JOB DESCRIPTION

Job Title: Nurse Older People

Remuneration: £26,302 - £30,357 pro rata depending on experience

Responsible to: Nurse Consultant - Older People

Accountable to: Practice Manager–HRBusiness Development Manager – project delivery

Job Purpose Working in the Cathedral Locality Older Persons Team, the nurse is a Registered Nurse responsible for providing a high standard of nursing care which reflects evidence based practice encompasses patient choice and makes best use of valuable resources. This includes assessing, planning and implementing individualised and effective patient care and evaluating the outcome. The post holder will be expected to communicate with members of the internal and external MDT to ensure the best care for patients. In addition the post holder will facilitate training, education and induction programmes for other qualified and unqualified staff.

The post holder works in all care settings (including acute home visits) to undertake telephone and face-to-face assessments of patients with undifferentiated needs, ensuring appropriate clinical prioritisation, diagnosis and clinical management, administering or supplying medicines under patient group directions, administering prescribed treatments and performing clinical procedures without direct supervision.

Cathedral Locality Older Person Team is a joint initiative between three primary care practices; Harcourt Medical Centre, Millstream Medical Centre and Salisbury Medical Practice. They are high quality, high performing organisations which currently delivers primary care services to around 40,000 patients. Responsive, adaptable and continually evolving, Cathedral Locality has a reputation for delivery of safe, clinically effective and cost efficient services which result in high levels of patient satisfaction.

We are committed to the NHS Values as set out in the NHS Constitution March 2013.

The post holder is a key member of staff whose role is to support operational effectiveness of the following services:

Key Relationships GPs and clinical staff Age UK – Living Well ManagerSignposting and Health Promotion LeadsOperational staffManagement teamOther health and social care partners

MAIN DUTIES & RESPONSIBILITIES

ProfessionalWorks within the NMC Code of Professional Conduct

Be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service.

Promote and facilitate evidence-based practice

Maintain professional knowledge and practice to meet NMC Revalidation requirements

Demonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervision.

Clinical Always practice within own scope of competence, recognising limitations of clinical

practice.

Assess and prioritise patients’ clinical needs in accordance with Cathedral Locality policies and guidelines.

Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in advanced history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.

Makes professionally autonomous decisions for which she/he is accountable. Encourage patients to carry out self-care where appropriate, supported by direction to

other sources of health and social care information.

Directs others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance.

Liaise directly with GPs and consultants regarding medicines outside of the individual’s normal sphere of competence and medicine-related uncertainties.

Provide advice and support to Primary Care Nurses, Practitioners and other clinical staff.

Liaise and communicate clinical information verbally and via technical links with Cathedral Locality and health economy partners to ensure continuity of care for the caller.

Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums.

Maintain confidentiality at all times in accordance with legislative and policy requirements.

Act as the patients advocate when required to.

Participate and assist in service evaluation, clinical audit and research as required.

Participate in the investigation of complaints, incidents and accidents.

Undertake safe clinical practice within health and safety guidelines.

Work within and be aware of the organisations clinical policies and guidelines.

Maintain own awareness of current health policy relevant to practice.

Be aware of the impact your decisions may have upon the patient and their General Practitioner.

Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation.

Participate in the mentorship of visiting health professionals and students on recognised training programmes, e.g. student nurses, ECP’s, Practice Nurses etc.

Recognise and act upon opportunities through consultation to promote public health.

Non-Clinical

1. Organisational Management

Attend clinical and project team meetings as required. Participate in the annual Performance Review & Development process. Respond positively to organisational change and participate in the change process. Work consistently to improve the service provided. Communicate effectively with your line manager any issues or ideas relating to service

improvement and development. To work flexibly according to the needs of the service.

2. Staff Management

Supervise and support junior registered and non-registered clinical staff in the provision of patient care.

Delegate appropriately to clinical team members to provide patient care. Cooperate and support colleagues to ensure safe and effective services.

3. Strategic Activities and Service Improvement

Demonstrate understanding of the strategic purpose of Cathedral Locality services and service developments and how you contribute to their delivery.

Leads on clinical practice developments in agreement with management team. Undertake training and development appropriate to your role as required. Be proficient in using the IT systems of choice. Ensure prompt and regular attendance at work.

4. Patient Experience

Sign a confidentiality agreement. Work in accordance with confidentiality and information governance requirements. Promote feedback from patients and carers, using the systems available.

Participate in Cathedral Locality patient experience programmes. Ensure you are working within relevant policies at all times.

