Autonomous Practice Nurse – Primary Care (3 Sites) in Bradford

Leylands Medical Practice is looking for an enthusiastic, experienced and proactive Practice Nurse to join our busy team.

Main duties of the job:

• The post holder will be a registered nurse, who acting within their professional boundaries, will provide high quality care for patients.
• Acting within their competencies the role holder will:
• Undertake Long Term Condition Reviews and management (for example Asthma)
• Undertake Immunisations and Vaccinations
• Undertake Phlebotomy
• Undertake audit and Quality Improvement work
• Supervision and mentorship

The individual will work within the NMC Code of Conduct to agreed practice standards and protocols.

About us:

We are a large, forward thinking and established training practice with 3 surgeries in the Heaton and Wrose areas of Bradford.

Job responsibilities:

The Practice Nurse is an autonomous registered nurse delivering high-quality, evidence-based primary care to the practice population. The post-holder is professionally accountable for their own clinical decisions, works within the NMC Code, and contributes to the practice's QOF, PCN DES, locally enhanced services and CQC obligations as a core member of the multidisciplinary team. This role is well suited to an experienced practice nurse who values autonomy, clear professional boundaries, and the opportunity to shape clinical services across a multi-site practice.

Reporting and accountability:

• Line management- Clinical Line Manager
• Professional accountability- Nursing & Midwifery Council (NMC)
• Day-to-day working- alongside GPs, HCAs, the Pharmacy team and the wider practice & primary care team.

The post-holder makes autonomous clinical decisions within their agreed scope of practice and is trusted to manage their own caseload. Routine sign-off is not required for activity within competency; escalation to a GP is expected where presentations fall outside scope, where risk is identified, or where shared decision-making is appropriate.

Location and working pattern:

The role is based across 3 sites – Leylands, Heaton and Wrose Medical Centres. The post-holder may be required to work at any of the three sites, including movement between sites within a single working day, in line with service need. Flexibility may be required to support extended access and to provide cover during periods of absence.

Scope of practice:

• Clinical activity will reflect the post-holder's individual competency, training, signed-off scope of practice and any additional qualifications held, in line with current evidence, agreed protocols and PGDs.
• Long-term condition management diabetes, asthma, COPD, hypertension, CVD and other QOF, PCN DES and locally enhanced service indicators.
• Immunisation and vaccination childhood, adult, travel and seasonal programmes, delivered under PGDs or PSDs as appropriate.
• Cervical screening and women's health including contraception advice and signposting.
• Treatment-room nursing wound care, minor procedures, ECGs, phlebotomy, ear care and clinical chaperoning.
• Health promotion and lifestyle support smoking cessation, weight management, cardiovascular risk reduction and self-management coaching.
• Same-day and urgent activity supporting the daily clinical rota, including acute presentations within scope and emergency response (anaphylaxis, BLS).
• Where the post-holder is an Independent or Supplementary Prescriber, they will prescribe within their scope of competence and the current legislative framework.
• Make autonomous clinical decisions within scope and refer or escalate appropriately.
• Maintain accurate, contemporaneous records that meet NMC, GDPR and practice standards.
• Use SystmOne, Ardens templates and approved clinical documentation processes to support accurate coding, recall management and contractual reporting.
• Work in line with practice SOPs, clinical pathways, templates, protocols and governance processes.
• Contribute to the practice's QOF, PCN DES, locally enhanced services, CQC and other contractual delivery.
• Manage defined long-term condition caseloads and contribute to proactive recall, monitoring and follow-up processes.
• Contribute to the safe storage, rotation and disposal of vaccines, medicines and clinical consumables, and support agreed stock management processes.
• Undertake clinical administrative and operational tasks associated with the nursing role, including results management, recalls, workflow support, stock monitoring, equipment checks, documentation, patient communication and other delegated duties required to support safe and effective service delivery.
• Participate in audit, peer review, significant event analysis and continuous service improvement.
• Safeguard children and vulnerable adults, acting in line with local and national policy.
• Maintain professional registration, mandatory training and continuing professional development.
• Work flexibly across sites and contribute to extended access provision as agreed.

Teaching, mentoring and service development:

• Mentor newly appointed practice nurses, pre-registration nursing students and Healthcare Assistants.
• Contribute to induction and ongoing development of the wider clinical team.
• Lead or contribute to clinical audit and quality improvement projects.
• Stay current with national guidance, safety alerts and policy updates, and apply these in practice.

Professional standards:

The post-holder will:

• Practice in line with the NMC Code always.
• Maintain valid registration, revalidation and indemnity.
• Participate in clinical supervision, both as recipient and (where appropriate) as supervisor.
• Attend clinical and team meetings, including practice-wide, nurse team and PCN meetings as required.
• Promote a professional, solution-focused and collaborative team culture, modelling behaviours consistent with the practice values.

Other:

This Job Description sets out the principal accountabilities of the role and is not intended to be exhaustive. The post-holder may be asked to undertake other reasonable duties consistent with the level of the role, and the Job Description will be reviewed periodically in discussion with the post-holder.

Person Specification:

• Current NMC registration with no restrictions
• Ability and willingness to work across all three practice sites, including movement between sites within a single working day
• Experience working within general practice, primary care or a comparable primary or community clinical setting
• Experience managing long-term conditions
• Competence in adult immunisation and vaccination
• Effective IT and clinical systems skills (SystmOne), including accurate clinical documentation
• Understanding of professional accountability, safeguarding and escalation processes
• Cervical screening competence
• Independent or Supplementary Prescribing Qualification
• Experience of mentoring nursing students, HCAs or newly qualified nurses
• Experience of leading audit or quality improvement
• Minor ailment or minor illness 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.