Job Description

Job Title:

Long-Acting Reversible Contraception (LARC) clinical Nurse Specialist

Pay: Depending on experience

Location:

SPCL City Hubs

Hours: Various

Managerially accountable to:

SPCL Operational Lead

Professionally responsible to:

SPCL Clinical Lead

This is an exciting opportunity to join a growing provider of primary care services in Southampton, on a

sessional basis

. Southampton Primary Care Ltd is scoping and developing a Womens Health Hub. As part of this innovative service redesign, we are looking to appoint enthusiastic and motivated Specialist Practitioners to develop and deliver Contraception, Smears, LARC (Contraceptive and Non-contraceptive purposes), HIV testing and Menopause services in a unique an integrated way.

The post holders will be accountable for their own practice without direct supervision and will be a direct provider of a high standard of higher-level clinical practice to patients with contraceptive/ menopause needs.

The post is an integral part of the multidisciplinary team, responsible for the delivery of highly technical and specialised nursing skills which will include but not be limited to Assessment and History taking Clinical examination, including bi-manual examination Instigation and interpretation of diagnostic investigations Identifying appropriate methods of contraception initiation of treatment and plans of care, including independent assessment for provision of medications and provision of all methods of LARC / contraception and HRT following discussion and assessment ensuring that the patient can make an informed choice and consent.

Main duties of the job

The post holders will provide a high level of personal care to patients to ensure they are always treated with dignity and respect, are provided with high quality care, clear and understandable information in a format/language they understand and feel their individual needs have been respected and met. The post holders are accountable for their own practice without direct supervision and will be a direct provider of higher-level practice to patients with contraceptive needs.

The post is an integral part of the multidisciplinary team, responsible for the delivery of highly technical and specialised practitioner skills which will include but not be limited to:

Assessment and history taking

Clinical examination, including bimanual

Instigation and interpretation of diagnostic investigations

Identifying appropriate methods of contraception and HRT

Initiation of treatment and plans of care, including independent assessment for provision of medications.

Provision of all methods of LARC / HRT following discussion and assessment ensuring patient can make an informed choice and consent.

Appropriate onward referral and support to access other health and social care professionals if appropriate.

There may be evening, and weekend work required for this post.

Overview of your organisation

We are a friendly, high achieving team whose services are always growing and improving on the forefront of primary care developments nationally.

We offer

Encouraged and supported clinical progression

Flexibility in days and hours to suit existing work/life commitments.

Varied and interesting work

Working for a highly regarded organisation

Indemnity

NHS pension

Key Responsibilities

Clinical

The delivery of a comprehensive LARC delivery service

Follow service guidelines on confidentiality; adhere to the law regarding sexual health advice to those under sixteen years; Follow organisational policy and good practice assessment regarding safeguarding young people and vulnerable adults following appropriate SPCL and Safeguarding Board policies.

Provide a comprehensive discussion in the event of an unplanned pregnancy and refer to appropriate agencies as necessary.

Deliver care to patients pertaining to their sexual health needs in line with current BASHH/FSRH guidance.

Assess, advise, prescribe, administer, and carry out the full range of LARC procedures required by patients, following discussion with the individual as to their contraception choices, in line with FSRH current guidance.

Comply with FSRH requirements on updating professional practice and reaccreditation e.g., for LOC

Carry out competent clinical examination of patients, including cervical and bimanual examination. Be able to diagnose and clinically manage presentations of sexually transmitted infections and related conditions, and referral in to Level 3 Sexual Health Services providing patients with appropriate advice. Recognise complex issues relating to patients sexual health needs and seek appropriate advice where necessary.

Ensure knowledge of sexual health, in particular contraception is up to date and follow National recommendations and guidelines for their management. Understand HIV and its impact on sexual health care and contraception choices

Fulfil the requirements of annual appraisal and revalidation as required by SPCL and the NMC.

Attend in-service training, courses, study days and staff meetings as required and keep up to date with current trends and procedures. Keep up to date withSPCLs mandatory training requirements

Maintain accurate contemporaneous electronic patient records, in line with local and national information governance policy/legislation

Interpret results accurately and discuss with patients and associated healthcare professionals (HCP) as required. This may include providing advice to HCP outside the service. Manage results in a timely manner, in accordance with local clinic policy.

