Practice Nurse

Key Duties and Responsibilities Clinical Nursing Responsibilities The Practice Nurse will: Deliver high-quality, patient-centred nursing care to patients registered with the practice. Assess, plan, implement and evaluate individual patient care using evidence-based practice. Work within agreed clinical protocols, national guidance and practice policies. Maintain professional accountability for all aspects of nursing care delivered. Recognise deterioration in patients and escalate concerns appropriately to the GP or emergency services. Maintain accurate, contemporaneous and legally compliant clinical records using EMIS Web. Chronic Disease Management The post holder will independently manage and review patients with long-term conditions in accordance with national guidance, practice protocols and Quality and Outcomes Framework (QOF) requirements. This includes, but is not limited to: Diabetes reviews. Respiratory disease management (Asthma and COPD). Hypertension monitoring. Cardiovascular disease monitoring. Chronic disease annual reviews. Lifestyle interventions. Patient education and self-management support. Referral to other healthcare professionals where appropriate. Identification of patients requiring GP review. The Practice Nurse will ensure all consultations are appropriately coded to support QOF achievement and Enhanced Service requirements. Treatment Room Services Venepuncture/phlebotomy. Wound assessment and management. Dressing changes. Leg ulcer care. Removal of sutures and clips. ECG recordings. Blood pressure monitoring. Urinalysis. Peak flow monitoring. Spirometry (where trained and accredited). Height, weight and BMI assessment. NHS Health Checks. New patient health checks. Lifestyle screening. Womens Health Undertake cervical cytology in accordance with the National Cervical Screening Programme. Provide contraception advice within scope of practice. Support womens health clinics. Undertake menopause and HRT monitoring where appropriate and within competency. Provide breast awareness education. Signpost patients appropriately for specialist services. Immunisations and Vaccinations Administer childhood immunisations. Administer adult immunisations. Deliver seasonal influenza vaccination programmes. Administer COVID-19 vaccinations (where applicable). Administer pneumococcal, shingles, RSV and other routine vaccinations. Deliver travel vaccinations in accordance with current guidance and practice protocols. Maintain vaccine cold chain requirements. Ensure vaccine stock is monitored and stored safely. Work under Patient Group Directions (PGDs) and Patient Specific Directions (PSDs). Health Promotion and Prevention Promote healthy lifestyle choices. Deliver smoking cessation advice. Support weight management. Promote physical activity. Deliver cardiovascular disease prevention advice. Promote cancer screening uptake. Encourage vaccination uptake. Support patients to self-manage long-term conditions. Signpost patients to local community services where appropriate. Medicines Management Administer medications safely under PGDs or PSDs. Ensure medicines are administered safely and appropriately documented. Provide patient education regarding prescribed medications. Identify medication issues requiring GP review. Support safe medicines management within the practice. Infection Prevention and Control Maintain high standards of infection prevention and control. Prepare and maintain treatment rooms. Ensure equipment is cleaned and maintained appropriately. Undertake cleaning schedules where applicable. Maintain stock levels of clinical consumables. Participate in infection control audits. Report infection control concerns promptly. Quality Improvement and Clinical Governance Participate in clinical audit. Contribute to quality improvement projects. Support achievement of QOF targets. Support delivery of Enhanced Services. Participate in significant event reviews where appropriate. Assist with implementation of new clinical guidance. Support CQC compliance and inspections. Identify opportunities to improve patient services. Safeguarding Maintain safeguarding knowledge and competencies. Recognise safeguarding concerns affecting children and adults. Escalate safeguarding concerns appropriately. Participate in safeguarding meetings where required. Maintain accurate safeguarding documentation. Communication Develop positive therapeutic relationships with patients. Communicate effectively with patients, carers and relatives. Work collaboratively with the GP Partner, Healthcare Assistant and Practice Manager. Liaise with community nursing teams, hospitals, pharmacists and other healthcare professionals. Participate in multidisciplinary meetings where appropriate. Administrative Responsibilities Maintain accurate EMIS Web clinical records. Code consultations appropriately. Action pathology results within agreed protocols. Complete referrals to other services where appropriate. Process clinical documentation promptly. Maintain accurate recall systems where delegated. Contribute to data quality improvements. Professional Responsibilities Maintain current NMC registration. Work in accordance with the NMC Code. Maintain professional competence through Continuing Professional Development. Attend mandatory training. Participate in annual appraisal. Maintain competency within their scope of practice. Participate in clinical supervision and reflective practice where appropriate. Health and Safety Comply with all Health and Safety legislation. Report incidents and near misses. Maintain a safe working environment. Participate in fire safety procedures. Follow business continuity procedures during emergencies. Confidentiality and Information Governance Maintain strict patient confidentiality. Comply with UK GDPR. Adhere to Caldicott Principles. Ensure secure handling of patient information. Complete mandatory Information Governance training. General Responsibilities Work flexibly to meet the needs of the practice. Support colleagues during periods of annual leave and sickness. Attend practice meetings. Contribute to the continuous development of practice services. Promote equality, diversity and inclusion. Demonstrate the values and behaviours expected of the practice at all times. Undertake any other duties appropriate to the role and commensurate with the level of responsibility as requested by the GP Partner or Practice Manager. Job