Lead Practice Nurse

Urban Village Medical Practice; Manchester; On-site; GBP 40,000 - 50,000; Full time

Job summary

A progressive healthcare practice in Manchester is seeking a dedicated Practice Nurse Lead. This role involves leading the nursing team while ensuring high-quality clinical care, managing infection prevention, and overseeing immunisations and child safeguarding. The ideal candidate is a registered nurse with strong leadership skills and experience in general practice. This position offers the opportunity to impact health outcomes in a diverse community. Flexible contract options are available, whether full-time or part-time.

Qualifications

• Proven experience in a leadership position within primary care nursing.
• Ability to manage complex cases and lead a team effectively.
• Strong understanding of IPC and chronic disease management.

Responsibilities

• Lead the nursing team to deliver high-quality clinical care.
• Manage infection prevention and control protocols.
• Oversee immunisation programs and child safeguarding initiatives.

Skills

Clinical leadership

Infection Prevention Control

Child Safeguarding

Team management

Autonomous decision-making

Education

Registered Nurse with experience as a General Practice Nurse

Independent prescriber

Job description

The Practice Nurse Lead is an expertautonomous practitioner responsible for the day-to-day leadership of the GMSnursing team while delivering high-quality clinical care. This role serves asthe practice-wide Lead for Infection Prevention and Control (IPC),Immunisations, and Child Safeguarding

You will strategically manage nursingresources, develop clinical protocols, and work in close collaboration with theHomeless Healthcare service to reduce health inequalities and improve outcomesacross our diverse community.

Main duties of the job

• Clinical leadership
• Infection Prevention control
• Immunisations
• Safeguarding (childre)
• PSG/PGD Governance and Nurse meds management and prescribing governance (with pharmacy team)
• Digital leadership for nurse team (eg template development with our data team)
• Service delivery including GMS and advanced Incident management and duty of candour
• Delivery of chronic disease management
• Strategic leadership of nurse team alongside partners and Operational lead (Clinical)

About us

We are a progressive and caring GP Practice providing high qualityrange of primary care services for a diverse population, with a focus oninclusion and equality.

Our Organisational Values

• C Compassionate Lead with kindness and understanding. Recognise the humanity in every interactionwith patients,colleagues, and partners.
• I Inclusive Value every voice. Create safe spaces for ideas, feedback, and challenge. Seek diversity of thought andexperience in every decision.
• R Reliable Bedependable and consistent. Follow through on commitments and communicateclearly so otherscan trust your word and actions.
• C Collaborative Workas one team across roles and disciplines. Share learning openly, support oneanother, andcelebrate collective success.
• L Learning-Focused Staycurious. Reflect, seek feedback, and use every challenge as an opportunity to improve. Supportthe development of others through coaching andencouragement.
• E Empowering Enableothers to thrive. Give autonomy with accountability, encourage innovation, andtrust your teams to deliver.

Job responsibilities

Contract: Permanent, full-time or part-time

Daily support from Operations Manager Clinical

Reports to: Practice Manager and GP Partners

Clinical Accountability: Lead GP

Liaison: Homeless Healthcare Nurse Lead

Job Summary

The Practice Nurse Lead is an expert autonomous practitioner responsible for the day-to-day leadership of the GMS nursing team while delivering high-quality clinical care. This role serves as the practice-wide Lead for Infection Prevention and Control (IPC), Immunisations, and Child Safeguarding

You will strategically manage nursing resources, develop clinical protocols, and work in close collaboration with the Homeless Healthcare service to reduce health inequalities and improve outcomes across our diverse community.

Main Duties and Responsibilities

• 1. Clinical Leadership & Team Development
  • Workforce & Performance: Identify staffing requirements and negotiate for nursing resources; recruit, supervise, and assess staff performance through coaching and formal appraisals.
  • Clinical Supervision: Act as a clinical "expert," providing supervision and 1-to-1 training sessions for practice nurses, HCAs, and phlebotomists.
  • Educational Placements: Lead nursing educational placements and support medical placements, specifically integrating these within the specialised homeless service.
  • Culture & Governance: Develop a safe working environment and enable the team to apply robust clinical governance and risk management systems.
  • Infection Prevention & Control (IPC): Take overarching ownership of IPC requirements, including hand hygiene, PPE management, sharps procedures, and site-wide cleanliness audits.
  • Immunisations Lead: Lead the team in achieving national targets for childhood, seasonal, and other vaccinations, providing specialist evidence-based support and cold-chain oversight.
  • Childrens Safeguarding Lead Nurse: Act as the designated Nursing Lead for Adult Safeguarding across the whole practice, supporting the GP Safeguarding Lead in managing complex cases and reporting.
• 3. PGD & PSD Governance

