focus of this role is both the delivery of evidence-based practice for patients presenting with a long-term condition and the provision of preventative health care to the patients.
As an autonomous practitioner, the Practice Nurse will be responsible for the care delivered, demonstrating critical thinking and skills in clinical decision making in the management of patients. They will work collaboratively within the Practice team to meet the needs of the patients, support the delivery of policy and procedures.
This role will specifically involve care of patients with asthma and COPD, including annual reviews.

For More information, please contact Andrew Yardley, Practice Manager.
([email protected] / (01566) 772131)

Key responsibilities
Assist in and perform routine tasks related to patient care as directed by senior staff and GPs
o Cytology
o Wound care / ulcer care / Doppler
o Removal of sutures
o Cervical Screening
o New Patient Medicals / Urinalysis
o Travel Vaccinations
o Asthma Reviews – inc. Peak Flow readings
o Venepuncture
o Hypertension Management.
o Routine Immunisations / childhood immunisations.
o Chaperoning and assisting patients where appropriate who are being examined by another clinician.
o Assisting GPs with Minor Surgery and coil fittings.
o Requesting pathology requests, for urine culture and swabs.
o Interest in contraception.
o Following agreed clinical protocols with referral to senior nurses or GPs as appropriate.
Other tasks will include (but not limited to):
o Maintaining and cleaning equipment .
o Maintaining nurses tooms, stocking and rotating items as required
o Chaperoning and assisting patients who are being examined by another clinician.
o Maintain general tidiness and cleanliness of nurses and treatment rooms.
o Ordering stock inc. ordering of vaccinations to maintain stock levels.
o Participation of administrative systems in the practice
o Maintaining accurate records at all times
o Attend and participate in any practice meetings when required.
o Any other delegated dues as appropriate to the post.
Clinical practice
• Assess, plan, develop, implement, and evaluate treatment programmes that promote health and well-being.
• Assess, plan, implement 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 non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs.
• Review medication for therapeutic effectiveness, 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.
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
• 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 both adults and children.
• Advise, support and administer vaccinations where appropriate for patients travelling abroad.
• Promote and deliver evidence-based care for patients presenting with aural conditions.
• Meet the needs of patients presenting for opportunistic wound care.

• 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 practice.
• 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.
• Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (eg root-cause analysis)
• Assess the impact of policy implementation on care delivery.
• Participate in the performance monitoring review of the team, providing feedback as appropriate.
• 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.
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or users of services.
• Act as a clinical leader in the delivery of GPN services to patients, ensuring that the needs of the patient are the priority.
• Participate in planning and implementing changes within the area of care and responsibility.
• Work with practice management to ensure sufficient staff of appropriate ability, quality and skill-mix are available to meet current and future service delivery.
• 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
• Promote the role of an experienced GPN in the provision of care.

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 and drugs.
• Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements.
• 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
• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care.
Learning and development
• Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified.
• 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.

Person Specification:
Knowledge – Essential:
Knowledge of management of patients with long-term conditions
Knowledge of accountability of own role and other roles in a nurse-led service
Knowledge of health promotion strategies
Knowledge of local and national health policy
Wider health economy awareness
Knowledge of clinical governance issues in Primary Care
Knowledge of patient group directions and associated policy
Knowledge of Public Health issues
Ability of identify determinants on health in the local area
Knowledge of Public Health issues within the area

Skills Essential:
Clinical Leadership skills
Change-management skills and adaptability to support patients to change lifestyle
Communication skills, both written and verbal
Ability to communicate difficult messages to patients and family
Negotiation and conflict management skills
Ability to provide teaching and mentorship in a clinical setting
IT Skills
Trained in asthma and COPD

Experience Essential:
Minimum 3 years post registration experience
Experience of Nurse-led management of Long-term conditions
Experience of implementing protocols and clinical guidelines
Experience of quality initiative such as clinical benchmarking
Audit Experience

Qualifications Essential:
Registered First Level Nurse
Practice Nurse Qualification
Relevant Nursing/ Health Degree
Clinical Supervision training and experience
Independent / supplementary nurse prescribing qualification
Mentor / Teaching Qualification

Other Essential:
Self-directed practitioner
Highly motivated
Team Player
Ability to work across boundaries

To apply for this job please contact:

Andrew Yardley (Practice Manager)

Launceston Medical Centre

[email protected]

(01566) 772131