Francis Grove Surgery

Lead Practice Nurse

The closing date is 02 June 2025

Job summary

Come and join our lovely team at Francis Grove Surgery in our ewly renovated premises. The post holder will be covering maternity leave and will be responsible for ensuring the delivery of safe and effective nursing care to the practice population. They will lead and manage the nursing resource, working closely with the practice management and GPs to deliver the practice priorities. Clinically, the focus of the role is the delivery of evidence-based practice for patients with long-term conditions and management and preventative nursing interventions to all patients. The Nurse Lead holds joint responsibility for ensuring the practice achieves its full potential for QOF, PCN targets and other locally enhanced services involving nursing care. As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making. They will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership and direction for the nursing team. The Nurse lead will be part of the Senior Management Team.

Main duties of the job

The Lead Nurse delivers Long Term Condition management as well as the full range of primary care nursing duties. They each have areas of practice that they lead in for example Diabetes, childhood imms, Asthma etc . They ensure plans are in place to ensure all relevant staff are trained appropriately and patients get the best possible care.

The Lead Nurse is a CQC lead, ensuring services provided by the nurse team are effective, safe, responsive, caring and well-led. They take responsibility for ensuring all relevant policies, procedures, risk assessment and best practice is following within the nurse team and the wider team for some areas.

The Lead nurse manages and appraises the nurse team, works closely with PCN staff such as pharmacists, Paramedics, social prescribers who deliver aspects of QOF/other targets.

The role ensures regular team and clinical meetings, they attend the practice governance meetings and support staff to attend relevant forums and training.

Ensure effective use of nursing appointments and that what is offered meets the needs of patients. Ensure we are utilising staff time in the best possible way.

Ensure all duties under the remit of the nursing team are undertaken.

Plan and Implement annual programmes and new PCN requirements or locally enhanced services that are relevant to the nurse team.

About us

Francis Grove Surgery is an established, well-regarded PMS GP practice, doing our best to keep traditional family general practice at core of how we work, whilst embracing change and innovation. We are based in the heart of Wimbledon, only a few minutes from Wimbledon station and the high street with a list size of 14,700 patients.

The practice is part of the West Merton PCN, which is made up of us and one other practice. We have a productive working relationship and do our best to utilise resources and funding effectively to increase capacity and staff and patient satisfaction.

It is a great team to work within, very supportive, friendly and dedicated. The team are well respected within the wider practice team and are central to the practice delivering excellent service to the patients.

Date posted

13 May 2025

Pay scheme

Other

Salary

£45,000 to £50,000 a year Prorata if not full time

Contract

Fixed term

Duration

10 months

Working pattern

Full-time, Part-time, Flexible working

Reference number

A2332-25-0001

Job locations

8 Francis Grove

Wimbledon

London

SW19 4DL

Job description

Job responsibilities

The following are the core responsibilities of the Lead Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

a. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager

b. To produce the IPC annual statement in conjunction with the practice manager

c. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice

d. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice

e. To develop, implement and embed health promotion and wellbeing programmes

f. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing

g. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health

h. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF

i. As required, to diagnose and manage acute and chronic conditions

j. To prescribe medication for patients in accordance with PGDs and own scope of practice

k. To review patient medications to enhance compliance

l. To provide guidance to patients on the use of prescribed and over-the-counter medications regarding side effects and dosages

m. To co-ordinate the provision of travel medicine services

n. To request pathology services and process pathology results as required

o. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required

p. To maintain accurate clinical records in conjunction with extant legislation

q. To ensure SNOMED CT codes are used effectively by all members of the nursing team

r. To ensure the appropriate use of chronic disease registers

s. To develop, implement, embed and participate in well woman clinics

t. To develop, implement, embed and participate in well man clinics

u. To ensure compliance with the practice chaperone policy

v. To assist GPs with minor surgery when required

w. To prioritise health issues and intervene appropriately

x. To support the team in dealing with clinical emergencies

y. To recognise, assess and refer patients presenting with mental health needs

z. To implement vaccination programmes for adults and children

aa. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

bb. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

cc. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)

dd. To support the clinical team with all safeguarding matters, in accordance with local and national policies

ee. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

ff. To deliver opportunistic health promotion where appropriate

In addition to the primary responsibilities, the Lead Practice Nurse may be requested to:

a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle

b. Develop, review and implement nursing protocols in conjunction with the partners

c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required

d. Participate in local initiatives to enhance service delivery and patient care

e. Support and participate in shared learning within the practice in order to improve patient care

f. Continually review clinical practices, responding to national policies and initiatives where appropriate

g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)

h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs

i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients

j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation