Job responsibilities
Job Title: Lead Nurse
Location: Queen Square Medical Practice
Reporting to:
Clinically: GP Partners
Managerially: Practice Director
Band & Salary: Equivalent to AfC Band7
(Based on experience)
Hours: Full-time, flexible working
(part-time considered)
Job Purpose
Provide clinical leadership and
management for the nursing team, ensuring safe, effective, evidence-based care
across long-term conditions LTCs, acute care, immunisations, and health
promotions.
Support practice and PCN
targets e.g. QOF, enhanced services, infection control.
Act as a senior member of the
practice management team, contributing to clinical governance and service
development.
Key Responsibilities1. Leadership & Team Management
Lead, mentor, appraise, and
develop the nursing team; coordinate rotas and workloads.
Chair nursing and governance
meetings; represent nursing at practice/PCN forums.
Foster a supportive,
learning-oriented culture and supervise clinical development of students, new
nurses.
2. Clinical Leadership & Service Delivery
Deliver and oversee LTC
management e.g. diabetes, asthma, CVD, including audits and QOF performance.
Lead immunisation and
vaccination programmes for adults/children and travel clinics.
Provide autonomous clinical
care including acute presentations, wound care, contraception, cytology and
prescribe within PGDs or as qualified.
Act as the practices Infection
Prevention & Control lead.
3. Clinical Governance & Quality Improvement
Interpret and implement
national guidelines NICE, NSF, audit clinical practice, and introduce
improvements.
Monitor and achieve performance
metrics QOF, LCS, PCN targets.
Ensure safe vaccine/drug
storage, minimise risk through robust infection control, and oversee
vaccination fridges.
4. Administration & Training
Maintain accurate, coded
clinical records Read/SNOMED, protecting patient confidentiality.
Manage nurse rotas, cover,
study leave; support appraisal and revalidation processes.
Provide training and
supervision to nurses, HCAs, students; support professional development.
5. Service Development & Collaboration
Identify opportunities to
extend nursing services e.g. respiratory diagnostic clinics, LD clinics.
Collaborate with PCN staff pharmacists, paramedics, social prescribers and external agencies.
Actively participate in
practice/PCN management decisions and strategy planning.
Experience Essential
Substantial experience in
primary care nursing chronic disease management, immunisations, etc.
Experience implementing
clinical guidelines, delivering QOF/LCS targets, and conducting audits.
Proven experience leading or
managing nursing or HCA staff, including appraisals.
Experience with infection
control and IPC lead role.
Experience Desirable
Data entry and working with
practice management systems.
Coordinating a nursing or
practice department; cross-site or PCN working.
Skills & Knowledge Essential
Clinical skills: wound care,
immunisations, cytology, ECGs, spirometry, venepuncture, minor procedures.
Strong leadership,
communication verbal & written, and mentoring skills.
Knowledge of primary care
contracting QOF, LCS, PCN, clinical governance, NICE/NSF guidelines.
Data analysis capability, audit
experience, and ability to implement changes effectively.
Personal Attributes
Motivated, flexible, and
responsive to change; solution-focused.
High standards of integrity, confidentiality,
and empathy.
Resilient, able to handle
pressure, and supportive of team wellbeing.
Additional Requirements
Enhanced DBS clearance.
Up-to-date clinical portfolio
and CPD, with evidence of reflective practice.
Willingness to travel if
multi-site or PCN, flexible working hours.
Why this role matters
A Lead Nurse is pivotal to the smooth
operation of general practice, leading on clinical excellence, achieving
quality outcomes, and driving innovation. As an advanced practitioner, they
bring a blend of clinical autonomy, management savvy, and hands-on care. Their
leadership supports both staff development and optimal patient care delivery.
