Non-Prescribing Practice Nurse (Learning Disabilities Focus)NHS

Job summary

Unfortunately NPC does not hold a license for Visa Sponsorship and cannot progress any applications for candidates without the right to work in the UK.

Hours: 28.5 hours per week

Salary: £31,564.20 (£41,531.84 FTE)

This position offers a unique opportunity to work as an autonomous practitioner within a supportive Home Visiting Team, delivering care where it is often needed most. The role combines traditional practice nursing with a substantial community-based element, allowing the successful candidate to build meaningful relationships with patients in their own environments and make a significant impact on the health and wellbeing of housebound, vulnerable, and learning-disabled patients.

Travel Requirements

• Full UK driving licence.
• Access to a vehicle insured for business use.
• Ability and willingness to travel independently between practice sites, patient homes, care homes, and community settings.
• Regular home visiting is a core and essential component of this role and forms part of the routine workload.

Main duties of the job

The Non-Prescribing Practice Nurse will deliver high-quality, patient-centred nursing care across both practice and community settings. This is a highly autonomous role requiring the postholder to manage an independent clinical workload, undertake comprehensive assessments, and deliver evidence-based interventions within their scope of practice.

A significant component of the role involves providing care to patients in their own homes, care homes, and other community settings. The postholder will work closely with the multidisciplinary team whilst exercising professional judgement and clinical autonomy to support housebound, vulnerable, and complex patients.

The role is based within and professionally supported by the Home Visiting Team, working alongside GPs, nurses, paramedics, healthcare assistants, community services, and other healthcare professionals to provide coordinated care closer to home.

The postholder will also play a key role in supporting patients with learning disabilities, helping to reduce health inequalities and improve access to healthcare services.

Job description

The following are the core responsibilities of the Non-Prescribing Practice Nurse. The postholder will work across both practice and community settings, delivering high-quality, patient-centred nursing care. Additional duties may be required in response to service needs, workload demands, and staffing requirements.

• Promote health improvement, disease prevention, and wellbeing through evidence-based health education, health promotion, and lifestyle support.
• Assess, plan, implement, and evaluate person-centred nursing care for patients with acute and long-term health conditions within own scope of practice.
• Support the management of patients with chronic diseases, undertaking routine reviews, monitoring, and follow-up in accordance with local and national guidelines.
• Identify patients at risk of developing long-term conditions and provide proactive interventions to improve health outcomes.
• Deliver routine nursing procedures including wound care, cervical screening (where competent), vaccinations, immunisations, health checks, venepuncture, ECGs, and other clinical interventions within competency.
• Undertake autonomous home visits, care home visits, and community-based assessments as a core component of the role, managing a delegated caseload and providing assessment, treatment, monitoring, and care planning for housebound and vulnerable patients.
• Manage an independent clinical caseload across practice and community settings, prioritising workload appropriately and exercising professional judgement when assessing, planning, and delivering patient care within professional competence and organisational policies.
• Develop and maintain therapeutic relationships with patients, carers, families, and multidisciplinary teams to facilitate coordinated care.
• Support the identification and reduction of health inequalities, with particular focus on improving access, engagement, and outcomes for patients with learning disabilities.
• Lead or support annual health checks for patients with learning disabilities, ensuring reasonable adjustments are made to meet individual needs.
• Advocate for patients with learning disabilities and work collaboratively with carers, community teams, social care, and specialist learning disability services to promote equitable healthcare access.
• Contribute to the development of personalised care plans, including support plans for patients with complex health and social needs.
• Provide health promotion, education, and self-management support to patients, carers, and families in ways that are accessible and tailored to individual communication needs.
• Request and undertake agreed diagnostic tests and investigations within scope of practice, reporting findings to the appropriate clinician and escalating concerns as required.
• Recognise, assess, and appropriately escalate clinical concerns, safeguarding issues, deteriorating patients, or signs of abuse, neglect, or vulnerability.
• Refer patients to other healthcare professionals, community services, social prescribers, and support organisations in line with practice protocols and local pathways.
• Maintain accurate, contemporaneous, and legally compliant clinical records using the practice clinical system.
• Ensure appropriate use of clinical coding and contribute to the maintenance of disease registers, enhanced services, and quality improvement initiatives.
• Participate in infection prevention and control activities, clinical audits, service development projects, and quality assurance programmes.
• Chaperone patients where appropriate and in accordance with practice policy.
• Support the practice team in responding to medical emergencies and urgent clinical situations.
• Recognise and respond appropriately to patients presenting with mental health needs, referring to relevant services where required.
• Actively participate in multidisciplinary team meetings, safeguarding reviews, case discussions, and care planning processes.
• Maintain professional registration and competency through continuing professional development, mandatory training, clinical supervision, and reflective practice.
• Contribute to the education, development, and support of colleagues, healthcare assistants, students, and trainees where appropriate.
• Work flexibly across practice and community settings to meet the needs of the patient population and support service delivery priorities.

Special Interest: Learning Disabilities

The postholder will be encouraged and supported to develop and maintain expertise in the care of patients with learning disabilities, including:

• Supporting delivery of the Learning Disability Enhanced Service.
• Undertaking and coordinating annual health checks.
• Ensuring reasonable adjustments are identified, recorded, and implemented.
• Promoting accessible communication and health information.
• Working collaboratively with community learning disability teams and external agencies.
• Supporting health action plans and personalised care planning.
• Helping to reduce health inequalities experienced by people with learning disabilities.
• Acting as a practice resource and advocate for learning disability awareness, inclusion, and best practice.
• Supporting carers and families to access appropriate healthcare services and community support.
• Promoting the uptake of screening programmes, vaccinations, health reviews, and preventative healthcare interventions among people with learning disabilities

About us

Norfolk Primary Care Ltd is a Community Interest Company. It was established to:

• Support and strengthen primary care and to promote and assist practices to improve quality by working with and on behalf of primary care in Norfolk.
• Help with challenges identified by practices workload, GP recruitment, sharing best practice.
• Recognise the changing nature of primary care and assist to ensure that the right level of service is provided to address the needs of the local population.
• Provide benefit to patients of primary care, the clinicians and administrators who work in it and practice organisations in Norfolk.
• Work within health systems to provide patient care in innovative and solution-focused ways.
• We offer successful candidates a supportive working environment, competitive salary, excellent working conditions and the benefits of the NHS pension scheme. Other benefits include access to NHS discounts and discounted First Bus travel.

If you are interested in working in an organisation committed to a culture of professionalism, growth, integrity, positivity and kindness then we would love to hear from you.