Total 11 job vacancies by NHS Jobs

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.

JOB DESCRIPTION Job title:Practice Nurse Hours of Employment:30 hours per week (Mondays, Tuesdays & Fridays) Responsible to:GP Partners Accountable to:HR Lead Interview Date: 19/11/2024 Job Responsibilities: Clinical Responsibilities: Chronic Disease Management: Provide comprehensive care and management for chronic conditions such as asthma, COPD, and diabetes, including regular monitoring, patient education, and collaboration with multidisciplinary healthcare teams to optimise patient outcomes. Conduct Peak Flow Readings and Spirometry as required. Monitor and manage patients with hypertension, offering evidence-based interventions to reduce cardiovascular risks. Travel Health: Deliver a holistic approach to travel health by advising patients on vaccinations, medications, safe sex practices, food hygiene, and sun protection to ensure safe and informed travel. Vaccinations: Administer childhood and adult vaccinations as per patient group directions, providing informed advice and ensuring adherence to immunisation protocols. Well Person Clinics & Health Promotion: Lead well person clinics and health promotion initiatives, offering lifestyle assessments and advice on diet, smoking cessation, alcohol reduction, and physical activity to enhance overall health and well-being. Baby Clinic Care: Administer vaccinations and offer comprehensive parental guidance and support. Cervical Cytology: Conduct cervical cytology smear tests according to local and national guidelines, ensuring accurate documentation and patient care. Venepuncture: Carry out venepuncture procedures following local protocols to facilitate diagnostic testing and patient care. Wound Management: Provide a holistic approach to wound management, including Wound Care 'Tier 2' lower limb, (ulcer care & Doppler) and implement care in line with current evidence-based guideline. ECG Monitoring: Conduct electrocardiograms (ECGs) to support the diagnosis and monitoring of cardiac conditions. Contraception Services: Provide advice and administer contraception options, ensuring patient education and adherence to clinical guidelines. Suture Removal: Safely and efficiently remove sutures, ensuring adherence to clinical protocols and patient comfort. Safeguarding: Maintain awareness of statutory and local clinical protection procedures, including referral systems. Possess the ability to recognise signs and symptoms of child abuse, ensuring appropriate actions are taken to safeguard vulnerable patients. Health & Safety and Compliance: Sharps and Waste Disposal: Safely manage the disposal of sharps and hazardous materials in compliance with health and safety regulations, ensuring a clean and safe environment for both staff and patients. Infection Control: Strictly follow infection control protocols to prevent the spread of infections and maintain a safe healthcare environment, adhering to all national and local guidelines. Emergency Management: Recognise and manage anaphylaxis in accordance with current UK guidelines, providing prompt and effective treatment during emergencies. Perform cardiopulmonary resuscitation (CPR) as required, ensuring timely intervention in life-threatening situations. Health & Safety Protocols: Follow established procedures for handling and cleaning body fluid spills, maintaining a safe and sanitary environment in line with health and safety standards. Administrative Responsibilities: Informed Consent: Obtain and document informed consent (verbal or written) in accordance with legal and ethical standards. Stock and Equipment Management: Monitor and manage the maintenance of stock and equipment, including refrigeration and emergency equipment, ensuring that all resources are readily available and in good working order. Vaccine Management: Ensure the effective management of vaccine storage, including maintaining the cold chain and proper stock rotation, to uphold the integrity of all immunisation products. Confidentiality: Maintain the highest standards of confidentiality regarding all patient and practice information, ensuring compliance with privacy regulations and safeguarding sensitive data. Documentation: Ensure all consultations are documented in accordance with Nursing and Midwifery Council (NMC) guidelines, maintaining accurate and up-to-date patient records. Guideline Adherence: Demonstrate a thorough understanding of national and local health guidelines, applying these standards to patient care to ensure high-quality and compliant practice. Additional Responsibilities: Undertake any other delegated duties appropriate to the post, contributing to the efficient running of the practice and ensuring the delivery of high-quality patient care. Managerial: Contribute to the assessment of service needs. Assist patients to identify their health needs. Manage and organise individual patient consultations. Aware of identification and reporting procedures related to professional standards. To attend staff meetings (when appropriate) Ensure effective relationships and communications with the PHCT and other agencies. Support the Practice clinical governance agenda. Identify changes to clinical practice that are required to implement evidence-based guidelines. Educational: Identify personal development and training needs in conjunction with the manager. Participate in clinical supervision. Support others with their training and development needs. To participate in continuing education and maintain a contemporary level of professional knowledge and skills. Personnel: Maintain good working relations. Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission. Co-operation with the Practice to ensure all members of the team adheres to statutory regulations/policies and codes of practice. Offer innovative ways of working and opportunities to facilitate learning. Facilitates a learning environment within the team. Maintains a caring environment through the support of colleagues. Confidentiality: While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data Health & Safety: Adhering to personal security systems within the workplace according to practice guidelines. Ensuring awareness and compliance with national standards for infection control, cleanliness, and regulatory/professional requirements. Managing the specimen handling process, including the correct collection, labelling, handling, storage, and transportation. Overseeing the management and maintenance of Personal Protective Equipment (PPE), including ordering, availability, and proper usage by staff. Leading hand hygiene initiatives and protocols across the practice. Ensuring ownership and implementation of infection control and patient care protocols throughout the practice. Observing and assessing current infection control practices, identifying gaps or training needs, and escalating issues as necessary. Identifying and managing risks associated with clinical and patient care processes and reporting potential risks identified. Proactively utilising training to maintain and update skills and leading the training of others on infection control and patient care procedures. Monitoring and maintaining infection control standards within the practice's facilities and equipment, including hand hygiene provisions and cleanliness. Managing safe sharps handling procedures, including staff training, proper use, storage, and disposal. Maintaining a tidy, clean, and safe working environment through adherence to infection control procedures, taking corrective action or escalating issues when needed. Actively identifying and addressing health and safety hazards, reporting them promptly and implementing corrective actions. Ensuring cleanliness and sterility in both personal and patient areas and maintaining high standards of cleanliness throughout the practice in collaboration with other managers. Participating in regular infection control training, at least twice annually. Overseeing waste management, including proper segregation, container management, storage, and collection procedures. Managing and training staff on spillage control and decontamination procedures, including equipment maintenance. Maintaining sterile environments throughout the practice. Ensuring safeguarding protocols are in place and actively promoting the welfare of children. Equality and Diversity: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Chronic Disease Management Experience in Chronic Disease Management. Asthma/COPD/Peak Flow Readings/Spirometry Hypertension Management Knowledge of national and local guidelines with the ability to apply these to individual patients and set targets Ability to support patients with lifestyle changes Other Health Areas Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs Cytology Removal of Sutures New Patient Medicals Travel Clinic ECGs Venepuncture Routine immunisations / Childhood immunisations Chaperoning and assisting patients where appropriate who are being examined by another clinician Assisting GPs with minor surgery Requesting pathology tests, for example blood tests ,urine culture, swabs Contraception basic advice. Following agreed clinical protocols with referral to GPs as appropriate Other tasks will include: Maintaining and cleaning equipment used by the nurses and GPs Maintaining GP and Nurses rooms, stocking and rotating items as required Maintain general tidiness and cleanliness of nurses and treatment rooms Ordering of vaccinations to maintain stock levels Participation in administrative systems in the Practice At all times there will be a need to maintain accurate records A duty to advise senior colleagues of potential problems or errors within a range of assigned tasks Attend and participate in any Practice meetings when required. Any other delegated duties appropriate to the post