5. Services Finances

Be aware of the financial implications of decisions and actions. Work in a manner that promotes financial stability of the organisation.

6. Health and Safety

Adhere to Health and Safety polices & procedures Comply with employee responsibilities under the Health and Safety at Work Act. Participate in relevant health and safety procedures and training. Ensure your personal safety is maintained and that of your colleagues and the

public. Ensure all accidents and/or dangerous incidents are recorded and reported, as

guided by Cathedral Locality policies. Observe all regulations governing the driving and use of vehicles on the public

highways

Changes to this job descriptionThis is an outline of the job description and may be subject to change according to service needs and developments, which will take place in consultation with the post holder as appropriate.

Name of post holder ___________________________________

Signature of post holder ___________________________________

Date _________________

Cathedral Locality

PERSON SPECIFICATION – SPECIALIST PRACTITIONER OLDER PEOPLE

Description Essential criteria Desirable criteria Assessment

Qualification andtraining

Registered Nurse with first degree or equivalent portfolio of evidence OR

Use of Patient Group Directions

Mentoring/Teaching Qualification.

Evidence of continued professional development

Be able to drive and have a valid UK driving licence

Experience in delivering and/or participating in Clinical Supervision

Application form

Original certificates/ portfolio

References Interview

Experience Training and supervising post registration nurses

Training and supervising health care assistants

Significant post registration with current/continuous experience as nurse

Supervision of day to day patient management decision-making, planning, co-coordinating, facilitating, monitoring and evaluating skills.

Monitoring and auditing of standards and the quality of service

Implementing research into practice

Nurse-led services

Application form

Portfolio Interview

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Knowledge of Nursing and Midwifery Council standards

Medico-legal aspects of the role

Current clinical developments and professional issues

Treatment of minor illness/ injuries

Awareness of health care issues, quality and audit

Health and safety

Performance management

Research methods

Application form

Interview Portfolio

Personal Characteristics

Willingness to share care and collaborate with primary health care teams and wider health care partnerships

Highly motivated Flexible and

adaptable to changing situations

Able to work autonomously and as part of a team

Responsive to constructive criticism and proactive in the specialist practitioner role development

Demonstrate sufficient knowledge of the English language to deal with patient consultations

Ability to work across boundaries

Ambition to develop primary care skills

Application form

Interview

Motivation and Disposition

Commitment to the aims and values of

Interview

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the service aiming to work with hard to reach patient groups through mutual cooperation

Able to communicate well with external organisation particularly necessary when referring patients

Other Commitment to deliver care in accordance with contractual Key Performance Indicators (KPIs) and other quality requirements

Reliable and willing to work flexibly to meet the needs of the service.

Awareness of confidentiality and information governance.

Knowledge of safeguarding adults and children.

Awareness of CQC requirements

Full driving licence and the ability to travel between locations.

ApplicationInterviewReferences

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Cathedral Locality

JOB DESCRIPTION

Job Title: Clinical Nurse Educator

Remuneration: £26,302 - £30,357 pro rata depending on experience

Responsible to: Nurse Consultant - Older People

Accountable to: Practice Manager–HRBusiness Development Manager – project delivery

Job Purpose The Cathedral Wider Primary Care Services is a joint initiative between three GP surgeries; Harcourt Medical Centre, Millstream Medical Centre and Salisbury Medical Practice. They are high quality, high performing organisations which currently deliver primary care services to around 40,000 patients. Responsive, adaptable and continually evolving, Cathedral Locality has a reputation for delivery of safe, clinically effective and cost efficient services which result in high levels of patient satisfaction.

As the Locality Educator you will be expected to deliver the Locality strategy in conjunction with the Business Development Manager and provide effective leadership to ensure that the nursing workforce is highly skilled and trained. You will be responsible for overseeing the training of, support and development programme for Health Care Assistants within the Locality and where relevant, other organisations as determined by the Business Development Manager.

We are committed to the NHS Values as set out in the NHS Constitution March 2013.

MAIN DUTIES & RESPONSIBILITIES

ProfessionalWorks within the NMC Code of Professional Conduct

Be committed to working flexibly within a dynamic environment, responding positively to the changing needs of the service.

Promote and facilitate evidence-based practice

Maintain professional knowledge and practice to meet NMC Revalidation requirements

Demonstrate continual professional (CPD) development through organised or self-directed study/learning and participation in clinical supervision.

Clinical In collaboration with other senior colleagues, to identify, support and promote nursing

practice developments.

