Lead Practice Nurse/Independent Prescriber

The Courtyard Surgery (West Lavington, Devizes); Devizes; On-site; GBP 32,000 - 52,000; Part time

Job summary

The Courtyard Surgery (West Lavington, Devizes) is seeking a Lead Practice Nurse and Independent Prescriber for a part-time role in a rural primary care setting. You will lead the nursing service, deliver long-term condition management, immunisations and travel health, and reduce GP workload through autonomous practice.

You will work with an experienced multidisciplinary team, maintain clinical governance, and shape future services while enjoying a balanced lifestyle in the Wiltshire countryside.

Qualifications

• Significant experience in General Practice/Primary Care.
• Experience leading nursing teams and clinics.
• Independent prescribing within scope of practice.

Responsibilities

• Lead nurse-led clinics for chronic conditions and immunisations.
• Undertake annual reviews and care planning.
• Prescribe independently within scope of practice.
• Lead vaccination programmes for children and travel health.
• Supervise nursing team and support staff; drive QOF and governance initiatives.

Skills

Nurse leadership

Independent prescribing

Rural healthcare

Clinical governance

Infection prevention

Education

NMC registration

Cervical screening qualification

V300 Independent Prescriber qualification

Job description

Job summary

Want to enjoy your nursing and be in the countryside? Imagine working in a supportive rural practice where you have the time to build genuine relationships with patients, where your clinical judgement is trusted, and where you can see the difference you make. This is a part time, flexible working post 22-28 hours a week. At Courtyard Surgery, we focus on high quality, continuity of care, professional satisfaction and good work-life balance. We are a friendly, stable and ambitious practice based in the beautiful Wiltshire countryside, serving a close-knit patient population and committed to delivering high-quality, personalised care. This is an opportunity to join a practice where your expertise will be valued, your voice will be heard, and you will have the autonomy to influence how services are delivered. You'll work alongside an experienced multidisciplinary team that genuinely supports one another, in an environment where patient care comes before targets and where quality matters more than quantity. We recognise that life outside work matters too. We offer flexible working arrangements, no routine weekend working, no bank holiday working, and the opportunity to enjoy an excellent quality of life while pursuing a rewarding and varied clinical career. We are looking for an experienced Lead Practice Nurse and Independent Prescriber who shares our commitment to outstanding patient care and wants to play a key role in shaping the future of our nursing service.

Main duties of the job

This is an exciting opportunity for a highly skilled nurse who enjoys working autonomously, building lasting relationships with patients and playing a key leadership role within a progressive primary care team. The successful candidate will lead and develop the nursing service, delivering long-term condition management, cervical screening, childhood and adult immunisations, travel health, health promotion and preventative care. As an Independent Prescriber, you will support safe, efficient patient care and help reduce GP workload through autonomous clinical practice. Working closely with the GP Partner and Practice Manager, you will lead quality improvement initiatives, support achievement of QOF and other contractual requirements, maintain oversight of infection prevention and control, contribute to CQC compliance and help ensure the practice continues to deliver safe, effective and responsive services. You will provide clinical leadership to the wider nursing team, champion evidence-based practice and help shape the future development of clinical services. We are looking for a confident, patient-focused clinician with excellent communication skills, strong organisational abilities and a commitment to continuous improvement. In return, we offer a rewarding role within a stable and collaborative practice where your expertise, ideas and professional judgement will be genuinely valued.

About us

Courtyard Surgery is a friendly, patient-centred rural GP practice located in the heart of the Wiltshire countryside. We care for approximately 3,300 patients (weighted list size c.4,300) and are proud of the strong relationships we have built with our patients and local community. We have an overall score of 89% very good patient satisfaction. We offer genuine continuity of care and a collaborative approach to decision-making in a team including GPs, an Assistant Practitioner, Healthcare Assistant, GP Assistants, Extended Care Team and a dedicated Patient Liaison Team. We are committed to delivering high-quality, personalised care while embracing innovation and continuous improvement. We believe that healthcare professionals do their best work when they feel valued, supported and trusted. Our culture is one of teamwork, mutual respect and shared purpose, where ideas are welcomed and individuals are encouraged to develop and make a meaningful contribution to the future direction of the practice. Situated in a beautiful rural setting, Courtyard Surgery offers an excellent quality of life, a manageable working environment and the opportunity to build a rewarding career while maintaining a healthy work-life balance. We are looking for someone who wants to join and lead in a small team.

Job responsibilities

• Lead nurse-led clinics for diabetes, asthma, COPD, hypertension and cardiovascular disease.
• Undertake annual reviews, care planning and treatment optimisation.
• Independently prescribe within scope of practice.
• Lead childhood, travel and seasonal vaccination programmes.
• Complete medication reviews and support repeat prescribing workflows.
• Manage clinical medication queries and medicines optimisation.
• Provide cervical cytology services.
• Supervise and support the wider nursing and clinical support team.
• Contribute to quality improvement, clinical governance and infection control.

Essential experience

• Significant experience working in General Practice/Primary Care
• Long-term condition management (e.g. diabetes, asthma, COPD, hypertension)
• Delivering childhood and adult immunisations
• Experience undertaking cervical screening
• Experience working autonomously and managing a clinical caseload

Desirable experience

• Previous Lead Practice Nurse experience
• Experience leading or supporting CQC inspections
• Experience as Infection Prevention & Control Lead
• Experience leading QOF achievement programmes
• Experience supervising or mentoring nursing teams

Essential qualifications

• Registered Nurse (NMC).
• Independent/Supplementary Prescriber qualification (V300) (highly desirable - but not essential if the right candidate ticks all other boxes!)
• Cervical Screening qualification.
• Evidence of continuing professional development.
• Vaccinations lead - travel, childhood immunisations

Desirable qualifications

• Diabetes diploma or equivalent
• Respiratory qualification or equivalent

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.

Closing date: 10 November 2026

Equal opportunities: applications are welcomed from all sections of the community.