Lead Practice Nurse

Working in accordance

with the NMC Code of Conduct, practice protocols and clinical guidelines, the

post-holder will provide high-quality nursing care, including patient

assessment, treatment, screening, prescribing, health education and advice.

They will provide nursing care independently and in collaboration with nursing

colleagues and GPs, ensuring care is delivered safely, effectively and in line

with agreed practice standards.

To provide

leadership to the practice nursing team, working collaboratively with the

partners, practice management and wider practice staff to develop and maintain

an effective, high-quality and patient-focused nursing service. To promote

integrated working across the wider nursing team, including practice, PCN, and

district nurses, through collaborative care, evidence-based practice and

effective clinical guidelines, while monitoring key quality indicators to

ensure clinical effectiveness and continuous improvement.

Ensure that all

regulatory requirements are met in relation to the practice nursing team. This includes infection control and any

requirements relating to CQC.

The post-holder will have the required level of training and competence

and will work within patient group directions where these are available. A nurse with prescribing qualifications will practice

within their competencies.

Ensure

continuation of own personal and professional development, facilitated by

utilisation of clinical supervision networks.

Provide

focus for nursing expertise within practice, advising nursing staff,

appropriate to level of competence

Identify

training needs of practice nurse team and actively promote life-long learning.

Undertake

annual appraisals for practice nurse team.

responsibility for ensuring effective internal communication and collaborative

working across the practice, working closely with Operations and Practice

Managers, the Clinical Pharmacist and other team leads to promote joined-up

working, consistent communication and effective information sharing across all

teams and sites.

Ensure

care is delivered by practice nurse team members with relevant and appropriate

an effective nurse appointment system, in collaboration with practice manager,

including Enhanced Access allocation.

that efficient and appropriate stock control is in place.

adequate and appropriate nursing team cover is available within practice.

Review

and approve annual leave requests, ensuring clinical system remains up to date

of any changes.

a lead role in ensuring compliance with CQC requirements, relevant regulatory

frameworks and infection prevention and control standards. This will include

coordinating and delegating appropriate tasks to members of the nursing team,

while retaining overall responsibility for oversight, monitoring and ensuring

actions are completed to the required standard and within agreed timescales.

Co-ordinate

and administrate monthly nursing focus meetings for practice nursing team and

1:1s as required.

clinical leadership and oversight to the Frailty Team, offering appropriate

clinical support, guidance and direction through the Lead Frailty HCA, who will

report to the postholder.

clinical leadership and oversight of immunisation programmes for care home and

housebound patients, coordinating with the Frailty Team to plan and deliver

annual Flu and COVID-19 vaccinations, Spring boosters, RSV and other relevant

national immunisation programmes.

Assist

management with nursing team recruitment, including creating and completing

appropriate induction plans.

Support

the facilitation of specialist clinics in relation to staffing, equipment, and

operational needs.

Ensure

mandatory training requirements are fulfilled, including online and

face-to-face training for all nursing team staff.

Actively

participate in educational programmes for whole primary health care team,

including medical students and GP registrar, in relation to areas of clinical

and practice nursing expertise.

as the practices main point of contact for the University of Gloucestershireand University of the West of England in relation to student nurse,

Nursing Associate, return-to-practice and top-up placements.

placement arrangements with the universities and ARC, develop and oversee

student induction plans and learning programmes, and manage students

placements within the practice, including allocation to appropriate nurses,

departments and learning opportunities.

Act

as the main assessor for students, providing ongoing support and supervision

and completing required mid-point and final assessments.

Ensure

clinical supervision for practice staff undertaking training courses,

facilitating their availability whilst maintaining appropriate staffing levels.

clinical nursing practice across the wider nursing team through the

development, implementation and review of shared, evidence-based practice

guidelines. Facilitate collaborative relationships with District Nurses, PCN

Practice Nurses and other relevant nursing professionals across the local

healthcare network, actively sharing knowledge, learning and best practice to

promote consistency, strengthen clinical pathways and support continuous

improvement in patient care.

the development and monitoring of key quality markers for practice guidelines

including QOF; Enhanced Services; and PCN initiatives; thereby promoting

clinical effectiveness.

Plan,

develop, implement and evaluate new health promotion and chronic disease

management services.

Provide

professional advice on practice developments, recommending changes to working

practices in line with evidence-based knowledge.

PSD

and VGD management.

of, and compliance with, all relevant organisation policies and procedures,

e.g. prescribing, confidentiality, data protection, health and safety and infection

control. Apply these to all aspects of

ones own work.

Undertake

all mandatory training as determined by the practice.

Committed

to life-long learning and audit to ensure evidence-based practice.

Contribute

to evaluated audit and clinical standards setting within the organisation.

The post-holder must

recognise the importance of effective communication within the team and will

strive to communicate effectively with other team members, patients, carers and

recognise peoples needs to alternative methods of communication and respond

accordingly.

Practice

lead for infection control. Responsible

for ensuring regular updates are attended and disseminating information to the

practice team.

Undertake

regular infection control audits.

Ensure

policies and procedures are reviewed at least annually.

Report

any concerns to the practice manager.

Identifying

significant abnormalities.

area of interest diabetes, asthma, COPD

Diagnosis,

monitoring and development of individual management plans; agreeing these as

appropriate with the patient and other health professionals

Therapeutic monitoring

Checking

compliance with and adherence to appropriate treatments using an holistic

patient-centred approach

Recognising

abnormalities

Identifying

the impact of treatment and implementing or recommending changes as

appropriate.

Assessing

routine wounds including trauma

Assessing to support good wound management in complex situations

Patient health checks

Identifying

significant abnormalities

Obtaining

appropriate information using a lifestyle questioning approach and identifying

appropriate health promotion issues

Culverhay Surgery began as a single-site practice in Wotton-under-Edge. The organisation subsequently expanded to incorporate our Berkeley site in 2021 and our Frampton-on-Severn site in 2023. We now look after over 18,000 patients, and employ 86 members of staff.

Although we operate across three physical locations, we function as one integrated practice, with:

Our three sites work closely together as one surgery in three locations. This model provides significant benefits, including greater workforce resilience, shared expertise and the ability to develop services across a larger patient population. It also creates unique leadership challenges, particularly around clinical standardisation, communication, workforce planning and recognising differences between individual sites and patient populations.

Experience

Desirable: - Experience of working as a practice nurse or community nurse; - Experience of leading a nursing team in a primary care environment

Qualifications

Essential: - Registered Nurse; - Post graduate diploma or degree (Chronic Disease Management)

Desirable: - Nurse Prescriber

Clinical Skills