JOB DESCRIPTION Job title: Hours of Employment: Practice Nurse 30 hours per week (over 3 days) Responsible to: GP Partners Accountable to: HR Lead Job Responsibilities: Clinical Responsibilities: Chronic Disease Management: Provide comprehensive care and management for chronic conditions such as asthma, COPD, and diabetes, including regular monitoring, patient education, and collaboration with multidisciplinary healthcare teams to optimise patient outcomes. Conduct Peak Flow Readings and Spirometry as required. Monitor and manage patients with hypertension, offering evidence-based interventions to reduce cardiovascular risks. Travel Health: Deliver a holistic approach to travel health by advising patients on vaccinations, medications, safe sex practices, food hygiene, and sun protection to ensure safe and informed travel. Vaccinations: Administer childhood and adult vaccinations as per patient group directions, providing informed advice and ensuring adherence to immunisation protocols. Well Person Clinics & Health Promotion: Lead well person clinics and health promotion initiatives, offering lifestyle assessments and advice on diet, smoking cessation, alcohol reduction, and physical activity to enhance overall health and well-being. Baby Clinic Care: Administer vaccinations and offer comprehensive parental guidance and support. Cervical Cytology: Conduct cervical cytology smear tests according to local and national guidelines, ensuring accurate documentation and patient care. Venepuncture: Carry out venepuncture procedures following local protocols to facilitate diagnostic testing and patient care. Wound Management: Provide a holistic approach to wound management, including Wound Care 'Tier 2' lower limb, (ulcer care & Doppler) and implement care in line with current evidence-based guideline. ECG Monitoring: Conduct electrocardiograms (ECGs) to support the diagnosis and monitoring of cardiac conditions. Contraception Services: Provide advice and administer contraception options, ensuring patient education and adherence to clinical guidelines. Suture Removal: Safely and efficiently remove sutures, ensuring adherence to clinical protocols and patient comfort. Safeguarding: Maintain awareness of statutory and local clinical protection procedures, including referral systems. Possess the ability to recognise signs and symptoms of child abuse, ensuring appropriate actions are taken to safeguard vulnerable patients. Health & Safety and Compliance: Sharps and Waste Disposal: Safely manage the disposal of sharps and hazardous materials in compliance with health and safety regulations, ensuring a clean and safe environment for both staff and patients. Infection Control: Strictly follow infection control protocols to prevent the spread of infections and maintain a safe healthcare environment, adhering to all national and local guidelines. Emergency Management: Recognise and manage anaphylaxis in accordance with current UK guidelines, providing prompt and effective treatment during emergencies. Perform cardiopulmonary resuscitation (CPR) as required, ensuring timely intervention in life-threatening situations. Health & Safety Protocols: Follow established procedures for handling and cleaning body fluid spills, maintaining a safe and sanitary environment in line with health and safety standards. Administrative Responsibilities: Informed Consent: Obtain and document informed consent (verbal or written) in accordance with legal and ethical standards. Stock and Equipment Management: Monitor and manage the maintenance of stock and equipment, including refrigeration and emergency equipment, ensuring that all resources are readily available and in good working order. Vaccine Management: Ensure the effective management of vaccine storage, including maintaining the cold chain and proper stock rotation, to uphold the integrity of all immunisation products. Confidentiality: Maintain the highest standards of confidentiality regarding all patient and practice information, ensuring compliance with privacy regulations and safeguarding sensitive data. Documentation: Ensure all consultations are documented in accordance with Nursing and Midwifery Council (NMC) guidelines, maintaining accurate and up-to-date patient records. Guideline Adherence: Demonstrate a thorough understanding of national and local health guidelines, applying these standards to patient care to ensure high-quality and compliant practice. Additional Responsibilities: Undertake any other delegated duties appropriate to the post, contributing to the efficient running of the practice and ensuring the delivery of high-quality patient care. Managerial: Contribute to the assessment of service needs. Assist patients to identify their health needs. Manage and organise individual patient consultations. Aware of identification and reporting procedures related to professional standards. To attend staff meetings (when appropriate) Ensure effective relationships and communications with the PHCT and other agencies. Support the Practice clinical governance agenda. Identify changes to clinical practice that are required to implement evidence-based guidelines. Educational: Identify personal development and training needs in conjunction with the manager. Participate in clinical supervision. Support others with their training and development needs. To participate in continuing education and maintain a contemporary level of professional knowledge and skills. Personnel: Maintain good working relations. Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission. Co-operation with the Practice to ensure all members of the team adheres to statutory regulations/policies and codes of practice. Offer innovative ways of working and opportunities to facilitate learning. Facilitates a learning environment within the team. Maintains a caring environment through the support of colleagues. Confidentiality: While seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

