General Practice Nurse

Our continued close working relationships with a wide range of stakeholders throughout Hertfordshire and West Essex as well as the East of England, means we are able to support you, wherever you are in your general practice nurse career. The Training Hub will be able to provide mentors to help with your transition into primary care or coaching to support your ongoing career; access to information on funding, development and training offers to help enhance and embed core fundamentals and progress your career pathway.

Macmillan Cancer Modules - free updates

Join the Macmillan Cancer Support Learning Hub to access useful education and training courses, toolkits and resources to help you in your role.

Womens's Health Pocket Guide

The RCN has updated this easy to use reference tool for nurses click here

GPN Notice Board

Access General Practice Nurse updates and information at a click

CLINICAL SUPERVISION – the why, what, how and benefits!

Introduction

The concept of clinical supervision for nurses is supported by the Nursing and Midwifery Council (NMC) in Enabling Professionalism in Nursing and Midwifery Practice(*1).

The NMC states that practice learning and development is enabled through ‘regular supervision and a focus on reflective practice’(*2).

The Care Quality Commission (CQC) views clinical supervision as good practice that helps to underpin regulations ‘17: Good governance’ and ‘19: Fit and proper persons employed’(*3).

It is also recognised as being an invaluable tool to support development and staff retention.

Nurses in primary care often work in isolation or within a small team that may have been static for several years, although we are now seeing a shift that can be more unsettling where staff are frequently moving around.

Clinical supervision offers a protected space for a small group of nurses to meet and learn from each other, gain support and advice about their role, and share the highs and lows of a career in general practice.

It is ‘a formal process of professional support and learning, which enables individual practitioners to develop knowledge and competence, assume responsibility for their own practice and enhance consumer protection and safety of care in complex clinical situations’(*4).

The Royal College of Nursing groups clinical supervision models into educative, supportive and managerial frameworks but suggests that models can be adapted to support the working environment as appropriate(*4).

All models focus on the concept of reflective practice, where participants are urged to make sense of events, situations and actions in the workplace.  The introduction of Clinical Supervision in General Practice across the system is recommended by NHS England in its published 10 Point Action Plan(*5).

Currently there are 4 Clinical Supervision Groups running across Hertfordshire and West Essex, each group has spaces for 8 participants. Primary Care Nurse tutors are supervisors of the groups; in this role they will facilitate the clinical supervision (CS) sessions. Every 6 to 8 weeks session usually run for one hour. The model being delivering is closed groups, consisting of nurse supervisees from different general practices.  This model has been found to be the most effective as it gives group members confidence and freedom, not having Clinical Supervision with colleagues they directly work with, unless they choose to do so. 

One practice nurse said: "Clinical supervision has been very useful to me and has made a significant impact in my everyday practice*. I see it as something I can rely on for both clinical and emotional support" (*6).

General feedback from nurses and HCAs, suggests that the nursing and HCA workforce feels more supported and less isolated(*6).

Although the meetings are relaxed, they still follow a framework where the supervisor acts as facilitator: keeping time, ensuring active participation from all members, following up from the previous meeting and summing up at the end. Brief notes are kept by the facilitator along broad themes – e.g. clinical, professional, employment – and the members are encouraged to maintain a record both for professional development and to use as reflective practice accounts for revalidation.

There is a contract that details an agreement between supervisor and supervisee around timing, format of sessions, and members’ expectations of each other and of the facilitator. There is a specific confidentiality clause that outlines the requirement for the supervisor to disclose any breach of the NMC code of conduct should this come to their attention(*2).

Finally for clinical supervision to be effective nurses need to be given the time to attend regularly, therefore it is important to get buy-in and agreement from your employer.

How can I join a Clinical Supervision Group?

If there are spaces in a group and you would like to join, as the groups are closed groups, meaning the same members attend each CS session, out of courteously, the existing group is always asked if they are happy for a new member to join. 

There are currently spaces in Clinical Supervision Groups

Clinical Supervision Groups with spaces

Time of Meetings

Location

Tuesdays, Wednesdays and Thursday

12.30 to 13.30

Virtually via MS Teams

Please note that it is important that you have access to a camera for Clinical Supervision.