Participate in teaching student doctors, nurses and other learners visiting the hub sites as appropriate

Always communicate with users of the service in a sensitive, non-judgmental and supportive manner. Subject matter may be complex and emotive, which may involve breaking bad news

Engagement with contract management and achievement of the service KPIs

Ensure that the requirements to maintain Non-Medical Prescribing registration are maintained if appropriate

Report incidents/complaints according to SPCLs policy

The post holder will be expected to maintain their own professional clinical standards and CPD for revalidation as set out by the NMC.

Analytical and Judgement Skills

Analyse and interpret physical signs and presenting symptoms in relation to investigative findings to support a pathway of care for the client

Analyse and interpret results and discuss findings with the client offering information, support and referral where necessary

Analysis of clinical records to identify any issues of concern to senior clinical team orprovide treatment within scope of practice/competence.

Personal planning and organisational skills

Able to plan own workload and work independently

Carry out clinical duties within organisation policies, service procedures and guidelines according to competency and provide feedback on issues of concern to line manager

Able to plan work for specialist services and be able to plan work and implement care pathways as delegated by to clinical team

Physical skills

Minimal physical effort is required. Role will involve insertion and removal of LARCs

Mental effort

There is a moderate requirement to concentrate for sustained periods of time.

Emotional effort

To respond effectively to intermittent situations which can be highly emotive, distressing and unpredictable.

Freedom to act

This is an independent practitioner post.

The patient contact is generally on a one-to-one basis, with those patients whose birth gender is female.

Responsibility research and development

To participate in research projects associated with the service initiate improvements in the service.

To contribute to the development of policies and procedures particularly within the service of Sexual Health, identifying areas for improvement.

To keep updated with current, new, and emerging trends relevant to effective development of sexual health services.

To be proactive in quality assurance initiatives.

Actively participate in Clinical Governance to ensure continuous quality improvement, including clinical audit, education, and updates

Responsibility information resources

Provide patients with information regarding their attendance in appropriate format.

Signpost patients to high quality legitimate sources of information.

Provide health education and ensure patient involvement in decision making.

Formally document care given in line with the organisations policies and procedure

and maintain accurate patient records.

Maintenance of confidentiality of patient attendance and records, ensuring

compliance with local and organisation policy, and UK Law (GDPR).

Responsibility finance and physical

Contribute to the effective and economical use of resources and safe use of

equipment. Ensure maintenance of adequate stock levels.

Contribute to cost efficiencies within the service.

Other

Health and Safety

It is the responsibility of all employees to work with managers to achieve a healthy and safe environment, and to take reasonable care of themselves and others. Specific individual responsibilities for Health & Safety will be outlined under key responsibilities for the post.

Equality and Diversity

It is the responsibility of all employees to support the organisation vision of promoting a positive approach to diversity and equality of opportunity, to eliminate discrimination and disadvantage in service delivery and employment, and to manage, support or comply through the implementation of the organisations Equal Opportunities Policy.

GDPR

Under provision of the Act, it is the responsibility of each member of staff to ensure that all data, whether computerised or manual, is always kept secure. This includes data relating to patients and other members of staff. Data must not be disclosed to any unauthorised person and must be always regarded as strictly confidential. Failure to adhere to this instruction will be regarded as serious misconduct and could lead to dismissal.

Confidentiality

The postholders will be in possession of personal details of staff and clients and other confidential information. This must not be discussed or divulged to any unauthorised person. Any such instance would result in dismissal.

Rehabilitation of Offenders Act 1974

This post is subject to an exception order under the provisions of the Rehabilitation of Offenders Act 1974. This stipulates that all previous convictions, including those that are spent must be declared. Previous convictions will not necessarily preclude an individual from employment within the Organisation but must be declared in writing at the appropriate stage during the recruitment process.

No Smoking Policy

SPCL operates a no smoking policy within all its premises and their grounds.

Safeguarding Children and Vulnerable Adults

All SPCL employees are required to act in such a way that always safeguards the health and wellbeing of children and vulnerable adults. Familiarisation with and adherence to SPCL Safeguarding policies is an essential requirement of all employees as is participation in related mandatory / statutory training.

Regular Participation in Clinical Supervision

SPCL operates a Clinical Supervision Policy which all practitioners must engage with.

The job description will be reviewed annually and could be subject to changes, which are appropriate to the grade of the post.

Person Specification

Essential criteria

Independent practitioner responsible for the insertion and removal of LARCs, contraception and sexual health support, including but not limited to HIV, cervical screening and HRT assessment and prescribing.

Job Types: Part-time, Permanent, Zero hours contract

Pay: 25.00-35.00 per hour

Benefits:

Company pension On-site parking
Work Location: In person