JOB TITLE: ADVANCED NURSE PRACTITIONER HOURS OF EMPLOYMENT: 27 HOURS PER WEEK (Mondays, Tuesdays & Thursdays) REPORTS TO: THE PARTNERS (Clinically) HR LEAD (Administratively) Job responsibilities: Clinical Nursing Practice The Advanced Nurse Practitioner will contribute to the delivery of high-quality, patient-centred care within the practice. Core responsibilities include, but are not limited to: Collaborative Care: Work as part of a multi-disciplinary team to deliver safe, high-quality care, supporting the overall health and well-being of a diverse patient population. Patient Assessment and Diagnosis: Serve as the first point of contact for patients presenting with undifferentiated and undiagnosed conditions. Conduct thorough history-taking, physical examinations, and use critical thinking in clinical decision-making to establish a diagnosis and develop a comprehensive management plan. Acute and Chronic Condition Management: Diagnose and manage both acute and chronic conditions, integrating drug- and non-drug-based treatments into individualised care plans, while proactively identifying and managing treatment plans for patients at risk of developing long-term conditions. Holistic Care: Provide holistic, patient-centred care by developing ongoing support and care plans for patients and their families, with a focus on prevention, self-care, and overall health promotion. Health Promotion and Education: Promote health and well-being using health promotion strategies, health education, and therapeutic communication, encouraging patients to adopt healthier lifestyles and practice self-care. Clinical Leadership: Provide leadership within the practice, mentoring and supervising the nursing team, including healthcare assistants, and fostering an environment of evidence-based practice. Contribute to the delivery of key performance indicators, Quality and Outcomes Framework, and other performance monitoring systems. Medication Management: Prescribe and review medications based on the latest evidence-based practices, national and practice protocols, and within the scope of your qualified practice. Offer guidance on prescribed and over-the-counter medications, including advice on side effects, interactions, and regimens. Care Coordination: Coordinate patient care plans, ensuring patients and their families are actively involved in the decision-making process. Work with patients to support adherence to prescribed treatments and interventions. Diagnostic Investigations: Request and interpret diagnostic investigations, such as x-rays, blood tests, and scans, within agreed protocols, to support accurate diagnosis and treatment. Clinical Record Keeping: Maintain accurate and up-to-date patient records in accordance with NMC guidelines and other relevant standards, ensuring patient safety and continuity of care. Triage and Urgent Care: Prioritise and triage patients' health problems, intervening appropriately in complex, urgent, or emergency situations, including initiating effective emergency care when needed. Mental Health Support: Assess, identify, and refer patients presenting with mental health needs in accordance with national guidelines, such as the National Service Framework for Mental Health. Community-Based Care: Provide care both in practice premises and in patients homes, ensuring that all interventions are delivered safely and effectively, with appropriate referrals to other agencies when necessary. Contractual Support: Assist the practice in fulfilling contractual requirements by supporting clinical tasks and contributing to the delivery of high-quality patient care. Evidence-Based Care: Provide care in accordance with NSF, NICE guidelines, and the latest evidence-based practices, ensuring consistency and excellence in clinical delivery. Care Management Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition. Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate and including fast track referrals. Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking. To monitor and meet care outcomes against standards and recommend or initiate changes as necessary. Health Improvement Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes. Innovation in practice to meet ongoing demands on the practices delivery of care. Improve health outcomes for patients by introducing new developments and can demonstrate them as reports and presentations where appropriate. Supports practitioners in reporting the practice population to promote health improvement and disease prevention. Makes referrals to appropriate agencies -statutory and voluntary where necessary. Administration and professional responsibilities Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Participate in the administrative and professional responsibilities of the practice team. Accurate and legible notes of all consultations and treatments are recorded in the patients notes. Ensure clinical systems kept up to date, recording and/or amending accurate details. Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator. Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice. Attend and participate in practice meetings as required. Restocking and maintenance of clinical areas and consulting rooms. Training and personal development Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level. Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation. Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education. Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate. Develop and maintain an in-house nurse-training programme reporting to the practice manager. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Develop and maintain a Personal Learning Plan. Regularly participate in clinical supervision.

