Job responsibilities

Your responsibilities will include:

• Delivering evidence-based nursing care within the practice setting.
• Managing and supporting patients with long-term conditions including diabetes, asthma, COPD, hypertension, and cardiovascular disease.
• Undertaking chronic disease reviews.
• Providing cervical screening, immunisations, vaccinations, travel health advice, and wound care services.
• Supporting patients with lifestyle changes and delivering health promotion and wellbeing initiatives.
• Identifying patients at risk of developing long-term conditions and providing proactive interventions.
• Supporting patients with medication management and self-care.
• Maintaining accurate clinical records and contributing to quality improvement programmes.
• Working collaboratively with the wider multidisciplinary team and external healthcare professionals to ensure coordinated patient care.
• Supporting safeguarding, infection prevention, and clinical governance activities within the practice.

Experience

Essential

• Wound care/removal of sutures and staples
• ECGs
• Venepuncture
• Requesting pathology tests and processing the results, advising patients accordingly
• Understanding the importance of evidence-based practice
• Understand the requirement for PGDs and associated policy
• Ability to record accurate clinical notes
• Ability to work within own scope of practice and understanding when to refer to GPs
• Chaperone procedure
• Women's health (cervical cytology, contraception, etc.)
• Immunisations (routine, childhood and travel)
• Chronic disease management

Desirable

• Spirometry
• Broad knowledge of clinical governance
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena
• Knowledge of health promotion strategies

Qualifications

Essential

• We are looking for someone who:
• Is a Registered Nurse with current NMC registration.
• Has experience in general practice nursing or a strong interest in primary care.
• Is confident in delivering high-quality, patient-centred care.
• Has excellent communication and interpersonal skills.
• Enjoys working both independently and as part of a team.
• Is committed to continuous professional development and service improvement.
• Shares our values of kindness, teamwork, and putting patients at the heart of everything we do.

Desirable

• Mentor or teaching qualification
• Postgraduate diploma or degree (Chronic Disease Management)
• Nurse prescriber
• Family planning qualification

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).

Job responsibilities

Core responsibilities

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags

and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.

Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.

Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Communication

Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.

Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipates barriers to communication and take action to improve communication

Maintains effective communication with the primary care team and with external stakeholders

Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Safeguarding adults and children

The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.

When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.

The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.

The postholder has a responsibility to support appropriate investigations either internally or externally.

To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.

Leadership and management personal and people development

Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Supports staff development in order to maximise potential and support practice development

Critically evaluates and reviews innovations and developments that are relevant to clinical practice

Contributes to the development of local guidelines, protocols and standards

Maintains effective communication with those responsible for the overall commissioning and procurement process

Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.

Team working

Understands own role and scope and identify how this may develop over time

Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Creates and agrees clear referral mechanisms to meet patient need

Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales

Discusses, highlights and works with the team to create opportunities to improve patient care

Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team

Education

Undertakes mentorship for more junior staff, assessing competence against set standards

Use evidence-based strategies to improve and enhance the quality of patient care

Assesses own learning needs and undertakes learning as appropriate

Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Research

Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care

Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Participates in investigation of incidents and events as required.

Identifies, applies and disseminates research findings relating to own practice

Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.

Participates in clinical trials and equipment testing.

Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit

Quality

Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:

Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Alerts other team members to concerns about risk, quality and safety.

Participates in investigation of incidents and events as required.

Contributes 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

Works effectively with individuals in other agencies to meet patients needs

Effectively manages own time, workload and resources.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

See attached job description and person specification for further details.

Knowledge

Essential

• A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
• Advanced clinical practice skills
• Clinical examination skills
• Accountability of own role and other roles
• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge/experience in general practice/elderly care or palliative care

Desirable

• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Personal qualities

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship within a clinical setting
• Resource management

Experience

Essential

• Significant post registration experience
• Recent primary or community experience
• Management of minor illness, minor ailments and injuries
• Triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research

Desirable

• Project management
• Health-needs assessment

Qualifications

Essential

• Masters degree level in the relevant area of expertise
• for Advanced Clinical Practitioner Nurses only, have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
• MSc in advanced practice or equivalent accreditation
• Independent prescribing qualification
• for advanced practice pharmacists only, qualified from an approved 18-month training pathway or equivalent and qualified as an independent prescriber

Desirable

• Mentor/teaching qualification
• Clinical supervision training and experience

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).

