Job description

Job responsibilities

• The post holder will be responsible for the assessment, planning and provision of specialist diabetes nursing advice by delivering diabetes care to adult patients in local GP practices in West Kent
• Work closely with acute Trust colleagues to reduce the length of stay and help reduce readmission rates by organising appropriate follow up care upon discharge
• Work with acute Trust colleagues to avoid unnecessary admissions wherever possible by developing suitable management plans and providing patient education and support to effectively manage their own condition
• Deliver diabetes clinics in GP practices across West Kent through a combination of patient face to face and virtual clinics dependent on the needs of the patient
• The Diabetes Specialist Nurses will work with Practice Nurses to support the running of local nurse-led spoke clinics across the Primary care networks

Person Specification

Qualifications

Essential

• Level 1 NMC Adult Registered Nurse
• Relevant post registration qualification
• One of the below qualifications as a minimum:-
• Diabetes Diploma/Certificate
• Teaching qualification or equivalent expert experience

Desirable

• Mentorship qualification or willingness to undertake
• Counselling qualification or willingness to undertake
• Non-Medical Independent Prescriber/ Willingness to undertake.
• DAFNE qualification

Experience

Essential

• Post registration experience
• Extensive knowledge of diabetes having previous experience in a DSN or a practice nurse role with experience running Diabetes clinics independently

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

West Kent Primary Care

Address

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

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.

Person Specification

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).

Employer details

Employer name

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

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).

Person Specification

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).

Employer details

Employer name

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Clinical practice

• Provide autonomous clinical assessment, diagnosis, prescribing, and management of residents in care homes, including those with complex, acute, chronic, frailtyrelated, or undifferentiated presentations.
• Lead proactive care home ward rounds, reviewing routine followups, postdischarge cases, longterm conditions, and residents identified as at risk of deterioration.
• Creating and reviewing personalised care plans, including Comprehensive Geriatric Assessments (CGA) and ReSPECT discussions in collaboration with MDT and families.
• Work as part of a multi-disciplinary team to deliver safe and high-quality care.
• Conduct 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.
• 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.
• Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations, and other organisations, as necessary.
• The postholder has a duty to safeguard and promote the welfare of vulnerable adults and children.

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 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 to provide multi-professional clinical practice and CPD supervision to other roles within primary care.
• Works as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.

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.

Quality

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

• Participate 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

Person Specification

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

Other

Essential

• Self-directed practitioner
• Highly motivated
• Flexibility
• Enthusiasm
• Collaborator
• You will be required to travel independently between care homes and PCN sites, therefore having access to your own reliable transport is essential. A full, clean UK driving licence (or equivalent) is required to safely and efficiently perform the duties of the role.

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

Desirable

• Mentor/teaching qualification.
• Clinical supervision training and experience

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

Knowledge

Essential

• A clear understanding of the Multi-professional framework for advanced clinical practice in England (https://advanced-practice.hee.nhs.uk/wp-content/uploads/sites/28/2025/05/Multi-professional-framework-for-advanced-practice-in-England--Edition-2025.pdf)
• 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

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

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

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.

Person Specification

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).

Employer details

Employer name

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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

Job description

Job responsibilities

Management accounts and financial reporting

• Ownership of the monthly management accounts process closing the management accounts accurately within the agreed deadlines and producing a month-end pack including P&L, balance sheet, and cash flow
• Preparing and distributing the monthly financial reporting pack to the Finance Director, Senior management team (SMT) and the Board as appropriate, including variance analysis against budget, identifying any financial risks
• Managing the year-end process preparing the year-end trial balance, coordinating the statutory accounts with the external auditor and accountant to ensure accounts are filed within the required timeframe at Companies House
• Maintain accurate and up-to-date financial records in the accounting system, ensuring all transactions are properly coded, authorised, and recorded balance sheet management and reconciliations
• Take responsibility for reviewing monthly balance sheet reconciliations for all balance sheet accounts ensuring that all balances are supported, explained, and free from errors
• Taking overall responsibility for the fixed asset register maintaining accurate records of capital expenditure, depreciation, and disposals in line with the companys accounting policies
• Overseeing the management of accruals, pre-payments, and that referrals are appropriately considered, recorded and justified with supporting evidence a calculation. ensuring that income and expenditure is recognised in the correct period
• Ensuring that the balance sheet always presents a true and fair view of the companys financial position

Financial controls and compliance

• Maintaining and improving the businesss system of financial controls including purchase order authorisation, expense approval, payment authorisation limits, and segregation of duties
• Overseeing financial compliance with NHS pensions
• Overseeing purchase ledger and sales ledger operations ensuring supplier invoices are processed accurately, customer invoices are raised promptly, and the ledgers are properly managed
• Responsible for communications with HMRC, timely payments and correspondence where relevant,
• Overseeing PAYE and payroll processes liaising with the payroll provider or managing payroll directly, ensuring accurate submissions and PAYE payments to HMRC
• Supporting company accountants with queries required for end of year accounting and filing
• Coordinating the external audit process acting as the primary point of contact for the auditors by providing supporting schedules and documentation, and managing the audit to completion within the agreed timetable

