Job summary
Bow Health Network PCN is seeking an experienced Practice Nurse to join our team as a Triage Advanced Nurse Practitioner
Bow Health Network is a collaborative Primary
Care Network in Tower Hamlets, bringing together local GP practices to provide
high-quality, patient-centred care. We work closely with community and
specialist services to improve access, support long-term condition management,
and deliver innovative healthcare for our diverse local population. Our focus
is on teamwork, continuity of care, and improving health outcomes for the Bow
community.
You will use your clinical expertise to assess, prioritise, and manage patient
queries through telephone and digital triage, ensuring patients receive safe,
timely, and appropriate care.
We offer:
- Supportive multidisciplinary PCN team
- Flexible working options
- Ongoing professional development opportunities
This is 1 year fixed term contract.
The Care Group reserves the right to close this advert
early where we have received a high number of applications, and we encourage
candidates to submit their applications promptly.
Main duties of the job
Requirements:
- Registered Practice Nurse with primary care experience
- Confident in clinical triage and decision-making
- Excellent communication and teamwork skills
About us
Tower Hamlets GP Care Group (The Care Group) was incorporated as a community interest company limited by shares in September 2014. Every general practice in Tower Hamlets owns one share of £1. The Care Group was formed to manage borough level contracts on behalf of the practices, deliver primary care led services and support general practices, and to be the provider voice of primary care in the wider health and social care system.
Read up more about Tower Hamlets GP Care Group, click here: https://www.gpcaregroup.org/
The Care Group is also a member of Tower Hamlets Together, a place-based integrated partnership, which includes Bart's Health, East London NHS Foundation Trust, the London Borough of Tower Hamlets and the Council for Voluntary Services.
Click here to know more about Tower Hamlets Together partnership- https://www.towerhamletstogether.com/
The key priorities for the Care Group are:
Innovation and support for primary care
Being a great place to work
Integrating primary and community care
Providing of high-quality cost-effective care to local people
Influencing improvements in health outcomes
Job description
Job responsibilities
Key Responsibilities
Clinical Assessment and Patient Management
- Conduct Comprehensive Clinical Assessments: Undertake remote consultations via telephone or video, as well as face-to-face assessments when clinically appropriate. Evaluate patients presenting with a broad range of symptoms, including acute, undiagnosed, or exacerbated long-term conditions.
- Determine Care Pathways: Use advanced clinical reasoning to assess the urgency and complexity of a patient's needs. Decide whether management can be completed remotely, or if escalation to a face-to-face appointment, urgent care, or emergency service is required.
- Deliver Safe and Effective Triage: Apply nationally recognised triage tools, clinical guidelines, and robust safety-netting techniques during all interactions. Ensure patients understand when and how to seek further help, reducing risk and promoting self-management when appropriate. Provide Continuity of Care: Support patients with both acute presentations and long-term conditions, using an integrated approach that includes monitoring, advice, health promotion, and timely referrals to specialist or community services as needed.
- Maintain High Standards of Documentation: Record accurate, contemporaneous clinical notes using the organisations electronic patient record systems, ensuring clear communication across the care team and meeting all medico-legal standards.
- Evidence-Based Practice: Use up-to-date clinical guidelines, NICE recommendations, and digital decision-support tools to inform safe and effective triage and treatment planning. Demonstrate a commitment to reflective practice and continuous clinical improvement.
- Personalised, Patient-Centred Care: Tailor care plans and advice to each patients individual needs, preferences, and circumstances. Recognise when emotional support, health education, or signposting to additional services (e.g., mental health, social prescribing) is needed.
- Face-to-Face Consultation Expertise: Where triage indicates the need for physical examination or direct clinical intervention, deliver high-quality, face-to-face care in a timely and efficient manner. Ensure safe infection control measures are followed in all in-person contacts.
- Collaborative Working: Liaise with GPs, community teams, and other healthcare professionals to ensure integrated and coordinated care. Participate in multidisciplinary team discussions when managing complex cases or vulnerable patients.
Service Delivery
- Support Triage Model Development: Actively contribute to the design, implementation, and continuous improvement of the PCN-wide triage model. Work collaboratively with GP practices, clinical leads, and operational teams to ensure the model is aligned with local needs, national guidance, and best practice standards.
- Ensure Consistent Triage Delivery: Provide consistent, safe, and effective triage services across all participating practices. Apply evidence-based clinical assessment and decision-making to support patients with urgent and routine care needs, ensuring the right care is delivered by the right professional, at the right time.
- Collaborative Working: Foster a culture of shared learning and integrated working within the PCN. Engage with multi-disciplinary teams including GPs, pharmacists, social prescribers, paramedics, and community services to coordinate care and improve patient flow.
- Enhance Patient Access & Experience: Support improvements in patient access to care by reducing unnecessary appointments and ensuring timely redirection to appropriate services. Deliver patient-centred communication to ensure clarity, reassurance, and positive engagement during all triage interactions.
- Data-Informed Improvement:. Work with PCN leads to audit performance and adapt service delivery in response to local population health needs.
- Support Practice Staff: Offer clinical guidance and support to practice staff delivering triage, including reception and care navigation teams, helping build local confidence and capability in managing patient demand safely and efficiently.
- Quality and Safety Assurance: Uphold the highest standards of clinical governance, patient safety, and documentation. Apply structured safety netting, clinical escalation protocols, and clear documentation practices in line with NMC standards and local policies.
- Flexibility and Responsiveness: Adapt to changing demand patterns and support dynamic rota coverage across multiple practices as required. Contribute to surge planning, seasonal preparedness, and service resilience strategies.
Professionalism & Development
- Maintain active clinical registration and meet revalidation requirements.
- Engage in continuing professional development (CPD) and reflective practice.
- Act as a positive role model, supporting junior staff and encouraging a learning culture.
- Take ownership of personal performance and contribute to service improvements.
Governance & Risk
- Ensure safe working environments and report incidents or equipment issues.
- Apply infection prevention and control measures as per local and national standards.
- Promote and adhere to safeguarding protocols for children and vulnerable adults.
Technology & Information Management
- Confidently use digital systems for clinical triage and documentation.
- Participate in service audits, quality assurance, and data-driven reviews.
- Maintain professional standards when working with technology and patient information.
Job description
Job responsibilities
Key Responsibilities
Clinical Assessment and Patient Management
- Conduct Comprehensive Clinical Assessments: Undertake remote consultations via telephone or video, as well as face-to-face assessments when clinically appropriate. Evaluate patients presenting with a broad range of symptoms, including acute, undiagnosed, or exacerbated long-term conditions.
- Determine Care Pathways: Use advanced clinical reasoning to assess the urgency and complexity of a patient's needs. Decide whether management can be completed remotely, or if escalation to a face-to-face appointment, urgent care, or emergency service is required.
- Deliver Safe and Effective Triage: Apply nationally recognised triage tools, clinical guidelines, and robust safety-netting techniques during all interactions. Ensure patients understand when and how to seek further help, reducing risk and promoting self-management when appropriate. Provide Continuity of Care: Support patients with both acute presentations and long-term conditions, using an integrated approach that includes monitoring, advice, health promotion, and timely referrals to specialist or community services as needed.
- Maintain High Standards of Documentation: Record accurate, contemporaneous clinical notes using the organisations electronic patient record systems, ensuring clear communication across the care team and meeting all medico-legal standards.
- Evidence-Based Practice: Use up-to-date clinical guidelines, NICE recommendations, and digital decision-support tools to inform safe and effective triage and treatment planning. Demonstrate a commitment to reflective practice and continuous clinical improvement.
- Personalised, Patient-Centred Care: Tailor care plans and advice to each patients individual needs, preferences, and circumstances. Recognise when emotional support, health education, or signposting to additional services (e.g., mental health, social prescribing) is needed.
- Face-to-Face Consultation Expertise: Where triage indicates the need for physical examination or direct clinical intervention, deliver high-quality, face-to-face care in a timely and efficient manner. Ensure safe infection control measures are followed in all in-person contacts.
- Collaborative Working: Liaise with GPs, community teams, and other healthcare professionals to ensure integrated and coordinated care. Participate in multidisciplinary team discussions when managing complex cases or vulnerable patients.
Service Delivery
- Support Triage Model Development: Actively contribute to the design, implementation, and continuous improvement of the PCN-wide triage model. Work collaboratively with GP practices, clinical leads, and operational teams to ensure the model is aligned with local needs, national guidance, and best practice standards.
- Ensure Consistent Triage Delivery: Provide consistent, safe, and effective triage services across all participating practices. Apply evidence-based clinical assessment and decision-making to support patients with urgent and routine care needs, ensuring the right care is delivered by the right professional, at the right time.
- Collaborative Working: Foster a culture of shared learning and integrated working within the PCN. Engage with multi-disciplinary teams including GPs, pharmacists, social prescribers, paramedics, and community services to coordinate care and improve patient flow.
- Enhance Patient Access & Experience: Support improvements in patient access to care by reducing unnecessary appointments and ensuring timely redirection to appropriate services. Deliver patient-centred communication to ensure clarity, reassurance, and positive engagement during all triage interactions.
- Data-Informed Improvement:. Work with PCN leads to audit performance and adapt service delivery in response to local population health needs.
- Support Practice Staff: Offer clinical guidance and support to practice staff delivering triage, including reception and care navigation teams, helping build local confidence and capability in managing patient demand safely and efficiently.
- Quality and Safety Assurance: Uphold the highest standards of clinical governance, patient safety, and documentation. Apply structured safety netting, clinical escalation protocols, and clear documentation practices in line with NMC standards and local policies.
- Flexibility and Responsiveness: Adapt to changing demand patterns and support dynamic rota coverage across multiple practices as required. Contribute to surge planning, seasonal preparedness, and service resilience strategies.
Professionalism & Development
- Maintain active clinical registration and meet revalidation requirements.
- Engage in continuing professional development (CPD) and reflective practice.
- Act as a positive role model, supporting junior staff and encouraging a learning culture.
- Take ownership of personal performance and contribute to service improvements.
Governance & Risk
- Ensure safe working environments and report incidents or equipment issues.
- Apply infection prevention and control measures as per local and national standards.
- Promote and adhere to safeguarding protocols for children and vulnerable adults.
Technology & Information Management
- Confidently use digital systems for clinical triage and documentation.
- Participate in service audits, quality assurance, and data-driven reviews.
- Maintain professional standards when working with technology and patient information.
Person Specification
Experience
Essential
- Experience in working a multi-disciplinary team.
Experience
Essential
- Experience of working with Health IT systems such as EMIS, AccuRx, Microsoft Teams.
Ability
Essential
- Ability to work with high volumes of patient contacts and a pressurised environment on a daily basis
Qualifications
Essential
- Experience in a reception/administration role.
Experience
Essential
- Experience in Primary Care or social care.
Person Specification
Experience
Essential
- Experience in working a multi-disciplinary team.
Experience
Essential
- Experience of working with Health IT systems such as EMIS, AccuRx, Microsoft Teams.
Ability
Essential
- Ability to work with high volumes of patient contacts and a pressurised environment on a daily basis
Qualifications
Essential
- Experience in a reception/administration role.
Experience
Essential
- Experience in Primary Care or social care.
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.
