Practice NurseNHS
Job summary
Join our friendly, innovative and supportive GP practice
Brockwood Medical Practice is looking for an enthusiastic and motivated Practice Nurse to join our expanding multidisciplinary team.
This is an exciting opportunity for either a newly qualified or experienced nurse who is passionate about delivering high-quality, patient-centred care in general practice and keen to develop their clinical knowledge and skills.
As a training practice, we are committed to supporting the professional development of our staff. We have an excellent reputation for education, mentorship and innovation, and provide a supportive environment where nurses can build their confidence, develop their clinical skills and play an active role within our wider multidisciplinary team.
We welcome nurses who are enthusiastic about general practice, committed to providing safe and effective patient care, and keen to contribute to the ongoing development of our nursing services.
Main duties of the job
The Practice Nurse will provide high-quality, safe and effective nursing care to patients registered with the practice. The Nurse should be able to demonstrate, appropriate to their level of training, experience and competency:
- Safe and effective clinical assessment
- Venepuncture and specimen handling
- ECG recording
- Blood pressure and cardiovascular assessment
- Wound care
- NHS Health Checks
- Health promotion and lifestyle advice
- Immunisations and vaccinations
- Long-term condition management
- Dementia screening
- Cervical screening where trained
- Anticoagulation monitoring
- Patient education and self-management
- Accurate clinical documentation
- Effective clinical room and stock management
Job description
Long-Term Condition Management
Undertake assessment, monitoring and review of patients with long-term conditions, including
Diabetes
Asthma
COPD
Cardiovascular disease
Hypertension
Chronic kidney disease
Atrial fibrillation
Stroke/TIA
Other conditions as appropriate to the nurse's competencies and practice requirements
Duties may include
Clinical assessment and review
Blood pressure monitoring
Pulse and rhythm assessment
Weight and BMI monitoring
Lifestyle assessment and advice
Review of symptoms and disease control
Monitoring and review of agreed clinical parameters
Identification of deterioration and appropriate escalation
Patient education and self-management support
Appropriate onward referral to GPs or other members of the multidisciplinary team
Diabetes
Undertake diabetic reviews within competency
Perform and interpret agreed clinical measurements
Complete foot assessments
Review blood pressure, weight and lifestyle factors
Undertake appropriate blood and urine monitoring
Provide education regarding diet, exercise and self-management
Identify patients requiring GP, pharmacist, podiatry or other specialist input
Ensure appropriate coding and recall arrangements are completed
Respiratory Conditions
Support patients with asthma and COPD through
Routine clinical reviews
Assessment of symptoms and control
Inhaler technique checks
Provision of self-management advice
Smoking cessation and lifestyle advice
Appropriate monitoring and escalation
Referral to respiratory or other services where required
Cardiovascular Disease and Hypertension
Undertake blood pressure reviews
Assess cardiovascular risk factors
Support management of hypertension
Undertake cardiovascular health promotion
Monitor patients following agreed practice protocols
Escalate abnormal findings appropriately
Vaccinations and Immunisations
Undertake vaccination and immunisation programmes in accordance with national guidance, including
Childhood immunisations
Adult vaccinations
Influenza vaccination
COVID-19 vaccination where commissioned and appropriate
Pneumococcal vaccination
Shingles vaccination
Other vaccination programmes as required
Responsibilities include
Checking patient eligibility
Obtaining appropriate consent
Safe administration of vaccines
Appropriate observation and management of adverse reactions
Accurate recording and coding
Maintaining cold-chain requirement.
Stock monitoring and management
Cervical Screening
Where appropriately trained and competent
Undertake cervical screening
Obtain appropriate consent
Explain the procedure and provide patient reassurance
Ensure accurate completion and submission of samples
Maintain appropriate clinical records
Provide appropriate follow-up advice
Wound Care
Undertake assessment and management of wounds within competency, including
Acute wounds
Chronic wounds
Leg ulcers
Post-operative wounds
Skin integrity concerns This may include
Wound assessment
Dressing selection and application
Assessment for infection
Leg ulcer assessment and management
Compression therapy where appropriately trained
Patient education and self-management advice
Appropriate referral where required
ECGs and Cardiovascular Monitoring
Undertake 12-lead ECGs where clinically indicated
Ensure accurate recording and documentation
Recognise significant abnormalities requiring escalation
Arrange appropriate GP review or onward referral
INR Monitoring
Where trained and competent
Undertake point-of-care INR testing
Record results accurately
Follow practice anticoagulation protocols
Escalate abnormal or clinically concerning results
Ensure appropriate follow-up is arranged
Phlebotomy and Clinical Investigations
Undertake venepuncture
Collect and correctly label blood samples
Undertake appropriate investigations within agreed protocols
Ensure specimens are processed and transported appropriately
Recognise and escalate abnormal or clinically concerning findings
Women's Health
Provide nursing support for women's health services within competency, including
Contraception advice and monitoring
Sexual health screening and advice
Menopause support and signposting
Cervical screening
Pregnancy-related health promotion and signposting
Appropriate referral to GPs or specialist services
Men's Health
Provide health promotion and preventative healthcare advice, including
Cardiovascular risk assessment.