Cash management and treasury

• Managing the businesss cash position daily monitoring bank account balances, authorising payments, and ensuring the business always has adequate liquidity
• Preparing and maintaining monthly cash flow forecast for WKPC and the PCN accounts that WKPC manages
• Managing debtor collections overseeing the aged debtor ledger, chasing overdue receivables, and working with the sales team to resolve invoice disputes
• Managing creditor payments ensuring suppliers are paid within agreed terms, maintaining the aged creditor ledger, and managing any payment disputes
• Overseeing banking administration managing bank mandates, online banking access, and the relationship with the businesss bank at an operational level

Budgeting and forecasting support

• Supporting the Finance Director/SMT in the annual budgeting process preparing budget templates and supporting the Finance Director/SMT with strategic financial planning to ensure ongoing sustainability
• Preparing reports for the AGM
• Producing monthly budget versus actual variance analysis and providing explanatory notes that support the Finance Directors/SMT board reporting
• Maintaining and updating the rolling cash flow forecast as actuals are posted and assumptions are revised
• Supporting the production of financial models and forecasting analysis as required by the Finance Director

Contracts

• Supporting Finance Director/SMT in the management of contracts with Commissioners and Suppliers
• Ensuring contracts are renewed/renegotiated prior to contract end dates
• Recommend sources of supply and identify saving opportunities
• Obtain quotations for purchases and contracts
• Monitor all contracts and arrange contract review meetings to monitor suppliers and service managers
• Develop contracts database
• Maintain full record of all contracts on database
• Support procurement and business case development

Finance team management

• Managing the day-to-day activities of the finance team and any junior finance staff
• Reviewing the work of the finance team for accuracy and completeness before it is used for management reporting or external purposes
• Supporting the development and training of finance team members providing guidance, feedback, and mentoring to less experienced staff
• Providing 1:1 line management to the direct reports and lead on their annual appraisal
• Managing the finance teams workload and priorities across the month-end cycle, the year-end, and any ad hoc requirements

Systems and process improvement

• Maintaining and improving the accounting software and financial systems ensuring they are configured correctly, updated, and used effectively by the finance team
• Identifying and implementing process improvements that improve efficiency, accuracy, and speed of the finance functions output
• Supporting or leading system implementations and finance system upgrades where required

Financial Governance

• Work collaboratively with PCNs, GP practices and NHS partners to ensure strong financial governance across the federation.
• Support compliance with NHS financial standards, contractual requirements, and internal controls.
• Provide accurate financial information and advice to enable joint decision-making and effective use of NHS resources.
• Maintain robust financial records, budgets, forecasts, and reports to support operational and strategic planning.
• Monitor, identify, and record financial risks, ensuring appropriate mitigation and escalation.
• Ensure all income and expenditure is properly authorised, recorded, and reconciled.
• Support audit activity, action planning, and improvements to financial processes and controls.
• Promote transparency, accountability, and value for money in the use of NHS funds.

Person Specification

Professional skills

Essential

• Excellent computer literacy skills including knowledge of Word, Excel and Outlook
• Knowledge of at least one recognised accounting package
• Excellent communication skills, both verbal and written
• Excellent organisational skills
• Good interpersonal skills
• Enthusiasm to make things happen

Experience

Essential

• Post-qualification experience in a finance function, with demonstrable experience of managing a month-end close process
• Previous healthcare account management Ideally previous experience working in the NHS or another healthcare sector
• Management accounts production: Hands-on experience of closing management accounts monthly within agreed deadlines
• Balance sheet reconciliations: Rigorous approach to balance sheet management and proven experience of maintaining clean, well-supported balance sheets
• Financial controls: Experience of implementing and operating financial controls in a business of comparable size and complexity
• VAT and HMRC compliance: Direct experience of VAT return preparation and PAYE management
• Accounting software: Proficiency in at least one major accounting platform (Sage, Xero, QuickBooks, or similar)
• Excel: Strong Excel skills including pivot tables, and financial modelling basics
• Attention to detail: The Financial Controller role requires a high level of accuracy to avoid errors in management accounts or reconciliations which have downstream consequences for financial reporting and business decisions

Desirable

• People management: Experience of managing or mentoring junior finance staff
• Experience in healthcare sector
• Experience of a statutory audit process either in practice (as an auditor) or in industry (managing the audit as the FC)

Qualifications

Essential

• Qualified accountant ACA, ACCA, or CIMA (or international equivalent).

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

West Kent Primary Care

Address

Hospice In The Weald

Maidstone Road

Pembury

Tunbridge Wells

Kent

TN2 4TA

United Kingdom

Employer's website

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