Community Gynaecology Specialist Nurse

We are seeking an enthusiastic Specialist Nurse within our Community Gynaecology Team to undertake routine ring pessary exchanges for patients with established ring pessaries as management of their uterovaginal prolapse. There is also scope to undertake assessment/ring pessary fittings for new patients. This is a permanent post and we are seeking 8 hours per week. For informal enquiries please contact Dr Katie Barber, Clinical Lead, katie.barber1@nhs.net

The purpose of this role is to:

• Undertake routine ring pessary exchanges for patients with established ring pessaries as management of their uterovaginal prolapse on the current Community Gynae Patient Initiated Follow Up List.

To deliver high-quality, autonomous, evidence-based nursing care in a clinical setting. The Experienced Nurse plays a key role in complex patient assessments, long-term condition management, clinical decision-making, and supporting operational excellence. The role significantly contributes to patient safety, service quality, clinical leadership, and the mentoring of less experienced colleagues.

Main duties of the job

Professional Provide routine ring pessary replacement, including assessment, safe replacement, management of complications, documentation, patient education and follow-up.

Managerial Deliver high-quality nursing care, maintain accurate records and confidentiality, manage consultations, and contribute to service development and effective workload management.

Educational Maintain professional competence through appraisal, audit, quality improvement, and support the education of colleagues.

Health and Safety Work in accordance with health and safety, infection prevention and security policies, manage risks, and report hazards.

Equality and Diversity Promote equality, inclusion and dignity by providing respectful, compassionate, non-judgemental care in line with legislation and policy.

Confidentiality Maintain confidentiality at all times, accessing and sharing information only when required for the safe delivery of care.

Safeguarding Promote the welfare of children and adults through safeguarding training, recognising concerns, protecting individuals from harm, and following organisational procedures.

Personal/Professional Development Participate in mandatory training, annual appraisal, and ongoing personal and professional development.

About us

Organisation Overview

• PML is a successful not-for-profit, GP-led organisation providing various NHS community and primary care clinical services to patients across Oxfordshire and Northamptonshire. We have evolved as a NHS healthcare provider since 2004 and in the last few years have grown significantly, now employing around 300 staff with a turnover of c. £16m. PML holds GMS contracts, as well as being a GP Federation representing c. 50 GP practices covering approximately 650,000 patients.
• Banbury is a historic and expanding market town on the River Cherwell in Oxfordshire and is on the edge of the Cotswolds. Oxford, Stratford upon Avon and Leamington Spa are close by and there are excellent public and private schools in the surrounding area.
• Banbury Cross Health Centre provides an exciting development in general practice in the north of Oxfordshire. Following the merger of 3 practices in the town, we are continuing the integration of primary care services to ensure the future sustainability of general practice and the delivery of excellent patient services. We are actively involved with our PCN and fully engaged with developing patient-centred services in the community with our local community providers and other stakeholders.
• With a list size of approximately 40,000 patients and growing, we are a forward thinking and aspirational practice.

Job responsibilities

Job Responsibilities

Professional:

• For routine ring replacements for patients with established ring pessaries in situ for prolapse management. This includes clinical assessment and examination, safe removal and exchange of ring pessary and be able to identify any complications and action/manage accordingly.
• To ensure contemporaneous medical note keeping during consultations. And to engage with community gynaecology coding following Face-Face appointments and tasks to CGS admin for PIFU 6m Follow-up.
• Provide the patient with relevant information e.g Ring pessary Patient Information Leaflet.
• Recognise and manage anaphylaxis according to current UK guidelines.
• Be able to perform cardio-pulmonary resuscitation according to current UK guidelines.
• Obtain and document informed consent (either written or verbal).
• Ensure infection control guidelines are maintained.
• Communicate effectively with other members of the primary health care team.
• Preserve confidentiality.
• Any other duties considered relevant to the post.

Managerial:

• Assist patients to identify their health needs.
• Maintain accurate records in line with practice policy and NMC Guidelines using appropriate computer software.
• Contribute to the assessment of service needs.
• Responsible for the maintenance of equipment and stock control: including refrigeration, vaccine ordering, single use equipment, general treatment room equipment and stock and emergency rugs and equipment.
• Contribute a nursing level perspective to the Practice Development Plan.
• Manage and organise individual patient consultations.
• Attend staff meetings.
• Effectively manage own time, workload and resources.
• Preserve confidentiality of information gained at all times.

Educational:

• Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and or professional development.
• Participate fully in practice audit and quality development programmes.
• Participate in formal tutorials and informal training of all treatment room trainees, GP trainees and other allied health professionals in the practice.

Research Projects:

• Co-operate and participate as required in any research projects within the practice.

Health and Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, to include:

• Using personal security systems within the workplace according to practice guidelines.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Confidentiality:

The post holder must maintain confidentiality of information in accordance with professional and PML policy. The post holder may access information only on a need to know basis in the direct discharge of duties and divulge information only in the proper course of duties.

Safeguarding:

• To recognise that promoting the welfare and safeguarding children, young people and adults is everyones business and access training and supervision as appropriate to the role.
• To support the organisation in ensuring service users are protected from abuse or the risk of abuse and their human rights are respected and upheld.
• To ensure concerns are responded to appropriately in line with the organisations Safeguarding Adults Policy and the Child Protection Policy and interagency safeguarding procedures.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. This may mean study in staff members own time.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Role Accountabilities

Advanced Patient Assessment & Clinical Care

• Undertakes comprehensive nursing assessments, clinical observations and treatment planswithin professional scope.
• Manages a caseload of patients autonomously, including those with complex needs orlong-term conditions.
• Provides advanced wound care, chronic disease monitoring, childhood and adultimmunisations, ECGs, cervical screening, and other enhanced skills (depending oncompetency).
• Escalates concerns appropriately while exercising professional judgement anddecision-making authority.

Clinical Decision-Making & Risk Management

• Applies clinical reasoning to identify deterioration and make informed decisions.
• Uses evidence-based practice and guidelines to plan and deliver care.
• Contributes to clinical risk management through incident reporting, safety checks andproactive risk identification.
• Provides support during emergencies, ensuring safe escalation and rapid response.

Health Promotion, Patient Education & Self-Management Support

• Provides tailored health education and lifestyle advice to patients and families.
• Supports behaviour-change interventions such as smoking cessation, weight management ormedication adherence.
• Helps patients understand and manage their own conditions, improving long-term healthoutcomes.
• Identifies safeguarding concerns and signposts to appropriate support or protectivemeasures.

Clinical Workflow & Service Efficiency

• Ensures effective time management and patient flow.
• Supports coordination between clinical and administrative teams to optimise service delivery.
• Works confidently within protocols and contributes to service development or pathwayimprovements.
• Participates in audits, clinical reviews and quality improvement initiatives.

Leadership, Support & Team Contribution

• Acts as a role model for excellent professional standards, communication and patient care.
• Supports, advises and mentors junior nursing staff, healthcare assistants or students.
• Offers guidance during busy periods and contributes actively to team problem-solving.
• Shares knowledge, experience and good practice to strengthen overall team capability.

Professionalism, Conduct & Values

• Demonstrates accountability and autonomy while working within the Nursing & MidwiferyCouncil (NMC) Code.
• Maintains accurate, contemporaneous clinical records.
• Upholds confidentiality, safeguarding and data protection principles in all interactions.
• Models values-based behaviour, acting with compassion, respect, fairness and integrity.
• Supports an inclusive and culturally sensitive environment for patients and colleagues.
• Maintains and updates competencies through CPD, reflective practice and training.
• Engages in learning related to long-term conditions, clinical skills, diagnostics or expandedroles.
• Contributes to service improvements, policy updates and evidence-based changes.
• Participates in appraisals, audits and clinical governance processes.

Person Specification

Behaviours and Attributes

• Professional, compassionate and patient-focused approach to care.
• Ability to work effectively within a multidisciplinary team and follow clinical governance requirements.
• Flexible and adaptable, with willingness to support service needs across different care settings.

Experience

• Experience delivering direct patient care within a healthcare setting
• Experience working within agreed protocols and escalating clinical concerns appropriately
• Experience in primary care, GP practice, out of hours, or community services

Qualifications

• Registered Nurse (Adult) with current NMC registration
• Relevant recognised nursing qualification (e.g. Diploma or Degree in Nursing)
• Evidence of post-registration training relevant to primary care or community nursing.

Skills and Knowledge

• Competence in basic patient assessment, observations and clinical documentation.
• Good understanding of infection prevention, safeguarding and patient safety principles.
• Knowledge of NHS primary care systems and clinical IT systems.

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.

£36,000 to £41,500 a yearFTE, depending on experience.

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