Job summary
The post holder is an experienced Practice Nurse, who is responsible for ensuring the delivery of safe and effective patient care to the practice population using autonomous clinical skills and a broad in-depth theoretical knowledge base. The post holder will manage a diverse clinical case load, dealing with the presenting patients needs within a primary care setting. They will contribute to developing the nursing services offered by the practice. The practice nurse works independently and contributes to audit, research and supporting, implementing and evaluating local standards, policies, guidelines and care pathways. NMC requirements will be met, and the individual will work within the NMC Code of Conduct to agreed practice standards and protocols.
Dimensions
- The post holder is accountable for his/her own practice and will work independently managing their own clinical workload responding effectively to patient needs and ensuring patient choice and ease of access to services.
- To mentor and support other nurses and staff in developing and maintaining clinical skills.
- To participate in clinical supervision.
- To have an awareness of budgetary constraints and help make cost effective decisions.
- To use referral pathways for nurses as appropriate.
- To provide input and advice on evidence-based practice and care interventions within their sphere of knowledge.
Main duties of the job
Role-
Deliver highquality, evidencebased care by assessing, planning, implementing, and evaluating patient treatment programmes that support health and wellbeing. Contribute to nurseled services, including comprehensive chronic disease management across all QOF areas, while making autonomous, accountable clinical decisions. Interpret test results with patients and GPs, initiate appropriate treatment, conduct medication reviews, and provide tailored travel health advice. Administer child and adult immunisations in line with national and local schedules, maintain competence in anaphylaxis and resuscitation, and ensure safe vaccine storage, rotation, disposal, and stock management. Perform a wide range of clinical procedures including injections, venepuncture, BP monitoring, urinalysis, peak flow, pregnancy testing, wound management, stitch/clip removal, and cytology, while offering chaperone support when needed. Lead and support health screening initiatives, encourage individuals and families to improve wellbeing, and help the practice meet GMS quality and access targets. Maintain accurate NMCcompliant records, uphold data protection standards, and collaborate effectively within the multidisciplinary team. Promote learning for patients and colleagues, support teaching for students and HCAs, participate in clinical and team meetings, maintain professional development, engage with evidencebased guidelines, participate in audit and peer review, and work in line with the NMC Code.
About us
Eynsham Medical Group is a large, wellestablished GP practice serving more than 13,700 patients across the semirural communities of Eynsham, Long Hanborough, and the surrounding West Oxfordshire area, operating from its main site at Eynsham Medical Centre and a branch surgery in Long Hanborough. The practice provides comprehensive primary care services, including chronic disease management, routine GP and nurse appointments, dispensary services at both sites for eligible patients, and onsite pharmacy provision at the Long Hanborough surgery.
Job description
Job responsibilities
Primary Duties & Areas of Responsibility
Clinical Role
- Assess, plan, develop, implement and evaluate treatment programmes for patients that promote health and well-being.
- Help the practice develop and deliver specialist primary nurse led services, including chronic disease management (including for all areas of QOF). Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self-manage.
- Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care.
- Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated.
- Make appropriate referrals to other members of the primary, community and secondary care teams.
- Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team.
- Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations.
- Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained
- Undertake procedures including, I.M and subcutaneous injections, venepuncture, BP management, urinalysis, peak flow, pregnancy testing, stitch/clip removal, acute and chronic wound management and cytology.
- Provide support and chaperoning to clinicians as required.
- Promote health and well-being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc...
- Initiate and carry out programmes of health screening as agreed with the practice clinical team.
- Enables, supports and encourage individuals, families and groups to address issues which affect their health and social well-being.
- Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets.
- Participate in clinical supervision with an identified senior nurse.
- Maintain accurate records according to NMC rules.
- Ensure all data protection requirements are met when gathering, recording and storing patient data.
- Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system.
Undertake any additional training requirements deemed necessary for the success of the role.
Teaching & Mentoring Role
- Promote a learning environment for patients, nurses and other health professionals.
- Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants.
Professional Role
- Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, PLT meetings and nurse team meetings.
- Maintain a personal progress and training plan to keep up to date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses and appropriate.
- Promote evidence-based practice through use of the latest research-based guidelines.
- Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review.
- Maintain professional registration.
- Work within the latest NMC Code of Professional Conduct.
- Record accurate consultation data in patients records in accordance with NMC guidance and other standards.
- Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues both internally and externally.
- Demonstrate leadership.
- Pro-actively promote the role of specialist nursing expertise within the practice and with the public.
Managerial Support Role
- Participate in protocol development.
- Identify opportunities to delegate tasks to junior members of the nursing team.
- Help the practice develop in a cost-effective manner, monitoring and using resources appropriately e.g. stock control of dressings, vaccinations.
- Participate in practice meetings as required.
- Participate in audits and inspections as required.
- As part of the nursing team ensure all appropriate practice policies are fully implemented.
- Promotes effective communication, relationships and team working within the practice.
- Provides clinical educational advice to support development of the team and range of services provided.
- Partakes in clinical supervision for own development purposes.
- Facilitates and promotes the use of up-to-date technology to develop practice.
Job description
Job responsibilities
Primary Duties & Areas of Responsibility
Clinical Role
- Assess, plan, develop, implement and evaluate treatment programmes for patients that promote health and well-being.
- Help the practice develop and deliver specialist primary nurse led services, including chronic disease management (including for all areas of QOF). Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self-manage.
- Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care.
- Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated.
- Make appropriate referrals to other members of the primary, community and secondary care teams.
- Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team.
- Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations.
- Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained
- Undertake procedures including, I.M and subcutaneous injections, venepuncture, BP management, urinalysis, peak flow, pregnancy testing, stitch/clip removal, acute and chronic wound management and cytology.
- Provide support and chaperoning to clinicians as required.
- Promote health and well-being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc...
- Initiate and carry out programmes of health screening as agreed with the practice clinical team.
- Enables, supports and encourage individuals, families and groups to address issues which affect their health and social well-being.
- Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets.
- Participate in clinical supervision with an identified senior nurse.
- Maintain accurate records according to NMC rules.
- Ensure all data protection requirements are met when gathering, recording and storing patient data.
- Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system.
Undertake any additional training requirements deemed necessary for the success of the role.
Teaching & Mentoring Role
- Promote a learning environment for patients, nurses and other health professionals.
- Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants.
Professional Role
- Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, PLT meetings and nurse team meetings.
- Maintain a personal progress and training plan to keep up to date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses and appropriate.
- Promote evidence-based practice through use of the latest research-based guidelines.
- Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review.
- Maintain professional registration.
- Work within the latest NMC Code of Professional Conduct.
- Record accurate consultation data in patients records in accordance with NMC guidance and other standards.
- Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation.
- Work collaboratively with colleagues both internally and externally.
- Demonstrate leadership.
- Pro-actively promote the role of specialist nursing expertise within the practice and with the public.
Managerial Support Role
- Participate in protocol development.
- Identify opportunities to delegate tasks to junior members of the nursing team.
- Help the practice develop in a cost-effective manner, monitoring and using resources appropriately e.g. stock control of dressings, vaccinations.
- Participate in practice meetings as required.
- Participate in audits and inspections as required.
- As part of the nursing team ensure all appropriate practice policies are fully implemented.
- Promotes effective communication, relationships and team working within the practice.
- Provides clinical educational advice to support development of the team and range of services provided.
- Partakes in clinical supervision for own development purposes.
- Facilitates and promotes the use of up-to-date technology to develop practice.
Person Specification
Skills and Competencies
Essential
- Ability to assess, plan, implement, and evaluate patient treatment programmes.
- Strong clinical decisionmaking skills with the ability to work autonomously and safely.
- Excellent communication skills with patients, families, and multidisciplinary teams.
- Ability to provide travel health advice and health promotion support.
- High standard of clinical recordkeeping in line with NMC and data protection requirements.
- Ability to manage vaccine storage, rotation, disposal, and stock levels.
- Confidence in delivering health screening programmes.
- Skilled in supporting behaviour change and promoting patient selfmanagement.
- Ability to work effectively across a multidisciplinary team within the practice and wider system.
- Teaching & Mentoring Competence
- Ability to support student nurses, HCAs, medical students, and colleagues in training.
- Commitment to creating a positive learning environment.
- Professional Behaviours
- Commitment to evidencebased practice and quality improvement.
- Willingness to participate in supervision, peer review, and clinical audit.
- Professional, flexible, and proactive approach to workload and service needs.
- Reliable team player with strong interpersonal skills.
- Commitment to maintaining confidentiality and upholding data security standards.
- Willingness to attend practice meetings, PLT sessions, and relevant training events.
Experience
Essential
- Demonstrable experience in delivering autonomous, evidencebased patient care in a primary care
- Experience in chronic disease management, e.g., diabetes, asthma, COPD, hypertension.
- Competence in treatmentroom procedures including injections, venepuncture, BP monitoring, urinalysis, peak flow, pregnancy testing, wound care, stitch/clip removal, and cytology.
- Experience undertaking medication reviews and interpreting clinical test results.
- Experience administering childhood and adult vaccinations.
Qualifications
Essential
- Registered Nurse with valid NMC registration.
- Evidence of ongoing professional development and adherence to the NMC Code of Professional Conduct.
- Uptodate training in immunisation, anaphylaxis management, and basic life support/resuscitation.
Desirable
- Qualifications in chronic disease management (e.g., asthma diploma, diabetes course).
- Experience using EMIS or another primary care clinical system.
- Experience delivering group health education or screening programmes.
Person Specification
Skills and Competencies
Essential
- Ability to assess, plan, implement, and evaluate patient treatment programmes.
- Strong clinical decisionmaking skills with the ability to work autonomously and safely.
- Excellent communication skills with patients, families, and multidisciplinary teams.
- Ability to provide travel health advice and health promotion support.
- High standard of clinical recordkeeping in line with NMC and data protection requirements.
- Ability to manage vaccine storage, rotation, disposal, and stock levels.
- Confidence in delivering health screening programmes.
- Skilled in supporting behaviour change and promoting patient selfmanagement.
- Ability to work effectively across a multidisciplinary team within the practice and wider system.
- Teaching & Mentoring Competence
- Ability to support student nurses, HCAs, medical students, and colleagues in training.
- Commitment to creating a positive learning environment.
- Professional Behaviours
- Commitment to evidencebased practice and quality improvement.
- Willingness to participate in supervision, peer review, and clinical audit.
- Professional, flexible, and proactive approach to workload and service needs.
- Reliable team player with strong interpersonal skills.
- Commitment to maintaining confidentiality and upholding data security standards.
- Willingness to attend practice meetings, PLT sessions, and relevant training events.
Experience
Essential
- Demonstrable experience in delivering autonomous, evidencebased patient care in a primary care
- Experience in chronic disease management, e.g., diabetes, asthma, COPD, hypertension.
- Competence in treatmentroom procedures including injections, venepuncture, BP monitoring, urinalysis, peak flow, pregnancy testing, wound care, stitch/clip removal, and cytology.
- Experience undertaking medication reviews and interpreting clinical test results.
- Experience administering childhood and adult vaccinations.
Qualifications
Essential
- Registered Nurse with valid NMC registration.
- Evidence of ongoing professional development and adherence to the NMC Code of Professional Conduct.
- Uptodate training in immunisation, anaphylaxis management, and basic life support/resuscitation.
Desirable
- Qualifications in chronic disease management (e.g., asthma diploma, diabetes course).
- Experience using EMIS or another primary care clinical system.
- Experience delivering group health education or screening programmes.
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).
