Practice NurseNHS

Job summary

Are you a qualified Nurse looking for a role within Primary Care where you can develop your skills, enjoy your work and become part of a genuinely supportive team?

Rolle Medical Partnership is looking for an enthusiastic Nurse to join our established and expanding multidisciplinary team.

We are a 26,000-patient GMS training practice across four surgery sites in beautiful East Devon, with an experienced team of GPs and a diverse multidisciplinary workforce including Advanced Health Practitioners, ANPs, Nurse Prescribers, Paramedics, Practice Nurses, HCAs, Nursing Associates and GPAs.

This is an exciting opportunity to join a practice that values clinical excellence, collaboration, innovation and professional development

Main duties of the job

The post holder is responsible for the delivery of general practice nursing to the whole practice population. To deliver evidence-based practice for patients presenting with a long-term condition and the provision of preventative health care to the practice population. As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making in the management of patients. They will work collaboratively within the general practice team to meet the needs of patients, support the delivery of policy and procedures.

Job description

KEY RESPONSIBILITIES AND DUTIES

A Clinical Nursing Responsibilities

Undertake holistic nursing assessments and develop appropriate plans of care.

Provide evidence-based nursing interventions for patients across all age groups.

Undertake wound assessment, wound management and dressing procedures.

Perform venepuncture and obtain appropriate clinical samples.

Undertake physiological observations, including blood pressure, pulse, oxygen saturation and temperature.

Perform and interpret ECGs within competence, escalating abnormal findings appropriately.

Undertake urinalysis and other point-of-care testing.

Provide treatment room services, including suture and clip removal.

Recognise and respond appropriately to clinical deterioration and urgent presentations.

Identify red flags and escalate clinical concerns to the appropriate clinician.

Maintain accurate and contemporaneous clinical records.

B Long-Term Condition Management

Undertake planned reviews and ongoing monitoring of patients with long-term conditions, in accordance with current NICE guidance, national clinical guidance and locally agreed protocols.

This may include:

Diabetes: Annual reviews, monitoring of HbA1c, blood pressure, foot checks, cardiovascular risk and identification of patients requiring escalation.

Asthma: Assessment of symptom control, inhaler technique, medication adherence and personalised asthma action plans.

COPD: Assessment of respiratory symptoms, oxygen saturation, inhaler technique, exacerbation history and self-management advice.

Hypertension: Blood pressure monitoring, cardiovascular risk assessment and identification of patients requiring further clinical review.

Cardiovascular disease: Monitoring and preventative care for patients with established cardiovascular disease and associated risk factors.

Chronic kidney disease: Monitoring in accordance with agreed clinical pathways.

Other long-term conditions: Support the ongoing management of patients with complex or multiple long-term conditions.

The postholder will identify patients requiring additional investigation, medication review or referral and ensure appropriate follow-up.

C. Immunisations and Vaccinations

Deliver routine and seasonal immunisation programmes in accordance with current UKHSA guidance and the Green Book.

Administer vaccines within appropriate training and competency.

Participate in influenza, COVID-19 and other commissioned vaccination programmes as required.

Maintain appropriate vaccine storage and cold chain procedures.

Monitor and record vaccine temperatures.

Maintain accurate immunisation records and ensure appropriate reporting.

Recognise and respond appropriately to adverse reactions, including anaphylaxis.

Maintain up-to-date anaphylaxis training and emergency response competence.

D. Cervical Screening and Women's Health

Where appropriately trained and competent:

Undertake cervical screening appointments in accordance with national guidance.

Provide information and advice regarding screening and preventative healthcare.

Ensure appropriate sample collection, labelling and documentation.

Communicate results and support appropriate follow-up pathways.

Maintain relevant training and competency requirements.

E. Health Promotion and Prevention

Promote healthy lifestyles and preventative healthcare.

Provide advice regarding smoking cessation, alcohol, nutrition, physical activity and weight management.

Support NHS Health Checks and other preventative health programmes.

Encourage patient self-management and shared decision-making.

Identify patients who may benefit from screening, vaccination or additional preventative interventions.

F. Clinical Governance and Patient Safety

Work in accordance with NMC professional standards and the Code.

Maintain clinical competence and undertake continuing professional development.

Comply with practice clinical policies, procedures and protocols.

Participate in clinical audit and quality improvement initiatives.

Report incidents, near misses and significant events.

Participate in learning from incidents and complaints.

Maintain appropriate infection prevention and control standards.

Ensure safe use, storage and disposal of clinical equipment and consumables.

Support compliance with CQC fundamental standards and relevant regulatory requirements.

Maintain appropriate safeguarding knowledge and practice.

G. Safeguarding

Recognise and respond appropriately to safeguarding concerns involving children and adults at risk.

Follow local safeguarding policies and referral pathways.

Document safeguarding concerns accurately.

Escalate concerns to the appropriate safeguarding lead.

Maintain mandatory safeguarding training appropriate to the role.

H. Leadership, Teamwork and Communication

Work effectively as part of the wider primary care team.

Communicate professionally with patients, relatives, carers and colleagues.

Support the development of a positive learning environment.

Participate in practice meetings and clinical discussions.

Provide guidance and support to healthcare assistants and nursing learners within competence.

Contribute to the development and improvement of nursing services.

Maintain effective working relationships with external healthcare providers.

Professional Responsibilities

The postholder must:

Maintain current NMC registration.

Practise within their professional scope and individual competence.

Maintain appropriate professional indemnity arrangements.

Participate in annual appraisal and professional development.

Maintain mandatory and role-specific training.

Comply with GDPR, the Data Protection Act 2018 and confidentiality requirements.

Adhere to practice policies relating to health and safety, equality and diversity, infection control and information governance.

Undertake other reasonable duties consistent with the grade and responsibilities of the post.

About us

Why Join Rolle Medical Partnership?

What makes us different is our people. We are a large, stable and experienced team that values collaboration, supports one another through the challenges of modern general practice and celebrates our successes together. We believe that excellent patient care starts with looking after our staff, promoting wellbeing and fostering a culture of kindness, respect and collaboration.

Strong multidisciplinary working

Our experienced multidisciplinary team helps ensure that patients are seen by the right clinician at the right time. You will work alongside GPs, ANPs, Advanced Health Practitioners, Paramedics, Practice Nurses, HCAs, Nursing Associates and our wider practice team. We value the contribution of every member of our clinical workforce and encourage clinicians to work to the full extent of their skills and professional capabilities.

Innovation with purpose

We embrace new ways of working where they improve outcomes for patients and make working lives better for staff. We are continually looking for opportunities to innovate, improve and develop our services. As a Practice Nurse, you will have the opportunity to contribute to service development, clinical improvement and the future direction of primary care within the practice.

Opportunities to develop

We are a training practice and learning and development are embedded within our culture. We actively support specialist interests, leadership development, teaching, service development and innovation