Lifestyle advice.
Sexual health advice.
Appropriate signposting and referral.
Health Promotion and Prevention
Promote healthy lifestyles and preventative healthcare, including
Smoking cessation
Weight management
Healthy eating
Physical activity
Alcohol awareness
Cardiovascular risk reduction
Vaccination uptake
Screening programmes
Provide appropriate advice and signpost patients to relevant NHS and community services.
NHS Health Checks
Undertake NHS Health Checks where appropriately trained and competent, including
Assessment of cardiovascular risk
Blood pressure measurement
Height and weight
BMI calculation
Lifestyle assessment
Smoking status
Alcohol assessment
Appropriate blood tests
QRISK assessment where required
Health promotion and lifestyle advice
Appropriate onward referral
Dementia Screening
Where appropriately trained
Undertake initial dementia screening as requested by the clinical team
Complete approved cognitive assessment tools
Record findings accurately in SystmOne
Escalate concerns or abnormal findings to the GP
Provide appropriate patient and carer information and signposting
Vitamin B12 Injections
Where trained and competent
Administer Vitamin B12 injections under an appropriate PSD/PGD or other authorised prescribing arrangement
Check the patient's clinical record and treatment plan before administration
Confirm appropriate consent
Record administration accurately
Monitor and report adverse reactions
Clinical Room and Stock Management
Maintain clinical rooms to a high standard
Ensure equipment is clean, safe and appropriately maintained
Monitor clinical stock levels
Order and replenish clinical consumable.
Check expiry dates
Rotate stock appropriately
Maintain vaccine and medication storage requirements
Ensure emergency equipment is checked in accordance with practice procedures
Report faulty equipment or other clinical safety concerns promptly
Patient Care and Communication
Provide compassionate, person-centred nursing care
Treat patients with dignity and respect
Maintain professional boundaries
Communicate effectively with patients, carers and colleagues
Adapt communication to meet individual patient needs
Support shared decision-making and patient self-management
Recognise and escalate safeguarding concerns
Clinical Governance and Patient Safety
Work within the NMC Code and professional standards
Follow practice clinical policies and procedures
Recognise and report clinical incidents and near misses
Participate in significant event reviews and learning where appropriate
Contribute to clinical audits and quality improvement
Maintain accurate, contemporaneous clinical records
Ensure appropriate escalation of abnormal observations and results
Participate in practice clinical governance activities
Administrative Responsibilities
Accurately record all consultations and clinical activity in SystmOne
Complete appropriate clinical templates and coding
Ensure recalls and follow-up arrangements are completed
Review and action clinical tasks within agreed timescales
Complete relevant documentation for investigations and procedures
Maintain patient confidentiality in accordance with GDPR and NHS requirements
Professional Responsibilities
Maintain current NMC registration
Work within professional scope of practice and individual competencies
Maintain clinical competencies through appropriate training and education
Participate in annual appraisal and personal development planning
Undertake mandatory training and required clinical updates where appropriate
Keep knowledge and skills up to date in line with current evidence and national guidance
About us
Brockwood Medical Practice is a friendly, forward-thinking and high-performing training practice located across a beautiful rural and semi-rural area, caring for a diverse patient population. We pride ourselves on delivering high-quality, patient-centred care while creating a supportive, collaborative and rewarding environment for our team.
Our multidisciplinary workforce includes GPs, Advanced Clinical Practitioners, Clinical Pharmacists, Paramedics, First Contact Physiotherapists, Practice Nurses, Healthcare Assistants, Care Coordinators, Social Prescribers, alongside an experienced administrative and reception team.
Working as part of such a broad and skilled multidisciplinary team provides excellent opportunities for collaborative working, shared learning and professional development, with colleagues able to draw on the expertise of different clinical and professional disciplines.
We consistently achieve excellent clinical outcomes, with strong QOF performance reflecting our commitment to delivering high-quality, evidence-based care. Our patients also value the service we provide, reflected in an outstanding 94% overall satisfaction rating in the latest GP Patient Survey.
We are committed to developing our team and fostering a culture where staff feel supported to learn, develop their skills and contribute to the continued improvement of patient care.