Practice within own scope of competence, recognising limitations of clinical practice.

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Cathedral Locality

Assess and prioritise patients’ clinical needs in accordance with Cathedral Locality policies and guidelines.

Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in advanced history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan.

Makes professionally autonomous decisions for which she/he is accountable. Encourage patients to carry out self-care where appropriate, supported by direction to

other sources of health and social care information.

Directs others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance.

Liaise directly with GPs and consultants regarding medicines outside of the individual’s normal sphere of competence and medicine-related uncertainties.

Provide advice and support to Primary Care Nurses, Practitioners and other clinical staff.

Liaise and communicate clinical information verbally and via technical links with Cathedral Locality and health economy partners to ensure continuity of care for the caller.

Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums.

Maintain confidentiality at all times in accordance with legislative and policy requirements.

Act as the patients advocate when required to.

Participate and assist in service evaluation, clinical audit and research as required.

Participate in the investigation of complaints, incidents and accidents.

Undertake safe clinical practice within health and safety guidelines.

Work within and be aware of the organisations clinical policies and guidelines.

Maintain own awareness of current health policy relevant to practice.

Be aware of the impact your decisions may have upon the patient and their General Practitioner.

Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation.

Participate in the mentorship of visiting health professionals and students on recognised training programmes, e.g. student nurses, ECP’s, Practice Nurses etc.

Recognise and act upon opportunities through consultation to promote public health.

Educational Explore creative approaches to professional development in order to meet individual

learning needs.

Provide supervision, teaching and support for individuals in the clinical areas. In response to service need and PDP process, identify and address staff development requirements.

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To guide and support mentors in all aspects of their role.

With nursing colleagues (registered and non-registered) and multi-disciplinary team, nurture the development of an environment which supports and encourages personal and professional growth.

Initiate and facilitate learning opportunities within the clinical setting.

Act as an expert resource for others requiring knowledge, experience and guidance within the clinical environment

To support students to achieve clinical competencies, liaising with lead clinicians as required.

Liaise with other professional colleagues to encourage multi-disciplinary training and education

Oversee and support the development programme for HCAs and Nursing Assistants.

Non-Clinical

7. Organisational Management

Attend clinical and project team meetings as required. Participate in the annual Performance Review & Development process. Respond positively to organisational change and participate in the change process. Work consistently to improve the service provided. Communicate effectively with your line manager any issues or ideas relating to service

improvement and development. To work flexibly according to the needs of the service.

8. Strategic Activities and Service Improvement

Demonstrate understanding of the strategic purpose of Cathedral Locality services and service developments and how you contribute to their delivery.

Leads on clinical practice developments in agreement with management team. Undertake training and development appropriate to your role as required. Be proficient in using the IT systems of choice. Ensure prompt and regular attendance at work.

9. Patient Experience

Work in accordance with confidentiality and information governance requirements. Promote feedback from patients and carers, using the systems available. Participate in Cathedral Locality patient experience programmes. Ensure you are working within relevant policies at all times.

10.Services Finances

Be aware of the financial implications of decisions and actions. Work in a manner that promotes financial stability of the organisation.

11.Health and Safety

Adhere to Health and Safety polices & procedures Comply with employee responsibilities under the Health and Safety at Work Act.

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Cathedral Locality

Participate in relevant health and safety procedures and training. Ensure your personal safety is maintained and that of your colleagues and the

public. Ensure all accidents and/or dangerous incidents are recorded and reported, as

guided by Cathedral Locality policies. Observe all regulations governing the driving and use of vehicles on the public

highways

Changes to this job descriptionThis is an outline of the job description and may be subject to change according to service needs and developments, which will take place in consultation with the post holder as appropriate.

Name of post holder ___________________________________

Signature of post holder ___________________________________

Date _________________

Page 11 of 20

Cathedral Locality

PERSON SPECIFICATION – NURSE EDUCATOR

Description Essential criteria Desirable criteria AssessmentQualification andtraining

Registered Nurse with first degree or equivalent portfolio of evidence OR

Use of Patient Group Directions

Mentoring/Teaching Qualification.

Evidence of continued professional development

Be able to drive and have a valid UK driving licence

Experience in delivering and/or participating in Clinical Supervision

Application formOriginal

certificates/ portfolio

ReferencesInterview

Experience Training and supervising post registration nurses

Training and supervising health care assistants

Significant post registration with current/continuous experience as nurse

Supervision of day to day patient management decision-making, planning, co-coordinating, facilitating, monitoring and evaluating skills.