Job responsibilities

• Support public health and screening programmes, including immunisations, vaccinations, where appropriate.
• Completing CGAs and Respect forms.
• Deliver expert nursing assessments and manage complex care needs of housebound and care home residents within Tonbridge PCN in partnership with GP.
• Support patient and public involvement to enhance patient care and service delivery.
• Deliver a range of nurse-led clinics and undertake housebound and care home visits, including providing vaccinations and, where appropriately trained, carrying out procedures such as FeNO testing, ECGs, ear irrigation, and other clinical interventions.
• Create a trusting partnership with patients and/or relatives/carers to communicate and explain complex medical issues
• Mentor, support, and supervise new-to-general-practice nurses, student nurses, and other healthcare professionals (e.g., nursing associates, HCSWs) across the PCN by agreement and when appropriate.
• Be proficient in use of digital technologies applicable in the workplace to enhance personalised care.
• Advocate for people and nursing.
• Undertake mandatory training and CPD to meet NMC revalidation and practice needs.
• Provide clinical support and guidance to care home staff to improve patient safety and health outcomes.
• Identify own personal development needs, proactively seek feedback, and take effective action to address them using a mix of strategies.
• Work collaboratively across the PCN, actively engaging with community services, secondary care, social care, and voluntary sector providers to ensure integrated and holistic care pathways.
• Reflect on learning using appropriate frameworks (e.g. NMC Code).
• Adhere to CQC standards, infection prevention and control protocols, and safeguarding responsibilities.
• Participate in audits, significant event reviews, and quality improvement initiatives.
• Maintain confidentiality, information governance, and data protection in line with NHS standards.
• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• Ensure that their own practice is kept updated, using an acceptable model of clinical supervision.
• Take every opportunity to expand individual practice in line with the principles contained within the Nursing and Midwifery Councils (NMC) document The Code (2015) (or equivalent professional body).

Other

Essential

• Self-directed practitioner
• Highly motivated
• Committed to continuous professional development
• Flexible
• Enthusiastic
• Partner collaboratively with multidisciplinary teams, individuals, families and carers to make clinical decisions.
• Conscious of the need to act sustainably.
• Able and willing to travel to various care homes within the Ridge locality.
• Must have a clean driving license and access to a vehicle.

Qualifications

Essential

• Degree in Nursing or Registered Nurse Degree
• Registered with Nursing and Midwifery Council
• More than one post-registration qualifications and CPD, for example certificates, diplomas or professional development courses at level 6 (e.g. long-term conditions care and/or public health initiatives)

Skills

Essential

• Clinical examination skills
• Ability to use clinical systems (Emis)
• Ability to use Microsoft 365 products (Outlook, Word, Excel).
• Ability to communicate and compassion and integrity.
• Conflict management skills
• Able to combine theory and practical skills to develop nursing practice and judgment.

Knowledge

Essential

• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Understanding of a range of assessment methods.

Desirable

• Knowledge of public health issues in the area
• Project management

Experience

Essential

• Experienced level of practice
• Working within frailty or management of patients with long-term conditions
• Primary Care or Community nursing experience
• Nurse-led management of minor illness, minor ailments and injuries
• Audit
• Research
• Clinical Leadership

Desirable

• Nursing in care home settings
• Nurse prescribing
• Experience in clinical leadership

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).

Job responsibilities

Core responsibilities

Clinical practice

The role will mainly involve working in our Same Day Access Hub seeing patients for urgent on the day issues. The role will involve working alongside PCN team of GP supervisor / Paramedic Practitioner in the PCN Same Day Access Hub seeing patients on the day with urgent issues.

The post may include cross cover with the award-winning Frailty Visiting Team visiting patients who are housebound for urgent on the day issues.

Work as part of a multi-disciplinary team to deliver safe and high-quality care.

Carry out clinical practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with acute, long term and complex health needs.

Manage undifferentiated undiagnosed condition and identify red flags

and underlying serious pathology and take appropriate action

Triage and treat patients, including same day triage, performing assessment of their needs and makes referrals as necessary to other members of the primary and secondary health care teams as appropriate.

Interpret investigation findings to determine effective treatment plans & discuss with GPs where a second opinion is required

Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, using both non-pharmacological and pharmacological treatments.

Co-ordinate the planning and delivery of care ensuring patients and carers or relatives are involved where required. Actively take a personalised care approach and population centre care approach to enable shared decision making.

