Job description

Job responsibilities

Clinical responsibilities:

• In accordance with the practice timetable, as agreed, the post-holder will make him/her-self available to undertake a variety of duties including surgery consultations, telephone consultations and queries, visiting patients at home, checking and signing repeat prescriptions and dealing with queries, paperwork and correspondence in a timely fashion
• Making professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the organisation
• Assessing the health care needs of patients with undifferentiated and undiagnosed problems
• Screening patients for disease risk factors and early signs of illness
• In consultation with patients and in line with current practice disease management protocols, developing care plans for health
• Providing counselling and health education
• Admitting or discharging patients to and from the caseload and referring to other care providers as appropriate
• Recording clear and contemporaneous consultation notes to agreed standards
• Collecting data for audit purposes
• Compiling and issuing computer-generated acute and repeat prescriptions
• Prescribing in accordance with the practice prescribing formulary
• In general the post-holder will be expected to undertake all the normal duties and responsibilities associated with a GP working within primary care.

Other responsibilities within the organisation:

• Awareness of and compliance with all relevant practice policies/guidelines, e.g. prescribing, confidentiality, data protection, health and safety
• A commitment to life-long learning and audit to ensure evidence-based best practice
• Contributing to evaluation/audit and clinical standard setting within the organisation
• Contributing to the development of computer-based patient records
• Contributing to the summarising of patient records and read-coding patient data
• Attending training and events organised by the practice or other agencies, where appropriate.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety:

The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include (but will not be limited to):

• Using personal security systems within the workplace according to practice guidelines
• Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
• Providing advice on the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
• Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff and patients.
• Management of the full range of infection control procedures in both routine and extraordinary circumstances (e.g. pandemic or individual infectious circumstances)
• Hand hygiene standards for self and others
• Managing directly all incidents of accidental exposure
• Management and advice relating to infection control and clinically based patient care protocols, and implementation of those protocols across the practice
• Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate to the responsible person
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
• Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
• Monitoring practice facilities and equipment in relation to infection control, ensuring that proper use is made of hand cleansing facilities, wipes etc, and that these are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate to the responsible manager
• Safe management of sharps use, storage and disposal
• Maintenance of own clean working environment
• Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
• Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with responsible managers
• Undertaking periodic infection control training (minimum twice annually)
• Correct waste and instrument management including handling, segregation, and container use
• Maintenance of sterile environments

Equality and diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/professional development:

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements for PREP are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate

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.

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

Person Specification

Qualifications

Essential

• GMC Registered GP in good standing
• Completed GP training in the UK

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

Portway Family Practice

Address

Portway Family Practice

Newbury Lane

Oldbury

West Midlands

B69 1HE

United Kingdom

Employer's website

https://www.portwayfamilypractice.co.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Extended Access Practice Nurse & Clinical Lead is responsible for delivering high-quality, safe, and effective nursing care across the Black Country GP Hub, serving the populations of Citrus Health PCN and Newcomen PCN. The post holder will combine direct patient care responsibilities with clinical leadership duties, supporting the delivery of extended access services across evenings, weekends, and bank holidays.

As the Clinical Lead Nurse, the post holder will be the first point of contact for Practice Nurses, Advanced Nurse Practitioners (ANPs), and Healthcare Assistants (HCAs) working within the Extended Access Service. They will work closely with the Hub Management Team, GP Clinical Leads, and PCN leadership teams to ensure contractual requirements, quality standards, governance arrangements, and patient outcomes are consistently achieved.

The role requires a highly motivated, experienced Primary Care Nurse with strong clinical, leadership, and organisational skills who is passionate about delivering excellent patient care and supporting workforce development.

Clinical Practice

The post holder will:

• Assess, plan, implement and evaluate programmes of care to promote health and wellbeing.
• Deliver evidence-based nursing interventions in line with national and local guidance.
• Manage and review patients with long-term conditions, supporting self-management and personalised care planning.
• Identify patients at risk of developing long-term conditions and initiate appropriate interventions.
• Provide health promotion, screening and preventative care to improve patient outcomes.
• Undertake opportunistic health promotion during patient consultations.
• Deliver cervical cytology screening and women's health services.
• Offer family planning advice and support.
• Assess, manage and treat uncomplicated wounds.
• Deliver childhood and adult immunisation programmes.
• Provide travel health advice and vaccinations where appropriate.
• Recognise, assess and refer patients presenting with mental health concerns.
• Provide advice regarding prescribed and over-the-counter medications.
• Maintain accurate, contemporaneous, and legally compliant clinical records.
• Work within professional competence and NMC standards at all times.

