Job description

Job responsibilities

The Frailty Nurse will work as part of the Nexus MK PCN multidisciplinary team to proactively identify, assess, and support patients living with frailty across member practices, care homes, and community settings.

The post holder will provide clinical leadership in frailty management, working collaboratively with primary care, community services, social care, care homes, and secondary care providers to improve outcomes and reduce health inequalities for frail and elderly patients.

The role will focus on preventative care, personalised care planning, admission avoidance, and coordinated multidisciplinary working to ensure patients receive the right care at the right time.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration.
• Significant post-registration clinical experience.
• Experience of working with older people, frailty, long term Conditions, or complex care management.
• Experience of multidisciplinary team working.
• Excellent communication and clinical assessment skills.
• Ability to work autonomously and manage a caseload effectively.
• Full UK driving licence and access to a vehicle.

Desirable

• Qualification or specialist training in frailty, gerontology, or advanced clinical practice.
• Independent Prescribing Qualification.
• Experience working within Primary Care Networks or General Practice.
• Experience of working within care homes or community healthcare settings.
• Knowledge of local Milton Keynes health and care services.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Oakridge Park Medical Centre

Address

30 Texel Close

Oakridge Park

Milton Keynes

MK14 6GL

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Oakridge Park Medical Centre is seeking a compassionate and motivated GP to join our friendly and supportive team. We are looking for an enthusiastic clinician who iscommitted to delivering high-quality patient care and can work confidently and effectively in a busy primary care environment.

This is an exciting opportunity to join a well-established and forward-thinking practiceserving a growing patient population in Milton Keynes. The successful candidate will play a key role in delivering excellent clinical care while contributing to the ongoing development of the practice and wider Primary Care Network.

This role is offered on a fixed-term contract until 31 March 2027, with the potential for extension, subject to funding and service requirements. immediate start preferred

About Us

Oakridge Park Medical Centre is a thriving GP practice based in Milton Keynes, committed to providing high-quality, patient-centred healthcare to our local community.

Our multidisciplinary team includes experienced GPs, nursing staff, healthcare assistants, pharmacists, care coordinators, and administrative colleagues who work collaboratively to deliver excellent patient outcomes. Through our Primary Care Network partnerships, we have access to a range of additional healthcare professionals who support our population's diverse needs.

We pride ourselves on fostering a supportive working environment where staff wellbeing, professional development, and excellent patient care are at the heart of everything we do.

Training Practice

As a training practice, we are committed to supporting the development of the future healthcare workforce. We regularly host GP Registrars, undertaking clinical placements.

We encourage continuous learning within the practice and actively support clinicians in developing specialist interests and expanding their skills through education and training.

Main Duties of the Role

• The successful candidate will be responsible for:
• Clinical Responsibilities
• Delivering high-quality, evidence-based medical care to the registered practice population.
• Undertaking face-to-face, telephone, and online consultations.
• Assessing, diagnosing, and managing acute and chronic medical conditions.
• Prescribing safely and effectively in accordance with NHS and local guidelines.
• Reviewing and actioning test results, hospital correspondence, and clinical documentation promptly.
• Undertaking home visits where clinically appropriate.
• Maintaining accurate and contemporaneous clinical records using SystmOne.
• Participating in care planning and health promotion activities for patients withlong-term conditions.
• Managing referrals and associated clinical administration in a timely manner.
• Quality and Governance
• Supporting the achievement of Quality and Outcomes Framework (QOF) and
• Enhanced Service targets.
• Participating in clinical audits, significant event reviews, and quality
• improvement initiatives.
• Promoting evidence-based practice throughout the organisation.
• Maintaining a strong awareness of safeguarding responsibilities for children and vulnerable adults.
• Ensuring compliance with all relevant NHS and practice policies, including
• infection prevention, confidentiality, and information governance.
• Professional Development
• Maintaining GMC registration, appraisal, and revalidation requirements.
• Participating in continuing professional development (CPD) activities and
• mandatory training.
• Contributing positively to the development of the wider practice team.