To join a group or for general enquiry contact:

lyn.murphy2@nhs.net or dianespringall@nhs.net  

Clinical Supervision Resources

Ensuring Good Supervision
2022
Download
Driscoll Reflective Model
2022
Download
CS Self Reflection
2022
Download
Group Supervision Feedback
2022
Download
The General Practice Nurse Education Network

This is an excellent training and development resource for GPNs.  Developed by The Queen’s Nursing Institute (QNI) and funded by NHS England.

 

The website can be found by clicking here.

*1.      Nursing and Midwifery Council. Enabling Professionalism in Nursing and Midwifery Practice. London; NMC:2017

*2.      Nursing and Midwifery Council. The Code: Professional Standards of Practice and Behaviour for Nurses and Midwives. London;NMC:2015

*3.      Care Quality Commission. Regulations for Service Providers and Managers. London;CQC:2017

*4.      Royal College of Nursing. Clinical Supervision in the Workplace. London;RCN:2002

*5.      NHS England. General Practice – Developing Confidence, Capability and Capacity – a Ten Point Action Plan for General Practice Nursing. London; NHS England:2017

*6.      How to become a Clinical Supervision Lead: Nursing in Practice: 2016

Although the NMC do not stipulate that a specific course or training programme must be undertaken to become an assessor (like they used to previously with the mentor role), it is expected that nurses meet the NMC standards for student supervision and assessment.

Practice Supervisor and Practice Assessor

The role of “sign off assessor”, mentor role and triennial review is no longer required.  In its place are two main roles in practice: Practice Supervisor and Practice Assessor.

All nurses, midwives and nursing associates in any practice learning environment should be able to undertake a practice supervisor role, as set out in the NMC Code.  They need to have been prepared and supported   to take up their role and have up-to-date knowledge and experience  relevant to the student they are supervising.

What do practice supervisors do? - The Nursing and Midwifery Council (nmc.org.uk)

As previously stated the NMC do not stipulate any specific training, but they do set-out standards that need to be met.

To meet the NMC required standards, the Inspire Project has been developed by Anglian Ruskin University (ARU). It is free to access, and the presentation and accompanying materials should enable any registered professional, who has not had any previous educator training or experience, to act as a practice supervisor. The short training has been designed to fit in with the busy life of nurses working in general practice, whilst at the same time providing adequate training to enable them to feel confident as educators.

 

  • Training can be accessed from the Training Hub Web site HERE

 

If you feel you require more in-depth training, you can consider the free online training provided by ARU:

 

·       Online Practice Supervisor/Practice Assessor course - Nursing - ARU

Update training should be undertaken.  There is no specific recommendation, but every 3 years is a useful guide.  The Inspire training is also suitable as update training.

Practice assessors assess and confirm the student’s achievement of practice learning for a placement or a series of placements, they can also act in this capacity for registered nurses working in general practice undertaking specific training e.g. Cervical Cytology and Child immunisations, providing they have the required knowledge and skills.  

 

What do practice assessors do? - The Nursing and Midwifery Council (nmc.org.uk)

As previously stated the NMC do not stipulate any specific training, but they do set-out standards that need to be met.

The short training provided by the Inspire Project, is probably not adequate to enable a nurse with no previous educator experience or qualifications to act in the assessor role.  Therefore, the recommendation would be to undertake the full training which can be accessed here:

Practice Supervisor and Practice Assessor Course on the ARU website. This training is free and virtual.

 

If you are an experienced practice assessor and can document that you understand and meet the NMC standards, but need an update, you can complete sections of the Practice Supervisor and Practice Assessor Course on the ARU website, that are relevant to your continuous professional development needs.

To summarise:

Certificates are issued on completion of training

 

Training and Development Opportunities:

This training programme is to support the redesign of leg ulcer care provision for East and North Herts only.

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Have you ever been in a situation where you want to challenge someone’s behaviour - but you didn’t know how to do it or what to say?

