Lander Medical Practice

Lead Nurse

The closing date is 18 July 2025

Job summary

To manage the nursing team, providing visible clinical and professional leadership to ensure a high standard of general practice nursing is delivered by working collaboratively with the general practice team to meet the needs of patients.

The post holder will ensure the delivery of exceptionally high-quality, safe, effective, efficient, and patient-centred general practice nursing services within the practice. Working collaboratively with the general practice team, the Lead Nurse will meet the needs of patients, enhance service delivery, and contribute to the strategic development of nursing services.

The post holder will carry out clinical sessions within their scope of practice. This key leadership role demands advanced clinical expertise, strong team management skills, and the ability to contribute to quality governance and service improvement.

Main duties of the job

Clinical Leadership and Management

To lead, manage and deliver a range of practice nursing services, including long term condition management, health assessments, cytology and immunisations.

To be accountable for the nursing team on a day-to-day basis providing clinical leadership, mentorship and support to ensure the delivery of safe, effective and patient-centred care.

Foster a learning environment, supporting the training and development of the nursing team, nursing and medical students, including clinical supervision where appropriate.

Lead the recruitment, induction, performance monitoring, appraisals, and 1:1s for the nursing team.

About us

We are a very busy GP practice with 8 GP partners and 3 salaried GPs, with a patient list size of 19,500 patients, covering two sites. Our Physiotherapy team consists of 3 Physiotherapists with dedicated administrative support. We work closely with our neighbouring practice within the building as a PCN and have ARRS roles working with us including a Clinical Pharmacists and Paramedics. The Physiotherapy team work closely together within the Truro Health Park with a physiotherapy treatment room and shared gymnasium. We may provide clinics at our satellite surgery at Threemilestone as our service expands.

Details

Date posted

20 June 2025

Pay scheme

Other

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A1592-25-0011

Job locations

Infirmary Hill

Truro

Cornwall

TR1 2JA


Lander Medical Practice

Pengelly Way

Threemilestone

Truro

Cornwall

TR3 6DP


Job description

Job responsibilities

Quality, Governance and Service Development

To lead on ensuring the nursing services are compliant with CQC and other regulatory authoritys requirements.

Lead quality improvement initiatives within the nursing service, oversee clinical audits, ensuring compliance with clinical guidelines and standards.

Contribute to the development, implementation, and review of practice policies, procedures, and protocols related to nursing and patient care and ensure these are up-to-date and used appropriately by the team

Support the implementation and monitoring of QOF, IIF and local incentive schemes.

To contribute ideas to the Senior Leadership Team regarding national working, strategy, and planning.

To support the clinical risk review activities and quality governance at Lander Medical Practice.

Collaboration and Communication

To work collaboratively with GPs, healthcare professionals and administrative staff to ensure integrated and coordinated care for patients

Represent the nursing team in practice meetings and contribute to wider organisational objectives.

Develop and maintain effective communication channels within the nursing team and across practice sites.

Clinical

To see patients, face to face and perform clinical assessment, diagnosis (where possible), and treatment (where appropriate) for patients and refer to other clinicians as appropriate.

To maintain accurate computerised clinical records of every contact, including history, examination, plan of care, advice given and recommended follow up. This includes documenting any adverse event, safeguarding child or vulnerable adult issue or other notifiable matter.

Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition.

Proactively identify and manage treatment plans for patients at risk of developing a long-term condition as appropriate.

Work with other health care professionals to monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and to refer on as needed.

Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols.

Work with patients to support adherence to prescribed treatments.

Work within patient group directions/ patient specific directions in collaboration with GPs and other primary care nurses to meet the needs of patients.

Support patients to adopt health promotion strategies that promote patients to live healthily and apply principles of self-care.

Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.

To be aware of and work within the Clinical Code of Conduct and performance framework for the Care Quality Commission and the National Quality Requirements.

Continue to develop, expand and role model own personal clinical expertise.

