Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of the Nursing Associate. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels, please see Job description for full responsibilities:

Frailty & holistic patient care

• Support the Frailty Lead in providing holistic, person-centred care to patients living with frailty and multiple long-term conditions.
• Undertake delegated assessments and contribute to holistic assessments of patients physical, psychological and social needs.
• Identify changes in a patient's condition and escalate concerns promptly to the Frailty Lead or appropriate clinician.
• Work closely with both our Pharmacy and Personalised Care teams, ensuring a holistic approach to care

Clinical Care

• Monitoring vital signs and clinical observations.
• Blood pressure, pulse, respiratory rate, oxygen saturations and temperature.
• Blood glucose monitoring.
• Urinalysis and other point-of-care testing where appropriate.
• Wound assessment and management within competence.
• Catheter care and other delegated nursing procedures.
• Supporting medicines-related care within role boundaries and local policy.
• Supporting continence care.

Working with the Frailty Lead

• Identify patients requiring proactive review and monitoring.
• Undertake planned home visits and follow-up reviews.
• Monitor patients following hospital discharge or periods of acute illness.
• Support the management of patients identified as high risk of deterioration.

Preventing hospital admissions & supporting admission avoidance

• Identifying early signs of deterioration.
• Supporting timely clinical intervention and escalation.
• Promoting self-management and preventative health measures.
• Supporting patients and carers to understand when and how to seek help.
• Signposting patients to other services.
• Facilitating appropriate community-based interventions where clinically safe.

Care homes

• Supporting routine and proactive clinical reviews.
• Monitoring residents with frailty and long-term conditions.
• Recognising deterioration and escalating appropriately.
• Supporting care home staff with clinical observations and care planning.
• Contributing to personalised care plans.

Health promotion and prevention

• Falls prevention.
• Nutrition and hydration.
• Continence care.
• Physical activity and mobility.
• Vaccination and screening awareness.
• Smoking cessation and healthy lifestyle advice where appropriate.
• Supporting patients to manage long-term conditions.

Communication and multidisciplinary working

• Establish effective therapeutic relationships with patients, relatives and carers.
• Communicate sensitively with patients who may have cognitive impairment, dementia, hearing impairment or other communication needs.
• Liaise effectively with professionals across health and social care.

Documentation and information governance

• Maintain accurate, contemporaneous and comprehensive clinical records.
• Record all assessments, interventions, observations and outcomes in accordance with PCN and practice policies.
• Use relevant clinical systems effectively.

Professional responsibilities

• Work within the Nursing Associate scope of practice and professional standards.
• Maintain registration with the Nursing and Midwifery Council (NMC).
• Maintain competence through continuing professional development.
• Participate in supervision, appraisal and clinical review.
• Recognise personal limitations and seek appropriate support and advice.
• Work within Meridian PCN policies, procedures and clinical governance arrangements.
• Participate in audit, quality improvement and service development.

• Contribute to a culture of learning, safety and continuous improvement.

Person Specification

Knowledge & Skills

Essential

• Understanding of frailty and the impact of multiple long-term conditions.
• Understanding of safeguarding and professional responsibilities.
• Ability to undertake clinical observations and recognise deterioration.
• Good communication and interpersonal skills
• Ability to work autonomously within an agreed scope of practice.
• Ability to prioritise workload and manage competing demands.
• Good IT and clinical documentation skills.
• Ability to work effectively across organisational boundaries.

Desirable

• Knowledge of local health and social care services.
• EMIS / SystmOne knowledge

Personal Qualities

Essential

• Compassionate and patient-centred approach.
• Reliable, adaptable and organised.
• Confident working in patients' homes and community settings.
• Able to build positive relationships with patients, carers and professionals.
• Able to work independently while recognising when to seek support.
• Commitment to improving outcomes for older and frail patients.

Other requirements

Essential

• Disclosure Barring Service (DBS) check
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

Qualifications

Essential

• Registered Nursing Associate with the Nursing and Midwifery Council (NMC).
• Evidence of ongoing professional development.
• Relevant clinical experience in nursing or healthcare.

Experience

Essential

• Experience of working with older people and/or patients with long-term conditions.
• Experience of working as part of a multidisciplinary team.
• Experience of recognising and escalating changes in a patient's condition.
• Experience of delivering person-centred care.
• Experience of working with patients with complex health and social care needs.
• Experience of working within primary care, community nursing or intermediate care.

Desirable

• Experience working with frailty.
• Experience of working in care homes.
• Experience of wound care, catheter care or other community nursing interventions.
• Experience of care planning and case management.
• Experience of quality improvement or clinical audit.
• Experience of supporting patients following hospital discharge.

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 NHS Careers website (opens in a new window).

Employer details

Employer name

Meridian Primary Care Network

Address

25 Alms Hill

Bourn

Cambridgeshire

CB23 2SH

United Kingdom

Employer's website

https://meridianpcn.gpweb.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of the Community HCA. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

• Deliver essential care in a flexible manner, in a variety of community settings as directed by the Community Matron, using evidenced based practice and according to training, experience and proven competence to meet the demands of the service.
• Communicate and liaise with all members of the Primary Health and Social Care Team and other professionals both in the community and with the wider MDT.
• Undertake specific clinical tasks which include monitoring blood pressure, temperatures, oxygen levels, pressure area care as appropriate, venepuncture, weighing patients, ECGs and other duties requested by the team while working within scope of practice.
• Provide reassurance and support to patients and carers by listening to their concerns explaining to them any procedures that may be undertaken.