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An overview of AKI, including assessment, diagnosis and management as well as follow up in line with the updated NICE guidance NG148 (2023).

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Providing the opportunity to challenge and critically analyse your professional practice and to achieve the learning and development required for you to achieve your scope of practice as an Advanced Clinical Practitioner

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As a common long-term respiratory condition, effective healthcare management and self-management of asthma, is fundamental in supporting children and young people to achieve their full potential in all aspects of their lives.

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This one day conference is for GPs, Practice Nurses, Allied Health Professionals and anyone interested in allergy within general practice.

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Having an awareness of the disease and knowing how to support and care for patients is an essential skill for any health care provider and this half-day training course offers an introduction to Dementia to support the learning.

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HEE funded webinar - Apprentice Nurse Associate Supervisor / Assessor Support Session

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This course covers the essential models of assertiveness and influencing, and provides a strong insight into the dynamics of one-to-one interactions.

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For nurses, doctors and allied professionals working in a primary care setting who need to develop and enhance their head to toe assessment skills of a presenting child (not neonates).

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New series of upcoming funded training, which is available to Healthcare Professionals across the UK.

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These monthly online asthma refreshers are designed for health and care professionals who manage people with asthma, wish to refresh their skills and implement quality improvement initiatives.

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These sessions are those who would like to update their knowledge and skills in basic life support and using a defibrillator as well as the management of anaphylaxis.

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It is the largest gathering of general practice HCPs from within London and the South-East, and it is FREE to attend! Now over 2,000 HCPs registered to attend.

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License for CDEP Courses - CDEP has five levels (as per the UK Diabetics Competency Framework.

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Explore and develop person-centred approaches in care when supporting people with dementia, which respects individuality and personal choice. Understand neuropathology in dementia, how it affects a person’s mental, physical and emotional capacity. And learn about the broader ethical and legal issues relating to dementia.

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This update is only suitable for healthcare professionals who have already completed immunisation/vaccination training.

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For all professionals who come into contact with children and young people with asthma.

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This is a course in mindfulness and emotional intelligence based on a Stanford University Master's Degree Course and delivered by Dr Lia Jacob.

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This virtual one day masterclass will focus on how to mentor and coach staff and will look at different stages of mentoring and coaching as well as the phases within each.

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Compassionate appraisals are an independent, facilitated self-review to discuss, review and plan for professional development. 

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A popular study day for Practice Nurses that provides a general update on Family Planning and Sexual Health matters.

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A popular study day for Practice Nurses that provides a general update on Family Planning and Sexual Health matters. Facilitated by Valerie McMunn.

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When preparing for a CQC inspection a whole team approach is required.  It is not only the responsibility of the Practice or Registered Manager.

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This CPD accredited theoretical update for cytology has been developed for practitioners who are trained to take cervical samples.

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This training is a 2-hour session about understanding dementia aimed at all staff and volunteers wanting to know more about dementia.

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This training is a 2-hour session about understanding dementia aimed at all staff and volunteers wanting to know more about dementia.

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The Dementia Interpreter course will allow you to begin to learn the language of dementia, and truly understand how communication can change for people living with dementia.

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Update your diabetes skills and share best practice with this CPD accredited course

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This Diabetes Reducing Cardiovascular Risk Level 7 module contributes to the development of knowledge and understanding of diabetes.

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The aim of this half day, face to face workshop, is to provide HCAs, AHPs, Paramedics and Clinical Pharmacists with the knowledge and skills they require to undertake foot checks on patients with diabetes.

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Are you a Clinical Practice Pharmacist, Primary Care HCA or GP Nurse who conducts diabetes reviews?

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An intermediate course which builds on foundation level communication skills training to develop increased confidence in communicating with patients and families in the arena of palliative care.

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Develop safe practice in diagnostic and examination skills for ear care in an area that attracts a high level of litigation. Includes an hands on workshop in ear irrigation (syringing).

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A review of the theory and practice of ear irrigation using the Propulse irrigator for those currently undertaking ear irrigation in their workplace.

