Lead Practice Nurse

The Methodist Church in Britain; Wotton-under-Edge, Bradley Stoke; On-site; GBP 55,000 - 75,000; Full time

Job summary

Culverhay Surgery, spanning three sites, seeks a Lead Nurse to drive clinical leadership, workforce planning and governance while remaining hands-on with prescribing, long‑term condition management and immunisations.

You will sit on the leadership team and oversee student placements with two universities, ensuring high-quality care and robust clinical governance across the practice.

Qualifications

• Postgraduate diploma or degree in chronic disease management.
• Registered nurse with current license.

Responsibilities

• Provide visible clinical nurse leadership across all three sites.
• Lead, support and develop the practice nursing team, including annual appraisals, training needs and monthly nursing meetings.
• Ensure compliance with CQC, regulatory and infection prevention and control requirements.
• Provide clinical leadership and oversight of the Frailty Team and immunisation programmes for care home and housebound patients.
• Deliver direct clinical care, including assessment, treatment, screening, prescribing and health education.
• Manage long‑term conditions and therapeutic monitoring, with a specialist interest in diabetes, asthma and COPD.
• Manage nurse recruitment and induction, annual leave approval, team cover and the nurse appointment system.
• Act as practice lead for infection control, including audits, policy review and staff updates.
• Lead monitoring of QOF, Enhanced Services and PCN quality markers, and develop health promotion and chronic disease services.
• Oversee student nurse, Nursing Associate and return‑to‑practice placements with two universities.
• Work with partners and management to design and standardise the nursing care model, and collaborate with district and PCN nurses.
• Maintain accurate clinical and HR records and reflect on practice through significant event analysis and appraisal.

Skills

Chronic disease management

Autonomous working

Diabetes management

Asthma management

Spirometry

Wound care

Venepuncture

ECG

Immunisations

Cervical cytology

Education

Postgraduate diploma in chronic disease management

Tools

SystmOne

Job description

Lead Nurse role at Culverhay Surgery, an integrated practice across three sites, leading the practice nursing team of 13 and the frailty team. Work combines clinical leadership, workforce planning and governance with hands‑on care such as prescribing, long‑term condition management and immunisations. The post sits on the leadership team and includes student placement oversight with two universities. Registered nurse status and a postgraduate chronic disease management qualification are essential.

What the job involves

• Provide visible clinical nurse leadership across all three sites
• Lead, support and develop the practice nursing team, including annual appraisals, training needs and monthly nursing meetings
• Ensure compliance with CQC, regulatory and infection prevention and control requirements
• Provide clinical leadership and oversight of the Frailty Team and immunisation programmes for care home and housebound patients
• Deliver direct clinical care, including assessment, treatment, screening, prescribing and health education
• Manage long‑term conditions and therapeutic monitoring, with a specialist interest in diabetes, asthma and COPD
• Manage nurse recruitment and induction, annual leave approval, team cover and the nurse appointment system
• Act as practice lead for infection control, including audits, policy review and staff updates
• Lead monitoring of QOF, Enhanced Services and PCN quality markers, and develop health promotion and chronic disease services
• Oversee student nurse, Nursing Associate and return‑to‑practice placements with two universities
• Work with partners and management to design and standardise the nursing care model, and collaborate with district and PCN nurses
• Maintain accurate clinical and HR records and reflect on practice through significant event analysis and appraisal

Qualifications

• Postgraduate diploma or degree in chronic disease management

Registration & licences

• Registered nurse

Experience

• Working in a primary care environment
• Chronic disease management
• Working autonomously
• Managing diabetes, hypertension, asthma and CHD

Skills & knowledge

• Clinical procedures: wound care, suture and staple removal, ECGs, venepuncture, chaperoning and spirometry
• Requesting pathology tests and advising patients on results
• Travel medicine and routine and childhood immunisations
• Women's health, including cervical cytology and contraception
• Clinical governance, evidence-based practice and health promotion knowledge
• Accurate clinical notes, working within scope, PGD policy and knowing when to refer to GPs

Other

• Excellent written and oral communication, IT and time management skills
• Good interpersonal and problem‑solving skills
• Ability to follow clinical policy and procedure

Nice to have

• Experience as a practice nurse or community nurse
• Experience leading a nursing team in primary care
• Nurse prescriber qualification
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• SystmOne user skills
• Experience of audit and leading audit programmes
• Experience of clinical risk management