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Sustainability and Transformation PartnershipMid and South Essex
Registered Nursing in Primary Care
On behalf of the Mid and South Essex Sustainability Transformation Partnership (STP) incorporating:
Basildon and Brentwood CCGCastle Point and Rochford CCGMid Essex CCGSouthend CCGThurrock CCG
Call 01268 464 616 or email [email protected]
How do I find out more?
Mid and South Essex Training Hub has created this booklet to provide information on clinical careers in primary care (surgeries and community teams). You can discover the many roles available and explore career opportunities.
The Mid and South Essex Training Hub is here to help with your entry into a career with the NHS. We are comprised of local people, representatives from all across the NHS (including GPs and other primary care staff), universities, colleges and other educational providers to offer advice and assistance to students and young people in Mid and South Essex with an interest in health care.
Introduction
General Practice Nurse
Nurse Practitioner / Advanced Nurse Practitioner
Nursing Associate
Apprenticeships
Other Nursing Roles
Routes into Nursing
Additional Information
Frequently Asked Questions
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Contents
Introduction
The joy of general practice is its infinite variety. You
simply never know what you will be dealing with
next. It could be a simple sore throat, a heart attack,
a chest infection, a schizophrenic breakdown, a
pregnancy or a convulsing child. Being a brain
surgeon may be seen by some as a more glamorous
career, but no other branch of medicine has the
remarkable variety of general practice.”
- Royal College of General Practitioners
0302 www.healthcareers.nhs.ukRegistered Nursing in Primary Care
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You must be a qualified and registered adult, child, mental health or learning disability nurse to work as a General Practice Nurse. You’ll also either need to undertake further training and education or be willing to after being appointed. General practice nurses may also have direct supervision of healthcare assistants at the practice.
Entry Requirements
You could be involved in several aspects of patient care including:
General Practice Nurse Roles
Obtaining blood samples
Electrocardiograms (ECGs)
Minor and complex wound management including leg ulcers
Travel health advice and vaccinations
Child immunisations and advice
Family planning and women’s health including cervical smears
Men’s health screening
Sexual health services
Smoking cessation
Annual income: £26,000 - £35,000
General PracticeNurse
Nurses are an important part of delivering care in communities.
General practice nurses (GPNs) work in GP surgeries as part of the primary healthcare team, which might include doctors, pharmacists and dietitians. In larger practices, you might be one of several practice nurses, sharing duties and responsibilities. In others, you might be working on your own, taking on many roles.
Registered Nursing in Primary Care
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Nurse practitioners are highly experienced and educated members of the care team who are able to diagnose and treat your health care needs or refer you to an appropriate specialist if needed. You must already be registered as a nurse. You must have undergone a post-graduate programme in Advanced Healthcare Practice.
Entry Requirements
Additional training and comprehensive knowledge enables you to:
Nurse Practitioner / Advanced Nurse Practitioner Roles
Undertake comprehensive clinical assessments of patients
Request and perform tests to diagnose a patient's condition
Managing episodes of patient care
Lead and support within a team of different healthcare professionals and staff
Undertake clinical audits
Annual income: £26,000 - £35,000+
A nurse practitioner/advanced practice nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies to carry out in-depth clinical assessments, diagnose and treat common medical conditions.
Nurse Practitioner/ Advanced Nurse Practitioner
Registered Nursing in Primary Care
Entry Requirements
Nursing Associate Roles
Evidence of national level 3 study in a related subject e.g. A Levels, BTEC in Health and Social Care
National Care Certificate (Health) or equivalent health care experience
Level 2 qualifications in Maths and English e.g. GCSEs at Grade C/4 or above (or equivalent)
Employment in a Nursing Associate Apprenticeship role, contracted full-time.
Employer support to undertake this course
An Enhanced DBS for the Adult and Child Workforce, updated within the past 12 months.
Occupational Health clearance from employer
Annual income: £20,000 - £23,000+
Nursing Associate
A Nursing Associate is a new member of the nursing team who will provide care and support for patients and service users. This role is being used and regulated in England and it’s intended to address a skills gap between health and care assistants and registered nurses.
Nursing Associate is a stand-alone role in its own right and will also provide a progression route into graduate level nursing. (Further 2 years higher apprenticeship to become a registered nurse).
Nursing Associates will be trained to work with people of all ages and in a variety of settings. It’s intended that the role will enable registered nurses to focus on more complex clinical duties. It is Agenda for Change banded at band 4.
Nursing Associate is a protected title, registered with the NMC but with clear restrictions. The role is to deliver fundamental care to patients but does not replace nurses. It is a support role to Registered Nurses who will delegate and assign tasks to the Nursing Associate.
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Able to perform Not permitted to perform
Sub cutaneous and intramuscular injections
Intradermal or intravenous injections
Venepuncture Cannulation
Administer medication (Oral, topical, subcutaneous, intramuscular, per rectum, inhaled)
Prescribe medication
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Employers will want to make sure that you can cope with the level of the work involved. So the Entry Requirements will depend on the employer and the type and level of apprenticeship. For instance, for direct entry to an Advanced Level Apprenticeship, you may need four or five GCSEs at Grades 9-4 or equivalent, sometimes including particular subjects. You may be expected to take an entry test. To start a higher apprenticeship you are likely to need a level-3 qualification or sufficient experience.
Entry RequirementsApprenticeships are a great way to learn and gain experience at the same time. This page explains the main features of apprenticeships, gives examples, explains a little about Entry Requirements and how to apply, and looks briefly at next steps.
What are apprenticeships?