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We are delighted to offer a new opportunity for your early career nurses and midwives, whether in the NHS, social care or private healthcare, to join our interactive online leadership programme.

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East & North Herts Primary Care, ICT and Nursing Home ICT HCAs and Nurses, and will give you all the skills needed to deliver excellent leg ulcer care to your patients.

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This conference has been instigated and organised by the East of England Diabetes Clinical Network, with support from Lynn Dorsett, Diabetes Network Manager, central Norfolk

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This half-day course has been meticulously crafted to empower Healthcare Assistants (HCAs) and other unregistered staff with the essential knowledge and skills required for proficient ECG recording.

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Following attendance candidates will be able to record an ECG correctly and start to develop interpretation skills. The course includes supervised practice in recording a 12 lead ECG.

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This training has been developed as part of the NHS England Respiratory Long Term Plan Breathlessness Management workstream, to support colleagues with easily accessible education around non-pharmacological self-management support for people living with chronic breathlessness.

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This course is aimed at any health care professional who wants to develop a leading role in the delivery and management of services for people with asthma and their families.

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This multi-professional course focuses upon the assessment and management of the individual with, or at risk of developing, diabetes and its precursor, metabolic syndrome.

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Our Severe Asthma course supports the development of further knowledge regarding the diagnosis, treatment and management of severe asthma.

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development opportunity aimed at our Nursing and AHP workforce.

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This Essentials of Asthma course is aimed at learners who are new to working with asthma patients and would like an overview of the disease, diagnosis, and management.

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This Essentials of COPD course is aimed at learners who are new to working with COPD patients and would like an overview of the disease, diagnosis, and management.

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This Essentials of Diabetes course is aimed at learners who are new to working with diabetes patients and would like an overview of the disease, diagnosis, and management.

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Trent Conference Center, Unit 1, Easter Park, Lenton Lane. Nottingham, NG7 2PX

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The training will cover all aspects of immunisation practice in line with PHEs Immunisation Training Standards for Healthcare Practitioners tailored to the context of General Practice.

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A series of 90-minute sessions exploring the impact, diagnosis, and management of Heart Failure in the UK, each with an ‘ask the expert’ opportunity

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Hertfordshire Mind Network has extensive experience within the field of mental health training and is recognised as a leading provider of mental health-related training in Hertfordshire.

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Conversations training for line managers, peers and those with caring responsibilities for staff

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This two day foundation course follows the guidelines of the National Minimum Standards for Registered Healthcare Practitioners (2018) for immunisation training.

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If you only deliver Flu vaccines, Occupational health or adult vaccines, these bespoke update courses may be more appropriate for you. Please note New immunsiers' (2-day) Foundation (one-off) course must have been completed previously.

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The International Practitioner Health Summit 2024 will focus on a new hope for workforce wellbeing and solutions for the future.

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The Women’s Health Conference is designed for primary care healthcare professionals to gain a comprehensive insight into identified clinical issues that uniquely affect women and women’s health.

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This half-day workshop delivered online for Practice Nurses, Nursing Associates and AHP’s working in primary care.

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This comprehensive program is tailored for experienced Practice Nurses, ANP’s, ENP’s, Paramedics, and Pharmacists who seek to enhance their proficiency in this vital area.

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Welcome to our focused half-day course on 'Intrauterine Contraception Counselling and Removal,' a comprehensive training designed for clinicians seeking to deepen their understanding and skills in the safe management of IUC (Intrauterine Contraception).

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Designed specifically for Registered Nurses and Allied Health Professionals new to immunisation practice, this course provides essential training on the national immunisation schedules for both adults and children.

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This study day is for nurses and Allied Health Professional who wish to gain practical skills and an understanding of the care of patients with asthma.

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This is a CPD-certified course and is designed specifically for practice nurses who are new to performing cervical samples.

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To help raise awareness of developments in and up to date information about the menopause and perimenopause.

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It aims to provide training on many topics, including covid-19 and travel, risk assessment, travel vaccines, non-vaccine preventable illnesses, malaria, professional issues, and the latest developments in travel health.

