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HCA Job Plan

Overview

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Objectives:

Provide safe and effective care for all patients within the practice, and apply nursing skills to deliver high standards of care, adhering to evidence-based practices and national / South East London protocols.
Implement evidence-based practices for both acute and chronic conditions, supporting management and preventative healthcare and assisting in managing clinical caseloads.
Collaborate with the general practice team to address patient needs, improve healthcare delivery, and ensuring the highest level of patient care.
Assist senior practice nurses in managing nursing resources and supporting practice goals, focusing on supporting the development of nursing services within the practice.

This page is designed to provide an overview of your typical daily duties. Please note that there may be some site variations based on room availability, staffing levels, clinical meetings, and / or PLTs.

Daily Schedule

Time	Task / Activity
8:30 am - 8:45 am	Stock / urine check
8:45 am - 12 pm	Clinical appointments
12 pm - 12:30 pm	Admin time
12:30 pm - 1 pm	Stock / urine check
1 pm - 1:30 pm	Lunch
1:30 pm - 2 pm	Clinical appointments
2 pm - 2:15 pm	Stock / urine check
2:15 pm - 3:15 pm	Clinical appointments
3:15 pm - 3:30 pm	Admin time
3:30 pm - 4:30 pm	Clinical appointments

Regular Tasks & Duties for HCAs

Task/Duty	👩‍⚕️ HCA	🩺 Nursing Associate	👩‍⚕️ Practice Nurse
Wound Dressing	Simple	Simple to Complex	Simple to Complex with Care Plans
Urinalysis	✔	✔	✔
Blood Test	✔	✔	✔
Adult Injection	B12, Pneumococcal, Shingles, Flu, RSV	B12, Pneumococcal, Shingles, Flu, RSV Depo Contraception, Zoladex/Prostap	B12, Pneumococcal, Shingles, Flu, RSV Depo Contraception, Zoladex/Prostap
NDH / Pre-diabetes	✔	✔	✔
NHS Health Check	✔	✔	✔
New Patient Health Check	✔	✔	✔
Mental Health Assessment Review	✔	✔	✔
Learning Disability Assessment Reviews	✔	✔	✔
LTC Review	Diabetes/HTN Assessments Only + Health Education	Asthma/COPD/Diabetes/HTN - Assessments Only + health Education	Asthma/COPD/Diabetes/HTN - Assessments + Care Plans
24HR AMBP	✔	✔	✔
Childhood Immunisation		✔ Under PSD: 8 weeks and 1 year (double appt.)	✔ Under PGD: 8 weeks and 1 year (double appt.)
Pertussis Vaccination in Pregnancy		✔	✔
Smears		✔	✔
Pill Review		✔	✔
Travel Vaccination		✔ Without Yellow Fever	✔ With or Without Yellow Fever
Compression Bandaging			✔ Double Appointment
Full Diabetes Review			✔ Full 8CPs + Medication Review (Post-Pre-PITStop)
Admin Tasks	Ordering supplies and Stock Check, Weight management	Ordering supplies and Stock Check, Weight management, Lab Reports Filing, Cervical vaccine log check	Ordering supplies and Stock Check, Weight management, Lab Reports Filing, Cervical vaccine log check, Care plans, GP/Team queries
Clinical Documentation
Fit Note			✔ Admin time
Supervisor Role		SSSA Supervisor	SSSA Supervisor and Assessor
PSD/PGD Authority	Work Under Patient Specific Direction (PSD) for Flu, Pneumococcal, Shingles, RSV	Work Under Patient Specific Direction (PSD)	Work Under Patient Group Direction (PGD)

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Click on this toggle to see individual competencies by staff member

Clinical Appointments

Child Immunisations → see 💉Vaccinations & Immunisations

Administer routine childhood immunisations under Patient Specific Direction (PSD); support and guide parents.

Adult Immunisations → see 💉Vaccinations & Immunisations

Administer pneumococcal, shingles, and flu vaccines under Patient Specific Direction (PSD); educate patients on the benefits and potential side effects of vaccines.

Phlebotomy/Blood Tests

Perform venipuncture to collect blood samples, ensuring accuracy in labelling and processing.

Adult Injections → see 💪🏻Intramuscular Injections

Administer B12 injections under PSD, ensuring proper documentation and patient safety.

Hormone/Neuroleptic Injections → see 💉Leuprorelin & Zoladex Injections, 💉Antipsychotic Depot (LAI) Injections & Monitoring and 💉Depo-Provera (Contraceptive) Injections

Administer Zoladex, Prostap, and depot neuroleptic injections under PSD; monitor patients for side effects.

Wound Dressing → see 🩹Wound Care & Dressing

Assess and apply wound dressings; monitor healing and update care plans in collaboration with the practice nurse (simple cases only to be dealt with by HCA).

Compression Bandaging → see 🩹Wound Care & Dressing

Apply and manage compression bandaging under the care plan provided by the practice nurse (simple cases only to be dealt with by HCA or Nursing Associate).

Weight Management Referrals → see 🛎️Services Database

Provide weight management support and counselling, guiding patients through appropriate service tiers.

NDH/Pre-diabetes Management → see 🍎Healthier You

Identify and manage patients with non-diabetic hyperglycemia and pre-diabetes, offering lifestyle guidance to prevent progression.

NHS Health Checks → see 🤒NHS Health Check

Conduct NHS Health Checks, assess cardiovascular risk factors, and provide tailored health interventions.

New Patient Health Checks → see ☑️New Patient Health Check

Perform health assessments for new patients, recording their medical history and current health status.

Mental Health Assessment Reviews

Conduct mental health assessments and refer patients to the appropriate services as needed.

Learning Disability Reviews

Perform health reviews for patients with learning disabilities, working with multidisciplinary teams (MDTs) to create tailored care plans.

LTC Reviews → see 🫁Asthma, 🍎Diabetes and 🚭Chronic Obstructive Pulmonary Disease (COPD)

Conduct reviews for long-term conditions, ensuring proper monitoring while maintaining existing medication plans.

Urinalysis → see 🧪UTI Process & Urine Dips

Conduct urinalysis tests, interpret the results, and provide necessary follow-up care.

24HR AMBP → see 🚑24HR Ambulatory Blood Pressure Monitor (AMBP)

Fit and manage 24-hour blood pressure monitors; analyze the results and, if required, schedule a follow-up with the pharmacist for further review.

Work Under PSD

Administer medications and treatments under Patient Specific Direction, ensuring strict adherence to protocols.

Admin Time & Infection Control

EMIS Tasks & queries

Review and respond to queries related to nursing tasks from clinicians and non-clinical staff within 48-72 hours. Queries should be addressed to the nursing team.

Stock and supplies management

Regularly check stock and supplies for expiration; order necessary inventory (including vaccines) and inform the Nursing Lead about faulty equipment. You can also raise a request to get something fixed using the Facilities Issues form on the Penrose Portal homepage.

Catch-up time

Use this time for documentation, session preparation, and addressing inappropriate bookings or unresolved issues.

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If you have any questions about the duties or schedule above, please speak to your Line Manager. There may be some site variations based on room availability, staffing levels, clinical meetings and PLTs.