Lead Practice Nurse

NHS Jobs; Peterborough; On-site; CAD 70,000 - 110,000; Full time

Job summary

NHS Jobs is seeking a Lead Practice Nurse to provide leadership in infection prevention, care management, and patient wellbeing across the practice. You will work with the practice team to deliver high-quality nursing care, implement evidence-based guidelines, and oversee chronic disease clinics.

You will be responsible for policy compliance, safeguarding, and staff development, with the flexibility to support service improvements and respond to changing workload and priorities.

Responsibilities

• Act as Infection Prevention Control (IPC) lead and provide audits, training and evidence of compliance to the practice manager
• Produce the IPC annual statement with the practice manager
• Develop, implement and embed an effective care management programme for frail and housebound patients
• Assess patient needs to ensure appropriate healthcare using evidence-based practice
• Develop, implement and embed health promotion and wellbeing programmes
• Implement and evaluate individual treatment plans for chronic disease patients to promote health and wellbeing
• Identify, manage and support patients at risk of long-term conditions to prevent adverse effects
• Provide routine nursing care in line with clinical evidence, NICE and NSF
• Diagnose and manage acute and chronic conditions
• Prescribe medication for patients within PGDs and scope of practice
• Advise patients on prescribed and OTC medications including side effects
• Coordinate travel medicine services
• Request pathology services and process results
• Oversee chronic disease clinics and refer to secondary/specialist care as needed
• Maintain accurate clinical records with legislation
• Ensure SNOMED CT codes are used effectively by the nursing team
• Ensure appropriate use of chronic disease registers
• Develop, embed and participate in NHS Health checks
• Ensure compliance with the practice chaperone policy
• Prioritise health issues and intervene appropriately
• Support the team in clinical emergencies
• Recognise, assess and refer patients with mental health needs
• Implement vaccination programmes for adults and children
• Support patients in using prescribed medicines or OTC medicines
• Liaise with external services to support vulnerable patients
• Delegate clinical responsibilities safely within scope
• Support safeguarding matters per local and national policies
• Understand policies on substance abuse and addiction and refer patients accordingly
• Deliver opportunistic health promotion
• Attend and contribute to practice meetings
• Deliver own practice nurse clinics
• Develop and review audit protocols and nursing protocols
• Support nursing team with guidance, appraisals and training needs analyses
• Participate in local initiatives to enhance service delivery
• Share learning within the practice to improve patient care
• Review clinical practices in line with national policies
• Participate in RCA for significant/near-miss events
• Coordinate nursing team rota to meet patient needs
• Contribute to planning and implementing changes in the nursing team
• Support policy reviews to ensure compliance with legislation

Skills

Infection prevention

Clinical leadership

Nursing skills

Job description

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:

• 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
• To produce the IPC annual statement in conjunction with the practice manager
• To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
• To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
• To develop, implement and embed health promotion and wellbeing programmes.
• To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing
• To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
• As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
• As required, to diagnose and manage acute and chronic conditions
• To prescribe medication for patients in accordance with PGDs and own scope of practice
• To provide guidance to patients on the use of prescribed and over-the-counter medications regarding side effects and dosages
• To co-ordinate the provision of travel medicine services
• To request pathology services and process pathology results as required
• To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
• To maintain accurate clinical records in conjunction with extant legislation
• To ensure SNOMED CT codes are used effectively by all members of the nursing team
• To ensure the appropriate use of chronic disease registers.
• To develop, implement, embed and participate in NHS Health checks.
• To ensure compliance with the practice chaperone policy
• To prioritise health issues and intervene appropriately
• To support the team in dealing with clinical emergencies
• To recognise, assess and refer patients presenting with mental health needs
• To implement vaccination programmes for adults and children
• To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
• To support the clinical team with all safeguarding matters, in accordance with local and national policies
• To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
• To deliver opportunistic health promotion where appropriate.
• To attend and contribute towards all practice meetings relevant to the post.
• Delivery of own practice nurse clinics.

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

• Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
• Develop, review and implement nursing protocols in conjunction with the partners
• Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning within the practice in order to improve patient care
• Continually review clinical practices, responding to national policies and initiatives where appropriate
• Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)
• Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
• Contribute towards the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation