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Nurse Practitioners

Ms Josie Dillon (f)

RGN GPN with a particular interest in Diabetes and Asthma management.

Nurse practitioners are highly trained nurses who have undertaken a specific course of study at at least 1st degree (honours level) who have achieved further qualifications and skills, including skills not usually exercised by nurses such as physical examination. More recently nurse practitioners have undertaken special training and achieved qualifications which enable them to prescribe treatment for certain conditions. A nurse practitioner is therefore able to see patients with certain undiagnosed problems and is able to make an assessment of their healthcare needs, prescribe appropriate treatment and follow up as required. Some examples of common minor illnesses, ailments treated are: -

  • Eye infections
  • Ear infections
  • Throat infection/tonsillitis
  • Chest infections
  • Urinary infection/cystitis
  • Lung infection
  • Sinusitis
  • Treatment of sting bites and stings
  • Constipation
  • Abdominal pain
  • Indigestion
  • Painful periods
  • Back pain

Nurse Practitioners can also request certain investigations if required such as:

  • Chest x-ray
  • Heart Tracing (ECG)
  • Limb x-rays
  • Blood tests

And have the authority to refer to other health care professionals if necessary.

Mrs S A Kanczes-Daly (f)

MSc

Mrs S Kanczes Daly has been working within Knowsley at a higher level since 1996.

She is a qualified Clinical Teacher and Assessor and was formerly involved in the training and assessing of all Primary Care Staff (Doctors, nurses) etc.  across Knowsley .

She is currently a Governing Body member of Knowsley Clinical Commissioning Group (CCG) representing member practices and bringing specific expertise and experience to the work of the governing body who aim to improve the delivery of existing services and to develop new locally based services, based on the needs of the population, to benefit the whole community.

This is a group practice and the clinicians work closely together.  If a particular clinician is not available then an appointment can be made to see any of the other clinicians.

Patients do not have to see the registered Doctor, but we still encourage patients to find the Doctor or clinician that they regard as their “usual clinician” and see them whenever possible.

Nurses

The practice nurse is available to deal with minor illnesses in the same way as a doctor and can see patients for the following chronic disease monitoring clinics.

  • Diabetes
  • Asthma
  • Blood Pressure Monitoring
  • Well person check
  • Cervical Smear
  • Family planning
  • Immunisation Travel and health advice

Nurse Clinician

Nurse clinicians have undertaken a course of study at master’s degree (MSc level) and make professional autonomous decisions for which they are solely responsible. Nurse clinicians are therefore appropriately trained to see patients who traditionally have been seen by a general practitioner.

As they can assess, diagnose, prescribe, request investigations and refer as necessary. They can also do home visits if required.

Modules of study

  • Physical assessment/examination of all body systems across the life span
  • Pharmacology (Drugs)
  • Health and disease (physical, sociological, psychological and cultural aspects)
  • Histopathology
  • Epidemiology
  • Research
  • Legal and ethical issues

Nurse clinicians in general practice

  • Manage a case load
  • Assess, examine, diagnose and prescribe appropriate treatments
  • Share care with colleagues within our work space or refer to a shared care with colleagues in more specialist areas
  • Patients have opportunities to consult with primary care clinicians (nurse clinicians), GP or both.
  • Nurse clinicians may become primary care providers for patients i.e. in the case of nurse led practices.
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