Main purpose of job:
The post holder is responsible for the delivery of basic practice nursing services care to the practice population as agreed by FCO Health & Welfare and Head of Mission. Supported by senior nurses within the organisation, they will deliver care within the boundaries of their role, focusing upon supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities contributing to the physical and mental adjustment of staff and their families at post. They will work collaboratively with the health & welfare team, healthcare partners and local management to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
POSITION : Primary Care Nurse
SECTION : Abuja Clinic, BHC Abuja
GRADE : B3
POSITION TYPE : Full time
SALARY : N 458,509 per month
Roles and responsibilities:
Act as primary care provider in accordance with the NMC or equivalent Code of Conduct and Scope of Professional Practice, working within the boundaries of your training and experience in each area, ensuring that clinical governance in maintained within the practice.
Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being
Implement and evaluate individual treatment plans for patients with a known long-term condition
Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care
Deliver opportunistic health promotion using opportunities such as new-patient medicals
Procure and dispense medication in line with medicines management policy including, Nurse Prescribing, Patient Group Directives and remote prescribing.
Provide information and advice on prescribed or over-the-counter medication on medication regimens, side- effects and interactions.
Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
Work with patients in order to support adherence to prescribed treatments
Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care
Assess and care for patients presenting with uncomplicated wounds
Support and advise women requesting information relating to family planning needs
Support and manage health needs of women presenting for cervical cytology consultations
Recognise, assess and refer patients presenting with mental health needs in accordance with the National Service Framework (NSF) for Mental Health
Implement and participate in vaccination and immunisation programmes for both adults and children
Advise, support and, where appropriate, administer vaccinations for patients travelling
Promote and deliver evidence-based care for patients presenting with aural conditions
Assist senior practitioners in providing minor-surgery sessions where appropriate
When required monitor patients care in local facilities ensuring that relevant healthcare team members are fully informed of developments (e.g. FCO Healthline)
Liaising with and referring to other healthcare partners where appropriate(e.g. local service providers, FCO Healthline)
Assisting with arrangements for medical evacuation when required
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
Communicate with and support patients who are receiving ‘bad news’
Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
Utilise communication skills to support patients to adhere to prescribed treatment regimens
Anticipate barriers to communication and take action to improve communication
Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders
Act as an advocate when representing the patients’ and colleagues’ viewpoints to others
Provide a health brief for all new arrivals at post including floaters. Ensuring that patients are aware of local facilities and emergency and out of hour’s arrangements. Ensuring that information is kept up to date.
Delivering a quality service
Recognise and work within own competence and professional code of conduct as regulated by your professional nursing body i.e. the Nursing and Midwifery Council (NMC)
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Participate in the maintenance of quality governance systems and processes across the organisation and its activities
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
In partnership with other clinical teams, collaborate on improving the quality of health care, responding to best practice policies and initiatives as appropriate
Evaluate the patients’ response to health care provision and the effectiveness of care
Support and participate in shared learning across the practice and wider organisation
Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework (e.g. root-cause analysis)
Participate in the performance monitoring review of the team, providing feedback as appropriate
Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
Personal and people development
Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model
Support the development of others in order to maximise potential
Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging complacency and actions that are not in the interest of the public and/or users of services
Understand own responsibilities and accountability in the delivery of GPN services to patients, ensuring that the needs of the patient are the priority
Participate in planning and implementing changes within the area of care and responsibility
Work with other nurses and practice team to ensure sufficient staff of appropriate ability, quality and skill- mix are available to meet the needs of patients
Contribute and participate in the development of local guidelines, protocols and standards
Participate in the engagement of practice-based commissioning or similar initiatives
Critically evaluate and review innovations and developments that are relevant to own practice
Keep up-to-date with new developments locally and nationally identifying those that will enhance the team’s work
Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
Promote the role of the GPN in the provision of care
Understand own role and scope in the organisation and identify how this may develop over time
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties
Ensure clear understanding and utilisation of referral mechanisms within the practice
Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice
Work effectively with others to clearly define values, direction and policies impacting upon care delivery
Participate in team activities that create opportunities to improve patient care
Participate in and support local projects as agreed with the health and welfare team
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
Undertake mandatory and statutory training
Apply infection control measures within the practice according to best practice guidelines
Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
Participate in the local implementation strategies that are aligned to the values and culture of general practice
Contribute to the management of health and safety at work for post.
Oversee and maintain medical equipment for out of clinic use.
Advise local management of first aid training resources where available
Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information
Review and process data about patients in order to ensure easy and accurate retrieval for monitoring and audit processes
Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition
Understand own and other’s responsibility to the individual organisation regarding the Freedom of Information Act
Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care
Learning and development
Act as mentor to others, assessing competence against set standards as requested and if appropriately qualified
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
Assess own learning needs and undertake learning as appropriate
Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Equality and diversity
Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity
Enable others to promote equality and diversity in a non-discriminatory culture
Support people who need assistance in exercising their rights
Monitor and evaluate adherence to local chaperoning policies
Act as a role model in good practice relating to equality and diversity
Accept the rights of individuals to choose their care providers participate in care and refuse care. Assist patients from marginalised groups to access quality care
At interview, the candidate should be able to demonstrate the following UK civil service competencies:
Leading and Communicating
At all levels, effectiveness in this area is about leading from the front and communicating with clarity, conviction and enthusiasm. It’s about supporting principles of fairness of opportunity for all and a dedication to a diverse range of citizens. At senior levels, it is about establishing a strong direction and a persuasive future vision; managing and engaging with people with honesty and integrity, and upholding the reputation of the Department and the Civil Service.