Clinical Leadership

The post holder will:

• Provide visible clinical leadership and professional support to Practice Nurses, ANPs, and HCAs working within the Extended Access Service.
• Act as the first point of escalation for clinical and operational nursing queries.
• Lead by example, promoting high standards of patient-centred care.
• Support workforce planning and service development initiatives.
• Ensure nursing staff work within professional standards, clinical policies and evidence-based practice.
• Promote a culture of continuous quality improvement and shared learning.
• Contribute to service planning and the achievement of contractual performance targets.
• Support recruitment, induction, supervision and retention of nursing staff.
• Facilitate team development and encourage collaborative multidisciplinary working.

Clinical Governance & Quality

The post holder will:

• Ensure all clinical activity is delivered in accordance with NMC standards, NICE guidance, local policies, and national frameworks.
• Maintain awareness of regulatory updates and implement changes where required.
• Review and update clinical protocols and operating procedures.
• Participate in audits and quality improvement initiatives.
• Monitor service performance and support action planning where improvements are identified.
• Contribute to the investigation of complaints, incidents, significant events and near misses.
• Undertake root cause analysis and support implementation of learning outcomes.
• Promote patient safety, clinical effectiveness, and continuous quality improvement.
• Support safeguarding processes for children and vulnerable adults.
• Work within organisational policies relating to domestic abuse, substance misuse, and vulnerable groups.

Infection Prevention & Control

The post holder will:

• Ensure compliance with all Infection Prevention and Control policies.
• Identify infection control risks and implement corrective actions where required.
• Promote safe infection prevention practices across all Extended Access clinics.
• Support monitoring and audit of infection prevention standards.

Communication & Patient Engagement

The post holder will:

• Communicate effectively and compassionately with patients, carers and colleagues.
• Support patients receiving difficult or sensitive information.
• Adapt communication methods to meet individual needs and overcome barriers.
• Promote patient understanding, shared decision-making and informed consent.
• Act as an advocate for patients where appropriate.
• Develop effective relationships with internal and external stakeholders.

Workforce Development & Education

The post holder will:

• Support training, mentoring and development of nursing staff, HCAs and students.
• Monitor compliance with mandatory and role-specific training requirements.
• Identify learning needs and facilitate professional development opportunities.
• Share learning and best practice across the service.
• Maintain own professional development and NMC revalidation requirements.
• Support competency assessments where appropriately qualified.

Information Management

The post holder will:

• Utilise clinical systems effectively to support patient care, monitoring and reporting.
• Ensure accurate clinical coding and record management.
• Collate, analyse and present relevant clinical data to support service improvement.
• Maintain compliance with Information Governance and Freedom of Information requirements.

Equality, Diversity & Inclusion

The post holder will:

• Promote equality, diversity and inclusion in all aspects of care delivery.
• Support patients to access services fairly and without discrimination.
• Act as a role model for inclusive practice.
• Respect patients' rights, choices and cultural differences.
• Support compliance with organisational equality and diversity policies.

Person Specification

Qualifications

Essential

• Registered Nurse with active NMC registration.
• Significant experience within Primary Care or General Practice Nursing.
• Experience managing patients with long-term conditions.
• Experience undertaking cervical cytology.
• Experience delivering immunisation and vaccination programmes.
• Demonstrable leadership or supervisory experience within a clinical setting.
• Excellent communication and organisational skills.
• Knowledge of clinical governance and quality improvement processes.
• Understanding of safeguarding and patient safety requirements.
• Ability to work flexibly across extended access hours.

Desirable

• Experience leading or managing a small clinical team.
• Mentorship, teaching or assessor qualification.
• Experience working within PCN, Hub, or Extended Access services.
• Experience undertaking clinical audits and quality improvement projects.
• Experience in managing long term conditions.
• Qualifications in diabetes, respiratory disease, travel health, women's health or other long-term condition management.
• Strong interest in service development and clinical governance.

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

Portway Family Practice

Address

Portway Lifestyle Centre

Newbury Lane

Oldbury

West Midlands

B69 1HE

United Kingdom

Employer's website

https://www.portwayfamilypractice.co.uk/ (Opens in a new tab)