Prescribing and reviewing medication that is appropriate for patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice.

Diagnose and manage acute and chronic conditions, including drug and non-drug based treatment methods into a management plan.

Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.

Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.

Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.

Communication

Uses and adapts communication style to meet individual patient needs to ensure patients are fully informed about treatment.

Communicates effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipates barriers to communication and take action to improve communication

Maintains effective communication with the primary care team and with external stakeholders

Ensures awareness of sources of support and guidance and provides information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Safeguarding adults and children

The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.

When adults or children and/or their carers use primary care services, it is essential that all adult and child protection concerns are both recognised and acted on appropriately.

The postholder has a responsibility to ensure they are familiar with and follow local policies in relation to safeguarding vulnerable adults and that they follow the local child protection procedures and any supplementary guidance.

The postholder has a responsibility to support appropriate investigations either internally or externally.

To ensure the postholder is equipped to carry out their duties effectively, they must also attend vulnerable adult and child protection training and updates at the competency level appropriate to the work they do and in accordance with the local vulnerable adult and child protection training guidance.

Leadership and management personal and people development

Takes responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Supports staff development in order to maximise potential and support practice development

Critically evaluates and reviews innovations and developments that are relevant to clinical practice

Contributes to the development of local guidelines, protocols and standards

Maintains effective communication with those responsible for the overall commissioning and procurement process

Promotes the role of the Advanced Clinical Practitioner in general practicecompleting relevant training in order to provide multi-professional clinical practice and CPD supervision to other roles within primary care.

Team working

Understands own role and scope and identify how this may develop over time

Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Creates and agrees clear referral mechanisms to meet patient need

Prioritises own workload and uses effective time-management strategies to complete work within agreed timescales

Discusses, highlights and works with the team to create opportunities to improve patient care

Manages and leads the delivery of specifically identified services or projects as agreed with the PCN Clinical Director and the PCN management team

Education

Undertakes mentorship for more junior staff, assessing competence against set standards

Use evidence-based strategies to improve and enhance the quality of patient care

Assesses own learning needs and undertakes learning as appropriate

Provides an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Research

Critically engage in research activity and use evidence-based strategies to improve and enhance the quality of patient care

Participates in clinical governance activity and contributes to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Participates in investigation of incidents and events as required.

Identifies, applies and disseminates research findings relating to own practice

Collects data for audit purposes and uses clinical audit to monitor quality in the service and implements change according to findings.

Participates in clinical trials and equipment testing.

Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding (e.g. Quarterly Enhanced Services returns, annual QOF audit

Quality

Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:

Participates in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and the Quality and Outcomes Framework

Alerts other team members to concerns about risk, quality and safety.

Participates in investigation of incidents and events as required.

Contributes 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

Works effectively with individuals in other agencies to meet patients needs

Effectively manages own time, workload and resources.

Delivery of care in line with NSF, NICE guidelines and evidence-based care

See attached job description and person specification for further details.

Knowledge

Essential

• A clear understanding of the Multi-professioanl framework for advanced clinical practice in England
• Advanced clinical practice skills
• Clinical examination skills
• Accountability of own role and other roles
• Management of patients with long-term conditions
• Management of patients with complex needs
• Local plan and national health policy
• Wider health economy
• Clinical governance issues in primary care
• Patient group directions and associated policy
• Knowledge/experience in general practice/elderly care or palliative care

Desirable

• Able to identify determinants on health in the area
• Knowledge of public health issues in the area

Personal qualities

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Team player

Skills

Essential

• Clinical leadership skills
• Communication skills, both written and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Teaching and mentorship within a clinical setting
• Resource management

Experience

Essential

• Significant post registration experience
• Recent primary or community experience
• Management of minor illness, minor ailments and injuries
• Triage
• Compiling protocols and clinical guidelines
• Clinical Leadership
• Audit
• Research

Desirable

• Project management
• Health-needs assessment

Qualifications

Essential

• Masters degree level in the relevant area of expertise
• for Advanced Clinical Practitioner Nurses only, have either graduated from a Centre for Advancing Practice accredited MSc advanced practice programme or completed the Centres ePortfolio (supported) Route
• MSc in advanced practice or equivalent accreditation
• Independent prescribing qualification
• for advanced practice pharmacists only, qualified from an approved 18-month training pathway or equivalent and qualified as an independent prescriber

Desirable

• Mentor/teaching qualification
• Clinical supervision training and experience

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).