  Act as the nursing lead for Patient Group Directions (PGDs) and Patient Specific Directions (PSDs) across the practice

  Lead the development, implementation, review, and audit of PGDs/PSDs in line with legislation, NMC standards, and local policy

  Ensure all nursing staff are trained, competent, authorised, and revalidated to work under PGDs/PSDs

  Provide clinical oversight and risk management for PGD/PSD use, including incident review and learning

  Lead PGD/PSD use for immunisations, sexual health, emergency medicines, and nursing-led treatments, in collaboration with Lead GP and PCN medicines teams

  Contribute to safe medicines management within nursing-led services

  Work with the Lead GP and PCN Pharmacy Team on formulary adherence, safety alerts (e.g. MHRA), and medicines optimisation

  Support prescribing and medicines audits relevant to nursing practice

  Prepare the service for future expansion of non-medical prescribing

• 5. Digital & Clinical Systems Leadership

  Provide leadership for clinical systems used by the nursing team (e.g. templates, recalls, searches, registers)

  Oversee data quality for nursing-led activity (QOF, screening, immunisations, LTC monitoring)

  Use data proactively to identify gaps, inequalities, and service improvement opportunities

• 6. QOF, GMS & Enhanced Services Delivery

  Contribute to the delivery of QOF indicators relevant to nursing-led care

  Support achievement of GMS and Enhanced Services linked to immunisations, screening, LTCs, and public health

  Monitor uptake and outcomes to protect both quality and practice income

• 7. Incident Management & Duty of Candour

  Lead or support investigation of clinical incidents, near-misses, and significant events involving nursing services

  Contribute to Duty of Candour processes and ensure learning is shared across the team

  Provide support to staff following incidents, promoting a just and learning culture

• 8. Autonomy, Scope & Decision-Making

  Act as an autonomous practitioner within NMC scope of practice

  Make independent clinical and operational decisions to maintain patient safety and service continuity

  Escalate appropriately for complex, high-risk, or novel situations

  Include protected non-clinical leadership time, distinct from clinical sessions, to deliver governance, supervision, and service development responsibilities

• 10. Trauma-Informed, Inclusive & Inequalities-Focused Care

  Embed trauma-informed care principles across nursing services

  Apply understanding of ACEs, substance use, mental health, and social exclusion, particularly within homeless healthcare

  Lead initiatives aimed at reducing health inequalities and improving access for underserved groups

  Represent the practice nursing team at PCN forums and system meetings

  Contribute to PCN workforce planning, service redesign, and collaborative delivery

  Interface with ICB, public health, and community nursing initiatives as required

• 12. Advanced Clinical Delivery & Chronic Disease
  • Complex Case Management: Identify, diagnose, and manage patients with complex health needs, developing individual management plans and technical nursing treatments.
  • Chronic Disease & Monitoring: Lead the diagnosis and therapeutic monitoring of chronic conditions, recognizing abnormalities and recommending pharmacological or lifestyle changes.
  • Sexual Health & Contraception: Provide comprehensive sexual health services, including STIs, cytology, and contraception (UKMEC) reviews; lead innovative digital solutions for patient flow.
  • Screening & Health Checks: Oversee health screening trends and public health initiatives to combat health inequalities within the practice population.
• 13. Operational & Resource Management
  • Policy Development: Lead the implementation and evaluation of evidence-based policies, standards, and clinical guidelines across the nursing team.
  • Financial Stewardship: Monitor and advise on the effective use of physical and financial resources within the nursing department.
  • Data & Reporting: Analyze and report on health trends, service use, and well-being data to inform practice-wide service development.
• 14. Strategic Collaborative Framework

  While sitting strategically above the specialized nursing tiers, this role operates through the CIRCLE values:

  • Collaborative: Work as one team with the Homeless Healthcare Nurse Lead to ensure nursing protocols are unified and resource-sharing is seamless.
  • Inclusive: Respect the privacy, dignity, and beliefs of all patients, adapting communication methods to meet diverse needs.
  • Learning-Focused: Maintain personal CPD for NMC revalidation and foster a learning culture that encourages staff to develop new skills.

Person Specification

Qualifications

• Registered Nurse with experience as a General Practice Nurse
• Extended leadership skills
• Independent prescriber

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.