Specialist Responsibilities Infection Prevention Champion

To undertake the Infection Prevention Champion Role with the aim of helping create and maintain an environment which promotes and improves the safety of patients, service users, staff and visitors in relation to infection prevention and control (IPC). To translate IPC policy into practice and support and advise team/service area colleagues on IPC matters.

To act as a resource and a point of contact for colleagues who require support and guidance with IPC issues.

To cascade/disseminate IPC information received to colleagues within their teams.

Able to challenge poor practice and empower others to provide services safely

To maintain an awareness of the organisations policy and procedures in relation to IPC

To be aware of own limitations and seek further clarification/support from the organisations IPC lead.

To encourage colleagues to recognise and be aware of the risks within their area and communicate these as appropriate to line manager and safeguarding leads.

To undertake a programme of IPC audits and work with the service to deliver resulting action.

Equality and Diversity

Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in good practice relating to equality and diversity

Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care

General Practice is an ever-changing service, and all staff are expected to participate constructively in Practice activities and to adopt a flexible approach to their work.

This job description will be reviewed annually during the appraisal process and will be varied in the light of the business needs of the Practice.

The job description sets out the main duties of the post at the date when it was drawn up. Such duties may vary from time to time without changing the general character of the post or the level of responsibility entailed. Such variations are a common occurrence and cannot of themselves justify a reconsideration of the grading of the post

Job description

Job responsibilities

Quality, Governance and Service Development

To lead on ensuring the nursing services are compliant with CQC and other regulatory authoritys requirements.

Lead quality improvement initiatives within the nursing service, oversee clinical audits, ensuring compliance with clinical guidelines and standards.

Contribute to the development, implementation, and review of practice policies, procedures, and protocols related to nursing and patient care and ensure these are up-to-date and used appropriately by the team

Support the implementation and monitoring of QOF, IIF and local incentive schemes.

To contribute ideas to the Senior Leadership Team regarding national working, strategy, and planning.

To support the clinical risk review activities and quality governance at Lander Medical Practice.

Collaboration and Communication

To work collaboratively with GPs, healthcare professionals and administrative staff to ensure integrated and coordinated care for patients

Represent the nursing team in practice meetings and contribute to wider organisational objectives.

Develop and maintain effective communication channels within the nursing team and across practice sites.

Clinical

To see patients, face to face and perform clinical assessment, diagnosis (where possible), and treatment (where appropriate) for patients and refer to other clinicians as appropriate.

To maintain accurate computerised clinical records of every contact, including history, examination, plan of care, advice given and recommended follow up. This includes documenting any adverse event, safeguarding child or vulnerable adult issue or other notifiable matter.

Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition.

Proactively identify and manage treatment plans for patients at risk of developing a long-term condition as appropriate.

Work with other health care professionals to monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and to refer on as needed.

Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols.

Work with patients to support adherence to prescribed treatments.

Work within patient group directions/ patient specific directions in collaboration with GPs and other primary care nurses to meet the needs of patients.

Support patients to adopt health promotion strategies that promote patients to live healthily and apply principles of self-care.

Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.

To be aware of and work within the Clinical Code of Conduct and performance framework for the Care Quality Commission and the National Quality Requirements.

Continue to develop, expand and role model own personal clinical expertise.

Specialist Responsibilities Infection Prevention Champion

To undertake the Infection Prevention Champion Role with the aim of helping create and maintain an environment which promotes and improves the safety of patients, service users, staff and visitors in relation to infection prevention and control (IPC). To translate IPC policy into practice and support and advise team/service area colleagues on IPC matters.

To act as a resource and a point of contact for colleagues who require support and guidance with IPC issues.

To cascade/disseminate IPC information received to colleagues within their teams.

Able to challenge poor practice and empower others to provide services safely

To maintain an awareness of the organisations policy and procedures in relation to IPC

To be aware of own limitations and seek further clarification/support from the organisations IPC lead.

