Practice Nurse with Extended Skills - DiabetesNHS

Job summary

An exciting replacement rolehas opened for a motivated, professional, and caring Practice Nurse with a Diabetes qualification to join our supportive multi-disciplinary team. Working across our two site practice, we provide high-quality care to a diverse population of 16,000 patients.

We are looking for a dedicated professional who thrives in a team environment and can demonstrate excellent, patient-centred care with compassion and professionalism. The successful candidate will work alongside the rest of the clinical team to manage chronic disease, while also supporting general practice nursing duties, using SystmOne for all clinical record-keeping.

Main duties of the job

• Collaborative Diabetes Care: Work alongside our current Diabetes Nurse to deliver comprehensive assessment, treatment, and lifestyle advice for patients with diabetes.
• General Nursing Care: Deliver core treatment room services, including but not limited to; immunisations, cervical screening, and wound management.
• Clinical System Utilization: Maintain accurate, comprehensive, and contemporaneous patient records using SystmOne.
• Multidisciplinary Collaboration: Work collaboratively within our multi-disciplinary team (including GPs, ANPs, Practice Nurses, TNA, HCAs and AHPs) to support patient care pathways
• Quality Frameworks: Support the practice in achieving the Quality Outcomes Framework indicators and local quality initiatives related to diabetes.

Job description

Job Description for Practice Nurse with Extended Skills MMC

TitlePractice Nurse with extended skills

Hours of dutyto be agreed on appointment

Responsible toDirector of Nursing MMC

Accountable toBoard of Directors MMC

Job Summary

The post holder, acting within their professional boundaries, will provide a high standard of nursing care for MMC patients, including clinical assessment, treatment, and evaluation of care. They will undertake all duties usually expected within the Practice Nurse role, alongside additional responsibilities reflecting their extended skills in long term condition management and independent prescribing within their scope of competence.

The post holder will work collaboratively with the general practice team to meet the needs of patients, support the delivery of policy and procedures, and contribute to high quality, evidence based care. They may be required to work across MMC practices and the PCN where necessary.

Key Responsibilities

Clinical Practice

Core Practice Nurse Duties

Holistic clinical assessment and management of patients within scope of practice.

Support patients to adhere to prescribed treatments and self management plans.

Childhood and adult vaccinations under PGDs.

Cervical cytology and smear testing.

Wound care and dressings.

Phlebotomy.

Learning disability health checks.

Contraception advice and monitoring.

General health checks.

ECG recording.

Administration of injections.

Ear care.

Obtain and document informed consent and capacity assessments.

Ensure infection control standards are maintained.

Monitor and maintain clinical stock and equipment.

Recognise and respond to emergency conditions such as anaphylaxis and cardiac arrest.

Promote health education and selfcare strategies.

Home visits for chronic disease monitoring and vaccination delivery.

Maintain uptodate clinical skills and attend nursing team meetings.

Comply with MMC policies and procedures.

Extended Skills Responsibilities

The post holder will undertake additional duties aligned with their extended competencies:

Long term condition (LTC) management, including structured reviews for conditions such as asthma, COPD, diabetes, hypertension, and cardiovascular disease.

Medication titration within scope of competence, utilising local guidelines.

Independent prescribing within scope of competence, ensuring safe, evidence based prescribing practice.

Targeted clinical examination relevant to LTC management within scope of competence.

Contribute to personalised care planning for patients with chronic conditions.

Provide clinical advice to colleagues within defined boundaries.

Communication

Use sensitive and effective communication to ensure patients are fully informed and able to consent to treatment.

Communicate with and support patients receiving difficult or distressing information.

Adapt communication methods to meet individual needs, including cultural, cognitive, or language barriers.

Maintain effective communication within the practice team to support highquality service delivery.

Act as an advocate for patients and colleagues.

Delivering a Quality Service

Work within professional competence and the NMC Code to deliver evidence based care.

Comply with NMC revalidation, appraisal processes, and mandatory training.

Produce accurate, contemporaneous clinical records in line with legislation and practice policies.

Prioritise and manage own workload to maintain quality and safety.

Evaluate patient responses to care and adjust plans accordingly.

Participate in shared learning across the practice and wider organisation.

Provide constructive feedback to support team performance.

Understand and apply safeguarding procedures for vulnerable adults and children.

Team Working

Understand own role and scope, recognising how this may develop over time.

Work as an effective team member, supporting colleagues and contributing to new ways of working.

Delegate appropriately, ensuring safe practice and competence assessment.

Use effective time management strategies.

Work collaboratively to resolve clinical issues within competence.

Identify and support opportunities to improve patient care

Management of Risk

Assess and manage risk within areas of responsibility.

Ensure work areas are safe and compliant with health, safety, and security legislation.

Oversee safe storage, rotation, and disposal of vaccines and medicines.

Apply infection control measures in line with local and national guidance.

Managing Information

Use clinical systems and technology to support planning, delivery, and monitoring of care.

Ensure accurate coding and data entry to support audit, QOF, and monitoring processes.

Always maintain confidentiality.

Learning and Development

Share learning with colleagues to support good practice and service development.

Identify personal learning needs and undertake CPD in discussion with line manager.

Provide education to patients, carers, families, and colleagues where appropriate.

Equality and Diversity

Identify and challenge discrimination, promoting equality and inclusion.

Support others to uphold equality and diversity standards.

Assist individuals in exercising their rights.

Monitor adherence to chaperone policies.

Act as a role model for non discriminatory practice.

Respect individuals rights to choose, participate in, or refuse care.

About us

The Midland Medical Company operates across Park Avenue and Kings Heath Practice to deliver high-quality primary care services to our patients.

We are a diverse, multi-professional team including GPs, ANPs, Practice Nurses, TNAs, HCAs, AHPs, and dedicated administrative support. As atraining practice, we value a supportive environment where staff feel empowered to develop and upskill, ensuring we consistently provide the highest standard of care.

Clinical safety is central to our culture; our staff are supported daily by a dedicated duty team consisting of a General Practitioner and an Advanced Nurse Practitioner. Our core ethos is to ensure our team is well-equipped to deliver the best evidence-based knowledge and support to our patient community, while maintaining high clinical standards, robust clinical governance, patient safety, and confidentiality.

Working with us comes with competitive benefits package including 6 weeks paid annual leave and entry into the NHS pension scheme.