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Orchard Surgery

Lead Practice Nurse

The closing date is 05 May 2026

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Job summary

We are looking for a dynamic experienced Practice Nurse to take on the role of Lead nurse in this community based village surgery. We are a friendly, supportive team of 4 Partners, 4 salaried GP's, 1 Practice Nurse and 3 Health Care Assistants. The clinical team meet daily for coffee and monthly clinical meetings are supported by an experienced admin team.

Main duties of the job

You will be responsible for the delivery of safe, effective and evidence based nursing care. You will be expected to work collaboratively with the GP Partners and the Practice Manager, with your main responsibility being the provision of clear leadership to the nursing team. You are to ensure a high quality patient centred service, whilst contributing to service development, clinical governance and quality improvement.

You will be expected to lead the nurse clinics on diabetes ( and asthma and COPD if keen). You will provide immunisations, vaccinations, cervical cytology and wound care, along with health promotion and wellbeing for those with /or at risk of long-term conditions. You will lead the team in planning and implementing local guidance, protocols and standards, whilst leading on QOF and the delivery of LTC management.

About us

You will be supported by an experience Practice Nurse, along with three very competent Health Care Assistants. The team works very well together, ensuring that our patients get the best care possible. All have developed good relationships with the patients, many of whom have been with the surgery for a long time.

The Nursing team work collaboratively with the GP's , attending and taking an active part in clinical meetings. They are supported by an experienced administrative team. We aim to provide as much continuity of care, enabling patients to build up a relationship with the team as much as possible.

The hours are flexible - we are looking for a minimum of 27 hours a week

Details

Date posted

07 April 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A5602-26-0001

Job locations

Orchard Surgery

New Road

Melbourn

Royston

Hertfordshire

SG8 6BX


Job description

Job responsibilities

Main duties:

Clinical:

Lead the nurse led clinics on diabetes, (and asthma, COPD if keen)

Provide immunisations, vaccinations, cervical cytology, wound care,

Responsible for the infection control protocols

Meet the patients needs presenting for wound care

Health promotion and wellbeing plus individual plans for patients with/at risk of a long-term condition

Leadership/Managerial:

Be the clinical lead in the delivery of Practice nursing services to patients, ensuring that the needs of the patient are the priority

Lead the nursing team in the planning, implementing the local guidance, protocols and standards.

Lead on QOF and the delivery for LTC management, maximising income

Attend and participate in Practical Clinical and Educational meetings as required

Delivery of a quality service

Plan and manage the nurse appointments and rotas

Interpret national strategies and policies in local implementation strategies that are aligned to the values and culture of general practice

Monitor the performance of the nursing team

Prioritise, organise, and manage own and others workload in a way that maintains and promotes quality

Lead on infection control within the practice

Professional:

Maintain NMC registration and CPD

Adhere to all mandatory training requirements

Job description

Job responsibilities

Main duties:

Clinical:

Lead the nurse led clinics on diabetes, (and asthma, COPD if keen)

Provide immunisations, vaccinations, cervical cytology, wound care,

Responsible for the infection control protocols

Meet the patients needs presenting for wound care

Health promotion and wellbeing plus individual plans for patients with/at risk of a long-term condition

Leadership/Managerial:

Be the clinical lead in the delivery of Practice nursing services to patients, ensuring that the needs of the patient are the priority

Lead the nursing team in the planning, implementing the local guidance, protocols and standards.

Lead on QOF and the delivery for LTC management, maximising income

Attend and participate in Practical Clinical and Educational meetings as required

Delivery of a quality service

Plan and manage the nurse appointments and rotas

Interpret national strategies and policies in local implementation strategies that are aligned to the values and culture of general practice

Monitor the performance of the nursing team

Prioritise, organise, and manage own and others workload in a way that maintains and promotes quality

Lead on infection control within the practice

Professional:

Maintain NMC registration and CPD

Adhere to all mandatory training requirements

Person Specification

Qualifications

Essential

  • 1st Level Registered Nurse (RGN/RN).
  • Current Nursing and Midwifery Council (NMC) PIN.
  • Enhanced DBS clearance.
  • Evidence of ongoing professional development.

Desirable

  • Specialist diplomas/modules in chronic diseases (Diabetes, Asthma, COPD).
  • Experience in developing protocols and clinical guidelines.
  • Travel medicine qualifications.
  • Independent nurse prescriber.

Experience

Essential

  • Minimum 5 years post-registration experience.
  • At least 2 years recent experience in a primary care/general practice setting.
  • Advanced clinical skills: Cervical cytology, immunisation and vaccination, wound management, and minor illness assessment.
  • Strong leadership, team management, and mentoring capabilities.
  • Ability to lead on infection control and clinical audit.
  • Ability to manage and prioritise workload under pressure.
  • Confident, polite, and empathetic communicator.
  • Forward-thinking with ability to implement change and improve services.
  • High levels of integrity and a commitment to team effort.
  • Strong IT skills including SystmOne

Desirable

  • Experience in chronic disease management (e.g., Asthma, COPD, Diabetes).
  • Knowledge of Patient Group Directions (PGDs) and clinical governance.
  • Understanding of health promotion strategies and public health issues.
  • Experience in protocol / SOP writing
Person Specification

Qualifications

Essential

  • 1st Level Registered Nurse (RGN/RN).
  • Current Nursing and Midwifery Council (NMC) PIN.
  • Enhanced DBS clearance.
  • Evidence of ongoing professional development.

Desirable

  • Specialist diplomas/modules in chronic diseases (Diabetes, Asthma, COPD).
  • Experience in developing protocols and clinical guidelines.
  • Travel medicine qualifications.
  • Independent nurse prescriber.

Experience

Essential

  • Minimum 5 years post-registration experience.
  • At least 2 years recent experience in a primary care/general practice setting.
  • Advanced clinical skills: Cervical cytology, immunisation and vaccination, wound management, and minor illness assessment.
  • Strong leadership, team management, and mentoring capabilities.
  • Ability to lead on infection control and clinical audit.
  • Ability to manage and prioritise workload under pressure.
  • Confident, polite, and empathetic communicator.
  • Forward-thinking with ability to implement change and improve services.
  • High levels of integrity and a commitment to team effort.
  • Strong IT skills including SystmOne

Desirable

  • Experience in chronic disease management (e.g., Asthma, COPD, Diabetes).
  • Knowledge of Patient Group Directions (PGDs) and clinical governance.
  • Understanding of health promotion strategies and public health issues.
  • Experience in protocol / SOP writing

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

Orchard Surgery

Address

Orchard Surgery

New Road

Melbourn

Royston

Hertfordshire

SG8 6BX


Employer's website

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

Employer details

Employer name

Orchard Surgery

Address

Orchard Surgery

New Road

Melbourn

Royston

Hertfordshire

SG8 6BX


Employer's website

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

Employer contact details

For questions about the job, contact:

Practice Manager

Katrina Skarsten

katrina.skarsten1@nhs.net

01763260220

Details

Date posted

07 April 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A5602-26-0001

Job locations

Orchard Surgery

New Road

Melbourn

Royston

Hertfordshire

SG8 6BX


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