Monitoring and auditing of standards and the quality of service

Implementing research into practice

Nurse-led services

Application formPortfolioInterview

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Cathedral Locality

Knowledge of Nursing and Midwifery Council standards

Medico-legal aspects of the role

Current clinical developments and professional issues

Treatment of minor illness/ injuries

Awareness of health care issues, quality and audit

Health and safety

Performance management

Research methods

Application formInterviewPortfolio

Personal Characteristics

Willingness to share care and collaborate with primary health care teams and wider health care partnerships

Highly motivatedFlexible and adaptable to

changing situationsAble to work

autonomously and as part of a team

Responsive to constructive criticism and proactive in the specialist practitioner role development

Demonstrate sufficient knowledge of the English language to deal with patient consultations

Ability to work across boundaries

Ambition to develop primary care skills

Application formInterview

Motivation and Disposition

Commitment to the aims and values of the service aiming to work with hard to reach patient groups through mutual cooperation

Interview

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Cathedral Locality

Able to communicate well with external organisation particularly necessary when referring patients

Other Commitment to deliver care in accordance with contractual Key Performance Indicators (KPIs) and other quality requirements

Reliable and willing to work flexibly to meet the needs of the service.

Awareness of confidentiality and information governance.

Knowledge of safeguarding adults and children.

Awareness of CQC requirements

Full driving licence and the ability to travel between locations.

ApplicationInterviewReferences

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Cathedral Locality

JOB DESCRIPTION

Job Title: Research nurse

Remuneration: £26,302-£30,357 pro rata depending on experience

Responsible to: Nurse Consultant - Older People

Accountable to: Practice Manager–HRBusiness Development Manager – project deliveryDr Dan Henderson – clinical lead

Job Purpose: Under supervision be responsible for the administration of designated Clinical Trials within Research at Salisbury Medical Practice (SMP) and any associated GP practices as agreed by the Business Development Manager ensuring studies meet requirements with regards to the Department of Health’s Research Governance Framework for Health and Social Care 2nd ed. 2005 and the Medicines for Human Use (Clinical Trials) Amended Regulations 2006.

Under the direction of the Clinical Trials Principal Investigator(s) and Research Lead, the post holder will participate in the active screening and recruitment of patients to research studies. When working on research studies the post-holder will be responsible for the nursing care of study patients and observe for side effects during the course of the study. An important aspect of the role will be the maintenance of accurate and comprehensive records of data derived from the research studies.

The post holder will be involved in ensuring that any research undertaken within SMP and any agreed associated GP practices safeguards the well-being of the patients and is conducted within the International Community on the Harmonisation of Good Clinical Practice Guidelines (ICH GCP) for Research the Medicines for Human Use (Clinical Trials) Amended Regulations 2006 and the Research Governance Framework (2nd ed. 2005). In conjunction with the multidisciplinary team, the post holder will facilitate the production of good quality research

MAIN DUTIES AND RESPONSIBILITIES

Research Duties

Promoting and overseeing the appropriate screening and recruitment of patients to designated clinical trials.

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Cathedral Locality

Provide ongoing advice and information to patients and their carers/families with regard to their participation in clinical research in order to facilitate effective informed consent.

Participate in the recruitment and consent of patients to trials; this will require a flexible working pattern.

With supervision assess and evaluate the progress of designated on-going clinical trials and research within the Practice maintaining accurate records of the status of designated studies and providing regular updates to the practice.

Assist other members of the multidisciplinary team with regards to ICH GCP, R&D and REC registration and approval, project development, implementation, completion and dissemination.

Ensure that all ICH GCP and Research Governance Framework required documentation is kept in a clearly auditable system and is stored for the appropriate time.

At all times ensure clear and accurate records, helping with design of databases where required.

With supervision manage own caseload of patients whilst working as part of the multidisciplinary team, planning the care of patients enrolled into designated clinical trials, monitoring and evaluating their progress.

Clinical

With supervision manage own caseload of patients whilst working as part of the multidisciplinary team, planning the care of patients enrolled into designated clinical trials, monitoring and evaluating their progress.

Record and report any adverse events or reactions which occur in research patients, in accordance with the Practice policy and other regulatory requirements.

Report and document any relevant patient needs with other health care professionals with ongoing responsibility for patient care, communicating changes as they occur.

Obtain and handle bodily fluids e.g. blood and urine from patients, in adherence with practice policies and government guidelines.