This is a 12-month post with the post-holders time spent in the Community Dental Service Clinical Duties and on a quality improvement project. The time spent within North Wales CDS will provide experience in the treatment of a full range of patients within eligible vulnerable and Special Care groups, including children and young people, the frail older person, people with learning disability, mental health problems, anxiety / behavioural issues and complex medical and social histories. There are opportunities to gain a broad experience in the use of inhalation sedation and short case general anaesthetic cases. The appointee may also be involved in orthodontic treatment planning; intravenous sedation; comprehensive general anaesthetic cases to provide restorative and oral surgery treatments; domiciliary care provision; oral health promotion and DCP training. The post-holder may also take the opportunity to gain experience working in a HMP Berwyn and contribute to local quality improvement initiatives. The North Wales Community Dental Service is involved with the Welsh Government funded National Oral Health Improvement Programmes Designed to Smile which targets young children in high need areas and the National Programme for older people in Care Homes, as well as a number of other local oral health initiatives. The DCT will be afforded the opportunity to carry out projects/audits and will be encouraged to produce a poster to submit to a National Conference and/or prepare an article for publication. He/she will be expected to present their work to CDS colleagues.

Chronic Disease Management Experience in Chronic Disease Management. Asthma/COPD/Peak Flow Readings/Spirometry Hypertension Management Knowledge of national and local guidelines with the ability to apply these to individual patients and set targets Ability to support patients with lifestyle changes Other Health Areas Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs Cytology Removal of Sutures New Patient Medicals Travel Clinic ECGs Venepuncture Routine immunisations / Childhood immunisations Chaperoning and assisting patients where appropriate who are being examined by another clinician Assisting GPs with minor surgery Requesting pathology tests, for example blood tests ,urine culture, swabs Contraception basic advice. Following agreed clinical protocols with referral to GPs as appropriate Other tasks will include: Maintaining and cleaning equipment used by the nurses and GPs Maintaining GP and Nurses rooms, stocking and rotating items as required Maintain general tidiness and cleanliness of nurses and treatment rooms Ordering of vaccinations to maintain stock levels Participation in administrative systems in the Practice At all times there will be a need to maintain accurate records A duty to advise senior colleagues of potential problems or errors within a range of assigned tasks Attend and participate in any Practice meetings when required. Any other delegated duties appropriate to the post

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.

For a comprehensive outline of the role and its responsibilities, please see the full job description document attached.

Chronic Disease Management Experience in Chronic Disease Management. Asthma/COPD/Peak Flow Readings/Spirometry Hypertension Management Knowledge of national and local guidelines with the ability to apply these to individual patients and set targets Ability to support patients with lifestyle changes Other Health Areas Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs Cytology Removal of Sutures New Patient Medicals Travel Clinic ECGs Venepuncture Routine immunisations / Childhood immunisations Chaperoning and assisting patients where appropriate who are being examined by another clinician Assisting GPs with minor surgery Requesting pathology tests, for example blood tests ,urine culture, swabs Contraception basic advice. Following agreed clinical protocols with referral to GPs as appropriate Other tasks will include: Maintaining and cleaning equipment used by the nurses and GPs Maintaining GP and Nurses rooms, stocking and rotating items as required Maintain general tidiness and cleanliness of nurses and treatment rooms Ordering of vaccinations to maintain stock levels Participation in administrative systems in the Practice At all times there will be a need to maintain accurate records A duty to advise senior colleagues of potential problems or errors within a range of assigned tasks Attend and participate in any Practice meetings when required. Any other delegated duties appropriate to the post

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac