Registered Nursing in Primary Care

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1 On behalf of the Mid and South Essex Sustainability Transformation Partnership (STP) incorporating: Basildon and Brentwood CCG Castle Point and Rochford CCG Registered Nursing in Primary Care Mid Essex CCG How do I find out more? cprccg.gp.workforce@nhs.net

2 Contents Frequently Asked Questions Introduction... 3 General Practice Nurse Nurse Practitioner / Advanced Nurse Practitioner. 6-7 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! and Community Service Volunteers. You can search for others in your phone book or on the internet. Nursing Associate Apprenticeships Other Nursing Roles If you would like more information and/or have further questions, please us at: cprccg.gp.workforce@nhs.net Routes into Nursing The Mid and South Essex Training Hub - Primary Care Team Additional Information Frequently Asked Questions Explore your opportunities with the NHS 2 19

3 Frequently Asked Questions Introduction 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 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. Mid and South Essex Training Hub has created this booklet to provide information on 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. 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 18 3

4 General Practice Nurse Additional Information 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. You could be involved in several aspects of patient care including: 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 For more information on Careers in the NHS, please visit the following websites: 4 17

5 Routes into Nursing General Practice Nurse The proposed changes including three potential ways of training to become a Registered Nurse these include the traditional university degree, becoming a Nursing Associate or a hybrid route; 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. General practice nurses may also have direct supervision of healthcare assistants at the practice. Entry Requirements: 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. Annual income: 26,000 35,000 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. 16 5

6 Nurse Practitioner / Advanced Nurse Practitioner Routes into Nursing 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 practitioners are highly experiences 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. Their additional training and comprehensive knowledge enables them to: 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 undertaking clinical audits 6 15

7 Other Nursing Roles 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! Nurse Practitioner / Advanced Nurse Practitioner Entry Requirements: You must already be registered as a nurse. You must have undergone a post-graduate programme in Advanced Healthcare Practice. There are other specialist nursing roles which may be more suited to your requirements and aspirations. Annual income: 26,000 35,000+ Specialist Nursing Roles: Mental Health Nurse Learning Disabilities Nurse Children s Nurse District Nurse 14 7

8 Nursing Associate Apprenticeships 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. 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 Examples of the types of task a Nurse Associate is Further information on apprenticeships can be found at:

9 Apprenticeships Nursing Associate Entry Requirements: 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 A-C or equivalent (or equivalent Ofqual Blog), 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. Types of Apprenticeships: There are hundreds of different jobs covered by apprenticeships. Examples of apprenticeships in health, public services and care include: 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 Dental Nursing (Advanced Level) Entry to Nursing Associate Training Academic: 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) Also required: 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. Next Step: Occupational Health clearance from employer Nursing top up degree apprenticeship leading to BSc (Hons) Registered child, adult or mental health nurse. Annual income: 20,150 23,

10 Apprenticeships Apprenticeships Apprenticeships are a great way to learn and gain experience at the same time and maybe a starting point to your nursing career. 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. 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 ( 3.70 an hour (as at April 2018). Otherwise you are entitled to the national minimum wage rate for your age. Many employers pay well over the minimum. What are 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 Apprenticeships are available at four levels: Intermediate apprenticeships - follow work-based learning towards level 2 equivalent to 5 GCSEs A* - C Advanced apprenticeship - follow work-based learning towards level 3 equivalent to 2 A- Levels Higher apprenticeships - follow work-based learning towards levels 4,5,6 & 7 equivalent to a foundation degree and above Degree apprenticeships - follow work-based learning towards levels 6 & 7 equivalent to a full bachelor s or master s degree 10 11