Demonstrate a commitment to evidence based practice and clinical excellence and play an active role in the introduction of this evidence to improve patient centred care.

Proactively and positively contribute to the achievement of clinical outcomes through individual and team effort. Manage the patient experience and control risks.

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Cathedral Locality

Support research patients in making an informed treatment choice by providing specialist knowledge in relation to the disease process, treatment options and treatment side effects.

Managerial

Work as part of the multidisciplinary team and contribute to the ongoing development of the practice.

Facilitate and maintain effective communication within the research team and between the multidisciplinary team.

Ensure that resources are used effectively and in accordance with agreed procedures

Administration

Word process standard letters and other communications as required.

Complete Case Record Forms and other study related documentation as required.

Training Maintain and continually develop in depth knowledge of research practice.

Increase the level of knowledge & skills within the Practices through sharing best practice and supporting others to develop their professional abilities.

Develop the skills to act as a role model and professional resource in all areas of Research practice in order to improve patient care and clinical practice.

Additional Requirements

Be conversant with the DoH Research Governance Framework for Health and Social Care 2nd ed. 2005, ICH GCP Guidelines and the Medicines for Human Use (Clinical Trials) Amended Regulations 2006.

Treat all persons encountered during the course of her/his duties with respect and courtesy.

Work within the NMC Scope of Professional Practice and Code of Conduct or appropriate professional code of conduct.

Work in accordance with the DoH Research Governance Framework for Health and Social Care 2nd ed. 2005, ICH GCP Guidelines and the Medicines for Human Use (Clinical Trials) Amended Regulations 2006. .

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Comply with Practice policies and procedures, observe Health & Safety and Fire Regulations and report all hazards and potential hazards to appropriate managers.

Attend all mandatory Practice training.

Undertake an annual appraisal, to identify organisational and professional objectives and development needs.

Be aware of the need for absolute confidentiality in all aspects of their role.

Undertake other duties at a level consistent with the grade of the post

COMMUNICATIONS & WORKING RELATIONSHIPS

Develop and maintain channels of communication and working relationships with all staff and patients and their families across the Practice with regards to Research.

Undertake clinical supervision

All Job Holders are required to…  

Adhere to Practice policies and procedures, e.g. Health and Safety at Work, Equal Opportunities, safeguarding etc.

  Maintain personal and professional development to meet the changing demands

of the job, participate in appropriate training activities and encourage and support staff development and training.

Attend statutory, essential and mandatory training.   Respect the confidentiality of all matters relating to their employment and other

members of staff. All members of staff are required to comply with the requirements of the Data Protection Act 1998.

  Comply with the codes of professional conduct set out by the professional body

of which registration is required for the post.

Maintain the prevention and control of infection and fully comply with all current Practice Infection Control policies and procedures.

Take responsibility for any records that they create or use in the course of their duties, in line with the Public Records Act and be aware that any records created by an employee of the NHS are public records and may be subject to both legal and professional obligations.

Note

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This job description is neither definitive nor exhaustive and is not intended to be totally comprehensive. It may be reviewed in the light of changing circumstances following consultation with the post holder.

Organisational Chart

Consultant nurse – wider primary care

Research Nurse(This post)

Administrator

Health Care Assistant/ Nurse Associate

Research Project lead

Research GP Lead

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PERSON SPECIFICATION TEMPLATE

ATTRIBUTES ESSENTIAL DESIRABLE

KNOWLEDGE & EXPERIENCE Demonstrable post registration

experience and/ or demonstrable experience of working in a clinical research environment or similar.

Demonstrable experience of working within a multi-disciplinary team or similar

Proven knowledge of DoH Research Governance Framework for Health and Social Care, ICH GCP and the Medicines for Human Use (Clinical Trials) Regulations 2006.

Previous demonstrable experience of clinical research trials or similar

QUALIFICATIONS Current NMC Registration or equivalent qualification.

Proven evidence of continued professional development

Ability to drive

Demonstrable knowledge of databases

Venepuncture and cannulation

ECG

APTITUDE & ABILITIES Computer literacy

Excellent written and verbal communication skills

Ability to manage and prioritise own workload

Time management skills

Evidence of self-directed development.

Experience in taking informed consent

DISPOSITION / ATTITUDE /

MOTIVATION Ability to work in a self-directed

manner whilst also contributing to and working as a team member

Excellent organisational skills Attention to detail

OTHER FACTORS Flexible working and ability to work to needs of service

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