Shropshire Rural Alliance PCN Enhanced Nurse inShrewsbury inShrewsbury PUBLISHED 13 JUN 2024

Job summary

We have an exciting opportunity for an experienced Enhanced Nurse to join our Primary Care Network (PCN). The post holder will be the focal point for and work closely with our Primary Care Network member practices and clinicians to ensure that the Shropshire Rural Alliance PCN delivers the contractual elements of the Network Direct Enhanced Service (DES) contract.

Main duties of the job

The successful candidate will be working at an enhanced level within primary care and will be able to deliver quality individualised care to our patients. The Enhanced Nurse will be expected to utilise their skills in clinical assessment and diagnostics reasoning to make decisions to determine and initiate changes to treatment.

About us

The following practices are members of the Shropshire Rural Alliance PCN:

Clive Medical Practice: High Street, Clive, Shrewsbury, SY4 5PS

Knockin Medical Centre: Knockin, Oswestry, SY10 8HL

Pontesbury & Worthen Medical Practice: Hall Bank, Pontesbury, Shrewsbury, SY6 0RF

Shawbury Medical Practice: 47 Poynton Road, Shawbury, Shrewsbury, SY4 4JS

Westbury Medical Centre: Vennington Road, Westbury, SY5 9QX

Job description

Job responsibilities


Primary Responsibilities

• Work alongside the multi-disciplinary team to provide chronic disease management in accordance with clinically based evidence and NICE guidelines. This will include working alongside the PCN Pharmacy team and GP supervisor to support our Care Home residents.
• Responsible for managing and running long-term condition clinics, with the possibility of running these clinics in our Extended Access service.
• As required, be able to prescribe for the caseload of patients within your proven scope of practice. Using your knowledge, you will provide information and advice on prescribed or over-the-counter medication on medication regiments, side-effects, and interactions.
• Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
• Collaborate with other members of the PCN including doctors, nurses, and pharmacists, accepting referrals, using clinical reasoning skills to recognise when referral to them for specialist care may be required.
• Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associate with patient health care and registration with the practice.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care

Secondary Responsibilities

• Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, impart own knowledge and skills to PCN colleagues to meet the needs of the service.
• Work in partnership with other clinical teams to collaborate on improving the quality of healthcare by responding to local and national policies and initiatives as appropriate.
• Participate in clinical audits, research projects, and implement changes as required, including the development, and updating of practice protocols / guidelines and procedures locally.
• Participate in the review of significant and near-miss events.
• Take personal responsibility for own learning and development.

Job description
Job responsibilities


Primary Responsibilities

• Work alongside the multi-disciplinary team to provide chronic disease management in accordance with clinically based evidence and NICE guidelines. This will include working alongside the PCN Pharmacy team and GP supervisor to support our Care Home residents.
• Responsible for managing and running long-term condition clinics, with the possibility of running these clinics in our Extended Access service.
• As required, be able to prescribe for the caseload of patients within your proven scope of practice. Using your knowledge, you will provide information and advice on prescribed or over-the-counter medication on medication regiments, side-effects, and interactions.
• Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required.
• Collaborate with other members of the PCN including doctors, nurses, and pharmacists, accepting referrals, using clinical reasoning skills to recognise when referral to them for specialist care may be required.
• Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associate with patient health care and registration with the practice.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care

Secondary Responsibilities

• Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, impart own knowledge and skills to PCN colleagues to meet the needs of the service.
• Work in partnership with other clinical teams to collaborate on improving the quality of healthcare by responding to local and national policies and initiatives as appropriate.
• Participate in clinical audits, research projects, and implement changes as required, including the development, and updating of practice protocols / guidelines and procedures locally.
• Participate in the review of significant and near-miss events.
• Take personal responsibility for own learning and development.

Person Specification

Experience

Essential

• Experience of working in a primary care environment
• Experience of working as a Nurse Practitioner
• Experience in chronic disease management
• Experience of dealing with a range of clinical conditions

Personal qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure / in stressful situations
• Able to effectively communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort

Clinical knowledge and skills

Essential

• Ability to effectively assess and diagnose
• Wound care
• Requesting pathology tests and processing the results, advising patients accordingly
• Diabetes
• Hypertension
• Asthma
• CHD
• Understands the importance of evidence-based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Understanding of clinical risk management
• Understanding of the audit process
• Ability to follow clinical policy and procedure
• Ability to work within own scope of practice and understanding of when to refer to GPs

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health-promotion strategies

Qualifications

Essential

• Registered Nurse
• Level 7 Post Graduate certificate in Clinical Practice

Desirable

• Non-Medical Independent Prescriber Qualification V300

Other

Essential

• Disclosure Barring Service (DBS) check
• Occupational health clearance
• Registration with appropriate professional body
• Possess a valid driving license and transport

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem-solving and analytical skills

Desirable

• Previous use of EMIS system

Person Specification
Experience

Essential

• Experience of working in a primary care environment
• Experience of working as a Nurse Practitioner
• Experience in chronic disease management
• Experience of dealing with a range of clinical conditions

Personal qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure / in stressful situations
• Able to effectively communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Punctual and committed to supporting the team effort

Clinical knowledge and skills

Essential

• Ability to effectively assess and diagnose
• Wound care
• Requesting pathology tests and processing the results, advising patients accordingly
• Diabetes
• Hypertension
• Asthma
• CHD
• Understands the importance of evidence-based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• Understanding of clinical risk management
• Understanding of the audit process
• Ability to follow clinical policy and procedure
• Ability to work within own scope of practice and understanding of when to refer to GPs

Desirable

• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health-promotion strategies

Qualifications

Essential

• Registered Nurse
• Level 7 Post Graduate certificate in Clinical Practice

Desirable

• Non-Medical Independent Prescriber Qualification V300

Other

Essential

• Disclosure Barring Service (DBS) check
• Occupational health clearance
• Registration with appropriate professional body
• Possess a valid driving license and transport

Skills

Essential

• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem-solving and analytical skills

Desirable

• Previous use of EMIS 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

Additional information
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Pontesbury & Worthen Medical Practice
Address

Hall Bank

Pontesbury

Shrewsbury

Shropshire

SY5 0RF

Employer's website