Practice Nurse

Job purposeTo deliver safe, evidence-based nursing care to the practice population, working autonomously within the limits of NMC registration and agreed personal competence. The post holder will lead nurse-delivered long-term condition management, national screening and immunisation programmes, and treatment room services, and will contribute to the practice's quality improvement, QOF and clinical governance work. Key responsibilities1 Clinical care Assess, plan, deliver and evaluate nursing care for patients attending the practice, working within agreed protocols and escalating appropriately. Deliver structured annual and interim reviews for patients with diabetes, asthma, COPD, hypertension, and other long-term conditions. Undertake cervical cytology within the NHS Cervical Screening Programme, maintaining the required sample-taker registration and update training. Deliver childhood and adult immunisation programmes, seasonal vaccination campaigns and travel health advice in line with the Green Book and PGDs. Provide treatment room services including wound assessment and dressings, suture and clip removal, ear care, ECG recording and phlebotomy as required. Deliver NHS Health Checks and opportunistic health promotion, including smoking cessation, weight management and alcohol brief intervention. Recognise the deteriorating or acutely unwell patient and initiate appropriate emergency response, including anaphylaxis management and basic life support. 2 Medicines and clinical safety Administer medicines and vaccines under Patient Group Directions/Patient Specific Directions, where required. Maintain vaccine cold chain integrity, stock control and clinical fridge monitoring in line with practice policy. Act on Central Alerting System and MHRA safety alerts as directed by the practice CAS Lead. Report incidents, near misses and significant events promptly and participate in the practice's Significant Event Analysis and PSIRF processes. 3 Quality, data and QOF Record all clinical activity contemporaneously and accurately using agreed SystmOne codes and templates. Contribute to the delivery of QOF, enhanced services and national screening targets, including proactive recall and call. Participate in clinical audit and quality improvement, including closed-loop re-audit. Support the practice's health inequalities work, including CORE20PLUS5 cohort identification and targeted outreach. 4 Safeguarding, IPC and governance Recognise and act on safeguarding concerns for children and adults at risk, escalating to the practice Safeguarding Lead in line with local multi-agency procedures. Maintain infection prevention and control standards, including decontamination, sharps safety, waste segregation and IPC audit participation. Work within the practice's information governance and confidentiality framework, including the Data Security and Protection Toolkit requirements. 5 Team, learning and development Attend and contribute to clinical meetings, multidisciplinary team discussion and practice learning events. Engage in scheduled clinical supervision with a named supervisor and maintain the Clinical Competency Validation Matrix record. Maintain NMC revalidation requirements and a current personal development plan. Support the induction and development of HCAs, students and new colleagues as appropriate. General terms Annual leave and sick leave in line with the practice's Terms and Conditions of Employment; NHS Pension Scheme membership available. Enhanced DBS clearance and satisfactory professional references are required before commencement. Health and safety responsibilities as set out in the practice Health and Safety Policy. This job description is not exhaustive and will be reviewed annually with the post holder as service needs develop. Job description Job responsibilities Job purposeTo deliver safe, evidence-based nursing care to the practice population, working autonomously within the limits of NMC registration and agreed personal competence. The post holder will lead nurse-delivered long-term condition management, national screening and immunisation programmes, and treatment room services, and will contribute to the practice's quality improvement, QOF and clinical governance work. Key responsibilities1 Clinical care Assess, plan, deliver and evaluate nursing care for patients attending the practice, working within agreed protocols and escalating appropriately. Deliver structured annual and interim reviews for patients with diabetes, asthma, COPD, hypertension, and other long-term conditions. Undertake cervical cytology within the NHS Cervical Screening Programme, maintaining the required sample-taker registration and update training. Deliver childhood and adult immunisation programmes, seasonal vaccination campaigns and travel health advice in line with the Green Book and PGDs. Provide treatment room services including wound assessment and dressings, suture and clip removal, ear care, ECG recording and phlebotomy as required. Deliver NHS Health Checks and opportunistic health promotion, including smoking cessation, weight management and alcohol brief intervention. Recognise the deteriorating or acutely unwell patient and initiate appropriate emergency response, including anaphylaxis management and basic life support. 2 Medicines and clinical safety Administer medicines and vaccines under Patient Group Directions/Patient Specific Directions, where required. Maintain vaccine cold chain integrity, stock control and clinical fridge monitoring in line with practice policy. Act on Central Alerting System and MHRA safety alerts as directed by the practice CAS Lead. Report incidents, near misses and significant events promptly and participate in the practice's Significant Event Analysis and PSIRF processes. 3 Quality, data and QOF Record all clinical activity contemporaneously and accurately using agreed SystmOne codes and templates. Contribute to the delivery of QOF, enhanced services and national screening targets, including proactive recall and call. Participate in clinical audit and quality improvement, including closed-loop re-audit. Support the practice's health inequalities work, including CORE20PLUS5 cohort identification and targeted outreach. 4 Safeguarding, IPC and governance Recognise and act on safeguarding concerns for children and adults at risk, escalating to the practice Safeguarding Lead in line with local multi-agency procedures. Maintain infection prevention and control standards, including decontamination, sharps safety, waste segregation and IPC audit participation. Work within the practice's information governance and confidentiality framework, including the Data Security and Protection Toolkit requirements. 5 Team, learning and development Attend and contribute to clinical meetings, multidisciplinary team discussion and practice learning events. Engage in scheduled clinical supervision with a named supervisor and maintain the Clinical Competency Validation Matrix record. Maintain NMC revalidation requirements and a current personal development plan. Support the induction and development of HCAs, students and new colleagues as appropriate. General terms Annual leave and sick leave in line with the practice's Terms and Conditions of Employment; NHS Pension Scheme membership available. Enhanced DBS clearance and satisfactory professional references are required before commencement. Health and safety responsibilities as set out in the practice Health and Safety Policy. This job description is not exhaustive and will be reviewed annually with the post holder as service needs develop.