Lead Practice Nurse

NHS; Esher; On-site; GBP 44,000 - 60,000; Full time

Job summary

An established healthcare provider seeks a Lead Practice Nurse to deliver high-quality nursing care in a dynamic practice environment. This role is pivotal in ensuring clinical excellence while mentoring junior staff and maintaining compliance with healthcare standards. The ideal candidate will possess strong leadership skills and a commitment to patient care, fostering a collaborative atmosphere among the nursing team. This position offers a chance to make a significant impact on patient health and well-being, while also providing opportunities for professional development and training. Join a dedicated team that values innovation and quality in healthcare delivery.

Qualifications

• Experience in primary care and leading a nursing team.
• Proficient in chronic disease management and infection control.
• Strong communication and interpersonal skills.

Responsibilities

• Provide clinical leadership and ensure compliance with healthcare regulations.
• Oversee treatment protocols and vaccination programs.
• Manage nursing team and deliver training for staff.

Skills

Infection Prevention Control

Chronic Disease Management

Communication Skills

Time Management

Team Leadership

Wound Care

Venepuncture

Immunisations

Clinical Governance

Patient Assessment

Education

NMC Registration

Postgraduate Diploma in Chronic Disease Management

Tools

EMIS

System One

Job description

Job summary

The Lead Practice Nurse takes a pivotal role in delivering and managing high-quality nursing care within a general practice setting. This senior position combines clinical expertise with leadership responsibilities, including mentoring junior staff, ensuring adherence to clinical standards, and promoting best practices.

Main duties of the job

The Lead Practice Nurse will provide clinical and professional leadership to the nursing and healthcare assistant team. The post holder will ensure nursing services are delivered effectively to the patient population.

Overseeing and implementing treatment protocols, vaccination programs, and health promotion initiatives.

Having line management responsibility for all nursing and healthcare assistant staff, including training, supervision, and professional development. Planning and delivering training and mentoring for new staff.

Undertake one-to-ones, joint appraisals, regular Practice Nurse and HCA meetings, clinical education, and other practice-wide learning events and meetings.

Ensuring compliance with healthcare regulations, clinical governance, and infection control standards. Named infection control lead for the practice.

Contributing to practice management, assisting in service planning and audits, and improving patient pathways.

Collaborating with multidisciplinary teams to deliver integrated care for patients.

About us

Bourne Health is a leading Primary Care NHS GP Partnership. Esher Green Surgery, a part of Bourne Health, are looking for a proactive and enthusiastic Lead Nurse to work as part of our healthcare team.

Details Date posted

08 May 2025

Pay scheme

Other

Salary

Depending on experience From £44,850.00 FTE negotiable dependent on experience

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A5057-25-0004

Job locations

Esher Green Drive

Esher

Surrey

KT10 8BX

Job description Job responsibilities

Primary key 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:

Clinical Responsibilities:

To act as the Practice Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance. To produce the IPC annual statement and ensure adherence to it.

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

To develop, implement, embed and train colleagues where required on health promotion and wellbeing programmes.

To ensure adequate skills coverage within the nursing team, providing or organizing training where required to meet the needs of the practice population.

To cultivate a culture within the nursing team of identifying, managing and supporting 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, diagnosing and managing acute and chronic conditions as required, requesting pathology services and processing results as appropriate. To refer patients, as appropriate to other services.

To ensure the practice is compliant and up to date with all PGDs and PSDs, maintaining a register and updating it.

To work with the Senior Management Team and Partners to develop, set up or amend clinics as required to meet the continual requirements of the practice population.

Lead on and supervise the accurate recording of consultations within patient records within the nursing team.

To ensure read codes are used effectively by all members of the nursing team, providing training where required and actively monitoring usage to ensure accurate practice payments.

To work with the Senior Management Team and Partners to implement well-organised and efficient vaccination programmes for adults and children that meet the need of the practice population.

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

To be a proactive member of the practice clinical team, offering clinical perspectives in decision making and ensuring the practice nursing team are working in an efficient manner. Support the clinical team with the reviewing and implementation of practice policies and protocols.

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

Arrange the servicing and calibration of the relevant clinical equipment and maintain records.

Work with the Senior Management Team to ensure compliance with Enhanced Services.

Support and participate in shared learning within the practice in order to improve patient care, participating in reviews of near miss and significant events and disseminating feedback and learning to the team.

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

Team Lead Responsibilities:

Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs. Work with the Practice Manager and HR Compliance Lead in the advertising, interviewing and employment process of new members of the nursing team.

Process annual leave requests and arrange appropriate cover.

Act as first point of contact for absence reporting within the team and work to find cover for the clinics where possible.

Complete Return to Work interviews.

Authorise Overtime forms.

Complete staff reviews including annual appraisals and work with the Senior Management Team / Partners to action any matters arising.

Organise Nurse PLTs, maximizing the time for learning and maintenance of skills and communicating changes.

Work with the Senior Management Team / Partners to monitor and maintain nurse/HCA/Phlebotomy appointment capacity to meet the needs of the practice.

Personal:

Maintain good working relationships.

Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission.

Co-operate with the practice team members to adhere to statutory regulations/policies, codes of practice and safety rules.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health and Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health and Safety Policy, to include:

• Using personal security systems within the workplace according to practice guidelines.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills.
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
• Reporting potential risks identified.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
• Work effectively with individuals in other agencies to meet patients needs.
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Job description Job responsibilities

Primary key 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:

Clinical Responsibilities:

To act as the Practice Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance. To produce the IPC annual statement and ensure adherence to it.

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

To develop, implement, embed and train colleagues where required on health promotion and wellbeing programmes.

