Experienced Practice Nurse - Crays PCNNHS

Job summary

The Crays PCN is a network of 6 GP surgeries - Broomwood Surgery, Crescent Surgery, Derry Downs Surgery, Gillmans Road Surgery, Poverest Medical Centre and St Mary Cray Practice.

The Experienced Practice Nurse (ARRS) will work as an integral member of the Primary Care Network multidisciplinary team, delivering high-quality, evidence-based nursing care across multiple GP practices within the PCN. The postholder will provide a comprehensive range of nursing services including chronic disease management, cervical screening, vaccination and immunisation programmes, health promotion, and preventative care.

The role will support the delivery of proactive, patient-centred care to both surgery-attending and housebound patients, helping to improve health outcomes, reduce inequalities, support population health management and contribute to the achievement of PCN and national quality objectives.

The postholder will work autonomously within their professional scope of practice whilst collaborating closely with GPs, Advanced Clinical Practitioners, Community Services, Social Care, and other members of the multidisciplinary team.

Main duties of the job

The postholder will:

• Deliver routine and enhanced nursing services across PCN practices.
• Undertake chronic disease reviews and management for patients with long-term conditions.
• Provide cervical screening services in line with national standards.
• Deliver vaccination and immunisation programmes for adults and children.
• Support proactive care for frail, complex and housebound patients.
• Carry out clinical assessments, investigations and treatment within competence.
• Promote health education, self-management and disease prevention.
• Contribute to population health initiatives and health inequalities programmes.
• Maintain accurate clinical records and contribute to service development.
• Work collaboratively across practices and multidisciplinary teams to improve patient outcomes.

Job description

Long-Term Condition Management

• Undertake and manage reviews for patients with long-term conditions including:
• Diabetes
• Asthma
• COPD
• Hypertension
• Cardiovascular disease
• Chronic kidney disease
• Develop and implement personalised care plans.
• Support medication optimisation through review and monitoring.
• Identify deterioration or unmet need and refer appropriately.
• Utilise national and local clinical guidelines to support high-quality care.

Cervical Screening

• Deliver cervical screening appointments in accordance with NHS Cervical Screening Programme requirements.
• Ensure appropriate patient education and informed consent.
• Maintain competency and accreditation requirements.
• Monitor and follow up results in line with practice protocols.

Vaccinations and Immunisations

• Deliver childhood and adult immunisation programmes.
• Administer seasonal influenza, COVID-19, pneumococcal, shingles and other national vaccination programmes.
• Ensure safe storage, handling and administration of vaccines.
• Promote vaccine uptake and support reduction of health inequalities.

Housebound Patient Care

• Deliver nursing care to housebound patients across the PCN.
• Undertake long-term condition reviews within patients' homes.
• Provide vaccinations and immunisations for housebound populations.
• Monitor patients with complex and frailty-related needs.
• Liaise with community nursing teams and wider MDT services.
• Contribute to anticipatory care planning.

Treatment Room Services

• Venepuncture.
• Blood pressure monitoring.
• ECG recording.
• Wound care and dressings.
• Ear care (where appropriately trained).
• Health assessments and screening.
• Lifestyle and wellbeing advice.

Preventative Care and Health Promotion

• Provide health education and behaviour change interventions.
• Support smoking cessation, weight management and healthy lifestyle programmes.
• Promote self-management and patient activation.
• Participate in population health management initiatives.

Care Coordination and MDT Working

• Work collaboratively with:
• GP practices
• PCN clinical teams
• Community nursing services
• Pharmacy teams
• Social prescribing teams
• Mental health practitioners
• Secondary care providers
• Participate in multidisciplinary team meetings.
• Support integrated neighbourhood working arrangements.
• Escalate safeguarding and clinical concerns appropriately.

Governance, Quality and Safety

• Maintain clear, accurate and contemporaneous clinical records.
• Work in accordance with NMC Code and professional standards.
• Adhere to infection prevention and control policies.
• Participate in clinical audit and quality improvement projects.
• Report incidents and contribute to learning and governance processes.
• Maintain patient confidentiality and GDPR compliance.
• Contribute to achievement of QOF, IIF and local quality objectives.
• Support implementation of evidence-based practice.

Leadership and Service Development

• Support development of nursing services across the PCN.
• Act as a role model for high standards of clinical practice.
• Participate in team meetings and service redesign initiatives.
• Support training and supervision of junior staff where appropriate.
• Maintain own professional development and revalidation requirements.

About us

BGPA is a federation of all 43 Bromley practices working collaboratively to enhance the health and wellbeing of Bromley residents, covering over 350,000 patients, 100% of the Bromley population.

BGPAs goals are to work strategically with Bromley practices to help secure the best services for patients whilst working together to support member practices in the challenges of a changing NHS.

BGPA aims to improve the morale of general practice in Bromley by sharing expertise, services and supporting its workforce.

BGPA will make a positive impact on medical services in Bromley by working closely with One Bromley Partners including NHS SEL ICB, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population.