description Job responsibilities Key Duties and Responsibilities Clinical Nursing Responsibilities The Practice Nurse will: Deliver high-quality, patient-centred nursing care to patients registered with the practice. Assess, plan, implement and evaluate individual patient care using evidence-based practice. Work within agreed clinical protocols, national guidance and practice policies. Maintain professional accountability for all aspects of nursing care delivered. Recognise deterioration in patients and escalate concerns appropriately to the GP or emergency services. Maintain accurate, contemporaneous and legally compliant clinical records using EMIS Web. Chronic Disease Management The post holder will independently manage and review patients with long-term conditions in accordance with national guidance, practice protocols and Quality and Outcomes Framework (QOF) requirements. This includes, but is not limited to: Diabetes reviews. Respiratory disease management (Asthma and COPD). Hypertension monitoring. Cardiovascular disease monitoring. Chronic disease annual reviews. Lifestyle interventions. Patient education and self-management support. Referral to other healthcare professionals where appropriate. Identification of patients requiring GP review. The Practice Nurse will ensure all consultations are appropriately coded to support QOF achievement and Enhanced Service requirements. Treatment Room Services Venepuncture/phlebotomy. Wound assessment and management. Dressing changes. Leg ulcer care. Removal of sutures and clips. ECG recordings. Blood pressure monitoring. Urinalysis. Peak flow monitoring. Spirometry (where trained and accredited). Height, weight and BMI assessment. NHS Health Checks. New patient health checks. Lifestyle screening. Womens Health Undertake cervical cytology in accordance with the National Cervical Screening Programme. Provide contraception advice within scope of practice. Support womens health clinics. Undertake menopause and HRT monitoring where appropriate and within competency. Provide breast awareness education. Signpost patients appropriately for specialist services. Immunisations and Vaccinations Administer childhood immunisations. Administer adult immunisations. Deliver seasonal influenza vaccination programmes. Administer COVID-19 vaccinations (where applicable). Administer pneumococcal, shingles, RSV and other routine vaccinations. Deliver travel vaccinations in accordance with current guidance and practice protocols. Maintain vaccine cold chain requirements. Ensure vaccine stock is monitored and stored safely. Work under Patient Group Directions (PGDs) and Patient Specific Directions (PSDs). Health Promotion and Prevention Promote healthy lifestyle choices. Deliver smoking cessation advice. Support weight management. Promote physical activity. Deliver cardiovascular disease prevention advice. Promote cancer screening uptake. Encourage vaccination uptake. Support patients to self-manage long-term conditions. Signpost patients to local community services where appropriate. Medicines Management Administer medications safely under PGDs or PSDs. Ensure medicines are administered safely and appropriately documented. Provide patient education regarding prescribed medications. Identify medication issues requiring GP review. Support safe medicines management within the practice. Infection Prevention and Control Maintain high standards of infection prevention and control. Prepare and maintain treatment rooms. Ensure equipment is cleaned and maintained appropriately. Undertake cleaning schedules where applicable. Maintain stock levels of clinical consumables. Participate in infection control audits. Report infection control concerns promptly. Quality Improvement and Clinical Governance Participate in clinical audit. Contribute to quality improvement projects. Support achievement of QOF targets. Support delivery of Enhanced Services. Participate in significant event reviews where appropriate. Assist with implementation of new clinical guidance. Support CQC compliance and inspections. Identify opportunities to improve patient services. Safeguarding Maintain safeguarding knowledge and competencies. Recognise safeguarding concerns affecting children and adults. Escalate safeguarding concerns appropriately. Participate in safeguarding meetings where required. Maintain accurate safeguarding documentation. Communication Develop positive therapeutic relationships with patients. Communicate effectively with patients, carers and relatives. Work collaboratively with the GP Partner, Healthcare Assistant and Practice Manager. Liaise with community nursing teams, hospitals, pharmacists and other healthcare professionals. Participate in multidisciplinary meetings where appropriate. Administrative Responsibilities Maintain accurate EMIS Web clinical records. Code consultations appropriately. Action pathology results within agreed protocols. Complete referrals to other services where appropriate. Process clinical documentation promptly. Maintain accurate recall systems where delegated. Contribute to data quality improvements. Professional Responsibilities Maintain current NMC registration. Work in accordance with the NMC Code. Maintain professional competence through Continuing Professional Development. Attend mandatory training. Participate in annual appraisal. Maintain competency within their scope of practice. Participate in clinical supervision and reflective practice where appropriate. Health and Safety Comply with all Health and Safety legislation. Report incidents and near misses. Maintain a safe working environment. Participate in fire safety procedures. Follow business continuity procedures during emergencies. Confidentiality and Information Governance Maintain strict patient confidentiality. Comply with UK GDPR. Adhere to Caldicott Principles. Ensure secure handling of patient information. Complete mandatory Information Governance training. General Responsibilities Work flexibly to meet the needs of the practice. Support colleagues during periods of annual leave and sickness. Attend practice meetings. Contribute to the continuous development of practice services. Promote equality, diversity and inclusion. Demonstrate the values and behaviours expected of the practice at all times. Undertake any other duties appropriate to the role and commensurate with the level of responsibility as requested by the GP Partner or Practice Manager.