Person Specification

Qualifications

Essential

• Qualified General Practitioner with MRCGP and Certificate of Completion of Training (CCT) or equivalent.
• Full GMC registration with licence to practise.
• Inclusion on the NHS England National Performers List.
• Independent Prescriber qualification.
• Appropriate medical defence indemnity (MPS, MDU, or equivalent).
• Evidence of current appraisal and revalidation.
• Eligibility to work independently in the UK
• Experience working within a UK primary care environment.
• Experience of QOF, clinical audit, and quality improvement activities.
• Knowledge of medicines management and prescribing governance.
• Understanding of Integrated Care Board (ICB) initiatives and primary care services.
• Commitment to continuous professional development.
• Strong clinical knowledge and decision-making skills appropriate to an experienced GP.

Desirable

• Experience using SystmOne.
• Participation in quality improvement or leadership activities.

Experience

Essential

• Experience of working within General Practice.
• Ability to manage a broad range of acute and chronic medical conditions.
• Excellent consultation, diagnostic, and clinical decision-making skills.
• Understanding of QOF and primary care contractual requirements.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Oakridge Park Medical Centre

Address

30 Texel Close

Oakridge Park

Milton Keynes

MK14 6GL

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Key Responsibilities

Clinical Responsibilities (ARRS-aligned)

• Conduct structured medication reviews (SMRs) for patients with complex needs, including:
• Polypharmacy
• Frailty
• Long-term conditions
• Care home residents
• Provide clinical advice on prescribing, medicines optimisation, and deprescribing.
• Manage medication-related queries from patients and clinical staff.
• Support chronic disease management clinics in line with agreed protocols.
• Undertake medication reconciliation following hospital discharge.
• Identify and manage medicines-related safety issues and risks.
• Prescribe medicines independently (where appropriately qualified and authorised).

Medicines Optimisation & Safety

• Support safe, effective, and cost-effective prescribing across the PCN.
• Promote evidence-based prescribing and adherence to local and national guidelines.
• Support QOF, IIF, and PCN service delivery priorities where appropriate.
• Contribute to reduction of medicines waste and prescribing variation.
• Support implementation of prescribing policies and formularies.

Multidisciplinary Team Working

• Work collaboratively with GPs, nurses, paramedics, and other ARRS roles.
• Participate in MDT meetings, care planning, and PCN clinical discussions.
• Liaise with community pharmacies, secondary care, and wider healthcare teams.
• Support education and advice to practice staff on medicines-related issues.

Operational Responsibilities

• Work flexibly across PCN practices in line with service need.
• Accurately record all patient contacts and interventions on the clinical system - SystmOne.
• Ensure all activity is coded appropriately to support ARRS reporting and funding assurance.
• Adhere to PCN and practice policies, including safeguarding, infection control, and information governance.

Clinical Governance & Quality

• Maintain professional registration with the General Pharmaceutical Council (GPhC).
• Work within ARRS role scope and PCN governance arrangements.
• Participate in audit, quality improvement, and service evaluation.
• Comply with safeguarding, health & safety, and data protection requirements.
• Participate in incident reporting and reflective learning.

Education, Training & Development

• Complete and maintain the Primary Care Pharmacy Education Pathway (PCPEP) if required.
• Maintain ongoing Continuing Professional Development (CPD).
• Participate in supervision, appraisal, and PCN development programmes.
• Support training and development of colleagues where appropriate.