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Join us via Zoom for this informative and interactive course designed for nurses, healthcare professionals, and healthcare assistants who are new to wound management in the primary care setting

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The course aims to enable you to obtain the knowledge and skills needed to perform wound care and remove sutures/staples.

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Delivered in partnership by the Institute of Physics and Engineering in Medicine (IPEM) and Health Education England (HEE) elearning for healthcare (elfh), e-IRMER is a free training resource.

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Our regional virtual, bitesize events aim to support leadership wellbeing and enable leaders to connect, recover, renew and respond to the ongoing demands of leading within challenging times.

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Please find below links to all Leg Ulcer training being provided by HCT for East and North Hertfordshire colleagues.

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Beds & Herts LMC and Herts & West Essex ICB invite primary care colleagues in Hertfordshire and West Essex to the following FREE Safeguarding webinars, contributing to level 3 training requirements.

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Hertfordshire and West Essex ICB will be offering a FREE Lunch and Learn webinar on “Firearms” on Thursday the 29th of February 2024 at 1pm for one hour.

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Do you work in Primary Care and want to learn more about the NHSE Diabetes Prevention Programme? If so, please keep reading!

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This session looks at what needs to be covered in an Asthma, COPD, Heart Failure review, for GPs, Nurses and AHP’s

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Primary care teams continue to work tirelessly in their communities to provide high quality care and support for their patients.

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This is a one day face to face lower limb course aimed at General Practitioners and ANPs who have an MSK caseload and experience seeing patients with MSK problems.

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Register to access all education and training on the Macmillan Cancer Support Learning Hub for free! Education and training for health and social care professionals.. Sign up today!

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The aim of the module is to develop a critical understanding and perspective in relation to the management of complex health needs both at the individual and population levels across a range of community care settings.

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Interactive online learning ‘ECHO’ networks for health and social care professionals who deliver end of life care to share knowledge on relevant topics, bringing together communities of practice with a shared goal. From Marie Curie.

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The course will increase participants knowledge relating to how drugs work, potential risks and hazards associated with medicines, and provide an overview of the legal and professional aspects of medicines management.

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This online Mental Health Awareness in the Workplace package covers 8 modules to improve employee wellbeing and reduce risks of employee burnout, highlighting the need for resilience, emotional intelligence, and mindfulness at work.

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BBO Training Ltd are excited to extend an invitation to you for our 'Men's Health Update Day' on 9th May, featuring the popular lecturer Dr. Tamara Cunningham. 

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This two-day course runs from Thursday to Friday and comprises seminars on the pharmacology and research evidence relevant to minor illness management.

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After the seminar week, you may wish to study for the Nmic Minor Illness Diploma at an additional cost of £720.

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A Modern General Practice model is a way of organising work in general practice to help enable practices to provide fair and safe care, while also supporting the sustainability of services and an improved experience for both patients and staff.

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The NHS England Leadership Academy has ongoing events and opportunities available. Please click on the links below for more information

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This module explains how to apply the principles of evidence based practice to the patient with an acute illness - and how to avoid (or at least, be aware of) some of the pitfalls.

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This newly updated NMIC Masterclass provides case-based studies and quizzes to test your knowledge of the important changes to the management of infections in primary care over the last five years.

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The main focus of this NMIC Masterclass is Paediatrics. We have an interactive e-learning, self-paced programme qualifying for 3 hours of CPD and including an update for Independent Prescribers.

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This 1 day update course is designed for all non-medical prescribers to develop and maintain safe and effective prescribing practice.

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Our Non-Medical Prescribing course prepares you to prescribe medicines from the British National Formulary (BNF) in your area of competence.

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Our Interprofessional Programme designed to develop the skills, knowledge and attributes required for safe, appropriate, and cost-effective prescribing practice within the context of their specialist professional roles and the legislative and professional frameworks that govern their specific role.

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On March 1st the North Thames Genomic Medicine Service will be hosting an all day hybrid showcase event to celebrate genomics work across the region.

