Pelham Medical Practice

Nursing Associate

The closing date is 18 March 2026

Job summary

The Nursing Associate is a key member of the multidisciplinary team within the GP Practice, delivering high-quality, person-centred care under the direction and supervision of a Registered Nurse and/or GP.

The role bridges the gap between a Healthcare Assistant and a Registered Nurse, contributing to clinical care, health promotion, chronic disease management, immunisation programmes, and practice-wide quality improvement initiatives. The Nursing Associate works within their scope of practice in accordance with the Nursing and Midwifery Council (NMC) Code.

Main duties of the job

The Nursing Associate will:

  • Undertake and record clinical observations including blood pressure, pulse, temperature, oxygen saturation, height, weight, BMI and urinalysis.
  • Perform venepuncture, capillary blood sampling and other diagnostic procedures.
  • Carry out ECGs.
  • Deliver wound care including dressings, suture removal and basic wound assessment.
  • Administer injections as delegated and within scope of practice.
  • Support chronic disease monitoring (e.g. asthma, COPD, diabetes, hypertension) under supervision.
  • Support patients with long-term conditions, including those with complex needs such as dementia and mental health conditions.
  • Undertake NHS Health Checks.
  • Carry out cervical cytology (if trained and competent).
  • Administer vaccinations and immunisations under Patient Group Directions (PGDs) or Patient Specific Directions (PSDs), including childhood immunisations (if appropriately trained and assessed as competent).
  • Undertake home visits for housebound patients for annual reviews, vaccinations and monitoring as delegated.
  • Recognise and respond appropriately to deteriorating patients or safeguarding concerns.

About us

Pelham Medical Practice provides NHS GP services to a registered patient population and operates across two sites in Gravesend. The clinical team includes GP partners, salaried GPs, nurses, healthcare assistants, and allied roles such as clinical pharmacists and mental health practitioners.

Details

Date posted

04 March 2026

Pay scheme

Agenda for change

Band

Band 4

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A4173-26-0002

Job locations

The Grange

17 Pelham Road

Gravesend

Kent

DA11 0HN


St. Gregorys Surgery

116 St. Gregorys Crescent

Gravesend

Kent

DA12 4JW


Job description

Job responsibilities

JOB DESCRIPTION

NURSING ASSOCIATE

Reports To: Lead Practice Nurse / GP Partner

Accountable To: Practice Manager / GP Partners

Location: Pelham Medical Practice / St Gregorys Medical Practice

Hours: (Full-time / Part-time)

Job Summary

The Nursing Associate is a key member of the multidisciplinary team within the GP Practice, delivering high-quality, person-centred care under the direction and supervision of a Registered Nurse and/or GP.

The role bridges the gap between a Healthcare Assistant and a Registered Nurse, contributing to clinical care, health promotion, chronic disease management, immunisation programmes, and practice-wide quality improvement initiatives. The Nursing Associate works within their scope of practice in accordance with the Nursing and Midwifery Council (NMC) Code.

Key Duties and Responsibilities

1. Clinical Practice

The Nursing Associate will:

  • Undertake and record clinical observations including blood pressure, pulse, temperature, oxygen saturation, height, weight, BMI and urinalysis.
  • Perform venepuncture, capillary blood sampling and other diagnostic procedures.
  • Carry out ECGs.
  • Deliver wound care including dressings, suture removal and basic wound assessment.
  • Administer injections as delegated and within scope of practice.
  • Support chronic disease monitoring (e.g. asthma, COPD, diabetes, hypertension) under supervision.
  • Support patients with long-term conditions, including those with complex needs such as dementia and mental health conditions.
  • Undertake NHS Health Checks.
  • Carry out cervical cytology (if trained and competent).
  • Administer vaccinations and immunisations under Patient Group Directions (PGDs) or Patient Specific Directions (PSDs), including childhood immunisations (if appropriately trained and assessed as competent).
  • Undertake home visits for housebound patients for annual reviews, vaccinations and monitoring as delegated.
  • Recognise and respond appropriately to deteriorating patients or safeguarding concerns.

2. Health Promotion & Patient Education

  • Provide evidence-based lifestyle advice (smoking cessation, weight management, alcohol awareness, physical activity).
  • Promote self-management of long-term conditions.
  • Signpost patients to appropriate services.
  • Support national and local public health initiatives.

3. Clinical Governance & Quality

  • Maintain accurate, contemporaneous patient records in line with practice policy.
  • Support Quality and Outcomes Framework (QOF) achievement.
  • Participate in audit, data collection and quality improvement activities.
  • Contribute to infection prevention and control procedures.
  • Adhere to CQC standards and practice policies.
  • Participate in significant event analysis and learning reviews.
  • Maintain cold chain compliance for vaccines.

4. Safeguarding

  • Adhere to safeguarding policies for children and vulnerable adults.
  • Recognise signs of abuse or neglect and escalate appropriately.
  • Maintain up-to-date safeguarding training as required for the role.

5. Team Working

  • Work collaboratively with GPs, Practice Nurses, Healthcare Assistants, Pharmacists, Social Prescribers and other members of the multidisciplinary team.
  • Communicate effectively regarding patient care and escalate concerns appropriately.
  • Support and mentor Healthcare Assistants and Trainee Nursing Associates where appropriate.
  • Attend and contribute to practice meetings.

6. Professional Responsibilities

  • Maintain active registration with the Nursing and Midwifery Council (NMC).
  • Work within the NMC Code and scope of professional practice.
  • Maintain revalidation requirements.
  • Participate in annual appraisal and personal development planning.
  • Undertake mandatory training including:
    • Basic Life Support
    • Safeguarding (Children & Adults)
    • Infection Prevention & Control
    • Information Governance
    • Fire Safety
    • Equality & Diversity

7. Information Governance & Confidentiality

  • Ensure compliance with UK GDPR and Data Protection legislation.
  • Maintain strict patient confidentiality at all times.
  • Use clinical systems accurately and securely.

8. Equality, Diversity & Inclusion

  • Provide care that is non-discriminatory and culturally sensitive.
  • Promote equality and respect within the workplace and patient population.

Job description

Job responsibilities

JOB DESCRIPTION

NURSING ASSOCIATE

Reports To: Lead Practice Nurse / GP Partner

Accountable To: Practice Manager / GP Partners

Location: Pelham Medical Practice / St Gregorys Medical Practice

Hours: (Full-time / Part-time)

Job Summary

The Nursing Associate is a key member of the multidisciplinary team within the GP Practice, delivering high-quality, person-centred care under the direction and supervision of a Registered Nurse and/or GP.

The role bridges the gap between a Healthcare Assistant and a Registered Nurse, contributing to clinical care, health promotion, chronic disease management, immunisation programmes, and practice-wide quality improvement initiatives. The Nursing Associate works within their scope of practice in accordance with the Nursing and Midwifery Council (NMC) Code.

Key Duties and Responsibilities

1. Clinical Practice

The Nursing Associate will:

  • Undertake and record clinical observations including blood pressure, pulse, temperature, oxygen saturation, height, weight, BMI and urinalysis.
  • Perform venepuncture, capillary blood sampling and other diagnostic procedures.
  • Carry out ECGs.
  • Deliver wound care including dressings, suture removal and basic wound assessment.
  • Administer injections as delegated and within scope of practice.
  • Support chronic disease monitoring (e.g. asthma, COPD, diabetes, hypertension) under supervision.
  • Support patients with long-term conditions, including those with complex needs such as dementia and mental health conditions.
  • Undertake NHS Health Checks.
  • Carry out cervical cytology (if trained and competent).
  • Administer vaccinations and immunisations under Patient Group Directions (PGDs) or Patient Specific Directions (PSDs), including childhood immunisations (if appropriately trained and assessed as competent).
  • Undertake home visits for housebound patients for annual reviews, vaccinations and monitoring as delegated.
  • Recognise and respond appropriately to deteriorating patients or safeguarding concerns.

2. Health Promotion & Patient Education

  • Provide evidence-based lifestyle advice (smoking cessation, weight management, alcohol awareness, physical activity).
  • Promote self-management of long-term conditions.
  • Signpost patients to appropriate services.
  • Support national and local public health initiatives.

3. Clinical Governance & Quality

  • Maintain accurate, contemporaneous patient records in line with practice policy.
  • Support Quality and Outcomes Framework (QOF) achievement.
  • Participate in audit, data collection and quality improvement activities.
  • Contribute to infection prevention and control procedures.
  • Adhere to CQC standards and practice policies.
  • Participate in significant event analysis and learning reviews.
  • Maintain cold chain compliance for vaccines.

4. Safeguarding

  • Adhere to safeguarding policies for children and vulnerable adults.
  • Recognise signs of abuse or neglect and escalate appropriately.
  • Maintain up-to-date safeguarding training as required for the role.

5. Team Working

  • Work collaboratively with GPs, Practice Nurses, Healthcare Assistants, Pharmacists, Social Prescribers and other members of the multidisciplinary team.
  • Communicate effectively regarding patient care and escalate concerns appropriately.
  • Support and mentor Healthcare Assistants and Trainee Nursing Associates where appropriate.
  • Attend and contribute to practice meetings.

6. Professional Responsibilities

  • Maintain active registration with the Nursing and Midwifery Council (NMC).
  • Work within the NMC Code and scope of professional practice.
  • Maintain revalidation requirements.
  • Participate in annual appraisal and personal development planning.
  • Undertake mandatory training including:
    • Basic Life Support
    • Safeguarding (Children & Adults)
    • Infection Prevention & Control
    • Information Governance
    • Fire Safety
    • Equality & Diversity

7. Information Governance & Confidentiality

  • Ensure compliance with UK GDPR and Data Protection legislation.
  • Maintain strict patient confidentiality at all times.
  • Use clinical systems accurately and securely.

8. Equality, Diversity & Inclusion

  • Provide care that is non-discriminatory and culturally sensitive.
  • Promote equality and respect within the workplace and patient population.

Person Specification

Qualifications

Essential

  • Experience working in a healthcare setting (Primary Care desirable).
  • Experience undertaking clinical observations and basic clinical procedures.
  • Experience working within a multidisciplinary team.
  • Nursing Associate Foundation Degree.
  • Active NMC registration.
  • Evidence of continuing professional development.

Desirable

  • Primary Care experience.
  • Cytology training.
  • Childhood immunisation training.
  • Experience supporting long-term condition management.
  • Experience with clinical system - EMIS
Person Specification

Qualifications

Essential

  • Experience working in a healthcare setting (Primary Care desirable).
  • Experience undertaking clinical observations and basic clinical procedures.
  • Experience working within a multidisciplinary team.
  • Nursing Associate Foundation Degree.
  • Active NMC registration.
  • Evidence of continuing professional development.

Desirable

  • Primary Care experience.
  • Cytology training.
  • Childhood immunisation training.
  • Experience supporting long-term condition management.
  • Experience with clinical system - EMIS

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

Pelham Medical Practice

Address

The Grange

17 Pelham Road

Gravesend

Kent

DA11 0HN


Employer's website

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

Employer details

Employer name

Pelham Medical Practice

Address

The Grange

17 Pelham Road

Gravesend

Kent

DA11 0HN


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Tina Khanna

gp.g82032@nhs.net

01474355331

Details

Date posted

04 March 2026

Pay scheme

Agenda for change

Band

Band 4

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A4173-26-0002

Job locations

The Grange

17 Pelham Road

Gravesend

Kent

DA11 0HN


St. Gregorys Surgery

116 St. Gregorys Crescent

Gravesend

Kent

DA12 4JW


Privacy notice

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