As a nurse I am responsible for yearly check ups for people with long term health conditions, such as heart problems, high blood pressure, diabetes. I do a lot of sexual health appointments – these include contraception advice and checks, smears as well as supporting a doctor for an implant or coil clinic – these are long term devices to prevent pregnancy. I immunise all ages for travel, as well as baby immunisations as part of the childhood immunisation programme. But my favourite part of my job is woundcare which I do a lot of – I assess, treat and (hopefully) heal wounds. I’m also specially trained to apply compression bandages to help slow healing wounds to heal quicker.
I am senior partner in my practice, which means I’m the boss. I have another partner who co-owns it with me. Unlike other parts of the health service GPs are actually technically self-employed and run their practices under a separate NHS contract. We get paid by the NHS to provide services to the patients registered with the practice. For each patient we get about £130 a year to see them as often as they want/ need to do tests, checks, referrals etc. Out of that money I have to pay my staff, run the building (heat, light, stationary etc.) etc.
I run the practice, employ clinical, management and administrative staff to see patients. So I have a team of GPs, nurses, healthcare assistants, receptionists, prescription clerks and managers to do all this.
My typical day includes seeing patients in surgery, making phone calls, home visits, meetings,signing prescriptions and teaching medical students and junior doctors. I also have management responsibilities shared with the other GPs I work to ensure the practice as a business runs smoothly – I’ve put more detail in my profile.
As a Practice Manager I am responsible for everything except the actual clinical work, although I do have to plan and implement new medical services we may be offering. Some practices employ external companies to do the payroll and things like H&S or HR but at my practice we do not so I have to do all of these things. Some Practices also have a deputy manager to assist in the role but unfortunately we do not have one.
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