Lead Nurse (30hrs pwk)

• Provide

• Line

• Support

• Review

• Work

• Use

• Review

• Support

• Maintain

• Act as the recognised clinical lead for the nursing team
• Provide day-to-day guidance on clinical practice and decision-making within scope
• Support safe, evidence-based care across all nursing clinics
• Lead on the development and implementation of clinical protocols and pathways
• Ensure alignment with current NICE guidance, local ICB requirements and best practice
• Act as the escalation point for nursing clinical queries where appropriate
• Review relevant service specifications and commissioned requirements, providing clinical input on whether nursing services are being delivered safely, consistently and in line with expectations
• Work with the Quality Team to identify clinical coding, template, recall or workflow issues that affect QOF achievement, patient care or commissioned service delivery

• Provide first-line support and line management for the nursing team, including Practice Nurses, Nursing Associates and HCAs.
• Undertake
• Appraisals
• Regular 121s
• Probation reviews where required
• Manage performance or conduct concerns in collaboration with the Operations Manager and HR processes where required.
• Support team wellbeing, retention, communication and consistency across both sites.

• Evidence-based
• Pragmatic
• Consistent across sites

• Lead ongoing review of nurse-led services including long-term condition reviews, diabetes, respiratory disease, contraception, cytology and womens health.
• Identify opportunities to improve efficiency, flow, and use of skill mix
• Streamline nursing processes, recalls, clinic templates and appointment use across both sites, using SystmOne and Ardens Templates consistently
• Support safe innovation and new ways of working
• Work with the Operations Manager to align workforce planning, clinic structure and skill mix with patient need and commissioned requirements.
• Review diabetes, respiratory, contraception, womens health and other nurse-led services to ensure capacity, competence and processes match patient need and commissioned requirements

• Support clinical governance processes relating to the nursing team, including
• Significant events
• Audits
• Protocol compliance
• Contribute to CQC preparedness and quality assurance
• Ensure appropriate documentation and consistent use of clinical systems, including SystmOne and Ardens Templates.
• Support accurate coding, QOF achievement and quality improvement by working closely with the Quality Team and wider clinical team

• Support training and development of the nursing team, including
• Newly appointed staff
• Role progression (e.g. Band 5 to Band 6)
• Scope expansion (e.g. smears, contraception, chronic disease management)
• Development in diabetes, respiratory disease, contraception, LARC fitting and womens health, according to existing competence and service need
• Help identify training needs and opportunities
• Support supervision structures and work collaboratively with the Nurse Clinical Supervisor where applicable.

• Undertake appropriate preparation to fulfil the role of Practice Supervisor and/or Practice Assessor in line with the Nursing and Midwifery Council (NMC) Standards for Student Supervision and Assessment (SSSA)
• Maintain competence in these roles through ongoing update training as required
• Support the development of the practice as an approved learning environment for
• Student nurses
• Trainee nursing associates
• Other relevant learners within primary care
• Provide supervision, support and assessment of learners in practice, appropriate to level of qualification
• Work with the Training Hub, university partners, and internal leadership to
• Establish and maintain nursing training placements
• Ensure appropriate supervision capacity across the team
• Contribute to quality assurance and learner feedback processes
• Promote a positive learning culture within the nursing team, supporting colleagues to take on supervision roles over time

• Long-term condition reviews, including diabetes and respiratory disease, according to competence and training
• Independent prescribing, where already qualified and appropriate to the role
• Womens health, contraception and LARC fitting, where already competent or following agreed training
• Supporting complex or escalated patient cases
• Use of SystmOne and Ardens Templates to support consistent assessment, coding, recalls and follow-up

• Act as the bridge between clinical and operational decision-making for the nursing team
• Contribute to wider organisational planning where nursing, commissioned service or clinical delivery input is required.
• Act as a clinical link for commissioned nursing services, reviewing specifications and advising whether delivery, coding and clinical processes are appropriate

Essential

• NMC Registration
• Willingness to undertake Practice Supervisor and/or Practice Assessor training (NMC SSSA)

Desirable

• Independent Prescriber

Essential

• Significant experience in general practice or primary care nursing
• Experience supporting or supervising staff
• Experience in long-term condition management, with an understanding of QOF and the importance of accurate coding and template use

Desirable

• Experience in service development or leading change
• Experience reviewing service specifications, audits, local enhanced services or commissioned pathways