Person Specification

Qualifications

Essential

• Registered Pharmacist with the General Pharmaceutical Council (GPhC)
• Eligible for employment under the ARRS scheme
• Relevant post-registration experience
• Ability to work autonomously and make clinical decisions
• Strong communication and interpersonal skills
• Ability to work across multiple practice sites
• Good IT skills and ability to use GP clinical systems

Desirable

• Experience working in primary care or general practice
• Independent prescribing qualification
• Experience working within a PCN or MDT environment

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Oakridge Park Medical Centre

Address

Nexus MK PCN - Scorpio House

Rockingham Drive

Milton Keynes

MK14 6LY

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Professional

- Work effectively as part of the Multi-Disciplinary Team within the Primary Care Network and wider GP network

- Apply risk assessment and management principles to all clinical work

- Exercise initiative and independence in carrying out delegated activities at a Professional level

- Provide clinical and administrative support to the MDT as required

- Effectively triage referrals and signpost to relevant professions within the Primary Care Network

Person Specification

Essential Knowledge and Skills

- Excellent organisational and time management skills with ability to prioritise tasks

- Strong communication skills including good written English

- Comprehensive understanding of the Occupational Therapy role

- Ability to follow local lone working policies and procedures

Essential Experience

- Experience working in healthcare settings

- Experience supporting needs associated with activities of daily living

- Proven ability to work independently

- Experience working within multi-disciplinary teams

- Previous experience supporting Occupational Therapists/Physiotherapists

Essential Qualifications and Requirements

- NVQ Level 3 in Health or equivalent qualification

- Proficiency in Microsoft Office applications

- Evidence of continued professional development

- Access to own vehicle with business insurance for community/home visits

- Demonstrated computer literacy

Desirable Criteria

- Knowledge of therapeutic interventions for adults with frailty, long-term and complex medical conditions

- Awareness of relevant healthcare legislation

- Experience in delivering therapy groups

- Community healthcare experience

Working Conditions

- The role involves working in community and clinical settings

- Regular travel between sites and patient homes required

- Flexible working may be required to meet service needs

Additional Information

This post is subject to the usual NHS employment checks including DBS clearance, occupational health clearance, and satisfactory references.

Person Specification

Qualifications

Essential

• Essential Qualifications and Requirements
• - NVQ Level 3 in Health or equivalent qualification
• - Proficiency in Microsoft Office applications
• - Evidence of continued professional development
• - Access to own vehicle with business insurance for community/home visits
• - Demonstrated computer literacy

Desirable

• Desirable Criteria
• - Knowledge of therapeutic interventions for adults with frailty, long-term and complex medical conditions
• - Awareness of relevant healthcare legislation
• - Experience in delivering therapy groups
• - Community healthcare experience

Working conditions and DBS

Essential

• Working Conditions
• - The role involves working in community and clinical settings
• - Regular travel between sites and patient homes required
• - Flexible working may be required to meet service needs
• Additional Information
• This post is subject to the usual NHS employment checks including DBS clearance, occupational health clearance, and satisfactory references.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Oakridge Park Medical Centre

Address

Nexus MK PCN - Scorpio House

Rockingham Drive

Milton Keynes

MK14 6LY

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

Job Purpose

The Social Prescriber will work as part of the multidisciplinary PCN team to support patients with non-medical needs that impact their health and wellbeing. The role involves person-centred conversations, identifying what matters to people, and connecting them to community-based support, voluntary services, and local resources across the PCN footprint.

The post holder will work across five GP practices, ensuring equitable access to social prescribing services for patients and supporting population health priorities.

Key Responsibilities

Patient Support

• Receive referrals from GPs, practice staff, and the wider PCN MDT
• Conduct holistic assessments using a person-centred, strengths-based approach
• Co-produce personalised care plans with patients
• Support individuals to address issues such as:
• Social isolation and loneliness
• Mental health and wellbeing
• Financial, housing, or employment concerns
• Lifestyle changes (e.g. physical activity, weight management)
• Long-term condition support
• Provide follow-up support to help patients engage with services and build confidence

Community Engagement & Partnership Working

• Build and maintain strong relationships with local VCSE organisations, community groups, and statutory services
• Maintain an up-to-date directory of local services across the PCN area
• Promote community assets and support services within GP practices
• Act as a link between primary care and the community sector

