Practice nurses are qualified and registered nurses. They can help with health issues such as family planning, healthy living advice, blood pressure checks and dressings. The practice nurses run clinics for long-term health conditions such as asthma or diabetes, minor ailment clinics and carry out cervical smears.
RGN (Sheffield 2000)
Head of Nursing Royal Primary Care, Site Lead Nurse for Royal Primary Care Chesterfield.
Works 4 days per week
I graduated from The University of Sheffield in 2000. I began my career in secondary care at Chesterfield Royal Hospital, working in a variety of clinical settings; these include A/E, Rheumatology, Vascular, Respiratory, Endocrinology and Cardiology. I became a ward sister in 2004.
In 2009 I moved to general practice and took on the role of Practice Nurse at a very busy village surgery in Chesterfield, I loved it from day one. Patient care is my top priority, the biggest draw for me in primary care is the time and level of patient care that I can provide.
I worked at the same surgery for nine years becoming Lead Nurse for the last five of them, the practice was extremely supportive and I was able to train in all areas of chronic disease management (Diabetes, COPD, Asthma, CHD, Hypertension). I am also trained and competent to work in Travel Health, Infant/Child/Adult Immunisation and Vaccination schedules, Cervical Screening and Contraception, Anti-Coagulation initiation and management, Women's Health and Family Planning.
I graduated from the University Of Derby as an Independent Nurse Prescriber in 2016 and use this qualification enormously to the benefit of my patients and my colleagues.
I joined the excellent team at Royal Primary Care in January 2018 and was appointed as Head of Nursing in April 2018.
Lead Nurse for Royal Primary Care Clay Cross and Grassmoor
I qualified as a Registered Nurse in 2009 at Sheffield University after undertaking Advanced Diploma in Nursing studies (2009) and Bachelor of medical science in Nursing (2010).
My first job from qualifying, was on the burns unit at Northern General Hospital. I looked after patients with acute burns who required complex wound management.
In 2014, I commenced my first employment in Primary care as a practice nurse. My role includes management of long term conditions, cytology, immunisation, travel health and health promotion.
I have special interest in the management of respiratory, travel health and immunisation. In 2018 I successfully completed qualification in mentorship and recently completed ARTP in spirometry.
My employment at Royal Primary Care commenced in April 2017, after a year of working here, I was appointed as site lead nurse - Clay Cross.
I am committed to improving outcomes for our patients by ensuring that the nursing team deliver care according to the National professional standards.
I qualified as a Registered General Nurse in 1991 at Chesterfield Royal Hospital.
I was employed as a Staff Nurse on an acute surgical ward.I progressed within this role to a Senior Staff Nurse which required managing a ward of complex surgical patients.Risk assessing was required for staffing levels/competencies in order to provide clinically safe effective patient care.
Within this role there was the requirement to liaise with consultants,outside agencies and families for complex care needs.
In 1998 I moved to Ashgate Hospice where I undertook complex end of life care for patients.
I maintained my skills/knowledge by completion of relevant training courses to provide skilled care.
In 2009 I transferred to primary care and began working at Royal Primary Care Clay Cross and Grassmoor as a Practice Nurse.I have continued to work autonomously within the practice and undertaken relevant courses/training to enhance my clinical skills.I have continued to build on specialist communication skills to ensure effective care for housebound patients and clinic attendees.
I am currently a Practice Nurse at Royal Primary Care Clay Cross.
I qualified as a general nurse in 1993. I started my career as a staff nurse within an acute hospital on the surgical wards for 4 years.
I furthered my career as a senior staff nurse on a private ward dealing with many different aspects of clinical nursing care for the next 2 years, working closely with many hospital consultants.
In 1999 I moved to the community sector based within Derbyshire Dales as a staff nurse, moving on to complete my degree course to become a District Nurse. Within this role I became the team leader responsible for 20 junior nurses. This role was demanding due to the increased levels of care patients required in their home settings. As part of this senior role I completed a further independent prescribing course, which I continue to use in my current role. A further innovation to improving nursing care became part of my role as project lead for long term conditions for housebound patients. This required presenting the project proposal to obtain outside funding to develop this area
of care, identifying staff training shortfalls, and resources needed to introduce care into the community role.
A further part of my district nurse role was the introduction of larvae therapy for chronic wounds in the home setting, which resulted in close liaisons with outside specialists. To support this area I wrote an article for the local Derbyshire Doctor magazine .
In 2008 I was successful at becoming a Clinical Nurse Specialist ,Network Lead for Continuing Healthcare. This was a complex demanding role which dealt with the most complex challenging aspects of nursing care provided outside of a hospital setting. I was jointly responsible for a senior team of 40 nurses with a supporting administration team. The service was developed to encompass all aspects of continuing care over the Derbyshire and Derby City areas. I was involved in policy and process development, financial systems , risk management and assessment covering all areas of clinical care.
Staff management was a large aspect of this role and I became heavily involved in service development across the East Midlands area. A large part of this role was the development of Public Health England’s Personal Health Budgets. I had to work closely with Chief Nurses from the CCGs as well as senior staff from PHE. After being made redundant from this role due to staff cuts I completed work for the local CCGs as a nurse consultant to prepare them to introduce PHBs, this work still remains on the local CCGs website at their patient information portal.
In 2016 I commenced work as a clinical advisor for the 111 service, a post I still hold. In 2017 I commenced as a Practice Nurse completing the practice nurse course in 2018.
I have undertaken many courses to support my roles within nursing, and worked very closely with many outside supporting agencies , including social services, private sector care providers, CQC in safeguarding investigations and local voluntary organisations. I have been involved in appeal hearings for Continuing Care patients and been the senior specialist representative at these hearings. Following many years in challenging roles, I am now enjoying the hands on clinical care and patient contact that comes with my current roles.
I have had a varied nursing career since qualifying at Charing Cross Hospital; it has included critical care, post anaesthetic recovery, aesthetics and skin laser clinics.
For the past 15 years I have worked in General practice with increasing knowledge and expertise in all areas of Practice Nursing but particularly Diabetes and Asthma
I am a Nurse Prescriber
I moved to Chesterfield in November 2018 to be closer to my family and am lucky enough to have been able to join the Royal Primary Care team and to continue with the job that I love.
I began my nurse training with the University of Derby in 2010 and qualified as a registered nurse in 2013. During my training I completed a placement within a GP surgery which I thoroughly enjoyed and I knew that I wanted to pursue employment in this area after I qualified.
My career as a staff nurse began on the cardiology ward at Chesterfield Royal Hospital. I felt that, as a newly qualified nurse, being in an acute environment would help me consolidate my training and develop my skills further and find my feet as a nurse. Over the 5 years I worked in cardiology I gained an in depth knowledge and understanding of cardiac health problems, treatments, drug therapy and the care these patients require. I became ward sister in 2016.
I am a registered nurse mentor and enjoy supporting students in their training.
I joined the nursing team at RPC earlier this year after deciding that it was time to spread my wings and embark on a new challenge. I am thoroughly enjoying the role particularly developing new therapeutic relationships with patients. I have been incredibly supported from day one by all the teams across all the RPC sites which has made the transition so much easier for me.
I am currently studying for the practice nurse degree at De- Montford University which is helping to consolidate my on the job training and relate theory to practice. I am developing a keen interest in asthma and diabetes management and hope to complete additional studies in these areas in the future.
Healthcare assistants support practice nurses with their daily work and carry out tasks such as phlebotomy (drawing blood), blood pressure measurement and new patient checks. They may act as a chaperone when a patient or doctor requests one.
Debbie Stirland (f)