There are hundreds of different jobs covered by apprenticeships. Examples of apprenticeships in health, public services and care include:
Types of Apprenticeships
Care, Leadership and Management (level-5 Higher Apprenticeship)
Health – Allied Health Profession Support (Advanced Level)
Health – Assistant Practitioner (level-5 Higher Apprenticeship)
Health – Clinical Healthcare Support (Intermediate and Advanced Level)
Health – Emergency Care Assistance (Intermediate Level)
Health – Informatics (Intermediate and Advanced Level)
Health – Maternity and Paediatric Support (Advanced Level)
Health – Perioperative Support (Intermediate, Advanced and Higher Levels)
Health – Pharmacy Services (Intermediate and Advanced Level)
Health and Social Care (Intermediate and Advanced Level)
Healthcare science assistant (Intermediate - level 2)
Healthcare science associate (Higher - level 4)
Nursing degree apprenticeships
Offer structured training with an employer and lead to nationally recognised qualifications
They provide a route into hundreds of different careers, including many in organisations providing NHS healthcare
Apprenticeships can take anything from one to four years to complete
They are open to anyone from the age of 16
Apart from learning in the workplace, you may go on day or block release to a training centre or college
You work towards a competence qualification (based on what you can do in the workplace) and a knowledge qualification, or a qualification combining both elements
You will develop your skills, including English and Mathematics
If you are aged 16 to 18 or 19+ and in your first year of an apprenticeship, you should receive at least the National Minimum Wage for apprentices (£3.50 an hour (as at April 2017). Otherwise you are entitled to the National Minimum Wage rate for your age. Many employers pay well over the minimum
Apprenticeships
Apprenticeships are available at four levels:
Further information on apprenticeships can be found at:
www.healthcareers.nhs.uk
Intermediateapprenticeships
Advancedapprenticeships
Higherapprenticeships
Degreeapprenticeships
follow work-based learning towards level 2
equivalent to 5 GCSEs A* - C
follow work-based learning towards level 3
equivalent to 2 A- Levels
follow work-based learning towards levels 4,5,6 & 7
equivalent to a foundation degree and above
follow work-based learning towards levels 6 & 7
equivalent to a full bachelor’s or master’s degree
Registered Nursing in Primary Care
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The proposed changes to become a Registered Nurse include three potential ways of training; the traditional university degree, becoming a Nursing Associate or a hybrid route.
Routes into Nursing
Haven’t found the role you was looking for?
Well, no need to give up – in addition to the roles mentioned in this booklet, there are also other roles that can be offered to you! There are other specialist nursing roles which may be more suited to your requirements and aspirations.
Other Nursing Roles
Mental Health Nurse
Learning Disabilities Nurse
Children’s Nurse
District Nurse
The traditional Student Nurse model includes going to University for 3 to 4 years and leaving with a full Nursing and Midwifery Council (NMC) Registration.
The Nursing Associate route includes practical ward based training and working as a nursing associate for 2 years followed by 2.5 years as a Nursing Apprentice.
The hybrid route includes practical ward based training and working as a nursing associate for two years followed by an 18 month 'top-up' university course to gain full Nursing and Midwifery Council (NMC) Registration.
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2
3
2 years
Up t
o 2
yea
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Up to
6 mo
nths
4 years
Return toPractice
NursingAssociate
NursingApprenticeship
Degree
Healthcare assistant, Local school/college student,Nursing associate, Assistand practioner, Other existing staff
GCSEs in English & Maths (Grade 9 - 4)AND A Levels or equivalent
Former qualified nurseHealthcare assistant
Local school/college studentOther existing staff member
GCSEs in English & Maths(Grade 9 - 4) or equivalent A Nursing
degree/diploma
Current position Entry requirements Recommended route
An undergraduate degree
PostgraduateQualification
Graduate
UndergraduateDegree
3 years
Registered Nurse
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Do I have to go to university to get a job in the health sector?
No. For example, around 50% of the NHS workforce has a university or other professional qualification, but there are lots of opportunities for staff without these qualifications, especially in the wider healthcare team.
Does the NHS provide financial support to students going through university courses?
Traditionally, the NHS has provided financial support for eligible students on approved pre- registration programmes in a number of career areas. However, this changed from August 2017. The type of support varies, depending on the career and the course. The main routes are either as a Full-time University Student, receiving a Student Finance England loan; Or via the new apprenticeships that are starting to be offered. This route means that you do not need to pay tuition fees.
How much can I earn in the NHS?
It depends on the type and level of job you are working in. Doctors, dentists and senior managers have their own pay systems, whereas all other NHS staff are paid under the Agenda for Change pay system.
I’m trying to get work experience in the NHS, but don’t know where to start. Can you help?
If you are still at school or college, your local NHS organisations may offer the opportunity to gain work experience. There are also many volunteering organisations out there, including Volunteering England, Do It!, Community Service Volunteers and others.
If you would like more information and/or have further questions, please email us at:[email protected]
Frequently Asked QuestionsFor more information on Careers in the NHS, please visit the following websites:
Additional Information
www.gmc-uk.org
www.stepintothenhs.nhs.ukInformation on Careers in the NHSStep into the NHS
General Medical CouncilIndepedent body governing doctors
www.nmc.org.ukNursing and Midwifery CouncilRegulatory body for nursing within the UK
www.rcn.org.ukRoyal College of NursingMembership organisation promoting nursing
www.healthcareers.nhs.ukNHS Health CareersFurther information about healthcare careersincluding Social Care and Mental Health
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Registered Nursing in Primary Care