Delivering a Quality Service
Effectiveness in this area is about being organised to deliver service objectives and striving to improve the quality of service, taking account of diverse customer needs and requirements. People who are effective plan, organise and manage their time and activities to deliver a high quality and efficient service, applying programme and project management approaches to support service delivery. At senior levels, it is about creating an environment to deliver operational excellence and creating the most appropriate and cost effective delivery models for public services.
Making Effective Decisions
Effectiveness in this area is about being objective; using sound judgement, evidence and knowledge to provide accurate, expert and professional advice. For all staff, it means showing clarity of thought, setting priorities, analysing and using evidence to evaluate options before arriving at well reasoned justifiable decisions. At senior levels, leaders will be creating evidence based strategies, evaluating options, impacts, risks and solutions. They will aim to maximise return while minimising risk and balancing social, political, financial, economic and environmental considerations to provide sustainable outcomes.
Delivering at Pace
Effectiveness in this area means focusing on delivering timely performance with energy and taking responsibility and accountability for quality outcomes. For all staff, it’s about working to agreed goals and activities and dealing with challenges in a responsive and constructive way. At senior levels, it is about building a performance culture to deliver outcomes with a firm focus on prioritisation and addressing performance issues resolutely, fairly and promptly. It is also about leaders providing the focus and energy to drive activities forward through others and encourage staff to perform effectively during challenging and changing time
Contract, Salary and Other Benefits, Working Hours and Annual Leave
This is an ongoing contract and it is fulltime.
The starting salary is fixed at N458, 509 per month. If the successful candidate is not liable to pay Nigerian tax there will be a 10% notional tax deduction on the basic salary. Contributory pension and health insurance schemes are available.
The core Working hours are from 8.00am - 4.00pm Monday to Friday, on call only in an event of major incident, there will be an expectation that the successful candidate will work outside these hours when relevant BHC events and priorities demand it and flexible working practices are encouraged where possible.
Annual leave will be prorated according to working hours
Other skills / experience / qualifications:
Knowledge of needs of patients with long-term conditions
Aware of accountability of own role and other roles in a nurse- led service
Knowledge of health promotion strategies
Awareness of clinical governance issues in primary care
Knowledge of patient group directions and associated policy
· Experience of teaching and mentorship in a clinical setting
· Clinical skills –immunisation and vaccination, ear care, minor surgery
· Change-management skills and ability to support patients to change lifestyle
· Communication skills, both written and verbal
· Ability to communicate difficult messages to patients and families
· Negotiation and conflict- management skills
· IT skills
· Registered nurse in Nigeria or country of Nationality
· Minimum 2 years acute healthcare experience but preferably 5 + years post registration experience in acute health care facility
· Minimum 2 years post- registration experience
· At least 1 year recent primary and community nursing experience
· Management of long-term conditions
· Involvement in implementing and using protocols and clinical guidelines
· Experience of audit and participation in quality initiatives such as clinical benchmarking
· Preference for candidates with experience of clinical work internationally or working with international organisations
· Relevant nursing/health degree
· Registered first level nurse
· Clinical supervision training and experience
· Ability to identify determinants on health in the local area
· Knowledge of public health issues in the local area
· Awareness of best practice health policy
· Awareness of issues within the wider health economy
· All applicants must be legally able to work in Nigeria with the correct visa/status or work permit.
· The British High Commission in Abuja is an equal opportunities employer, dedicated to inclusivity, a diverse workforce and valuing difference.
· Employees recruited locally by the British High Commission in Abuja are subject to Terms and Conditions of Service according to local employment law in Nigeria.
· Employees who are not eligible to pay local income tax: e.g. certain third-country nationals and spouses/partners of UK diplomats will have their salaries abated by an equivalent amount.
· Reference checking and security clearances will be conducted.
· If you have not heard from us 3 weeks after the closing date, please consider your application unsuccessful. Any questions you may have about this position will only be answered during interview, should you be invited.
Please read these notes carefully to ensure that your application is received and processed.
All applicants should submit a short (1 page maximum) covering letter stating why they are a suitable candidate for the position along with a copy of their CV (2 page maximum) that includes evidence of your eligibility; outlines your skills and experience relevant to this role and gives details of two referees whom we may contact, all in English. A copy of your nursing licence needs to be submitted as well, by email to: Recruitment.Africa@fco.gov.uk
Internal candidates should also submit the above with a copy of their appraisals covering the past 24 months.
All candidates should use the following subject line for their email: 12/15 ABJ, Primary Care Nurse.
Please submit only the requested documents. Please also ensure that your email including attachments is no larger than 2 megabytes, otherwise it may be rejected by your email system or the systems through which it will pass en route to us.
Internal candidates and spouses of UK diplomatic officers: Please quote in the subject line of your email, the Vacancy Notice No: 12/15 ABJ, Primary Care Nurse, and also indicate that you are an internal candidate or the spouse of a diplomatic officer.
Applications will only be accepted by email.
The closing date is 29 July 2015 and no further applications will be accepted after this date.