To encourage colleagues to recognise and be aware of the risks within their area and communicate these as appropriate to line manager and safeguarding leads.

To undertake a programme of IPC audits and work with the service to deliver resulting action.

Equality and Diversity

Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in good practice relating to equality and diversity

Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care

General Practice is an ever-changing service, and all staff are expected to participate constructively in Practice activities and to adopt a flexible approach to their work.

This job description will be reviewed annually during the appraisal process and will be varied in the light of the business needs of the Practice.

The job description sets out the main duties of the post at the date when it was drawn up. Such duties may vary from time to time without changing the general character of the post or the level of responsibility entailed. Such variations are a common occurrence and cannot of themselves justify a reconsideration of the grading of the post

Person Specification

Qualifications

Essential

  • Registered General Nurse (RGN) qualification with valid NMC registration, with evidence of up-to-date practice.
  • Proven experience in team management/leadership

Desirable

  • Accredited training in chronic diseases management
  • Leadership/Management qualification
  • Mentor/teaching/facilitator qualification
  • Independent Nurse Prescriber qualification

Experience

Essential

  • Proven experience in working in primary care
  • Experience with vaccinations and Cytology
  • Proven experience in team management/leadership
  • Sound understanding of health and safety policies and procedures
  • Experience of working within an effective inter-agency working environment
  • Experience of chronic disease management
  • In depth knowledge and understanding of primary and community health care
  • Understanding of relevant clinical terminology
  • Sound understanding and knowledge of clinical governance
  • Proven experience of working within the NMC code of conduct
  • Competence in long term condition management particularly asthma and COPD
  • Strong organisational skills with the ability to prioritise tasks
  • Understanding of clinical coding
  • Clear written and verbal communication skills
  • Able to adapt to an ever-evolving work environment
  • Good judgement and decision-making skills, able to make decisions with the correct information in the absence of management
  • Able to work collaboratively as part of the Nursing team, and the wider general practice team

Desirable

  • Experience of clinical supervision and training
Person Specification

Qualifications

Essential

  • Registered General Nurse (RGN) qualification with valid NMC registration, with evidence of up-to-date practice.
  • Proven experience in team management/leadership

Desirable

  • Accredited training in chronic diseases management
  • Leadership/Management qualification
  • Mentor/teaching/facilitator qualification
  • Independent Nurse Prescriber qualification

Experience

Essential

  • Proven experience in working in primary care
  • Experience with vaccinations and Cytology
  • Proven experience in team management/leadership
  • Sound understanding of health and safety policies and procedures
  • Experience of working within an effective inter-agency working environment
  • Experience of chronic disease management
  • In depth knowledge and understanding of primary and community health care
  • Understanding of relevant clinical terminology
  • Sound understanding and knowledge of clinical governance
  • Proven experience of working within the NMC code of conduct
  • Competence in long term condition management particularly asthma and COPD
  • Strong organisational skills with the ability to prioritise tasks
  • Understanding of clinical coding
  • Clear written and verbal communication skills
  • Able to adapt to an ever-evolving work environment
  • Good judgement and decision-making skills, able to make decisions with the correct information in the absence of management
  • Able to work collaboratively as part of the Nursing team, and the wider general practice team

Desirable

  • Experience of clinical supervision and training

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lander Medical Practice

Address

Infirmary Hill

Truro

Cornwall

TR1 2JA


Employer's website

https://www.landermedicalpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Lander Medical Practice

Address

Infirmary Hill

Truro

Cornwall

TR1 2JA


Employer's website

https://www.landermedicalpractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Practice Manager

Lisa Mason

lisa.mason5@nhs.net

01872243700

Details

Date posted

20 June 2025

Pay scheme

Other

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A1592-25-0011

Job locations

Infirmary Hill

Truro

Cornwall

TR1 2JA


Lander Medical Practice

Pengelly Way

Threemilestone

Truro

Cornwall

TR3 6DP


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Lander Medical Practice's privacy notice (opens in a new tab)