To ensure adequate skills coverage within the nursing team, providing or organizing training where required to meet the needs of the practice population.

To cultivate a culture within the nursing team of identifying, managing and supporting 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, diagnosing and managing acute and chronic conditions as required, requesting pathology services and processing results as appropriate. To refer patients, as appropriate to other services.

To ensure the practice is compliant and up to date with all PGDs and PSDs, maintaining a register and updating it.

To work with the Senior Management Team and Partners to develop, set up or amend clinics as required to meet the continual requirements of the practice population.

Lead on and supervise the accurate recording of consultations within patient records within the nursing team.

To ensure read codes are used effectively by all members of the nursing team, providing training where required and actively monitoring usage to ensure accurate practice payments.

To work with the Senior Management Team and Partners to implement well-organised and efficient vaccination programmes for adults and children that meet the need of the practice population.

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

To be a proactive member of the practice clinical team, offering clinical perspectives in decision making and ensuring the practice nursing team are working in an efficient manner. Support the clinical team with the reviewing and implementation of practice policies and protocols.

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

Arrange the servicing and calibration of the relevant clinical equipment and maintain records.

Work with the Senior Management Team to ensure compliance with Enhanced Services.

Support and participate in shared learning within the practice in order to improve patient care, participating in reviews of near miss and significant events and disseminating feedback and learning to the team.

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

Team Lead Responsibilities:

Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs. Work with the Practice Manager and HR Compliance Lead in the advertising, interviewing and employment process of new members of the nursing team.

Process annual leave requests and arrange appropriate cover.

Act as first point of contact for absence reporting within the team and work to find cover for the clinics where possible.

Complete Return to Work interviews.

Authorise Overtime forms.

Complete staff reviews including annual appraisals and work with the Senior Management Team / Partners to action any matters arising.

Organise Nurse PLTs, maximizing the time for learning and maintenance of skills and communicating changes.

Work with the Senior Management Team / Partners to monitor and maintain nurse/HCA/Phlebotomy appointment capacity to meet the needs of the practice.

Personal:

Maintain good working relationships.

Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission.

Co-operate with the practice team members to adhere to statutory regulations/policies, codes of practice and safety rules.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health and Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health and Safety Policy, to include:

• Using personal security systems within the workplace according to practice guidelines.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills.
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
• Reporting potential risks identified.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance.
• Work effectively with individuals in other agencies to meet patients needs.
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Person Specification Experience Essential

• Experience of working in a primary care environment
• Experience of leading a nursing team in a primary care environment
• Experience of chronic disease management
• Experience of working autonomously
• Experience of working as a practice nurse or community nurse
• Experience of infection prevention and control measures

Desirable

• Experience of managing elderly and housebound patients
• Experience of quality initiatives, i.e., benchmarking

Qualifications Essential

• NMC Registration

Desirable

• Mentor or teaching qualification
• Nurse prescriber
• Post graduate diploma or degree - Chronic Disease Management
• Completed or working towards formal infection prevention and control training
• Family planning qualification

Other Requirements Essential

• Flexibility to work outside of core office hours
• Enhanced Disclosure Barring Service (DBS) check
• Medical Health clearance
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of a Lead Practice Nurse

Other Skills Essential

• Excellent communication skills (written and oral)
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Experience with audit and able to lead audit programmes
• Experience with clinical risk management
• Strong IT skills and competent in EMIS/System one
• Clear, polite telephone manner

Clinical knowledge and skills Essential

• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the importance of evidence-based practice
• Understand the requirement for PGDs and associated policy
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Chaperone procedure
• Womens health (cervical cytology, contraception, etc.)
• Immunisations (routine, childhood and travel)
• Chronic disease management

Desirable

• Travel medicine
• Spirometry
• Broad knowledge of clinical governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Complex dressings, compression dressings, doppler/ABPIs

Person Specification Experience Essential

• Experience of working in a primary care environment
• Experience of leading a nursing team in a primary care environment
• Experience of chronic disease management
• Experience of working autonomously
• Experience of working as a practice nurse or community nurse
• Experience of infection prevention and control measures

Desirable

• Experience of managing elderly and housebound patients
• Experience of quality initiatives, i.e., benchmarking

Qualifications Essential

• NMC Registration

Desirable

• Mentor or teaching qualification
• Nurse prescriber
• Post graduate diploma or degree - Chronic Disease Management
• Completed or working towards formal infection prevention and control training
• Family planning qualification

Other Requirements Essential

• Flexibility to work outside of core office hours
• Enhanced Disclosure Barring Service (DBS) check
• Medical Health clearance
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development (CPD) commensurate with the role of a Lead Practice Nurse

Other Skills Essential

• Excellent communication skills (written and oral)
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure

Desirable

• Experience with audit and able to lead audit programmes
• Experience with clinical risk management
• Strong IT skills and competent in EMIS/System one
• Clear, polite telephone manner

Clinical knowledge and skills Essential

• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• New patient medicals
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the importance of evidence-based practice
• Understand the requirement for PGDs and associated policy
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Chaperone procedure
• Womens health (cervical cytology, contraception, etc.)
• Immunisations (routine, childhood and travel)
• Chronic disease management

Desirable

• Travel medicine
• Spirometry
• Broad knowledge of clinical governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies
• Complex dressings, compression dressings, doppler/ABPIs

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

Esher Green Surgery

Address

Esher Green Drive

Esher

Surrey

KT10 8BX

Employer's website

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

Employer details Employer name

Esher Green Surgery

Address

Esher Green Drive

Esher

Surrey

KT10 8BX

Employer's website

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