Band 6 Practice Nurse

• Chronic disease reviews: Running structured clinics, particularly for patients with diabetes, including assessment, monitoring, patient education, care planning and appropriate escalation to other clinicians. This role will require a main focus on diabetes clinics.
• Clinical audit: Undertaking audits, identifying opportunities for improvement and contributing to changes that strengthen patient care and clinical outcomes.
• Wound care: Assessing and managing acute and chronic wounds, including postoperative wounds, and recognising when further clinical advice or referral is needed.
• Hypertension and blood pressure monitoring: Undertaking hypertension reviews and ambulatory blood pressure monitoring, with treatment and medication decisions supported by the wider clinical team.
• Vaccinations: Delivering routine and seasonal immunisations, including influenza, COVID-19, shingles and pneumococcal vaccinations, within the appropriate training and authorisation arrangements.
• General practice nursing: Providing health promotion, preventive care and other routine nursing interventions, including prescribed B12 injections.

• Independently run structured chronic disease clinics, with an initial emphasis on diabetes.
• Undertake patient assessments, review relevant results and monitoring requirements, and develop care plans in collaboration with patients and the wider clinical team.
• Provide education and support relating to self-management, lifestyle, treatment adherence and prevention of complications.
• Identify patients requiring further assessment, treatment review or referral and escalate appropriately.
• Work with administrative and recall colleagues to support timely invitations, monitoring and completion of reviews.
• Maintain accurate records and contribute to the development and consistent use of clinical templates and agreed protocols.

• Undertake clinical audits relevant to nursing services and chronic disease management.
• Review findings with appropriate colleagues, identify improvements and contribute to agreed action plans.
• Evaluate the impact of changes through follow-up audit and monitoring.
• Contribute to the review of nursing protocols and practical workflows, sharing learning with the team.

• Assess and manage acute, chronic and postoperative wounds.
• Develop and review wound-care plans, select appropriate dressings and monitor healing.
• Deliver compression therapy where appropriately trained and competent, following the necessary assessment and agreed clinical pathways.
• Recognise deterioration, infection or other concerns and seek further clinical advice or referral promptly.

• Undertake hypertension reviews, including blood pressure measurement, monitoring and patient education.
• Fit ambulatory blood pressure monitors and review results within the post holders competence and agreed practice protocols.
• Liaise with GPs and other appropriate clinicians regarding treatment decisions and medication reviews.

• Administer routine and seasonal vaccinations, including influenza, COVID-19, shingles and pneumococcal vaccinations, within appropriate training and authorisation arrangements.
• Assess suitability, obtain and document informed consent, and maintain accurate vaccination records.
• Maintain competence in recognising and responding to adverse reactions, including anaphylaxis.
• Provide other routine nursing interventions, including prescribed B12 injections.
• Deliver health promotion and preventive care appropriate to the patients needs.

• Contribute to baby clinics and childhood immunisation services where trained and competent.
• Undertake cervical screening where appropriately trained and authorised.
• These skills are desirable at appointment and are not essential entry requirements. Any extension of duties will reflect service priorities, competence and agreed development needs.

• Maintain current NMC registration and practise within professional standards and the limits of competence.
• Maintain confidentiality, accurate clinical documentation and appropriate information governance.
• Follow safeguarding, infection prevention and other relevant practice procedures.
• Work collaboratively with clinical, pharmacy, healthcare support and administrative colleagues.
• Contribute to a welcoming, respectful and supportive working environment.
• Maintain professional development and participate in appraisal, relevant training and team learning.

• Registered Nurse qualification with current NMC registration.
• Previous experience working as a Practice Nurse in general practice.
• Evidence of relevant post-registration training and continuing professional development.
• Experience independently running chronic disease clinics, including diabetes reviews.
• Relevant training and demonstrable competence in diabetes management.
• Experience undertaking clinical audits and contributing to improvements arising from their findings.
• Strong wound assessment and management skills.
• Competence in routine vaccination administration and relevant emergency response procedures.
• Experience in hypertension reviews and ambulatory blood pressure monitoring.
• Ability to organise and manage an independent clinical workload, recognise limitations and escalate concerns appropriately.
• Strong communication skills and the ability to educate and support patients.
• Ability to work effectively within a multidisciplinary team.
• Competence in clinical record keeping and using electronic clinical systems.

• Additional qualifications in diabetes or other long-term condition management.
• Experience in asthma or COPD reviews.
• Current cervical screening training and competence.
• Experience in baby clinics and childhood immunisations.
• Experience using EMIS Web.
• Experience developing clinical protocols or supporting colleagues learning.
• A relevant prescribing qualification, such as V150 or V300.

• Salary aligned with Band 6.
• NHS Pension Scheme.
• Continuing professional development, training and support.
• A friendly team environment where professional expertise and staff wellbeing are valued.

Essential

• Experience
• Minimum of 2 years post-registration experience in primary care or a related setting
• Experience in chronic disease management (e.g., diabetes, asthma, COPD, hypertension)
• Experience in cervical screening (NHSCSP-accredited smear taker qualification preferred)
• Experience in providing immunisations and vaccinations (e.g., childhood, adult, travel vaccines)
• Experience in wound care, suturing, and dressings
• Experience in health promotion and patient education (e.g., smoking cessation, weight management)
• Experience in infection control and clinical governance within primary care
• Experience in multi-disciplinary teamwork and liaison with healthcare professionals
• Knowledge & Skills
• Strong understanding of general practice nursing, including QOF (Quality and Outcomes Framework)
• Competence in triage and assessment of minor illnesses
• Knowledge of safeguarding policies and procedures (adults and children)
• Ability to work autonomously and manage own caseload effectively
• Excellent communication and interpersonal skills
• IT literacy and experience with GP clinical systems (e.g., EMIS)
• Personal Attributes
• Ability to prioritise and manage workload efficiently
• Commitment to high-quality patient care and evidence-based practice
• Flexible and adaptable to meet the needs of the service

Essential

• Registered Nurse (RN) qualification Must hold a valid NMC (Nursing and Midwifery Council) registration
• Degree or Diploma in Nursing Typically, an RGN (Registered General Nurse) qualification
• Additional qualifications in primary care nursing e.g., a Specialist Practice Qualification (SPQ) or relevant postgraduate courses

Desirable

• Cervical Screening Qualification (Smear Taking)
• Completion of an accredited cervical cytology sample taker course (e.g., NHSCSP-accredited).
• Competency in obtaining cervical samples and following national screening protocols.
• Experience in providing patient education regarding cervical screening.
• Leadership and Management Training
• Leadership or management course (e.g., ILM Level 3/5, NHS Leadership Academy course).
• Supervision or mentorship qualification (e.g., Practice Assessor/Practice Supervisor course).
• Advanced Clinical Skills
• Venepuncture and Cannulation training.
• Wound care and tissue viability expertise.
• Long-term condition management (e.g., diabetes, asthma, COPD).
• Prescribing and Medications Management
• Non-Medical Prescribing (V150/V300) (if applicable to role).
• Medicines Management Course.
• Specialist Training Relevant to the Role
• Family Planning and Contraception (DFSRH or LoC IUT/SDI).
• Sexual Health and Genitourinary Medicine (GUM).
• Advanced Life Support (ALS) or Immediate Life Support (ILS).
• Teaching and Mentorship
• PGCert in Education or Teaching Qualification.