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The new Oliver McGowan training on Learning Disability and Autism is being rolled out across health and social care in Hertfordshire and west Essex.

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The ICB Diabetes Project team has launched the online Diabetes 8 Care Process training programme.

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The NMC Standards for Student Supervision and Assessment (2018) require that registrants who facilitate learning and assess students must be prepared for these roles.

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Monthly IPC and COVID guidance update webinars

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Join us at this event and hear from nurse leaders who have developed their careers to achieve prominent nurse leadership roles in the NHS.

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Please join us to find out more about Nursing Associates in Primary Care on Thursday 14th March 2024 from 12 - 1 pm.

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This course is aimed at any healthcare professional who participates in the assessment, management and delivery of care for people with or at risk of developing diabetes.

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This 15-minute course aims to provide education and raise awareness of vulval cancer.

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This programme is designed for existing and new partners including GPs and clinical staff or those aspiring to leadership roles and for existing Practice Managers in a primary care environment.

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This one-day course on Sexual Health in Primary Care is tailored for Nurses, Nurse Associates, Pharmacists, and Allied Health Professionals working within General Practice.

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This Spirometry Interactive Blended Online Learning Package including ARTP assessment access course is designed for healthcare professionals.

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STOMP/STAMP is a national programme to help prevent the over use of psychotropic medication in patients with LD, autism or both.

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Supervising Student Nurses: Standards for Student Supervision & Assessment (SSSA) SSSA training update

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HEART UK and Health Innovation East are pleased to invite all health care professionals and colleagues working in the NHS to an in-person event focused on cholesterol.

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Accredited by the University of Hertfordshire, this undergraduate-level short course is ideal for those looking to further develop both practical skills and clinical knowledge.

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The Tackling the Complexity of Managing Heart Failure Short Course allows the acquisition of both practical skills and clinical knowledge necessary to manage the complex needs of patients and carers from the early diagnostic phase through to end of life

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The conference aims to bring current and aspiring Caldicott Guardians together to understand current issues and the national context.

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This diverse course covering all areas of palliative and end of life care will be delivered over seven days from May to December 2023 with an impact day being held in March 2024.

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This course will enable students to develop as leaders in the delivery of person centred care and the progression of research, skills and knowledge in relation to the care and management of the person with dementia and their family.

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The Introduction to Travel Health Course comprises a minimum of two days learning and follows the curriculum described in the 'Good Practice Guidance for Providing a Travel Health Service' document.

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Essex EQUIP is pleased to announce that Jane Chiodini, MBE, will return to deliver this Travel Health Update in September 2024.

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A two day introduction into Contraception Course for Practice Nurses.

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This two-day face-to-face Minor Illness course is aimed at Nurses and AHPs.

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This event will be delivered online and is suitable for Healthcare Professionals who are involved in the management of people with type 2 diabetes.

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This well established and respected two day course allows the candidate a chance to fully understand routine haematology and biochemistry results.

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HEE have partnered with three of our regional Higher Education Institutes, linked to our medical schools, to develop and provide face-to-face teaching on the academic basis of educational supervision that supports the trainer in the areas of supervision they expected to provide.

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This half day session aims to provide healthcare workers with the theoretical/practical skills and knowledge required to safely fit and change pessaries.

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The 2024 Women’s Health Conference aims to provide primary care healthcare professionals with a thorough understanding of clinical issues that specifically impact women’s health.

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This free event, providing up to 12 hours of CPD accreditation, is a must-attend event for healthcare professionals serious about reducing inequalities in healthcare services and treatment for women.

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ZSA's FREE online training courses teach you the skills and confidence to have a potentially life-saving conversation with someone you’re worried about.

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Nurses and AHPs who work within Primary Care within the Hertfordshire and West Essex area are eligible to apply for this funding from their local training hubs.

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Jun 2023

HWE have officially launched our first-of-its-kind app!

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27
Feb 2023

Locum Support For Nurses

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7
Mar 2024

Primary Care Clinician's Educational Evening Webinars 2023/24

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