Person Specification

Knowledge & Skills

Essential

• Ability to work as part of a team and autonomously
• Excellent written and oral communication skills
• Strong IT skills
• Clear, polite telephone manner
• Competent in the use of Office 365 and Outlook
• Effective time management (Planning & Organising)
• Good interpersonal skills
• Problem solving & analytical skills
• Ability to follow policy and procedure

Desirable

• EMIS / SystmOne knowledge

Personal Qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated
• Forward thinker
• Sensitive and empathetic in distressing situations
• Ability to work under pressure

Other requirements

Essential

• Disclosure Barring Service (DBS) check
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

Qualifications

Essential

• Minimum of 5 GSCE's(or equivalent) including English, Mathematics and a Science or Health and social care based subject or relevant experience. (E)
• NVQ level 3 Care certificate in a Health or Social Care related subject or equivalent knowledge through work experience

Experience

Essential

• Experience of direct adult patient care in Health/social care setting
• Evidence of administrative skills and robust record keeping
• Experience of coordinating and liaising with multiple stakeholders to meet specified outcomes
• Relevant clinical competencies e.g. venepuncture, catheter care, personal care etc.

Desirable

• Knowledge of General Practice / PCN's

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.

Employer details

Employer name

Meridian Primary Care Network

Address

25 Alms Hill

Bourn

Cambridgeshire

CB23 2SH

United Kingdom

Employer's website

https://meridianpcn.gpweb.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

Meridian is recruiting to a Community Frailty team, caring for our most frail, vulnerable and complex patients in the community. This role will focus on the assessment, triage and multi-disciplinary referral of multi-morbid and frail patients, including those that are housebound, living in care homes or recently discharged from hospital. This role will include semi-urgent and routine care, including visiting those living in the community with frailty and multiple long-term conditions. You will be working within the practices and with colleagues in CPFT and secondary care.

This role will support all our PCN practices to complete home visits and on-going care to those who need it need it most, or those who have recently been discharged from hospital.

As the team grows, we would expect this Frailty Lead to provide mentorship and clinical support to staff in the team, including Nursing Associate and HCA roles.

This is a growing and evolving role, and so flexibility to engage with future ICB and neighbourhood Frailty initiatives would be required.

Person Specification

Skills

Essential

• Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email and face to face
• Excellent interpersonal skills , communicating with patients, their families and healthcare professionals
• Ability to maintain accurate records
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
• Be flexible and able to manage sudden and unexpected demands
• Effective time management (planning and organising)
• Demonstrate personal accountability, emotional resilience and work well under pressure

Personal Qualities

Essential

• Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
• Ability to use own initiative, discretion and sensitivity
• Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
• Flexible and cooperative
• Ability to identify risk and assess/manage risk when working with individuals
• Sensitive and empathetic in distressing situations
• Ability to maintain confidentiality
• Professional calm and efficient manner
• Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety

Qualifications

Essential

• Qualified healthcare professional
• Educated to Masters degree as detailed within the HEE document titled Multi-professional framework for advanced clinical practice in England
• Registered on their appropriate professional register
• Teaching qualification
• ALS and PALS

Desirable

• Qualified independent prescriber - V300

Experience

Essential

• Experience of practice within the four pillars
• Job plan that demonstrates advanced clinical practice and has equity with peers working at this level
• Experience of working in a primary care environment

Desirable

• Experience of prescribing and undertaking medication reviews

Other requirements

Essential

• Flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• Evidence of continuing professional development
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own home

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 NHS Careers website (opens in a new window).

Employer details

Employer name

Meridian Primary Care Network

Address

25 Alms Hill

Bourn

Cambridgeshire

CB23 2SH

United Kingdom

Employer's website

https://meridianpcn.gpweb.org.uk/ (Opens in a new tab)

Job description

Job responsibilities

The following are the core responsibilities of the phlebotomist. There will be occasions where you will be required to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

a. Obtaining patient consent for the collection of a blood sample

b. Perfoming venepunture in accordance with practice protocols

c. Maintaining accurate patient records on TPP Systemone

d. The correct labelling, packaging and storing of samples

e. Effective use of the specimen log, resolving any discrepancies

f. Ensuring samples are sent to the laboratory in a timely manner

g. Maintaining an effective liaison with the laboratory staff at Addenbrookes

h. Working collaboratively with the nursing team, seeking guidance when necessary for patient related matters

i. Restocking of rooms at end of surgery

j. Taking vitals i.e. routine measurements like height, weight, and blood pressure (along with pulse, temperature, and respiration rate)

In addition to the primary responsibilities, the nursing assistant may be requested to:

a. Participate in practice audit as directed by the audit lead

b. Participate in local initiatives to enhance service delivery and patient care

c. Support and participate in shared learning within the practice

d. Complete opening and closing procedures in accordance with the duty rota

Any other duties appropriate which may be requested

Please note we CANNOT accept applications from candidates who require sponsorship.

Person Specification

Experience

Essential

• Venepuncture
• Ability to record accurate clinical notes
• Experience of working with the general public
• Experience of working in a healthcare setting
• Excellent communication skills (written and oral)
• Strong IT skills
• Clear, polite telephone manner
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Ability to follow clinical policy and procedure

Desirable

• Experience of working in a primary care environment
• Competent in the use of Office and Outlook
• Systmone user skills

Qualifications

Essential

• Good standard of general education
• Care Certificate (Skills for Care and Skills for Health) or equivalent.

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.

Employer details

Employer name

Bourn Surgery

Address

25 Alms Hill

Bourn

Cambridge

CB23 2SH

United Kingdom

Employer's website

https://www.bournsurgery.nhs.uk/ (Opens in a new tab)