Practice & PCN Working

• Work flexibly across five GP practices, attending MDT meetings as required
• Contribute to care coordination for complex patients
• Support PCN priorities such as:

• Health inequalities
• Long-term condition management
• Mental health and wellbeing
• Prevention and early intervention

Data, Monitoring & Reporting

• Accurately record patient contacts and outcomes using clinical systems (SystmOne)
• Collect outcome data aligned to ARRS and PCN reporting requirements
• Contribute to audits, service evaluation, and continuous improvement
• Ensure compliance with information governance and confidentiality standards

Professional Practice

• Work within the NHS Social Prescribing Model and PCN DES requirements
• Maintain professional boundaries and manage risk appropriately
• Engage in supervision, training, and continuous professional development
• Promote equality, diversity, and inclusion in all aspects of practice

Person Specification

Essential

• Experience working in health, social care, community, or voluntary sector roles
• Strong communication and interpersonal skills
• Ability to work independently and across multiple sites
• Experience supporting individuals with complex or multiple needs
• Understanding of health inequalities and social determinants of health
• Confident IT skills and accurate record keeping

Desirable

• Level 3 or above qualification in health, social care, or related field
• Experience working in primary care or GP practice settings
• Knowledge of local community services and VCSE sector
• Experience of social prescribing or care navigation
• Experience using NHS clinical systems

Values & Behaviours

• Person-centred and compassionate
• Collaborative and team-oriented
• Flexible and adaptable
• Proactive and solution-focused

Person Specification

Values & Behaviours

Essential

• Person-centred and compassionate
• Collaborative and team-oriented
• Flexible and adaptable
• Proactive and solution-focused

Qualifications

Essential

• Experience working in health, social care, community, or voluntary sector roles
• Strong communication and interpersonal skills
• Ability to work independently and across multiple sites
• Experience supporting individuals with complex or multiple needs
• Understanding of health inequalities and social determinants of health
• Confident IT skills and accurate record keeping

Desirable

• Level 3 or above qualification in health, social care, or related field
• Experience working in primary care or GP practice settings
• Knowledge of local community services and VCSE sector
• Experience of social prescribing or care navigation
• Experience using NHS clinical systems

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Oakridge Park Medical Centre

Address

Nexus MK PCN - Scorpio House

Rockingham Drive

Milton Keynes

MK14 6LY

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The PCN Pharmacy Technician will support medicines optimisation and safe, effective prescribing across five GP practices within the PCN. The post holder will work as part of the multidisciplinary primary care team, supporting GPs, pharmacists, nurses, and other healthcare professionals to improve patient outcomes, reduce medicines-related risk, and contribute to efficient practice systems. - Job description attached

Person Specification

Qualifications

Essential

• Experience working in primary care, general practice, or community pharmacy
• Good understanding of repeat prescribing systems
• Knowledge of medicines optimisation and prescribing safety
• Ability to work independently and as part of a multidisciplinary team
• Excellent communication and organisational skills
• IT literate clinical system SystmOne desirable

Desirable

• Previous experience working in General Practice or PCN
• Experience with medication reviews and medicines reconciliation
• Understanding of QOF IIF and PCN contractual requirements
• Accuracy checking qualification (ACT)
• Experience working across multiple sites

Experience

Essential

• Experience working in primary care, general practice, or community pharmacy
• Good understanding of repeat prescribing systems
• Knowledge of medicines optimisation and prescribing safety
• Ability to work independently and as part of a multidisciplinary team
• Excellent communication and organisational skills
• IT literate clinical system SystmOne desirable

Desirable

• Previous experience working in General Practice or PCN
• Experience with medication reviews and medicines reconciliation
• Understanding of QOF, IIF and PCN contractual requirements
• Accuracy checking qualification (ACT)
• Experience working across multiple sites

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Oakridge Park Medical Centre

Address

Nexus MK PCN - Scorpio House

Rockingham Drive

Milton Kenyes

mk14 6ly

United Kingdom

Employer's website

https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)